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Sample records for auricular por cochliomyia

  1. Resposta adrenocortical em caninos tratados com betametasona e fludrocortisona por via auricular Canine adrenocortical response to otic betamethasone and fludrocortisone

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    Luiz Fernando Jantzen Gaspar

    1999-12-01

    Full Text Available Vinte e quatro caninos adultos hígidos, sem raça definida, machos e fêmeas, com peso e idade variados, foram divididos igualmente em grupo controle, betametasona, fludrocortisona, e receberam, por via auricular, 2ml diários das seguintes soluções: salina a 0,9%, fosfato dissódico de betametasona a 0,1% e acetato de fludrocortisona a 0,1%, respectivamente. Os animais foram submetidos a duas aplicações diárias de 0,5ml da solução correspondente em cada conduto auditivo, durante um período de 14 dias. Foram realizadas colheitas de sangue da jugular no 7º e 14º dias de tratamento e no 7º dia após o término dos tratamentos. Realizou-se a determinação dos níveis séricos de cortisol pré e pós-estímulo com ACTH. Os grupos betametasona e fludrocortisona apresentaram um decréscimo significativo (PTwenty four mature mixed-breed dogs, healthy, male and female, of several weights and ages were divided into control, betamethasone and fludrocortisone groups and received 2ml daily of these solutions: 0.9% saline solution, 0.1% betamethasone disodic phosphate and 0.1% fludrocortisone acetate, respectively. The dogs received, twice in day, 0.5ml of corresponding solution into each external ear canal for 14 days. During the treatments were realized collections of data on 7th and 14th day and in post-treatment (seven days later the end of treatments. In these times were obtained blood samples by jugular venopunction, for serologic determination of level serum cortisol pre- and post-ACTH. The pre- and post-ACTH cortisol concentrations of fludrocortisone and betamethasone groups reduced significantly (P<0.05 compared with control, during the experiment. Betamethasone and fludrocortisone by otic administration produce considerable effects in the adrenocortical function.

  2. Dermatitis de pabellón auricular por picadura de jerjeles: Una entidad clínica diferente no descrita

    OpenAIRE

    Peña M,Alejandro

    2012-01-01

    Introducción: La picadura de jerjeles o simúlidos de la cara anterior del pabellón auricular presenta características clínicas diferente a las picaduras del mismo insecto en la piel del resto del cuerpo y requiere también un tratamiento diferente. Estos hechos no han sido descritos en la literatura. Objetivos: El objetivo es detallar los síntomas y signos de estas picaduras y las causas de las diferencias clínicas y de su tratamiento. Material y método: Para ello se hace el estudio y análisis...

  3. Auricular Acupuncture with Laser

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    Regina Round

    2013-01-01

    Full Text Available Auricular acupuncture is a method which has been successfully used in various fields of medicine especially in the treatment of pain relief. The introduction of lasers especially low-level lasers into medicine brought besides the already existing stimulation with needles and electricity an additional technique to auricular acupuncture. This literature research looks at the historical background, the development and the anatomical and neurological aspects of auricular acupuncture in general and auricular laser acupuncture in detail. Preliminary scientific findings on auricular acupuncture with laser have been described in detail and discussed critically in this review article. The results of the studies have shown evidence of the effect of auricular laser acupuncture. However, a comparison of these studies was impossible due to their different study designs. The most important technical as well as study parameters were described in detail in order to give more sufficient evidence and to improve the quality of future studies.

  4. Essays on the history of brazilian dipterology: III. Three remarkable notices from the 18th century, mainly related to myiasis-producing flies (Cochliomyia and Dermatobia Ensaios sobre a história da dipterologia brasileira: III. Três notáveis notícias do século XVIII, principalmente relacionadas a moscas produtoras de miíases (Cochliomyia e Dermatobia

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    Nelson Papavero

    2012-12-01

    Full Text Available This paper registers reports about dipterans made by three Portuguese who lived in Brazil during the 18th century. Luiz Gomes Ferreira, in his book "Erário mineral" ["Mineral revenue"], wrote curious passages related with myiasis-causing flies of the genus Cochliomyia. José Rodrigues de Mello registered, in Latin verses, the folklore for curing myiases caused by Cochliomyia hominivorax in cattle. Luiz dos Santos Vilhena, in the last of his twenty letters dealing with several aspects of life in Brazil, made reference to horseflies, human bot flies and mosquitos.Este trabalho registra notícias sobre dípteros feitas por três portugueses que moraram no Brasil durante o século XVIII. Luiz Gomes Ferreyra, em seu livro "Erário mineral", escreveu curiosas passagens principalmente relacionadas com moscas causadoras de miíases do gênero Cochliomyia. José Rodrigues de Mello registrou, em versos em Latim, o folclore para curar bicheiras causadas por Cochliomyia hominivorax no gado. Luiz dos Santos Vilhena, na última de suas vinte cartas sobre vários aspectos da vida no Brasil, fez referência a mutucas, bernes e mosquitos.

  5. Fibrilación auricular

    OpenAIRE

    Cárdenas, Manuel

    2007-01-01

    La fibrilación auricular es la contracción desordenada e ineficaz de las aurículas. Se reconocen las siguientes variedades clínicas: ocasional, paroxística, persistente y crónica. Se han descrito diversos mecanismos que producen fibrilación auricular, con las mismas manifestaciones clínicas y electrocardiográficas. Para indicar el tratamiento se deben tener en cuenta diversos hechos tales como el tipo de fibrilación auricular, la presencia o ausencia de cardiopatía, la sintomatología asociada...

  6. Diseño de un registro multicéntrico para evaluar control de ritmo contra control de la frecuencia en fibrilación auricular: Registro Mexicano de Fibrilación Auricular (ReMeFA)

    OpenAIRE

    Iturralde-Torres,Pedro; Lara-Vaca,Susano; Cordero-Cabra,Alejandro; Nava-Townsend,Santiago; Mendoza,Celso; Manlio F. Márquez; Saucedo-Sánchez,Néstor; Martínez-Flores,Enrique

    2011-01-01

    La fibrilación auricular es una arritmia muy frecuente y afecta predominantemente a individuos mayores de 70 años. Se dispone de poca información sobre su manejo en México por lo que se diseñó el Registro Mexicano de Fibrilación Auricular (ReMeFA). Método: Se trata de un estudio multicéntrico, observacional, prospectivo sobre el tratamiento de la fibrilación auricular. Se incluyeron sujetos de ambos géneros, mayores de 18 años de edad, con fibrilación auricular documentada. Se excluyeron aque...

  7. Auricular chromoblastomycosis: case report Cromoblastomicose auricular: relato de um caso

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    Achiléa Lisboa Bittencourt

    1994-08-01

    Full Text Available It is presented a case of auricular chromoblastomycosis mimicking an eczematous lesion. The authors refer the rarity of this localization. All reported cases of auricular chromoblastomycosis have been caused by Fonsecaea pedrosoi but in the present case the etiologic agent was Phialophora verrucosa.É apresentado um caso de cromoblastomicose auricular apresentado sob forma de lesão eritemato-escamosa, tendo tido o diagnóstico clínico de eczema. Os AA discutem sobre a raridade desta localização e aspecto clínico. Embora os poucos casos relatados de cromoblastomicose auricular tenham sido causados pela Fonsecaea pedrosoi, neste o agente etiológico foi a Phialophora verrucosa.

  8. Fibrilación auricular en una paciente con megaorejuela auricular izquierda

    OpenAIRE

    Alejandro Villamil; Patricia Avellana; Claudio Hadid; Horacio Di Nunzio; Daniela Coria; Darío Di Toro; Noemí Prieto

    2007-01-01

    La FA constituye una de las arritmias sostenidas más frecuentes que motivan la consulta. El sustrato comprende diferentes mecanismos, entre los que se encuentra el agrandamiento auricular izquierdo. Presentamos el caso de una mujer de 33 años con antecedentes depalpitaciones, que ingresó en la guardia por FA de alta respuesta ventricular. En la radiografía de tórax se observó una deformación del borde izquierdo de la silueta cardíaca. Posteriormente,el ecocardiograma transesofágico y la reson...

  9. Cochliomyia Homnivorax in an advanced stage in the oral cavity

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    Layla Gomes

    Full Text Available Myiasis is characterized by the invasion of body or cavity tissues of live animals by larva. It is most frequently observed in underdeveloped and tropical countries, but there are cases described worldwide. Conventional treatment consists of mechanical removal of the larvae, one by one, which is a painful, embarrassing and repugnant process, both for the professional and patient. Although it is not considered rare, it has been observed that the dental professional has little knowledge for the diagnosis and treatment of this pathology. For this reason, this study reports a case of oral myiasis at an advanced stage, which affected a nine-year-old patient, treated at a medical-dental clinic. Diagnosis was based on the visual presence of Cochliomyia homnivorax larvae, diptera of the Calliphoridae family, which were between the second and third stages of development. Predisposing factors, such as the lack of information, malnutrition, poor oral hygiene, preexistenceof oral lesions and severe halitosis have a decisive influence in the appearance and progression of oral myiasis. A brief literaturereview was also conducted, in which this pathology was discussed, including the importance of early clinical diagnosis, its etiology, possible associations with other pathologies, and different types of treatment.

  10. [Program fo the eradication of Cochliomyia hominivorax in Northern Africa].

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    Cunningham, E P; Abusowa, M; Lindquist, D A; Sidahmed, A E; Vargas-Terán, M

    1992-01-01

    The New World Screwworm (NWS, Cochliomyia hominivorax) is an obligate parasite of warm-blooded animals. The female lays up to 300 eggs in any break in the skin, and the resulting larvae (screwworms) burrow into surrounding living flesh. Infested animals frequently die, while the annual cost of controlling the pest in domestic animals is about US $10 per head. NWS is endemic in tropical Latin America. In 1988, it was detected in Libya, presumable introduced with imported sheep. By 1990, the infestation had spread to an area of 25,000 km2 containing some 2 million livestock. In early 1991, an internationally funded eradication programme was undertaken by FAO, using sterile insects. Each week, 40 million pupae were flown from a production plant in Mexico, and the emerged adults were distributed by over the infested area. Within a few months, the infestation has been eradicated. Whereas 12,000 infested animals were found in 1990, only 6 were detected in 1991. The programme involved the shipping and distribution of 1.3 billion sterile insects, animal inspections totalling 40 million and laboratory examination of 280,000 trapped flies. While the programme cost close to US $75 million, a benefit/cost ration of 50:1 has been estimated.

  11. PROBLEMÁTICA DEL GUSANO BARRENADOR DEL GANADO, Cochliomyia hominivorax

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    Elkin Forero B

    2008-08-01

    Full Text Available The new world screwworm fly, Cochliomyia hominivorax, in larval stage is an obligate parasite of mammals and humans, causing traumatic myiasis. The female fly mates once in in its lifespan, whereas the male mates several times. Accordingly eradication efforts were established in the 1950’s, using male sterilization. Screwworm eradication has been successful in North and Central America, including some Caribbean islands. However, South America is still infested. Economic costs, the length of the program, and undesirable side effects of the screwworm eradication program led to a search for alternatives control measures. The initiation of screwworm eradication in Colombia could encounter geographical, political, and mainly economical problems. This program in Colombia would require the economic support and collaboration of the USDA, organizations of international cooperation, health authorities, academic institutions, and livestock producers. Priorities for screwworm research in Colombia should be biology, epidemiology and population dynamics, together with improvement of survey methods and control technologies. The achievement of studies for establishing technical, political, economical, and environmental viability of screwworm eradication is recommended. After these data are accumulated, a commission must be assembled with public and private organizations in order to determine the real cost and benefits of eradication.

  12. Abundance and seasonality of Cochliomyia macellaria (Diptera: Calliphoridae) in Southern Pantanal, Brazil Sazonalidade de Cochliomyia macellaria (Diptera: Calliphoridae) no Pantanal Sul-mato-grossense, Brasil

    OpenAIRE

    2011-01-01

    Cochliomyia macellaria (Diptera: Calliphoridae), known as the secondary screwworm, occurs in the Americas and has medical-veterinary and forensic importance. This study aimed to describe the seasonal fluctuation of this species in the Pantanal region, Central-Western Brazil. From December 2004 to November 2007 fly catches using four windoriented traps baited with decaying bovine liver were carried out at the Nhumirim ranch, Nhecolândia subregion, Southern Pantanal. Traps remained active throu...

  13. The testes transcriptome derived from the New World Screwworm, Cochliomyia hominivorax TSA

    Science.gov (United States)

    In a collaboration with National Center for Genome Resources researchers, we sequenced and assembled the testes transcriptome derived from the Pacora, Panama, production plant strain of the New World Screwworm, Cochliomyia hominivorax. This transcriptome contains 4,149 unigenes and the Transcriptome...

  14. The testes transcriptome derived from the New World Screwworm, Cochliomyia hominivorax

    Science.gov (United States)

    The New World Screwworm (NWS), Cochliomyia hominivorax, is a pest insect that is endemic to subtropical and tropical regions of the Western Hemisphere. The female lays eggs in open wounds or orifices of warm-blooded animals. Upon hatching, the resulting larvae feed upon the host's living tissues, wh...

  15. The testes transcriptome derived from the New World Screwworm, Cochliomyia hominivorax SRA

    Science.gov (United States)

    In a collaboration with National Center for Genome Resources researchers, we sequenced and assembled the testes transcriptome derived from the Pacora, Panama, production plant strain J06 of the New World Screwworm, Cochliomyia hominivorax. This sequencing project produced 72,750,822 raw reads and th...

  16. Mastoiditis mimicry: retro-auricular cellulitis related to otitis externa.

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    Block, Stan L

    2014-09-01

    Retro-auricular cellulitis associated with otitis externa is now the great mimicker of mastoiditis. It may be the most common cause of this specific cellulitis/auricular protrusion when it is associated with otitis externa. This column presents six cases of children who presented with peri-auricular redness, four of whom had protuberant ear and retro-auricular cellulitis.

  17. Reconstrucción auricular: experiencia de 24 años Auricular reconstruction: 24 year experience

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    A. I. Mantilla Martín

    2008-06-01

    Full Text Available La oreja, debido a su situación expuesta en la cabeza, es un órgano susceptible de sufrir múltiples traumas e incluso pérdida; así mismo, es asiento de neoplasias malignas, carcinomas y melanomas que igualmente finalizan en amputación. Fuera de estas razones, la ausencia congénita del pabellón auricular es la segunda malformación facial de origen congénito más frecuente después del labio y paladar fisurados. Es común por tanto para el cirujano plástico verse frente a pacientes que consultan solicitando la solución a su deformidad. El presente artículo trata de señalar el camino a seguir dividido en cuatro etapas de acuerdo a los principios definidos por el Dr. Radford Tanzer y perfeccionados a través de los años por el Dr. Burt Brent, e ilustra el manejo de la reconstrucción en casos de microtia, amputación auricular y el uso de colgajos de fascia temporal en los casos en que la piel de la región mastoidea ha sido comprometida y no es posible usarla como elemento primario para la reconstrucción auricular.Due to its very exposed situation on both sides of the head, the auricle is very susceptible to suffer severe traumas, that will at the end cause its amputation; it´s too one of the most common sites to present malignant tumors, carcinoma and melanoma, that will also end in the surgical amputation of the ear. Congenital absence of the ear, microtia, is the second most common facial anomaly after cleft lip and palate. Not infrequently plastic surgeon confronts with patients seeking an answer for correction of their deformities. The present article tries to show a four steps method, according to the principles described first by Dr. Radford Tanzer and later improved by Dr. Burt Brent and illustrates how to manage the auricular reconstruction in cases of congenital microtia or traumatic loss of the auricle, as well as the use of the temporal fascia flap as a way to provide skin coverage, when the skin of the mastoid area has

  18. Fibrilación auricular en una paciente con megaorejuela auricular izquierda

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    Alejandro Villamil

    2007-01-01

    Full Text Available La FA constituye una de las arritmias sostenidas más frecuentes que motivan la consulta. El sustrato comprende diferentes mecanismos, entre los que se encuentra el agrandamiento auricular izquierdo. Presentamos el caso de una mujer de 33 años con antecedentes depalpitaciones, que ingresó en la guardia por FA de alta respuesta ventricular. En la radiografía de tórax se observó una deformación del borde izquierdo de la silueta cardíaca. Posteriormente,el ecocardiograma transesofágico y la resonancia magnética nuclear evidenciaron una megaorejuela aneurismática debida, probablemente, a un defecto pericárdico. La conducta fue anticoagulación oral y tratamiento con atenolol, con evolución favorable.

  19. Experiencia en reconstrucción auricular en cáncer de piel con colgajo en "quesadilla" Experience in auricle reconstruction after skin carcinoma with "quesadilla" flap

    OpenAIRE

    C. Gutiérrez Gómez; A. Avila Romay; C. Zepeda Alcántara; A. Cárdenas Mejía

    2008-01-01

    La reconstrucción auricular es una de las más difíciles ya que implica reproducir las sofisticadas y delicadas formas del pabellón auricular. Cuando hay que resecar piel en la oreja por un cáncer cutáneo y dejamos expuesto el cartílago, sin pericondrio, suele suceder que al colocar injertos no hay una integración adecuada de los mismos por las caprichosas formas y relieves del pabellón auricular; cuando es necesario resecar el pericondrio estamos obligados a cubrir el defecto con un colgajo y...

  20. Evaluation of the organic and functional results of tympanoplasties through a retro-auricular approach at a medical residency unit Avaliação dos resultados organofuncionais de timpanoplastias por via retroauricular em serviço de residência médica

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    José Carlos Bolini de Lima

    2011-04-01

    Full Text Available Tympanoplasty aims at rebuilding the tympanic membrane with or without middle ear functional recovery. AIM: To evaluate the surgical results of tympanoplasties with a retro-auricular surgical approach at a medical residency unit. MATERIALS AND METHODS: Thirty-nine patients with diagnosis of simple chronic otitis media were evaluated; these patients underwent tymplanoplasty by a retro-auricular approach (underlay technique at a medical residency unit. Patients were included in a prospective medical and audiologic investigation protocol that consisted of a clinical, otomicroscopic and audiometric evaluation. All procedures were supervised by training specialists otorrinolaringology. RESULTS: The rate of surgical success - full integration of the graft - was 95% of cases. Improvement of hearing, as demonstrated in audiometry, occurred in 72% of cases. Improvement in tinnitus was demonstrated subjectively on a visual analog scale in 69% of cases. CONCLUSION: Tympanoplasty through a retro-auricular approach is easy to perform. Full graft integration occurred in 95% of cases and was independent of factors deemed by many authors as relevant. The results - improvement of the quality of hearing and tinnitus - were significant.Atimpanoplastia tem por objetivo a reconstrução da membrana timpânica com ou sem reconstrução funcional da orelha média. OBJETIVO: Avaliar os resultados cirúrgicos das timpanoplastias com o acesso cirúrgico retroauricular realizadas em serviço de residência médica. MATERIAL E MÉTODO: Foram avaliados 39 pacientes com diagnóstico de otite média crônica simples submetidos à timpanoplastia por via retroauricular (técnica "underlay" em um serviço de residência médica. Os pacientes foram incluídos em um protocolo de investigação médica e audiológica prospectivo que consistiu em avaliação clínica, otomicroscópica e audiométrica. Todos os procedimentos foram supervisionados por preceptores especialistas em

  1. Implant-supported auricular prosthesis

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    Aditi Nanda

    2011-01-01

    Full Text Available Differences in the balance of shape, size, and position of body organs are immediately perceived as "looking wrong" and this perception can subject the individual to significant peer ridicule and social ostracism, often expressing as intense shame and anguish in the attitude of the afflicted. Rehabilitation of such patients can be remarkably beneficial on the individual′s self-esteem and body image. The onus of the deed lies in the hands of a team that combines artistic excellence with surgical expertise, by combining the skills of anaplastologists, surgeons, and prosthodontists. This is a review of a few surgical and prosthetic considerations in the management of auricular defect and a case description of management of a patient of microtia following similar guidelines in fabrication of the epithesis.

  2. Implant-supported auricular prosthesis.

    Science.gov (United States)

    Nanda, Aditi; Jain, Veena; Kumar, Rakesh; Kabra, Krishna

    2011-01-01

    Differences in the balance of shape, size, and position of body organs are immediately perceived as "looking wrong" and this perception can subject the individual to significant peer ridicule and social ostracism, often expressing as intense shame and anguish in the attitude of the afflicted. Rehabilitation of such patients can be remarkably beneficial on the individual's self-esteem and body image. The onus of the deed lies in the hands of a team that combines artistic excellence with surgical expertise, by combining the skills of anaplastologists, surgeons, and prosthodontists. This is a review of a few surgical and prosthetic considerations in the management of auricular defect and a case description of management of a patient of microtia following similar guidelines in fabrication of the epithesis.

  3. Ultrastructure of immature stages of Cochliomyia macellaria (Diptera: Calliphoridae), a fly of medical and veterinary importance.

    Science.gov (United States)

    Mendonça, Paloma Martins; Barbosa, Rodrigo Rocha; Cortinhas, Lucas Barbosa; dos Santos-Mallet, Jacenir Reis; de Carvalho Queiroz, Margareth Maria

    2014-10-01

    Cochliomyia macellaria (Diptera: Calliphoridae) is known as the secondary screwworm because it causes secondary or facultative myiasis when the larvae feed on necrotic tissues. This fly has a significant medical and veterinary importance since it has been reported to transport eggs of Dermatobia hominis (human botfly), which can cause significant economic losses to livestock. Since this screwworm has been collected colonizing both pig carcasses and human cadavers, it is considered one of the most important species for forensic entomology studies. Scanning electron microscopy (SEM) gives detailed information on the morphological characteristics which can help identify the immature forms of the flies. The aim of this study was to describe and analyze the morphological characteristics of the eggs, all the larval instars, and the puparia of Cochliomyia macellaria using SEM. The egg is ellipsoid and the dorsal surface is concave. The islands inside the median area had no anastomosis, but some perforations could be observed. From the second larval instar onwards, besides the intersegmental spines, other bands of spines were observed at the abdominal segments. Two spiracular openings were visible on the first and second larval instars, which were not expected. These characteristics are specific to Cochliomyia genus. The number and the general aspect of the spine tips in the cephalic region, the intersegmental bands on the abdomen, and the number of the spiracular openings could together help identify C. macellaria.

  4. Hemifacial spasm and posterior auricular muscle.

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    Kiziltan, M; Sahin, R; Uzun, N; Kiziltan, G

    2006-09-01

    We aimed to investigate to which extent posterior auricular muscle (PAM) was affected and whether it contributed to the reflex activity in hemifacial spasm (HFS) patients. 19 HFS patients' spasm activities were recorded from facial muscles. Spasm activity of PAM was recorded synchronously on the symptomatic side in all patients. Lateral spread of blink reflex to orbicularis oris and PAMs were recorded in all but two patients. Botulinum toxin was applied to the PAM with the 14 patients presenting tinnitus, "clicking" or a "ticking" sound on the sane side and other positive auricular symptoms. After treatment, there was symptomatic improvement in 9 of 14 patients. The patients presenting with auricular symptoms and showing spasm activity in their PAMs can be thought as a candidate for botulinum toxin treatment scheme.

  5. Abundance and seasonality of Cochliomyia macellaria (Diptera: Calliphoridae in Southern Pantanal, Brazil Sazonalidade de Cochliomyia macellaria (Diptera: Calliphoridae no Pantanal Sul-mato-grossense, Brasil

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    Wilson Werner Koller

    2011-03-01

    Full Text Available Cochliomyia macellaria (Diptera: Calliphoridae, known as the secondary screwworm, occurs in the Americas and has medical-veterinary and forensic importance. This study aimed to describe the seasonal fluctuation of this species in the Pantanal region, Central-Western Brazil. From December 2004 to November 2007 fly catches using four windoriented traps baited with decaying bovine liver were carried out at the Nhumirim ranch, Nhecolândia subregion, Southern Pantanal. Traps remained active throughout the study period and collections were carried out on a weekly basis. A total of 159,397 Calliphoridae were caught and C. macellaria (57.33% was the most abundant species. C. macellaria occurred all over the year showing a bimodal behavior with peaks in May-July (late autumn/early winter and October-December (spring.Cochliomyia macellaria (Diptera: Calliphoridae, conhecida como mosca-varejeira, ocorre no continente americano e apresenta importância médico-veterinária e forense. O presente estudo teve como objetivo conhecer a flutuação sazonal dessa espécie na região do Pantanal. De dezembro/2004 a novembro/2007 foram realizadas coletas de dípteros na fazenda Nhumirim, sub-região da Nhecolândia, Pantanal sul-mato-grossense. Foram utilizadas quatro armadilhas orientadas pelo vento, iscadas com fígado bovino deteriorado. As armadilhas permaneceram ativas durante todo o período de estudo, e coletas foram realizadas semanalmente. Foram capturados 159.397 califorídeos, sendo C. macellaria (57,33% a espécie mais abundante. C. macellaria foi observada em todos os meses do ano, apresentando comportamento bimodal com picos populacionais em maio/julho (final de outono/início de inverno e outubro/dezembro (primavera.

  6. Patient with Tracheostomy Parasitized in Hospital by Larvae of the Screwworm, Cochliomyia hominivorax

    Science.gov (United States)

    Batista-da-Silva, José A.; Borja, Gonzalo E. M.; Queiroz, Margareth M. C.

    2011-01-01

    Myiasis is the infestation of living vertebrates by fly larvae that feed for at least part of their development on the host's dead or living tissues, body substances, or ingested food. The occurrences of traumatic myiasis in humans and animals in urban and rural environments represent serious economic and public health concerns. This study reports a 49-year-old tracheostomized man undergoing chemotherapy treatment who was parasitized in the hospital in São Gonçalo, Rio de Janeiro, Brazil, by larvae of the screwworm, Cochliomyia hominivorax (Coquerel) (Diptera: Calliphoridae) in the thoracic cavity. PMID:22243525

  7. Em Torno da Fibrilação Auricular no Idoso...Complexo e Multifacetado

    OpenAIRE

    2016-01-01

    A fibrilação auricular é a arritmia mais comum dos idosos. A prevenção dos eventos tromboembólicos (e do acidente vascular cerebral, em particular) e a anticoagulação oral é uma necessidade inadiável. No entanto, a fibrilação auricular no idoso é uma circunstância, por natureza, complexa e está associada a um número elevado de comorbilidades, de síndromes gerais geriátricos, de polimedicação e de fragilidade clínica. Por isso, os cuidados geriátricos primários passam pela avaliação do estado ...

  8. Terapia anticoagulante en fibrilación auricular

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    Sebastián Prieto

    2011-06-01

    Full Text Available La fibrilación auricular es la taquiarritmia cardíaca más frecuente. Su incidencia aumenta con la edad, presentándose en un 1.5% entre los 50 a 59 años, y en un 8-10% entre los 80 a 89 años. Esta arritmia incrementa en cinco veces el riesgo de sufrir un evento cerebrovascular isquémico cardioembólico y causa el 15% de todos los accidentes cerebrovasculares isquémicos. Su manejo se enfoca en la prevención de los fenómenos tromboembólicos y el control de la frecuencia y ritmo cardíaco. El tratamiento anticoagulante ha demostrado ser la principal herramienta en la prevención de eventos cardioembólicos. Aunque las complicaciones hemorrágicas por el tratamiento son esperables y aumentan con la edad, el beneficio de usar anticoagulación sobrepasa por mucho al riesgo de sangrado. Precisamente debido a la heterogeneidad clínica de esta arritmia y a la dificultad de establecer un tratamiento adecuado para cada caso en particular, el American College of Cardiology, la American Heart Association, la European Society of Cardiology y el American College of Chest Physicians han establecido guías para mejorar el tratamiento de estos pacientes. La revisión de esta enfermedad y de las directrices propuestas puede facilitar y mejorar notablemente el tratamiento de los pacientes con fibrilación auricular.

  9. Resultados a corto y medio plazo de la ablación quirúrgica de la fibrilación auricular en el paciente con valvulopatía mitral

    OpenAIRE

    Estévez Flórez, Vanessa

    2011-01-01

    La Fibrilación auricular (FA) es la taquiarritmia supraventricular más prevalente en la población general (1-2%), asociada con frecuencia cardiopatías estructurales. Se caracteriza por una activación auricular desordenada y deterioro de la función auricular. Se inicia como una enfermedad paroxística que evoluciona a formas persistentes-permanentes. Su presentación y repercusión clínica son variables. Desde formas asintomáticas diagnosticadas casualmente a muy sintomáticas, con graves conse...

  10. A new DNA extraction protocol for screwworm fly Cochliomyia species. (Diptera: Calliphoridae.

    Directory of Open Access Journals (Sweden)

    Gustavo eEcheverría-Fonseca

    2015-01-01

    Full Text Available Modifications to the DNA isolation protocol from Cochliomyia spp., are suggested based on the Chelex® 100 reactive. To apply the sterile insect technique (SIT program it is necessary to study the molecular variations of endemic populations with efficient, fast and low costs techniques. The test samples were collected in the Pichincha province of Ecuador. The isolation protocol had 3 steps: a pretreatment (optional, b mechanic and chemical lysis, c two incubations; then the supernatant were separated by centrifugation. Furthermore, variations in concentrations of magnesium chloride present in the master mix were evaluated. Results showed a high efficiency in isolation with approximately 1.20 hours of manipulation (without pretreatment. Additionally, the quality of the amplicon that was visualized on 2% agarose (w/v showed that the magnesium chloride concentration was influential in the PCR reaction mix.

  11. Nuevos antiarrítmicos en la fibrilación auricular

    OpenAIRE

    Pastelín Hernández,Gustavo; Luna Ortíz,Pastor; Tenorio López,Fermín Alejandro; Del Valle Mondragón, Leonardo

    2007-01-01

    La conveniencia de contar con un acervo farmacológico seguro y eficaz en el tratamiento de la fibrilación auricular ha conducido, por una parte, a una profunda depuración en el amplio grupo de fármacos antiarrítmicos, quedando solamente un número muy restringido de compuestos de comprobada y segura actividad antifibrilatoria. Por otra parte, ha conducido al descubrimiento de nuevos conceptos fisiopatológicos que señalan a su vez novedosos objetivos terapéuticos. En función de estos objetivos ...

  12. Experiencia en reconstrucción auricular en cáncer de piel con colgajo en "quesadilla"

    Directory of Open Access Journals (Sweden)

    C. Gutiérrez Gómez

    Full Text Available La reconstrucción auricular es una de las más difíciles ya que implica reproducir las sofisticadas y delicadas formas del pabellón auricular. Cuando hay que resecar piel en la oreja por un cáncer cutáneo y dejamos expuesto el cartílago, sin pericondrio, suele suceder que al colocar injertos no hay una integración adecuada de los mismos por las caprichosas formas y relieves del pabellón auricular; cuando es necesario resecar el pericondrio estamos obligados a cubrir el defecto con un colgajo y no con un simple injerto. Frente a esta dificultad técnica, diseñamos un colgajo ricamente vascularizado que preserva el cartílago no afectado con una buena cubierta y al mismo tiempo respeta la anatomía de la oreja. Para la cobertura del cartílago auricular anterior usamos un colgajo fasciocutáneo posterior que se asemeja a un plato típico de la cocina mexicana que llamamos "quesadilla", donde el cartílago por su color blanco recuerda el queso y el gran colgajo fasciocutaneo recuerda la tortilla que cubre al queso. Este colgajo incluye la piel enrollada del hélix, que en un segundo tiempo retornará a su lugar de origen anatómico mediante una z-plastía asimétrica. Presentamos, de entre una serie de 13 pacientes con carcinoma de pabellón auricular, 2 casos resueltos mediante esta técnica.

  13. A case report of complex auricular neuralgia treated with the great auricular nerve and facet blocks

    Science.gov (United States)

    Eghtesadi, Marzieh; Leroux, Elizabeth; Vargas-Schaffer, Grisell

    2017-01-01

    Background The great auricular nerve is a cutaneous branch of the cervical plexus originating from the C2 and C3 spinal nerves. It innervates the skin over the external ear, the angle of the mandible and the parotid gland. It communicates with the ansa cervicalis. Great auricular neuralgia is rarely diagnosed in clinical practice and can be refractory. We present a new approach using ultrasound-guided nerve blocks. Case We present a case of a 41-year-old female with paroxysmal ear pain accompanied by dysautonomia, tingling in the tongue, dysphagia, dysarthria and abdominal symptoms. No significant findings were found on cervical and brain imaging. The patient responded partially to a great auricular nerve block. A combined approach using this block with facet block of C2 and C3 induced a more pronounced and prolonged benefit. Conclusion Great auricular neuralgia is not often encountered in practice and can be accompanied by symptoms originating from the ansa cervicalis network. A combined approach of nerve blocks can be considered in refractory cases. PMID:28255253

  14. Avenues for rehabilitation of auricular defects

    Directory of Open Access Journals (Sweden)

    Aditi Nanda

    2012-01-01

    Full Text Available Irrespective of the cause, abnormalities in shape, size, and position of body organs are often perceived as looking wrong. This perception can subject the individual to significant peer ridicule and social ostracism. Rehabilitation of patients with auricular defects can either be done by reconstructive surgery or by prosthetic means. The article draws a comparison between the implant-supported prosthesis and reconstructive surgery, listing the benefits, limitations, indications and contraindications of both the techniques. As both the available techniques give excellent results in appropriately selected situations, the restorative team must present all the alternatives to the patient and choose judiciously the better of the two.

  15. Hemorragias intracraneales asociadas a fármacos en pacientes con fibrilación auricular no reumática

    OpenAIRE

    García Luque, Amelia

    2008-01-01

    Numerosos ensayos clínicos aleatorizados (ECA) han demostrado el beneficio del uso de antirobóticos, fundamentalmente anticoagulantes orales (ACO), para la profilaxis de accidentes cerebrovascualres (ACV) isquémicos entre los pacientes con fibrilación auricular no reumática (FANR), siendo recomendado su uso por la mayoría de guías de práctica clínica (GPC), lo cual ha provocado un aumento del consumo de este grupo farmacológico. La prevalencia de fibrilación auricular (FA) aumenta con la eda...

  16. Fármacos para control de la frecuencia ventricular y fármacos no-antiarrítmicos en fibrilación auricular

    OpenAIRE

    Rodríguez Chávez,Laura Leticia

    2007-01-01

    Diversos fármacos son de gran ayuda para el control de la frecuencia ventricular en diferentes taquiarritmias, principalmente de la fibrilación auricular (FA). Desde hace varias décadas han venido utilizándose los betabloqueadores (βB) o los calcioantagonistas como monoterapia o como adyuvantes a un antiarrítmico para mantener una frecuencia ventricular aceptable. Por otro lado, en los últimos años se ha estudiado el fenómeno de remodelación auricular en la FA y a partir de este concepto...

  17. Eficacia y seguridad de la cardioversión eléctrica ambulatoria en la fibrilación auricular persistente

    OpenAIRE

    Diego E. Rosso; Gastón Albina; María V. Sammartino; Emilio Montecchio; Luis Barja; Rubén Laiño; Daniel Ortega; Alberto Giniger

    2005-01-01

    Introducción y objetivo A pesar de los nuevos avances en el tratamiento de la fibrilación auricular, la cardioversión eléctrica sigue teniendo un papel preponderante, por lo que surge la necesidad de simplificar el método. El presente trabajo se realizó con el objetivo de evaluar los riesgos y los beneficios de la cardioversión eléctrica ambulatoria en una población heterogénea de pacientes con fibrilación auricular persistente. Material y métodos Se analizaron prospectivamente 176 paci...

  18. Cirugía de la fibrilación auricular

    OpenAIRE

    R. Hernández-Estefanía; A. Martín Trenor; B. Levy Praschker; G. Rábago

    2011-01-01

    La cirugía de la fibrilación auricular se basa en la creación de cicatrices de aislamiento en la aurícula con el propósito de evitar los fenómenos de reentrada que inician y perpetúan la arritmia, permitiendo la reconducción del estímulo normal desde el nodo sinusal hasta el nodo auriculo-ventricular. La técnica quirúrgica inicialmente descrita (basada en incisiones y sutura), compleja y poco utilizada por el riesgo de complicaciones, potenció el desarrollo de otros procedimientos actuales, e...

  19. Auricular reconstruction using biofabrication-based tissue engineering strategies

    NARCIS (Netherlands)

    Otto, I. A.; Melchels, F. P. W.; zhao, X.; Randolph, M. A.; Kon, M.; Breugem, C. C.; Malda, J.

    2015-01-01

    Auricular malformations, which impose a significant social and psychological burden, are currently treated using ear prostheses, synthetic implants or autologous implants derived from rib cartilage. Advances in the field of regenerative medicine and biofabrication provide the possibility to engineer

  20. Prosthodontic rehabilitation of a patient with bilateral auricular deformity

    OpenAIRE

    2011-01-01

    Maxillofacial prosthodontics is an art and science which provides life like appearance to the person with facial deformity. Maxillofacial prosthetic rehabilitation for acquired defects has become more complex and sophisticated with advancement in techniques and materials. This case report describes the clinical and laboratory procedure for fabricating an auricular prosthesis for a patient with trauma related bilateral auricular deformity. Ear prosthesis was fabricated in two parts taking rete...

  1. Prefabricated Stock Trays for Impression of Auricular Region

    OpenAIRE

    Vibha, Shetty; Anandkrishna, G. N.; Anupam, Purwar; Namratha, N.

    2010-01-01

    The conventional methods of impression making for maxillofacial defects are cumbersome and time consuming for both patient and operator. This study focuses upon standardizing and simplifying the impression making methodology for auricular prosthesis with the help of prefabricated stock trays for auricular region. The stock trays were designed on positive replicas of anatomical structures, broadly divided into long and narrow, short and broad and long and broad ear. For each stock tray, impres...

  2. Essays on the history of brazilian dipterology: III. Three remarkable notices from the 18th century, mainly related to myiasis-producing flies (Cochliomyia and Dermatobia

    Directory of Open Access Journals (Sweden)

    Nelson Papavero

    2012-12-01

    Full Text Available This paper registers reports about dipterans made by three Portuguese who lived in Brazil during the 18th century. Luiz Gomes Ferreira, in his book "Erário mineral" ["Mineral revenue"], wrote curious passages related with myiasis-causing flies of the genus Cochliomyia. José Rodrigues de Mello registered, in Latin verses, the folklore for curing myiases caused by Cochliomyia hominivorax in cattle. Luiz dos Santos Vilhena, in the last of his twenty letters dealing with several aspects of life in Brazil, made reference to horseflies, human bot flies and mosquitos.

  3. First Report of Myiasis Caused by Cochliomyia hominivorax (Diptera: Calliphoridae) in a Diabetic Foot Ulcer Patient in Argentina

    OpenAIRE

    Olea, María Sofía; Néstor CENTENO; Aybar, Cecilia Adriana Veggiani; Ortega, Eugenia Silvana; Galante, Guillermina Begoña; Olea, Luis; Juri, María Julia Dantur

    2014-01-01

    Myiasis is usually caused by flies of the Calliphoridae family, and Cochliomyia hominivorax is the etiological agent most frequently found in myiasis. The first case of myiasis in a diabetic foot of a 54-year-old male patient in Argentina is reported. The patient attended the hospital of the capital city of Tucumán Province for a consultation concerning an ulcer in his right foot, where the larval specimens were found. The identification of the immature larvae was based on their morphological...

  4. Dietas larvais alternativas para criação massal da mosca da bicheira, Cochliomyia hominivorax

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    Thiago Mastrangelo

    2014-04-01

    Full Text Available A criação massal da mosca da bicheira, Cochliomyia hominivorax (Diptera: Calliphoridae, para programas que utilizam a Técnica do Inseto Estéril nas Américas faz parte de um dos maiores programas do mundo de criação de insetos em larga escala. A maior parte do custo e do trabalho necessários para a produção massal está relacionada com a dieta larval, o que torna importante o seu aprimoramento levando-se em conta sua eficiência, custo e praticidade. Neste trabalho, foram realizados dois bioensaios com dietas alternativas feitas a partir de produtos disponíveis no mercado brasileiro com o objetivo de avaliar a viabilidade e eficiência dessas dietas para criações de mosca da bicheira no Brasil. Foram testadas duas dietas líquidas (tendo como bulking agents bagaço de cana ou fibra de coco, uma de carne, e outra de gel. Os parâmetros biológicos (peso das larvas, viabilidade larval, peso de pupas, porcentagem de emergência de adultos e razão sexual estiveram, em todos os casos, dentro de parâmetros satisfatórios para a criação laboratorial de C. hominivorax e as dietas não diferiram estatisticamente entre si. Devido a vantagens importantes, como alta viabilidade larval e menor custo, recomenda-se a dieta de gel para as criações de larvas da mosca da bicheira no Brasil.

  5. BIOCHEMISTRY CHARACTERIZATION OF EXCRETION / SECRETION PRODUCT OF Cochliomyia hominivorax LARVAE (DIPTERA : CALLIPHORIDAE

    Directory of Open Access Journals (Sweden)

    Denise Gonçalves Teixeira

    2016-10-01

    Full Text Available The species Cochliomyia hominivorax, also known as screwworm fly, is an obligate parasite of warm- blooded animals and its geographic range extends thoughout South America, except Chile. This fly causes significant economic losses and has great importance in Brazil. Few studies have focused on the excretion and secretion products of this species, and this research aimed to study the enzymes present in the secretion and excretion (E/S products of the three larval instars of C. hominivorax. The E/S profile of proteins was obtained by polyacrylamide gel electrophoresis and proteolytic activity was analyzed using gelatin, azocasein and Na-benzoyl-arginine-nitroanilide as substrates.  In E/S products of the three instars, proteins were detected with an apparent molecular weight ranging between 116 and 20 kDa. In the azocasein assay, at different pH ranges, the major proteolytic activity occurred at pH 7.5 for all larval instars. Assays were performed using the same substrates   in which the samples were treated with the inhibitors Benzamidine, Pepstatin A, 4-(2-Aminoethyl benzenesulfonyl fluoride hydrochloride (AEBSF, N-α-tosyl-L-lysine chloromethyl ketone (TLCK, N-α- tosyl-L-phenylalanine chloromethyl ketone (TPCK, Ethylenediamine tetraacetic acid (EDTA, and Leupeptin-trans-Epoxysuccinyl-leucylamido(4-guanidino butane (E-64. Proteinases present in the E/S product of first larvae instar are mostly serine trypsin and chymotrypsin proteases, whereas for second and third instars serine proteases and aspartyl proteases were predominantly observed. Biochemical characterization of E/S products of all larval stages of C. hominivorax helps to improve the understanding of the physiology and the interaction of this parasite with host tissues. Keywords: Enzyme; fly; myiasis; parasites.

  6. El Aislamiento de las Venas Pulmonares como Tratamiento de la Fibrilación Auricular Refractaria

    OpenAIRE

    Fernando Scazzuso; Rivera Santiago; Gómez, Luis A.; Victoria Sammartino; Albina Gastón; Rubén Laiño; Alberto Giniger

    2011-01-01

    Introducción. La fibrilación auricular (FA) es la arritmia sostenida más común. En pacientes seleccionados, se realiza ablación por catéter a nivel de las venas pulmonares, en donde se genera actividad ectópica que la produce. Se presenta la experiencia en el tratamiento de la FA mediante el aislamiento de venas pulmonares en 152 casos consecutivos. Materiales y métodos. La población estuvo constituida por 152 pacientes (122 hombres), edad promedio de 55.58 años. El 81.9% de la población no p...

  7. Sexual dimorphism in auricular surface projection and postauricular sulcus morphology.

    Science.gov (United States)

    Wescott, Daniel J

    2015-05-01

    The presence of an elevated auricular surface and a postauricular sulcus is presented in numerous reference books as osteological indicators of sex, but the validity of these traits has not been adequately evaluated. The ilia of 322 (181 male, 141 female) adults were examined, the auricular surface was scored as completely, partially, or nonelevated, and the postauricular sulcus was scored as present or absent. Complete elevation occurred almost exclusively in females (67% of females and 0.6% of males). The postauricular sulcus was present in 27% of males and 85% of females. When present, an elevated auricular surface is a reliable indicator that the individual is female. However, the absence of the trait is a less reliable indicator of sex. The postauricular sulcus is a moderately accurate estimator of sex.

  8. Deqi Sensations of Transcutaneous Electrical Nerve Stimulation on Auricular Points

    Directory of Open Access Journals (Sweden)

    Xiaoling Wang

    2013-01-01

    Full Text Available Deqi sensation, a psychophysical response characterized by a spectrum of different needling sensations, is essential for Chinese acupuncture clinical efficacy. Previous research works have investigated the component of Deqi response upon acupuncture on acupoints on the trunk and limbs. However, the characteristics of Deqi sensations of transcutaneous electrical nerve stimulation (TENS on auricular points are seldom reported. In this study, we investigated the individual components of Deqi during TENS on auricular concha area and the superior scapha using quantitative measurements in the healthy subjects and depression patients. The most striking characteristics of Deqi sensations upon TENS on auricular points were tingling, numbness, and fullness. The frequencies of pressure, warmness, heaviness, and soreness were relatively lower. The dull pain and coolness are rare. The characteristics of Deqi were similar for the TENS on concha and on the superior scapha.

  9. Prosthesis auricular with osseointegrated implants and quality of life.

    Science.gov (United States)

    dos Santos, Daniela Micheline; Goiato, Marcelo Coelho; Pesqueira, Aldiéres Alves; Bannwart, Lisiane Cristina; Rezende, Maria Cristina Rosifini Alves; Magro-Filho, Osvaldo; Moreno, Amália

    2010-01-01

    Implants in craniofacial reconstructions improve prostheses retention and stability, comfort, and safety for the patient. According to biomechanical principles, the treatment success regarding osseointegration maintenance depends on an adequate surgery technique associated to a retention system that provides favorable tension distribution to implants. Implants in the mastoid area are a very important aid for retention of auricular prostheses. Color stability of resin and silicone is an important factor for longevity of auricular prostheses, and the high degree of satisfaction of patients with head and neck defects receiving epithesial reconstruction in the maxillofacial region is demonstrated.

  10. FIBRILACIÓN AURICULAR ISQUÉMICA / Ischemic atrial fibrillation

    OpenAIRE

    Jose R. Ruiz Arroyo; Pablo Revilla Martí; Antonela Lukic; Borja Simó Sánchez; Jose A. Linares Vicente

    2013-01-01

    Resumen: La fibrilación auricular es la arritmia más frecuente en el período peri-infarto agudo de miocardio, aunque su presencia asociada tan solo a la fase de isquemia aguda y su inmediato cese tras una revascularización precoz y efectiva es testimonial en la literatura, con la consiguiente falta de evidencia para su posterior tratamiento. Se presenta un caso clínico en el que el intervencionismo coronario precoz consiguió la cardioversión a ritmo sinusal de una fibrilación auricular en el ...

  11. Facio-auricular vertebral syndrome-a case report

    Directory of Open Access Journals (Sweden)

    Reddy M

    2005-01-01

    Full Text Available Facio Auricular Vertebral (FAV or Goldenhar syndrome is a very rare kind of syndromic deafness and is inherited as autosomal dominant. A study was taken up to understand the prevalence of this syndrome in children below the age of 14 years with hearing loss. Out of 1073 children with hearing impairment, Goldenhar syndrome was observed only in 1 (0.09% case. The child suffered severe hearing loss. Facial paralysis and hemifacial microsomia were prominent features observed in the child. Facio-Auricular-Vertebral syndrome is therefore synonymously used with Goldenhar syndrome.

  12. [Cutaneous myiasis by Cochliomyia hominivorax (Coquerel) (Diptera Calliphoridae) in Hospital Universidad del Norte, Soledad, Atlántico].

    Science.gov (United States)

    de la Ossa, Napoleón; Castro, Luis Eduardo; Visbal, Lila; Santos, Ana María; Díaz, Esther; Romero-Vivas, Claudia M E

    2009-03-01

    Human myiasis is the parasitism of human tissues by fly larvae. Diagnoses are based on clinical pattern of tissue damage and presence of insect stages. Herein, a case myiasis is described in a seven-year-old female child. She presented with fever associated with abscessed scalp lesions containing exposed larvae. Severe pediculosis was also observed. The patient was hospitalized and treated with clindamycin, gentamicin (for bacterial secondary infections) and ivermectin (treatment for lice) after which the patient showed clinical improvement and was discharged four days later. Since human myiasis can be caused by a number of different species, larvae were collected from the patient and identified as those of Cochliomyia hominivorax (Diptera: Calliphoridae). Because other cases of coinfestation of flies and lice are on record, health workers are to be alerted about the possible pediculosis-myasis risk.

  13. Auricular-Plaster Therapy for Treatment of IBS

    Institute of Scientific and Technical Information of China (English)

    敖学艳; 王宁

    2004-01-01

    @@ Irritable bowel syndrome (IBS), a disease of the digestive system related to mental factors, is clinically characterized by diarrhea (or alternation of diarrhea and constipation) and abdominal pain. In recent years, the authors have used auricular-plaster therapy plus pressing on the back-shu points to treat IBS, and obtained good therapeutic results.

  14. Prefabricated stock trays for impression of auricular region.

    Science.gov (United States)

    Vibha, Shetty; Anandkrishna, G N; Anupam, Purwar; Namratha, N

    2010-06-01

    The conventional methods of impression making for maxillofacial defects are cumbersome and time consuming for both patient and operator. This study focuses upon standardizing and simplifying the impression making methodology for auricular prosthesis with the help of prefabricated stock trays for auricular region. The stock trays were designed on positive replicas of anatomical structures, broadly divided into long and narrow, short and broad and long and broad ear. For each stock tray, impressions of auricle, of patients of different morphology were made with plastic funnels of different shape and size ensuring at least 6 mm of space between the anatomical part and inner surface of funnel and master cast was obtained. Subsequent adaptation of wax was done and fabrications of stock stainless steel trays were done. A standardized stock tray for making of auricular impressions was developed. From this innovative technical procedure it is possible to get an accurate impression of auricular defects now by the use of prefabricated stock trays rather than the cumbersome conventional method.

  15. Provision of Auricular Acupuncture and Acupressure in a University Setting

    Science.gov (United States)

    Oyola-Santiago, Tamara; Knopf, Rachel; Robin, Tracy; Harvey, Kristen

    2013-01-01

    Auricular acupuncture using the National Acupuncture Detoxification Association (NADA) protocol stimulates 5 points in each ear--the Shen Men, sympathetic nervous system, liver, kidney, and lung. This protocol is also known as Acu Detox, and has been used for recovery in community-based settings and drug use treatment programs. It has also been…

  16. Treatment of Facial Chloasma by Auricular Pressure in41 Cases

    Institute of Scientific and Technical Information of China (English)

    LIU Guang-xia; XIAO Yuan-chun

    2003-01-01

    According to differentiating syndrome and dividing patter, 41 cases of Facial Chloasma by Auricular Pressure in Shen ( MA-AH), Fei ( MA-IC 1 ), Neifenmi ( MA-IC 3 ), Luanchao ( MA-AT), Mianjia (MA-L) and Xia' erbei(MA-IC), the total effective rate was 87.8%.

  17. Recuperación de la contracción auricular luego de la cirugía de MAZE III izquierdo

    Directory of Open Access Journals (Sweden)

    Antonio Piazza

    2009-01-01

    Full Text Available IntroducciónLa cirugía de MAZE III izquierdo demostró una efectividad elevada en la restauración a ritmo sinusal. Sin embargo, la efectividad en la restauración de la sístole auricular en poblaciones con cardiopatía estructural y el predominio de enfermedad reumática resultan áreas de incertidumbre.ObjetivoEvaluar la efectividad de la cirugía de MAZE en la restauración de la sístole auricular en pacientes con cardiopatía estructural.Material y métodosEstudio prospectivo, consecutivo de 27 pacientes portadores de fibrilación auricular crónica persistente con indicación de cirugía cardiovascular y en los que se realizó la técnica de MAZE como tratamiento de la arritmia. La presencia de sístole auricular se evaluó mediante Doppler tisular del anillo mitral lateral.ResultadosEn una población caracterizada por predominancia de cardiopatía reumática (41% y tiempo prolongado de evolución de la arritmia (61 meses promedio, al final del seguimiento el 87% se encontraba en ritmo sinusal en el 80% de los casos con actividad mecánica. El antecedente de cardiopatía reumática, una duración de la arritmia mayor de 5,5 años, el sexo femenino y el reemplazo de válvula mitral fueron variables estadísticamente significativas en cuanto a la ausencia de sístole auricular. No tuvieron significación la edad, la fracción de eyección del ventrículo izquierdo y el tamaño de la aurícula izquierda.ConclusionesEn esta población es significativa la falta de correspondencia entre ritmo sinusal y sístole auricular. El Doppler tisular es un método útil para identificar a aquellos pacientes sin contracción auricular. El impacto clínico de este hallazgo está vinculado con la decisión en la continuidad del tratamiento anticoagulante.REV ARGENT CARDIOL 2009;77:7-13.

  18. Fibrilación auricular en el postoperatorio de cirugía cardíaca: Prevalencia y tiempo de internación

    Directory of Open Access Journals (Sweden)

    Alejandro E. Contreras

    2010-08-01

    Full Text Available La fibrilación auricular es el trastorno del ritmo más frecuente luego de la cirugía cardíaca. En estudios previos se ha asociado a prolongación de la internación, aumento en los costos e incremento en la mortalidad. El objetivo de este estudio fue conocer la prevalencia de fibrilación auricular en el postoperatorio de cirugía cardíaca y determinar el efecto en el tiempo de estadía hospitalaria. Se analizaron retrospectivamente las historias clínicas de pacientes sometidos a cirugía cardíaca consecutivamente (de revascularización miocárdica, valvulares o ambas entre enero 2006 y noviembre 2008. El punto final evaluado en el postoperatorio fue la presencia de fibrilación auricular. Se dividió a la muestra en dos grupos según tuvieran o no fibrilación auricular, y se compararon las variables clínicas y el tiempo de estadía hospitalaria. Ciento setenta y dos pacientes fueron operados en este período. Se excluyeron del análisis siete pacientes por falta de datos. La edad media fue 64.2 ± 9.5 años, con predominio del sexo masculino. La fibrilación auricular fue la complicación más frecuente (23.6%. El tiempo promedio de internación fue 6.7 ± 4.6 días. No hubo diferencias relevantes al comparar la estadía hospitalaria entre los grupos con o sin fibrilación auricular, 7.5 ± 4.1 días vs. 6.5 ± 4.7 días respectivamente, p = 0.21. La presencia de fibrilación auricular no prolongó la hospitalización. Probablemente una estrategia de prevención indiscriminada no sería costo-efectiva.

  19. A Blue Tooth – Auricular Prosthesis: A Case Report

    Science.gov (United States)

    H. Naveen, Bandlar; R. Kashinath, Korapathi; B. Shankargouda, Swapnil

    2014-01-01

    The absence of an ear is a considerable aesthetic problem which affects the patient’s psychology and social behaviour. We are describing a case of 25-year-old male reporting to the Department of Prosthodontics, with a chief complaint of deficient left auricular tissue. This can be corrected surgically, prosthetically or through a combination of these approaches; but the choice of treatment depends on patient. The patient chose prosthetic rehabilitation over surgical procedures & retention becomes a critical issue in this approach. Out of many types of retentive methods, we selectively incorporated new materials and used the latest technology to ensure the highest quality prosthesis. Creative approach for each patient with a focus on their individual needs was considered as it gives more satisfaction to the patient. This article describes a new, simple and cost effective technique by embedding Bluetooth-headset device into the silicone elastomer of a mechanically-retained auricular prosthesis. PMID:25302281

  20. Aneurisma gigante del apéndice auricular izquierdo

    OpenAIRE

    Francisco L. Moreno-Martínez; González Alfonso,Osvaldo; Lagomasino Hidalgo,Álvaro L; González Díaz,Alejandro; Oliva Céspedes,Carlos; López Bernal,Omaida J

    2006-01-01

    Los aneurismas de la aurícula izquierda son raros y pueden ser congénitos o adquiridos. Los que interesan la pared libre o el apéndice auricular son entidades más raras aún, hasta 2002 sólo existían 49 casos reportados en la aurícula izquierda y 8 en la derecha. La manifestación clínica más frecuente es la aparición de arritmias auriculares incesantes o recurrentes y pueden presentarse embolias sistémicas que pueden dar al traste con la vida del paciente. Presentamos el caso de una paciente a...

  1. Extraction and characterization of the auricularia auricular polysaccharide

    Science.gov (United States)

    Zhang, Q. T.

    2016-07-01

    To study a new protein drugs carrier, the Auricularia auricular polysaccharide (AAP) was extracted and purified from Auricularia auricular, and then characterized by the micrOTOF-Q mass spectrometer, UV/Vis spectrophotometer, moisture analyzer and SEM. The results showed that the AAP sample was water- soluble and white flocculence, its molecular weight were 20506.9 Da∼⃒63923.7 Da, and the yield, moisture, and total sugar contents of the AAP were 4.5%, 6.2% and 90.12%(w/w), respectively. The results of the SEM revealed that the AAP dried by vacuum were spherical particles with a smooth surface, and the AAP freeze-dried had continuous porous sheet shape with the loose structure.

  2. Treatment of Dysmenorrhea by Acupuncture plus Auricular Acupuncture

    Institute of Scientific and Technical Information of China (English)

    CAI Zhi-jun; LI Fang; LU Mei; XIAO Yuan-chun

    2004-01-01

    采用针刺和电耳针相结合的方法治疗气滞血瘀型痛经38例,取得良好疗效,有效率达974%.%The authors adopted acupuncture plus auricular electro-acupuncture to treat 38 cases of dysmenorrhea belonging to qi stagnation and blood stasis pattern, the better therapeutic effect was achieved, with the effective rate of 97.4%.

  3. Predictive Value of Auricular Diagnosis on Coronary Heart Disease

    Directory of Open Access Journals (Sweden)

    Lorna Kwai-Ping Suen

    2012-01-01

    Full Text Available The ear has a reflexive property; therefore, various physical attributes may appear on the auricle when disorders of the internal organs or other parts of the body exist. Auricular diagnostics is an objective, painless, and noninvasive method that provides rapid access to information. Thus, the association between auricular signals and coronary heart disease (CHD should be further investigated. A case control study was conducted to determine the predictive value of auricular signals on 100 cases of CHD (CHD+ve = 50; CHD−ve = 50 via visual inspection, electrical skin resistance measurement, and tenderness testing. The results showed that the presence of an ear lobe crease (ELC was significantly associated with coronary heart disease. The “heart” zone of the CHD+ve group significantly exhibited higher conductivity on both ears than that of the controls. The CHD+ve group experienced significant tenderness in the “heart” region compared with those in the CHD−ve group in both acute and chronic conditions. Further studies that take into consideration the impact of age, race, and earlobe shape on ELC prevalence in a larger sample should be done.

  4. First report of myiasis caused by Cochliomyia hominivorax (Diptera: Calliphoridae) in a diabetic foot ulcer patient in Argentina.

    Science.gov (United States)

    Olea, María Sofía; Centeno, Néstor; Aybar, Cecilia Adriana Veggiani; Ortega, Eugenia Silvana; Galante, Guillermina Begoña; Olea, Luis; Juri, María Julia Dantur

    2014-02-01

    Myiasis is usually caused by flies of the Calliphoridae family, and Cochliomyia hominivorax is the etiological agent most frequently found in myiasis. The first case of myiasis in a diabetic foot of a 54-year-old male patient in Argentina is reported. The patient attended the hospital of the capital city of Tucumán Province for a consultation concerning an ulcer in his right foot, where the larval specimens were found. The identification of the immature larvae was based on their morphological characters, such as the cylindrical, segmented, white yellow-coloured body and tracheas with strong pigmentation. The larvae were removed, and the patient was treated with antibiotics. The larvae were reared until the adults were obtained. The adults were identified by the setose basal vein in the upper surface of the wing, denuded lower surface of the wing, short and reduced palps, and parafrontalia with black hairs outside the front row of setae. The main factor that favoured the development of myiasis is due to diabetes, which caused a loss of sensibility in the limb that resulted in late consultation. Moreover, the poor personal hygiene attracted the flies, and the foul-smelling discharge from the wound favoured the female's oviposition. There is a need to implement a program for prevention of myiasis, in which the population is made aware not only of the importance of good personal hygiene and home sanitation but also of the degree of implication of flies in the occurrence and development of this disease.

  5. Auricular Therapy for Treatment of Musculoskeletal Pain in the Setting of Military Personnel: A Randomized Trial

    Science.gov (United States)

    2014-10-01

    TITLE: Auricular Therapy for Treatment of Musculoskeletal Pain in the Setting of Military Personnel: A...Treatment of Musculoskeletal Pain in the Setting of Military Personnel: A Randomized Trial fdfdf 5b. GRANT NUMBER W81XWH-10-2-0163 5c. PROGRAM...approval and initiated enrollment. 15. SUBJET TERMS Auricular Therapy; Musculoskeletal Pain 16. SECURITY CLASSIFICATION OF: 17. LIMITATION OF

  6. Associação entre larvas de Chrysomya megacephala (Fabricius e Chrysomya albiceps (Wiedemann, Chrysomya megacephala (Fabricius e Cochliomyia macellaria (Fabricius (Calliphoridae, Diptera sob condições de laboratório Association between Chrysomya megacephala (Fabricius and Chrysomya albiceps (Wiedemann, Chrysomya megacephala (Fabricius and Cochliomyia macellaria (Fabricius larvae (Calliphoridae, Diptera, under laboratory conditions

    Directory of Open Access Journals (Sweden)

    Valéria Magalhães Aguiar-Coelho

    1995-01-01

    Full Text Available This paper intends to recognize some aspects of interspecific relationships between Chrysomya megacephala (Fabricius and C. albiceps (Wiedemann and between C. megacephala and Cochliomyia macellaria (Fabricius larvae in laboratory. A diet consisting of decomposing horse flesh was used, and the relation of 1 larva/g diet was established. The development of the two species was done in pure and associated cultures. The association with Chrysomya albiceps influenced the post-embrionary development period and the weight of mature larvae of the C. megacephala, reducing their. Such weight decrease, along with the predation of larvae of C. megacephala larvae, yelded a decrease in survival in all of the stages. Larvae of this species showed an increase in its weight when associated with Cochliomyia macellaria. The native species responded to the association by reducing its body weigth and its viability. This association doesnt influence the duration of post-embrionary development.

  7. Adjuvant auricular electroacupuncture and autogenic training in rheumatoid arthritis: a randomized controlled trial. Auricular acupuncture and autogenic training in rheumatoid arthritis

    DEFF Research Database (Denmark)

    Bernateck, M; Becker, M; Schwake, C

    2008-01-01

    BACKGROUND: In contrast to psychological interventions the usefulness of acupuncture as an adjuvant therapy in rheumatoid arthritis (RA) has not yet been demonstrated. OBJECTIVE: The efficacy of auricular electroacupuncture (EA) was directly compared with autogenic training (AT). METHODS: Patients...

  8. Contribuição da acupuntura auricular no processo de abstinência das drogas psicotrópicas

    Directory of Open Access Journals (Sweden)

    Judite Oliveira Lima

    2012-06-01

    Full Text Available Introdução: Acupuntura auricular é um método aplicado para problemas de saúde que atua por ação reflexa e apresenta resposta orgânica quando usada no microssistema da orelha. Objetivos: conhecer as drogas usadas pelos dependentes e demonstrar a contribuição da acupuntura auricular como tratamento complementar no processo de abstinência das drogas psicotrópicas. Método: estudo de campo de caráter qualitativo, aprovado pelo CEP e realizado em uma instituição do Maranhão com nove internos submetidos ao método a partir do quarto mês em tratamento para dependência química. Cientes dos objetivos da pesquisa excluiu-se participantes que usavam medicação coadjuvante como anti-hipertensivos, cardiotônicos e outros. Durante as entrevistas aplicou–se um roteiro semi-estruturado cujos depoimentos foram gravadas para escuta atentiva e análise, a posteriori. Resultados: emergiram quatro categorias como tipos de psicotrópicos usados pelos participantes nas quais foram citadas como as drogas mais consumidas, o álcool (100%, maconha(100%, seguida de cocaína(60% e crack(40%; para a acupuntura auricular atuando na abstenção das drogas, referiram sintomatologias como nervosismo, depressão,mialgias, impaciência, ansiedade, câimbras, alterações no ritmo do sono e inquietação que caracterizam a dependência psicológica manifestados devido à interrupção do uso exagerado ou prolongado das drogas, porém apontaram como benefícios para a saúde os efeitos positivos do método já que a terapia trouxe equilíbrio emocional, alívio das dores e regularidade da fome e sono; quanto a recomendação do uso para outras pessoas referiram aprovação da terapia que merece ser divulgada, pois perceberam contribuições expressivas da acupuntura auricular, como tratamento complementar. Conclusão: acupuntura auricular é relevante na efetivação da libertação da dependência por drogas psicotrópicas, enquanto terapia complementar que

  9. Pliegue diagonal del lóbulo auricular (de Frank y su relación con enfermedad coronaria

    Directory of Open Access Journals (Sweden)

    Manuel Agustín Paz

    2014-07-01

    Full Text Available La presencia de pliegue diagonal auricular debe alertar al médico para entender su asociación con la enfermedad cardíaca coronaria y la enfermedad isquémica del corazón, especialmente en aquellos pacientes asintomáticos o pacientes con factores de riesgo tradicionales y no tradicionales. Por lo tanto, esta anormalidad puede ser interpretada como un "marcador cutáneo" de la enfermedad cardíaca coronaria. Este signo también podría servir para identificar mejor a los grupos de alto riesgo cardiovascular y para comenzar con la implementación de las medidas de las estrategias de prevención. Hay otros signos clínicos, además del pliegue de la oreja, que pueden reflejar el envejecimiento arterial y aterosclerosis, independientemente del número, duración o alcance de los factores de riesgo cardiovascular tradicionales. El hallazgo de pliegue auricular no debe sustituir a una historia clínica completa, la aplicación de métodos detallados, exámenes de laboratorio y físicos utilizados con excelente rendimiento en el diagnóstico de la enfermedad coronaria en la actualidad.

  10. Terapia anticoagulante en fibrilación auricular Anticoagulation and atrial fibrillation

    Directory of Open Access Journals (Sweden)

    Sebastián Prieto

    2011-06-01

    Full Text Available La fibrilación auricular es la taquiarritmia cardíaca más frecuente. Su incidencia aumenta con la edad, presentándose en un 1.5% entre los 50 a 59 años, y en un 8-10% entre los 80 a 89 años. Esta arritmia incrementa en cinco veces el riesgo de sufrir un evento cerebrovascular isquémico cardioembólico y causa el 15% de todos los accidentes cerebrovasculares isquémicos. Su manejo se enfoca en la prevención de los fenómenos tromboembólicos y el control de la frecuencia y ritmo cardíaco. El tratamiento anticoagulante ha demostrado ser la principal herramienta en la prevención de eventos cardioembólicos. Aunque las complicaciones hemorrágicas por el tratamiento son esperables y aumentan con la edad, el beneficio de usar anticoagulación sobrepasa por mucho al riesgo de sangrado. Precisamente debido a la heterogeneidad clínica de esta arritmia y a la dificultad de establecer un tratamiento adecuado para cada caso en particular, el American College of Cardiology, la American Heart Association, la European Society of Cardiology y el American College of Chest Physicians han establecido guías para mejorar el tratamiento de estos pacientes. La revisión de esta enfermedad y de las directrices propuestas puede facilitar y mejorar notablemente el tratamiento de los pacientes con fibrilación auricular.Atrial fibrillation is the most frequent cardiac arrhythmia in adults. Its frequency increases with age, being its incidence 1.5% in individuals 50 to 59 years old and 8-10% from 80 to 89 years. Atrial fibrillation increases 5 fold the risk of suffering stroke and actually causes 15% of all strokes. Its management focuses primary in the prevention of thromboembolic phenomena, heart rate and rhythm control. Anticoagulation, when indicated, has demonstrated to be the main tool in the prevention of these thromboembolic events. Although the bleeding complication is frequent in this population and increases with age, anticoagulation benefits are

  11. Experiencia en reconstrucción auricular en cáncer de piel con colgajo en "quesadilla" Experience in auricle reconstruction after skin carcinoma with "quesadilla" flap

    Directory of Open Access Journals (Sweden)

    C. Gutiérrez Gómez

    2008-06-01

    Full Text Available La reconstrucción auricular es una de las más difíciles ya que implica reproducir las sofisticadas y delicadas formas del pabellón auricular. Cuando hay que resecar piel en la oreja por un cáncer cutáneo y dejamos expuesto el cartílago, sin pericondrio, suele suceder que al colocar injertos no hay una integración adecuada de los mismos por las caprichosas formas y relieves del pabellón auricular; cuando es necesario resecar el pericondrio estamos obligados a cubrir el defecto con un colgajo y no con un simple injerto. Frente a esta dificultad técnica, diseñamos un colgajo ricamente vascularizado que preserva el cartílago no afectado con una buena cubierta y al mismo tiempo respeta la anatomía de la oreja. Para la cobertura del cartílago auricular anterior usamos un colgajo fasciocutáneo posterior que se asemeja a un plato típico de la cocina mexicana que llamamos "quesadilla", donde el cartílago por su color blanco recuerda el queso y el gran colgajo fasciocutaneo recuerda la tortilla que cubre al queso. Este colgajo incluye la piel enrollada del hélix, que en un segundo tiempo retornará a su lugar de origen anatómico mediante una z-plastía asimétrica. Presentamos, de entre una serie de 13 pacientes con carcinoma de pabellón auricular, 2 casos resueltos mediante esta técnica.Auricle reconstruction is one of the most difficult techniques because of the sophisticated and delicates forms of the ear. When we need to remove the auricular skin, preserving the cartilage is very important to keep the shape of the auricle. If treating an auricular skin cancer we find an unaffected cartilage, we can use a skin grafting, but in such delicates forms and curves many times it results inappropriate or the lack of pericondrium difficult skin graft integration. When pericondrium is affected, we will need a skin flap to cover de defect. We designed a rich vascularized flap that preserves the unaffected cartilage with an adequate coverage

  12. Preparing the way for coming area wide integrated pest management projects against the new world screwworm, Cochliomyia hominivorax, in MERCOSUR

    Energy Technology Data Exchange (ETDEWEB)

    Mastrangelo, Thiago; Fernandes, Thiago; Walder, Julio, E-mail: piaui@cena.usp.br [Centro de Energia Nuclear na Agricultura (CENA/USP), Piracicaba, SP (Brazil); Bezerra, Fernando [Instituto Federal de Educacao, Ciencia e Tecnologia do Sertao Pernambucano (IFSERTAO-PE), Petrolina, PE (Brazil)

    2011-07-01

    The New World Screwworm (NWS), Cochliomyia hominivorax, was eradicated from the USA, Central America to Panama, but in most tropical regions of Latin America, the NWS is still a serious threat to livestock, provoking estimated annual losses of US$ 1.8 billion in Brazil. Between January and May 2009, a pilot-project was performed at the Brazil-Uruguay border. As the results were positive, novel regional Area-Wide Integrated Pest Management projects are being planned. To set a mass-rearing center based in South America is strategic when considering long-term programs. In partnership with CENA/USP and the Biofactory MOSCAMED Brazil, a project to produce sterile NWS started on 2009. The project aimed to maintain a colony of a regional NWS strain, to develop a mass-rearing system and a sterilization protocol by X rays, and to study the sterility induction in regional strains. A colony was successfully established. The adults were kept in cages and fed on a diet (honey and spray dried egg). The larvae were reared in a medium made of spray dried blood, spray dried egg, milk, water, formalin and Ecogel. Egg hatch has been of 80 {+-} 10%. From F{sub 1} to F{sub 22}, the total amount of pupae produced was about 38 L ({approx} 315,400 pupae). The mean adult emergence and sex ratio were 86.7 {+-} 3% and 0.59 {+-} 0.08 respectively. The mean pupal weight was 47.1 {+-} 1.7 mg. The estimated X ray doses to induce 99% sterility in males and females were 43.7 Gy and 47.5 Gy, respectively. To produce 1.5 L of pupae, the current cost is about US$ 15.00. (author)

  13. Sutura metálica con aguja doble armada para reconstrucción auricular: experiencia en su fabricación y uso

    Directory of Open Access Journals (Sweden)

    C.A. Erazo-Cortés

    2013-09-01

    Full Text Available Las técnicas de reconstrucción auricular que involucran tejidos autólogos utilizan suturas de acero inoxidable especialmente diseñadas para la construcción del marco cartilaginoso tridimensional que no están disponibles en nuestro país. En el presente trabajo describimos una técnica original para la confección de una sutura de estas características en base a materiales aprobados para uso médico y comparamos su resistencia antes y después de ser sometida a esterilización. Incluimos en el estudio 30 suturas confeccionadas según la técnica descrita y divididas en 3 grupos: sin esterilizar (control, esterilizadas por vapor y esterilizadas por gas (oxido de etileno. La fuerza de ruptura promedio del grupo control fue de 10 Newton, la del esterilizado por vapor fue de 24.1 Newton y la del esterilizado por gas fue de 23.9 Newton. El aumento en la resistencia de las suturas después de la esterilización fue estadísticamente significativo. Concluimos que es posible fabricar artesanalmente una sutura con características adecuadas para la reconstrucción auricular a un bajo costo y que actualmente es de uso habitual en nuestro Servicio para este tipo de procedimientos.

  14. Comparison of two impression techniques for auricular prosthesis: pilot study.

    Science.gov (United States)

    Mohamed, Kasim; Mani, U M; Seenivasan, M K; Vaidhyanathan, A K; Veeravalli, P T

    2013-01-01

    The purpose of this article was to compare the accuracy of a new impression technique, the triple-layer impression technique (TLIT), with the conventional impression technique (CIT) to fabricate an auricular prosthesis. Fifteen male subjects (aged 22-45 yr) were selected. Ten markings were made on the subject's ear (super aurale [sa], sub aurale [sba], pre aurale [pra], post aurale [poa], A, A1, B, B1, C, and C1) and five measurements (sa-sba, pra-poa, A-A1, B-B1, and C-C1) were made. Custom-made trays were used to record impression in CIT and TLIT. Impressions were made using alginate, and models were cast with type IV gypsum product. Markings were transferred on the cast. Measurements were rechecked on the models. Distribution analysis of difference in measurements between the two impression techniques and the subject's actual values was evaluated. Sign test was used to analyze the statistical significance. Statistically significant differences were found in measurements A-A1, B-B1, and C-C1 between the two techniques when compared with the subject's actual dimensions (p < 0.01). TLIT was found to produce accurate models when compared with CIT. The TLIT used in the study was cost effective, less technique sensitive, and tailor made to reduce chairside orientation time during wax try-in appointments for rehabilitating patients, especially those with unilateral auricular defects.

  15. OBSERVATION ON THE THERAPEUTIC EFFECT OF AURICULAR PLASTER FOR TREATMENT OF 135 CASES OF MOTION SICKNESS

    Institute of Scientific and Technical Information of China (English)

    RAO Zhongdong; WEN Ming; HU Yuehua

    2002-01-01

    In the present paper, the therapeutic effects of auricular plaster (otopoint-pellet pressing therapy)and Western medicine (Dramamine) were compared in the treatment of 200 cases of motion sickness who were randomly divided into auricular plaster group (n = 135) and Western medicine (control) group (n = 65). Results indicated that the markedly effective rates and total effective rates of auricular plaster group and control group were 51. 1% and 23. 1 %, 94.1% and 81.6% respectively, and the therapeutic effect of the former group was significantly superior to that of the control group (P<0.01).

  16. Clinical aspects and dynamics of auricular parasitosis in Gir cattle Aspectos clínicos e dinâmica de parasitoses auriculares em bovinos da raça Gir

    Directory of Open Access Journals (Sweden)

    Patrícia V.B. Leite

    2013-03-01

    Full Text Available We evaluated the dynamics of ear infestations caused by Rhabditis spp. and Raillietia spp., which were correlated with animal age, intensity of clinical signs and climate factors. Sixty-four Gir cattle were distributed into three groups: GA - 23 calves with 4 to 6 months of age; GB - 18 calves with 7 to 12 months of age; and GC - 23 heifers with 13 to 33 months of age. Five samplings, defined as S1, S2, S3, S4 and S5 were performed every three months from August 2008 to August 2009. The ear secretion was collected using the auricular washing method for the right ear and a swab for the left ear. A clinical assessment of the animals was performed, and they were classified according to the presence and severity of otitis. The highest relative frequency of rhabditosis was 52.2% in GC at the last sampling. In the first sampling, 42.2% of the animals were infested by Raillietia spp. The older cattle were more susceptible to infestations by both parasites. No correlation of Rhabditis spp. and Raillietia spp. parasitism with climate factors was found. The results showed that both parasites could infest Gir cattle, and in most cases, there was no co-infestation. Only older animals parasitized by the nematode showed clinical signs of the disease.Avaliou-se a dinâmica da infestação auricular causada por Rhabditis spp. e por Raillietia spp., relacionando-a com a idade dos animais, com a intensidade dos sinais clínicos e com os fatores climáticos. Utilizaram-se 64 bovinos Gir, distribuídos em três grupos: GA - 23 bezerros de quatro a seis meses de idade, GB - 18 bezerros de sete a 12 meses e GC - 23 novilhas de 13 a 33 meses. Foram feitas cinco coletas a cada três meses. A secreção auricular foi coletada utilizando o método de lavagem auricular na orelha direita e um swab na orelha esquerda. Fez-se avaliação clínica dos animais classificando-os de acordo com a presença e gravidade da otite. A maior frequência relativa da rhabditiose

  17. Adjuvant auricular electroacupuncture and autogenic training in rheumatoid arthritis: a randomized controlled trial

    DEFF Research Database (Denmark)

    Bernateck, M.; Becker, M.; Schwacke, C.

    2008-01-01

    BACKGROUND: In contrast to psychological interventions the usefulness of acupuncture as an adjuvant therapy in rheumatoid arthritis (RA) has not yet been demonstrated. OBJECTIVE: The efficacy of auricular electroacupuncture (EA) was directly compared with autogenic training (AT). METHODS: Patients...

  18. Bilateral recurrent auricular pseudocyst: Importance of fine-needle aspiration cytology and lactate dehydrogenase estimation

    Directory of Open Access Journals (Sweden)

    Kalyan Khan

    2013-01-01

    Full Text Available Auricular pseudocyst or Idiopathic cystic chondromalacia is a rare, benign condition characterized by a focal noninflammatory cystic swelling on the pinna, occurring usually in young male patients. Bilaterality and recurrence have been reported rarely. We report a case of bilateral, recurrent auricular pseudocyst in a young male patient, where fine needle aspiration cytology coupled with fluid lactate dehydrogenase level estimation was diagnostic. Repeated surgery was avoided and conservative treatment was proved to be effective.

  19. In Vitro Antioxidant Activities of Sulfated Derivatives of Polysaccharides Extracted from Auricularia auricular

    OpenAIRE

    Zhi Zhang; Xue Wang; Lin Yang; Xin Yang; Zhen-Yu Wang; Hua Zhang

    2011-01-01

    In this research, two types of sulfated polysaccharide derivatives were successfully synthesized. Their antioxidant activities were investigated by employing various established in vitro systems. In addition, the degree of sulfation was evaluated using ion-chromatography and IR spectra. The results verify that, when employing scavenging superoxide radical tests, both the sulfation of acid Auricularia auricular polysaccharides (SAAAP) and the sulfation of neutral Auricularia auricular polysacc...

  20. Avaliação da colocação de protetores auriculares em grupos com e sem treinamento Evaluation of hearing-protector insertion in groups with and without training

    Directory of Open Access Journals (Sweden)

    Cláudia Giglio de Oliveira Gonçalves

    2009-06-01

    Full Text Available OBJETIVO: analisar a eficácia da colocação de diferentes protetores auriculares em sujeitos treinados e não-treinados e verificar a importância e a necessidade da realização de um treinamento para a colocação adequada do Equipamento de Proteção Individual auricular. MÉTODOS: investigou-se a atenuação de quatro modelos diferentes de protetores auriculares (inserção de espuma, inserção de silicone três flanges, inserção oliva e tipo concha por meio de duas estratégias: audiometria em campo livre e medidas com microfone sonda, com e sem protetor auricular para comparação e determinação da vedação de ruído. Avaliou-se dois grupos, Grupo 1, sujeitos que receberam treinamento e orientação em relação ao uso e colocação do EPI auricular (23 e o Grupo 2, sujeitos não-treinados (8 universitários que nunca utilizaram o EPI auricular. RESULTADOS: no grupo 1, as diferenças dos limiares auditivos sem e com protetor auricular avaliadas pelos dois métodos apresentaram, em geral, valores de atenuação superiores ao do grupo 2. O protetor auricular concha apresentou valores médios de atenuação superiores aos demais tipos; e o protetor auricular oliva apresentou valores menores. CONCLUSÃO: o treinamento quanto ao uso dos protetores auriculares é necessário e deve ser incluído nos Programa de Conservação Auditiva (PCA.PURPOSE: to analyze the effectiveness for inserting different hearing protectors in trained and non-trained subjects. METHODS: we investigated the attenuation for four models of hearing protectors (foam earplugs, three-flange silicone earplugs, olive end earplugs and shell earplugs by means of two strategies, namely, free-field audiometry and microphone probe measurements, with and without h. p. for comparison and determination of noise elimination. Two groups were evaluated: Group 1, with workers trained (23 in the use of hearing protectors, and Group 2, with non-trained ones (8. RESULTS: in group 1

  1. Efficacy of Auricular Therapy for Pain Management: A Systematic Review and Meta-Analysis

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    Chao Hsing Yeh

    2014-01-01

    Full Text Available Objective. The objective of this systematic review and meta-analysis was to assess the efficacy of auricular therapy by including a sham therapy control group. Methods. Relevant, randomized clinical trials (RCTs were identified by searching medical related databases from, depending on journal, 1900 (at the earliest to 1994 (at the latest through May 2013. The outcome measure was a pain intensity score. Results. Twenty-two RCTs were identified and 13 RCTs were included for meta-analysis. In these studies, auricular therapy provided significant pain relief when compared to a sham or control group. The overall standardized mean differences (SMD was 1.59 (95% CI [−2.36, −0.82] (13 trials, total subject numbers = 806, indicating that, on average, the mean decrease in pain score for auricular therapy group was 1.59 standard deviations greater than the mean decrease for the sham control. In terms of the efficacy of the different treatment methods, auricular acupressure boasts the largest strength of evidence for pain relief, followed by auricular acupuncture. Electroacupuncture stimulation did not show significant evidence for efficacy, which may be due to the small sample size (i.e., only 19 subjects were included. Conclusion. Further large-scale RCTs are needed to determine the efficacy of auricular therapy for pain.

  2. [The Usage of Auricular Acupressure in Clinical Nursing and Evidence-Based Research].

    Science.gov (United States)

    Cheng, Jui-Fen; Lo, Chyi; Tzeng, Ya-Ling

    2015-12-01

    Auricular acupressure is a non-invasive physiotherapy that was developed based on the traditional Chinese meridian theory. Because it is non-invasive, simple to implement, and easy to learn, and because it presents minimal side effects and may be executed independently, this therapy may be used as an alternative or auxiliary approach to symptom management as well as to self-care. The increasing support for auricular acupressure from evidence-based research in Taiwan and elsewhere offers the opportunity to include auricular acupressure as a treatment option in evidence-based nursing interventions. Because nursing education in Taiwan is guided by Western medical concepts and principles, most nurses are not familiar with auricular acupressure, which is derived from traditional Chinese medicine. Therefore, this article not only systemically introduces the definition and theoretical basis of auricular acupressure but also includes the principles and application-related knowledge. Furthermore, this article analyzes the common problems encountered in auricular acupressure research in order to improve the familiarity of nurses with this therapy, to provide references for clinical application, and to provide a basis for designing new evidence-based nursing research efforts.

  3. Efficacy and safety evaluation of acupuncture combined with auricular point sticking therapy in the treatment of polycystic ovary syndrome

    Institute of Scientific and Technical Information of China (English)

    李宁

    2014-01-01

    Objective To compare the efficacy between acupuncture combined with auricular point sticking therapy and clomiphene oral administration in the treatment of polycystic ovary syndrome(PCOS).Methods One hundred cases of PCOS were randomized into two groups,50cases in each one.Acupuncture combined with auricular point sticking group(group A):acupuncture was applied at Guanyuan(CV 4),Zhongji(CV 3)and Zigong(EXCA 1),once daily;auricular point sticking was applied at Spleen

  4. Acupuncture: a potential modality for the treatment of auricular pruritus in Ramsay Hunt Syndrome with multiple cranial nerve lesions.

    Science.gov (United States)

    Liu, Lan Ying; Wang, He Sheng; Sun, Jian Hua

    2015-03-01

    Auricular pruritus coexisted with multiple cranial nerve lesions in Ramsay Hunt syndrome has been rarely reported in the literature especially its treatment. However, auricular pruritus cannot be better improved along with the improvement of multiple cranial nerve lesions. We tried to solve the problem with acupuncture and got experience from it. The following 2 cases of Ramsay Hunt syndrome show a potential modality for the treatment of auricular pruritus with acupuncture.

  5. Efeitos do ultra-som de baixa intensidade na veia auricular de coelhos Effects of low intensity ultrasound in the auricular vein of rabbits

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    Marcelo Araújo

    2003-01-01

    Full Text Available OBJETIVO: Estudar a ação do ultra-som na veia auricular de coelhos. MÉTODOS: Vinte coelhos foram divididos em dois grupos de dez animais diferindo com relação ao local da aplicação, do ultra-som, o modo e o intervalo de tempo para a análise histopatológica (3 e 7 dias. Os animais foram submetidos à aplicação de ultra-som contínuo e pulsado em dois segmentos venosos da orelha previamente determinados. Cada animal foi o seu próprio controle. Empregou-se a freqüência de 3MHz, intensidade de 3W/cm² nos ciclos pulsado e contínuo por 10 minutos, de forma estacionária. O grupo I foi submetido a eutanásia após 3 dias e o grupo II em 7 dias contemplando a fase aguda do processo inflamatório. Empregou-se o teste exato de Fisher e o teste de Mc Nemar para análise estatística. RESULTADOS: Obteve-se trombose venosa e aumento de linfócitos de forma significativa (p= 0,032 nos grupos tratados com o modo contínuo. O modo pulsado não provocou efeitos deletérios. Outros achados foram congestão, edema, hemorragia e lesão da parede vascular. CONCLUSÕES: O ultra-som pulsado não provoca qualquer alteração na parede vascular nas condições do experimento.O ultra-som contínuo induz a trombose venosa e aumento dos linfócitos de forma significativa.PURPOSE: The purpose of this experimental work was evaluate the effects of low intensity in the auricular vein of rabbits. METHODS: Twenty rabbits were divided in two groups of ten animals. The groups differed about the place where the continuous and pulsed ultrasound were applied and the period that the material was collected for the morphologic examination (3 and 7 days. Acoustic coupling gel was used on marginal ear vein, each animal underwent continuous and pulsed ultrasound treatment, in segments previously marked with indelible ink. Each animal provided its own control. Ultrasound was used in the frequency of 3MHz, intensity of 3W/cm² in the pulsed and continuous modes during 10min

  6. Eficácia da escolha do protetor auditivo pequeno, médio e grande em programa de conservação auditiva Efficacy in the choice of small, medium or large auricular protector under auditive conservation program

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    Marleide Aparecida Griggio Rodrigues

    2006-12-01

    Full Text Available OBJETIVO: verificar a eficácia da escolha do protetor auditivo por tamanhos Pequeno, Médio, Grande em um programa de conservação auditiva. MÉTODO: fizeram parte do estudo 30 indivíduos com audição normal previamente avaliados, de 18 a 45 anos de idade, sendo 15 do gênero feminino e 15 do gênero masculino, de Indústria Moveleira. Os sujeitos foram submetidos à avaliação audiológica convencional, audiometria em campo livre sem protetor auricular de inserção, com protetor tamanho universal e com tamanho adequado a cada indivíduo. Para análise estatística foi aplicado teste T Paramétrico para análise das diferenças. RESULTADOS: O teste T Paramétrico pareado, mostrou significância, na comparação dos protetores auriculares na freqüência de 4KHz. CONCLUSÃO: os resultados mostraram eficácia dos protetores auriculares pequeno e grande sobre os protetores tamanho universal em um programa de conservação auditiva.PURPOSE: to check the efficacy in the choice of small, medium or large auricular protector under auditive conservation program. METHODS: 30 individuals, between 18 to 45-year old, with normal hearing, were part of the study previously evaluated: 15 women and 15 men, all working in a furniture industry. The individuals were submitted to the conventional audiological evaluation, audiometry in free field without auricular insertion protector, with universal size protector and with size adequate to each individual. For statistical analysis we used Parametric T test for analyzing the differences. RESULTS: the Parametric T test showed significance, during the comparison of the auricular protectors in the frequency of 4KHz. CONCLUSION: these results demonstrate efficacy in choice of small, medium or large auditive protector, under auditive conservation program.

  7. Degenerative changes of the sacroiliac auricular joint surface-validation of influential factors.

    Science.gov (United States)

    Nishi, Keita; Saiki, Kazunobu; Imamura, Takeshi; Okamoto, Keishi; Wakebe, Tetsuaki; Ogami, Keiko; Hasegawa, Takashi; Moriuchi, Takefumi; Sakamoto, Junya; Manabe, Yoshitaka; Tsurumoto, Toshiyuki

    2016-06-24

    The purpose of this study was to clarify the relevance of degenerative changes in the sacroiliac joint (SIJ) and the joints in the lower limb and lumbar spine using age estimation methods. We also examined the shape of the auricular surface to determine the effect of degenerative changes on each joint. A total of 200 iliac auricular surfaces from 100 Japanese male skeletons were examined macroscopically in accordance with conventional methods of age estimation. From the obtained estimated age, we calculated the deflection values, which represented the degree of degenerative changes of the joints. For comparison, we used osteophyte score data of the hip, knee, and zygapophyseal joints in lumbar spines from previous studies which had used the same bone specimens. As a quantitative indicator of auricular surface morphology, we defined the constriction ratio (CR) of the auricular surface and compared the CR values obtained with various measured values. Degenerative changes in the SIJ were positively correlated with those in both the hip joint and zygapophyseal joint, but a correlation with knee joints was found only on the left side. In skeletons from individuals aged ≥60 years as time of death, the CR was significantly different between the group with high scores and those with low scores in both the hip and sacroiliac joints. It has been suggested that degenerative changes in SIJs interact with those in the hip joint and zygapophyseal joint. In addition, the shape of the auricular surface may also be a relevant factor for degenerative changes in these joints.

  8. Clinical aspects and dynamics of auricular parasitosis in Gir cattle

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    Patrícia V.B. Leite

    2013-03-01

    Full Text Available We evaluated the dynamics of ear infestations caused by Rhabditis spp. and Raillietia spp., which were correlated with animal age, intensity of clinical signs and climate factors. Sixty-four Gir cattle were distributed into three groups: GA - 23 calves with 4 to 6 months of age; GB - 18 calves with 7 to 12 months of age; and GC - 23 heifers with 13 to 33 months of age. Five samplings, defined as S1, S2, S3, S4 and S5 were performed every three months from August 2008 to August 2009. The ear secretion was collected using the auricular washing method for the right ear and a swab for the left ear. A clinical assessment of the animals was performed, and they were classified according to the presence and severity of otitis. The highest relative frequency of rhabditosis was 52.2% in GC at the last sampling. In the first sampling, 42.2% of the animals were infested by Raillietia spp. The older cattle were more susceptible to infestations by both parasites. No correlation of Rhabditis spp. and Raillietia spp. parasitism with climate factors was found. The results showed that both parasites could infest Gir cattle, and in most cases, there was no co-infestation. Only older animals parasitized by the nematode showed clinical signs of the disease.

  9. [Reconstruction of auricular framework using autologous perichondrial grafts. An experimental study].

    Science.gov (United States)

    Qi, F Z

    1991-12-01

    An experimental study was performed in 13 adult dogs to find out whether the cartilage forming capacity of the costal perichondrium could be utilized in reconstruction of the auricular framework. Silastic ear-shaped frameworks, which were wrapped by free costal perichondrial grafts, were transferred to the subcutaneous space on both side of the thorax. The animals were sacrificed at 2 months, 3 months, and 4 months postoperatively. After 6 weeks, the reconstructed auricular cartilage framework collapsed and the silicone framework was rejected. In groups of 2, 3 and 4 months, collapse of the cartilage framework occurred when the silicone tube was removed in 7 day. There was certain elasticity, but the auricular framework had only little resistance to pressure. How to improve new cartilage production would be the key point of further study. Histologically, it was shown that mature hyalin cartilage was generated in 2 months postoperatively.

  10. Influence of Auricular Plaster Therapy on Sleeping Structure in OSAS Patients

    Institute of Scientific and Technical Information of China (English)

    WANG Xiao-hong; XIAO Lan-ying; WANG Bao-fa; YUAN Ya-dong; PAN Wen-sen; SHI Yu-zhen

    2009-01-01

    To evaluate the therapeutic effects of auricular plaster therapy for obstructive sleep apnea syndrome (OSAS) and the influence on sleeping structure. Methods: 45 OSAS patients were randomly divided into a treatment group of 30 cases and a control group of 15 cases for comparison of the changes in parameters of respiration and sleep at night. Results: The auricular plaster therapy significantly improved the hypoventilation index, respiratory disturbance index and other respiratory parameters as well as the sleeping parameters such as the time and rate of sleep at stage Ⅰ and Ⅱ, and the waking time and rate.Conclusion: Auricular plaster therapy may show good therapeutic effects for OSAS, and with the advantages of low cost and less side effects.

  11. Protocolo de tratamiento de cicatrices queloides en el pabellón auricular del Hospital General Dr. Manuel Gea González Treatment protocol of auricular keloid scars in the General Hospital Dr. Manuel Gea González

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    C. Gutiérrez Gómez

    2012-03-01

    Full Text Available Las cicatrices queloideas son una de las patologías de más difícil tratamiento por el alto porcentaje de recidivas que presentan, hasta un 100 % en tratamientos únicos y un 50 % en tratamientos combinados. El pabellón auricular es un blanco frecuente de esta patología. Presentamos el protocolo de tratamiento empleado en nuestro hospital en los últimos 6 años con terapia combinada en 51 pacientes y 64 pabellones auriculares afectados por queloides. Aplicamos de forma preoperatoria 3 dosis de triamcinolona o betametasona intralesional, con diferencia de 4 a 6 semanas entre dosis y 4 semanas después de la última dosis, realizamos resección de la cicatriz dejando piel suficiente para el cierre sin tensión. En los pacientes que presentaban antecedente de resección quirúrgica se añadió al tratamiento el uso de colchicina, comenzando el día de la cirugía y manteniéndolo durante 8 semanas, a dosis de 1 mg. al día, con control de pruebas de función hepática pre y postratamiento. En el 74.5 % de los casos la cicatriz queloide fue unilateral; el 56.8 % de los pacientes fueron mujeres; las edades fluctuaron entre los 8 y los 61 años con una media de 24 años de edad. En el 65 % de los casos el queloide se presentó en el pabellón auricular derecho y en cuanto a su localización dentro del mismo, el 42 % se presentó en el lóbulo. La causa en el 56 % de los casos fue por perforación. El 18.6 % de las cicatrices tratadas cedieron con la infiltración intralesional; de las 48 cicatrices que recibieron tratamiento quirúrgico, hubo recidiva en el 12.5 % (6 cicatrices, con un seguimiento de entre 8 meses a 6 años.Keloid scars are one of the most difficult pathologies to treat because its high rate of recurrence, from 100 % with single treatment to 50 % with combined therapy. The auricle is a frequent localization of keloids. We report our experience in the last 6 years with combined therapy in 51 patients and 64 auricles with keloid

  12. Growth factor stimulation improves the structure and properties of scaffold-free engineered auricular cartilage constructs.

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    Renata G Rosa

    Full Text Available The reconstruction of the external ear to correct congenital deformities or repair following trauma remains a significant challenge in reconstructive surgery. Previously, we have developed a novel approach to create scaffold-free, tissue engineering elastic cartilage constructs directly from a small population of donor cells. Although the developed constructs appeared to adopt the structural appearance of native auricular cartilage, the constructs displayed limited expression and poor localization of elastin. In the present study, the effect of growth factor supplementation (insulin, IGF-1, or TGF-β1 was investigated to stimulate elastogenesis as well as to improve overall tissue formation. Using rabbit auricular chondrocytes, bioreactor-cultivated constructs supplemented with either insulin or IGF-1 displayed increased deposition of cartilaginous ECM, improved mechanical properties, and thicknesses comparable to native auricular cartilage after 4 weeks of growth. Similarly, growth factor supplementation resulted in increased expression and improved localization of elastin, primarily restricted within the cartilaginous region of the tissue construct. Additional studies were conducted to determine whether scaffold-free engineered auricular cartilage constructs could be developed in the 3D shape of the external ear. Isolated auricular chondrocytes were grown in rapid-prototyped tissue culture molds with additional insulin or IGF-1 supplementation during bioreactor cultivation. Using this approach, the developed tissue constructs were flexible and had a 3D shape in very good agreement to the culture mold (average error <400 µm. While scaffold-free, engineered auricular cartilage constructs can be created with both the appropriate tissue structure and 3D shape of the external ear, future studies will be aimed assessing potential changes in construct shape and properties after subcutaneous implantation.

  13. Effect of self-administered auricular acupressure on smoking cessation --a pilot study

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    Leung Lawrence

    2012-02-01

    Full Text Available Abstract Background Tobacco smoking is still a worldwide health risk. Current pharmacotherapies have at best, a success rate of no more than 50%. Auricular (ear acupressure has been purported to be beneficial in achieving smoking cessation in some studies, while in others has been deemed insignificant. We hereby describe the protocol for a three-arm randomised controlled trial to examine the possible benefits of self-administered acupressure for smoking cessation. Methods Sixty consenting participants with confirmed habit of tobacco smoking will be recruited and randomized into three arms to receive either auricular acupressure at five true acupoints (NADA protocol, auricular acupressure at five sham points, or no auricular acupressure at all. Participants having auricular acupressure will exert firm pressure to each acupoint bilaterally via the bead in the attached plasters whenever they feel the urge to smoke. The treatment phase will last for six weeks during which all participants will be assessed weekly to review their smoking log, state of abstinence, end-exhalation carbon monoxide levels and possible adverse effects including withdrawal reactions and stress levels. At any time, a successful quit date will be defined with continuous abstinence for the following consecutive 7 days. From then on, participants will be evaluated individually for continuous abstinence rate (CAR, end-exhalation carbon monoxide levels and adverse effects of stress and withdrawal at specified intervals up to 26 weeks. Expectancy of treatment will be assessed with a four-item Borkovec and Nau self-assessment credibility scale during and after intervention. Discussion We incorporate validated outcome measures of smoking cessation into our randomised controlled trial design with the objectives to evaluate the feasibility and possible benefits of self-administered auricular acupressure as a non-invasive alternative to pharmacotherapy for smoking cessation. Trial

  14. Improved Construction of Auricular Prosthesis by Digital Technologies.

    Science.gov (United States)

    Nuseir, Amjad; Hatamleh, Muhanad; Watson, Jason; Al-Wahadni, Ahed M; Alzoubi, Firas; Murad, Mohammed

    2015-09-01

    Implant-retained auricular prostheses are a successful prosthetic treatment option for patients who are missing their ear(s) due to trauma, oncology, or birth defects. The prosthetic ear is aesthetically pleasing, composed of natural looking anatomical contours, shape, and texture along with good color that blends with surrounding existing skin. These outcomes can be optimized by the integration of digital technologies in the construction process. This report describes a sequential process of reconstructing a missing left ear by digital technologies. Two implants were planned for placement in the left mastoid region utilizing specialist biomedical software (Materialise, Belgium). The implant positions were determined underneath the thickest portion (of anti-helix area) left ear that is virtually simulated by means of mirror imaging of the right ear. A surgical stent recording the implant positions was constructed and used in implant fixtures placement. Implants were left for eight weeks, after which they were loaded with abutments and an irreversible silicone impression was taken to record their positions. The right existing ear was virtually segmented using the patient CT scan and then mirror imaged to produce a left ear, which was then printed using 3D printer (Z Corp, USA). The left ear was then duplicated in wax which was fitted over the defect side. Then, it was conventionally flasked. Skin color was digitalized using spectromatch skin color system (London, UK). The resultant silicone color was mixed as prescribed and then packed into the mold. The silicone was cured conventionally. Ear was trimmed and fitted and there was no need for any extrinsic coloring. The prosthetic ear was an exact match to the existing right ear in shape, skin color, and orientation due to the great advantages of technologies employed. Additionally, these technologies saved time and provided a base for reproducible results regardless of operator.

  15. Forty Cases of Insomnia Treated by Multi-output Electric Pulsation and Auricular Plaster Therapy

    Institute of Scientific and Technical Information of China (English)

    Liu Weizhe

    2007-01-01

    @@ The writer has treated 40 cases of insomnia by the method of multi-output electric pulsation in combination with auricular plaster therapy (with a seed of Vaccariae segetalis 王不留行 taped tightly to a particular ear point and pressed) and received satisfactory therapeutic effects. A report follows.

  16. Treatment of 56 Cases of Women with Post-adolescent Acne by Auricular Point Sticking Method

    Institute of Scientific and Technical Information of China (English)

    DING Min; JIANG Ya-qiu; CUI Xue-jun

    2008-01-01

    @@ Acne is a common disorder in adolescence. However, more and more patients are over 25 years old. This type of acne is recurrent, so it is called post-adolescence acne. The author treated 56 cases of women with post-adolescence acne by auricular point sticking method, and obtained excellent results. It is reported as follows.

  17. Fifty-Six Cases of Acne Treated by Auricular Needle-Embedding

    Institute of Scientific and Technical Information of China (English)

    侯慧先; 吴童

    2002-01-01

    @@ Acne is an inflammatory disease often affecting the boys and girls at the pubescent age, with a tendency of affecting the females aged 30-45 years. We have treated 56 cases of acne by auricular needle-embedding with satisfactory therapeutic results as reported in the following.

  18. Vascular Nature and Existence of Anastomoses of Extrinsic Postauricular Fascia: Application for Staged Auricular Reconstruction.

    Science.gov (United States)

    Lohasammakul, Suphalerk; Turbpaiboon, Chairat; Chompoopong, Supin; Ratanalekha, Rosarin; Aojanepong, Chongdee

    2017-01-18

    A staged auricular reconstruction in microtia patients was developed by using superficial mastoid fascia (as part of extrinsic postauricular fascia) to cover the cartilagenous framework due to its highly vascularized nature. Three branches of external carotid artery (superficial temporal artery, posterior auricular artery and occipital artery) were found to supply this fascia, this study was therefore aimed to investigate the dimension of blood supply from each vessel and also to demonstrate the existence of anastomoses among these arteries. Thirty-eight pinnas and postauricular fascias from Thai fresh adult cadavers were included to document the anastomoses by showing both perfused dye connection (10 dissections) and visible anastomotic branches (8 dissections) among them. Distribution of each vessel trunk and its branches were demonstrated using superimposed illustration in the other 20 dissections with dye injection into each artery to designate 3 zones of anastomotic area between each arterial pair. Maximal size of viable postauricular fascial flap for staged reconstruction according to this vascular study was thus estimated to be at least 5 cm above and 3 cm below the Frankfurt horizontal plane and about 6 cm posterior to external acoustic meatus owing to the course of posterior auricular artery and its anastomoses. In addition, greater size of flap with dual blood supply from both superficial temporal and posterior auricular arteries can be raised by harvesting beyond 5 cm above external acoustic meatus.

  19. Auricular Acupunctures Are Effective for the Prevention of Postoperative Agitation in Old Patients

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    Young-Chang P. Arai

    2010-01-01

    Full Text Available Postoperative cognitive problems and delirium are not uncommon in the elderly. We reported four cases in which auricular acupunctures on the ‘Shenmen’ and ‘Point Zero’ points successfully managed postoperative problematic behaviors of the three patients with dementia and the one patient postoperatively demonstrating an agitated behavior.

  20. Treatment of 20 Infants with Night Crying by Tuina and Auricular Application

    Institute of Scientific and Technical Information of China (English)

    肖莲英

    2010-01-01

    Night crying is a condition that infants under one year old often cry at night, or at regular times, sometimes throughout the entire night, but acting normal during daytime. We treated 20 cases by tuina and auricular application. It is reported as follows.

  1. Acupressure, reflexology, and auricular acupressure for insomnia: a systematic review of randomized controlled trials.

    Science.gov (United States)

    Yeung, Wing-Fai; Chung, Ka-Fai; Poon, Maggie Man-Ki; Ho, Fiona Yan-Yee; Zhang, Shi-Ping; Zhang, Zhang-Jin; Ziea, Eric Tat-Chi; Wong, Vivian Taam

    2012-09-01

    Previous randomized controlled trials (RCTs) have shown that acupuncture may be efficacious for insomnia. Instead of needling, acupressure, reflexology, and auricular acupressure are procedures involving physical pressure on acupoints or reflex areas. These variants of acupuncture are gaining popularity, perhaps due to their non-invasive nature. A systematic review has therefore been conducted to examine their efficacy and safety for insomnia. Two independent researchers searched five English and 10 Chinese databases from inception to May 2010. Forty RCTs were identified for analysis. Only 10 studies used sham controls, four used double-blind design, nine studies scored three or more by the Jadad scale, and all had at least one domain with high risk of bias. Meta-analyses of the moderate-quality RCTs found that acupressure as monotherapy fared marginally better than sham control. Studies that compared auricular acupressure and sham control showed equivocal results. It was also found that acupressure, reflexology, or auricular acupressure as monotherapy or combined with routine care was significantly more efficacious than routine care or no treatment. Owing to the methodological limitations of the studies and equivocal results, the current evidence does not allow a clear conclusion on the benefits of acupressure, reflexology, and auricular acupressure for insomnia.

  2. Long-term quality of life assessment in patients with auricular prostheses

    NARCIS (Netherlands)

    Kievit, H.; Verhage-Damen, G.W.; Ingels, K.J.A.O.; Mylanus, E.A.M.; Hol, M.K.S.

    2013-01-01

    OBJECTIVE: To investigate the quality of life of people with an auricular prosthesis. METHODS: A retrospective case series study was conducted. Quality of life was evaluated by an open-ended question form and 3 questionnaires: the Glasgow Benefit Inventory, the Rosenberg Self-Esteem scale, and the s

  3. Efficacy of two different materials used in auricular acupressure on weight reduction and abdominal obesity.

    Science.gov (United States)

    Hsieh, Ching Hsiu; Su, Tsann-Juu; Fang, Yu-Wen; Chou, Pei-Hsuan

    2012-01-01

    The current study was designed to test the efficacy of different materials used in an auricular acupressure program on weight reduction, changes to waist circumference and waist-to-hip ratio. This study used a randomized design with two groups who were treated with auricular acupressure using Semen Vaccariae or the Japanese Magnetic Pearl. Both groups consisted of Asian young adults with a waist circumference ≥ 80 cm in the females and ≥ 90 cm in the males. At completion of the eight-week treatment period, the total sample size was 56 young adults who ranged in age from 18 to 20 years old. Each participant was met with weekly for ten-minute sessions during which ear acupressure treatment was performed. Sessions continued for eight weeks wherein both groups received acupressure with the Japanese Magnetic Pearl or Semen Vaccariae on the ear acupoints. While both groups showed significant reductions (p ≤ 0.05) to body weight and waist circumference after eight weeks of treatments, the group treated with Semen Vaccariae group showed a more effective weight loss over the short term. Given that auricular acupressure is a safe and cost-effective treatment for weight loss, our results suggest that auricular acupressure is a reasonable option for the treatment of overweight and obesity in young adults.

  4. Auricular Acupuncture May Suppress Epileptic Seizures via Activating the Parasympathetic Nervous System: A Hypothesis Based on Innovative Methods.

    Science.gov (United States)

    He, Wei; Rong, Pei-Jing; Li, Liang; Ben, Hui; Zhu, Bing; Litscher, Gerhard

    2012-01-01

    Auricular acupuncture is a diagnostic and treatment system based on normalizing the body's dysfunction. An increasing number of studies have demonstrated that auricular acupuncture has a significant effect on inducing parasympathetic tone. Epilepsy is a neurological disorder consisting of recurrent seizures resulting from excessive, uncontrolled electrical activity in the brain. Autonomic imbalance demonstrating an increased sympathetic activity and a reduced parasympathetic activation is involved in the development and progress of epileptic seizures. Activation of the parasympathetic nervous system such as vagus nerve stimulation has been used for the treatment of intractable epilepsy. Here, we propose that auricular acupuncture may suppress epileptic seizures via activating the parasympathetic nervous system.

  5. He-Ne Laser Auricular Irradiation Plus Body Acupuncture for Treatment of Acne Vulgaris in 36 Cases

    Institute of Scientific and Technical Information of China (English)

    Sun Lihong

    2006-01-01

    In order to observe the therapeutic effects of He-Ne laser auricular irradiation plus body acupuncture for acne vulgaris, 68 cases of acne vulgaris were randomly divided into a treatment group of 36 cases treated with He-Ne laser auricular irradiation plus body acupuncture, and a control group of 32 cases treated with body acupuncture only. The results showed that the cure rate was 77.8% in the treatment group and 46.9% in the control group (P<0.05), indicating that He-Ne laser auricular irradiation plus body acupuncture may exhibit better effects for acne vulgaris.

  6. Auricular Acupuncture May Suppress Epileptic Seizures via Activating the Parasympathetic Nervous System: A Hypothesis Based on Innovative Methods

    Directory of Open Access Journals (Sweden)

    Wei He

    2012-01-01

    Full Text Available Auricular acupuncture is a diagnostic and treatment system based on normalizing the body's dysfunction. An increasing number of studies have demonstrated that auricular acupuncture has a significant effect on inducing parasympathetic tone. Epilepsy is a neurological disorder consisting of recurrent seizures resulting from excessive, uncontrolled electrical activity in the brain. Autonomic imbalance demonstrating an increased sympathetic activity and a reduced parasympathetic activation is involved in the development and progress of epileptic seizures. Activation of the parasympathetic nervous system such as vagus nerve stimulation has been used for the treatment of intractable epilepsy. Here, we propose that auricular acupuncture may suppress epileptic seizures via activating the parasympathetic nervous system.

  7. Síndrome oculoglandular de Parinaud causada por esporotricose

    OpenAIRE

    Ribeiro,Alexandre Sampaio de Abreu; Bisol,Tiago; Menezes,Marcela Sant'Ana

    2010-01-01

    A síndrome oculoglandular de Parinaud é uma doença ocular rara causada por diferentes agentes etiológicos, entre eles bactérias, vírus e fungos. É caracterizada por uma conjuntivite granulomatosa, acompanhada de linfadenopatia pré-auricular adjacente e pode trazer sequelas caso não seja prontamente tratada. Neste artigo é relatado o caso de uma jovem técnica de enfermagem e estudante de medicina veterinária apresentando a síndrome oculoglandular de Parinaud causada pelo fungo Sporothrix schen...

  8. Glutamate-gated chloride channel subunit cDNA sequencing of Cochliomyia hominivorax (Diptera: Calliphoridae): cDNA variants and polymorphisms.

    Science.gov (United States)

    Lopes, Alberto Moura Mendes; de Carvalho, Renato Assis; de Azeredo-Espin, Ana Maria Lima

    2014-09-01

    The New World screwworm (NWS) Cochliomyia hominivorax (Coquerel) is one of the major myiasis-causing flies that injures livestock and leads to losses of ~US$ 2.7 billions/year in the Neotropics. Ivermectin (IVM), a macrocyclic lactone (ML), is the most used preventive insecticide for this parasite and targets the glutamate-gated chloride (GLUCLα) channels. Several authors have associated altered GluClα homologues to MLs resistance in invertebrates, although studies about resistance in NWS are limited to other genes. Here, we aimed to characterise the NWS GluClα (ChGluClα) cDNA and to search for alterations associated with IVM resistance in NWS larvae from a bioassay. The open reading frame of the ChGluClα comprised 1,359 bp and encoded a sequence of 452 amino acids. The ChGluClα cDNAs of the bioassay larvae showed different sequences that could be splice variants, which agree with the occurrence of alternative splicing in GluClα homologues. In addition, we found cDNAs with premature stop codons and the K242R SNP, which occurred more frequently in the surviving larvae and was located close to mutation (L256F) involved in ML resistance. Although these alterations were in low frequency, the ChGluClα sequencing will allow further studies to find alterations in the gene of resistant natural populations.

  9. 耳廓再造术的研究进展%Research Progress in Auricular Reconstruction

    Institute of Scientific and Technical Information of China (English)

    吕涛; 王卉; 韩忠宇

    2013-01-01

    先天性小耳畸形、烧伤、创伤都会造成耳廓缺失.耳廓独特的立体造型和复杂的解剖结构,使耳廊再造成为整形外科最棘手、最具挑战性的工作.符合美学设计和耳廓精细结构的支架材料和覆盖支架的筋膜皮瓣是传统的耳廓再造术的发展瓶颈,软骨组织工程的兴起为耳廓再造带来了新的希望.该文就耳廓再造术的手术方式、支架材料、覆盖组织、手术时机和软骨组织工程的相关研究进展予以综述.%Microtia,bums,trauma can cause auricular missing.The unique three-dimensional and complex anatomical structure of auricle make the auricular reconstruction to be the most difficult and challenging work in the plastic surgery field.The scaffolds with aesthetic design and ear fine structure and the fascial flap covered the scaffolds are the bottleneck of traditional auricular reconstruction,while the development of the cartilage tissue engineering has brought new hope for auricular reconstruction.Here is to make a review of the research progress of auricular reconstruction from scaffold material,tissue of coverage,the method and timing of surgery,and the application of cartilage tissue engineering.

  10. Effectiveness of medication / auricular therapy / phyto-therapy combination in the treatment of hypertensive patients

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    José Ramón Martínez Pérez

    2015-10-01

    Full Text Available Background: hypertension is one of the main cardiovascular risk factors, so its control improves the life expectancy of patients.Objective: to assess the effects of a treatment combining medication with auricular therapy and phyto-therapy in hypertensive patients assisted at the health area of ”Romárico Oro” Polyclinic, in Puerto Padre, Las Tunas province.Methods: an intervention study was carried out in 68 hypertensive patients of the health area of “Romárico Oro” Polyclinic in Puerto Padre from April, 2013 to April, 2014. The patients were distributed at random into two equal groups; the first received medication combined with auricular therapy and phyto-therapy, while the second one received only medication. The statistical analysis was done by means of Statistic system, t-student and Chi-Square tests were used and p< or =0.05 was considered as level of statistical significance.Results: by the end of the intervention, 73, 53% of the patients of the group with the combination of drug treatment and auricular therapy and phyto-therapy were controlled. In this group, the diastolic filling pressure diminished to 2, 2 mm Hg and the systolic gradient to 3, 66 mm, regarding the group treated only with drugs. Only one patient, representing the 2, 94% showed adverse reaction to the natural and traditional treatment.Conclusions: the combination of medication with auricular therapy and phyto-therapy proved to be effective, corroborated by a significant decrease of quantity of crisis, diastolic and systolic filling pressure values and increase of number of patients with their disease controlled; the report of only one complication shows the innocuousness of the auricular therapy and phyto-therapy treatment.

  11. AB007. The effect of auricular acupuncture and acupressure in smoking cessation

    Science.gov (United States)

    Ioannis, Stathourakis

    2016-01-01

    Background Smoking is often associated with many types of cancer, increased cardiovascular and pulmonary morbidity. In 2006, it has been estimated that the annual number of deaths due to smoking approached 5,000,000, and is expected to double by 2030. The practice of auricular acupuncture is based on the theory that there are certain points in the ear flap corresponding to major organ systems of the human body and can be manipulated to lead to a therapeutic effect on the corresponding organ. The purpose of the study is to evaluate the effectiveness of auricular acupuncture for assisting people with the aim of stopping smoking. Methods A review of the literature has been done in PubMed database on the auricular acupuncture method for efficacy of the conservative treatment for smoking cessation with Keywords: auricular, acupuncture, smoking and cessation. Results The effectiveness of using acupuncture reported that is close to 45%, which is on par with other pharmacological methods. According to Ballal et al., the execution of acupuncture to quit smoking for six weeks produced a success rate of 50.1%, 45.5% of subjects reduced their consumption to 5 cigarettes and 4.3% failed to reduce smoking. Furthermore, Hackett et al. reported success rate of 50% after 12 months of electric acupuncture to the ear. After using acupuncture treatment in 514 persons, Choy et al. reported a success rate of 88%, and relapse rate of 31% in the second year of treatment. Conclusions The auricular acupuncture is effective in smoking cessation and should be considered as an alternative to help smokers, especially those whose previous attempts using conventional methods were in vain. Also the combination with existing methods seems ideal. The survey results also showed that the therapeutic effects of acupuncture in smoking cessation is similar to that of nicotine gum method and behavioral therapy, suggesting that acupuncture is neither superior nor inferior to other methods for smoking

  12. The Anticonvulsant Effect of Transcutaneous Auricular Vagus Nerve Stimulation is Associated with Balancing the Autonomic Dysfunction in Rats

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    Wei He

    2016-11-01

    Full Text Available Objective: The present study aims to investigate whether the anticonvulsant effect of transcutaneous auricular vagus nerve stimulation is associated with balancing the autonomic dysfunction in rats.

  13. Effect of Auricular Acupressure on Peri- and Early Postmenopausal Women with Anxiety: A Double-Blinded, Randomized, and Controlled Pilot Study

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    Ching-Ling Kao

    2012-01-01

    Full Text Available We tested effects of auricular acupressure on peri- and early postmenopausal women with anxiety (PPWA. Fifty PPWA were randomly assigned to the auricular acupressure group (AG or the sham group (SG. After 3 meals and before sleep every day for 4 weeks, the AG received auricular acupressure on the bilateral ear shenmen and subcortex points for 3 min per point on alternating ears. The SG received sham auricular acupressure. The Alprazolam was reduced from 0.5 mg/day at baseline to 0.3 mg/day 4 weeks after auricular acupressure (4 W in the AG (P.05. The Zolpidem was reduced from 3.0 mg/day at baseline to 1.5 mg/day at 4 W (P.05, thus, significant tapering medication, suggesting auricular acupressure is helpful to PPWA.

  14. Auricular Acupressure Combined with an Internet-Based Intervention or Alone for Primary Dysmenorrhea: A Control Study

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    Mei-Ling Yeh

    2013-01-01

    Full Text Available Background. Primary dysmenorrhea is prevalent in adolescents and young women. Menstrual pain and distress causes poor school performance and physiological damage. Auricular acupressure can be used to treat these symptoms, and Internet-based systems are a flexible way of communicating and delivering the relevant information. Objective. This study investigates the effects of auricular acupressure (AA alone and combined with an interactive Internet-based (II intervention for the management of menstrual pain and self-care of adolescents with primary dysmenorrhea. Design. This study adopts a pretest/posttest control research design with a convenience sample of 107 participants. Results. The outcomes were measured using the short-form McGill pain questionnaire (SF-MPQ, visual analogue scale (VAS, menstrual distress questionnaire (MDQ, and adolescent dysmenorrheic self-care scale (ADSCS. Significant differences were found in ADSCS scores between the groups, and in SF-MPQ, VAS, MDQ, and ADSCS scores for each group. Conclusion. Auricular acupressure alone and a combination of auricular acupressure and interactive Internet both reduced menstrual pain and distress for primary dysmenorrhea. Auricular acupressure combined with interactive Internet instruction is better than auricular acupuncture alone in improving self-care behaviors.

  15. Fibrilación auricular en el postoperatorio de cirugía cardíaca: Prevalencia y tiempo de internación Atrial fibrillation in postoperative cardiac surgery: Prevalence and hospitalized period

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    Alejandro E. Contreras

    2010-08-01

    Full Text Available La fibrilación auricular es el trastorno del ritmo más frecuente luego de la cirugía cardíaca. En estudios previos se ha asociado a prolongación de la internación, aumento en los costos e incremento en la mortalidad. El objetivo de este estudio fue conocer la prevalencia de fibrilación auricular en el postoperatorio de cirugía cardíaca y determinar el efecto en el tiempo de estadía hospitalaria. Se analizaron retrospectivamente las historias clínicas de pacientes sometidos a cirugía cardíaca consecutivamente (de revascularización miocárdica, valvulares o ambas entre enero 2006 y noviembre 2008. El punto final evaluado en el postoperatorio fue la presencia de fibrilación auricular. Se dividió a la muestra en dos grupos según tuvieran o no fibrilación auricular, y se compararon las variables clínicas y el tiempo de estadía hospitalaria. Ciento setenta y dos pacientes fueron operados en este período. Se excluyeron del análisis siete pacientes por falta de datos. La edad media fue 64.2 ± 9.5 años, con predominio del sexo masculino. La fibrilación auricular fue la complicación más frecuente (23.6%. El tiempo promedio de internación fue 6.7 ± 4.6 días. No hubo diferencias relevantes al comparar la estadía hospitalaria entre los grupos con o sin fibrilación auricular, 7.5 ± 4.1 días vs. 6.5 ± 4.7 días respectivamente, p = 0.21. La presencia de fibrilación auricular no prolongó la hospitalización. Probablemente una estrategia de prevención indiscriminada no sería costo-efectiva.Atrial fibrillation is the most common heart rhythm disorder after cardiac surgery. In previous studies it has been associated with prolonged hospitalization, increased costs and mortality. This study aimed to determine the prevalence of postoperative atrial fibrillation in cardiac surgery and its impact on the hospitalization period. Medical records of consecutive patients undergoing cardiac surgery (coronary artery bypass graft

  16. Refinamientos en la reconstrucción del tercio superior auricular con la técnica de Davis: Estudio anatómico y serie clínica Refinements on reconstruction of auricular upper pole defects with Davi's technique: Anatomical study and clinical series

    Directory of Open Access Journals (Sweden)

    S. Llanos

    2009-06-01

    Full Text Available Los defectos del tercio superior auricular son un desafío reconstructivo. Están descritas diferentes técnicas quirúrgicas para este fin con resultados a veces desfavorables Realizamos un estudio anatómico en cadáveres frescos que mostró la presencia constante de un pedículo neurovascular que penetra la raíz del hélix. Mostramos la localización y los diámetros de los vasos. Basándonos en este estudio anatómico, presentamos una serie de 10 casos consecutivos tratados por el autor principal. Analizamos la etiología, técnica quirúrgica, complicaciones y resultado a largo plazo. La técnica del autor introduce refinamientos a la técnica de Davis, el cual usa un colgajo condrocutáneo de concha auricular basado en la rama superior de la arteria temporal superficial y un colgajo cutáneo axial de base superior basado en la arteria retroauricular, para crear el nuevo hélix auricular superior. El aspecto posterior de este colgajo condrocutáneo se cubre con un injerto de piel total. En un segundo tiempo empleamos una zetaplastia de la base del hélix que nos dará una mejor forma. El estudio anatómico demostró la presencia de un pedículo neurovascular que penetra la raíz del hélix. La serie clínica está compuesta por 8 defectos postraumáticos, una quemadura eléctrica y un tumor de piel. Todos los colgajos condrocutáneos de concha auricular sobrevivieron comprobándose la seguridad del pedículo del hélix. Dos colgajos retroauriculares presentaron sufrimiento vascular transitorio distal, uno de ellos con recuperación completa y otro con necrosis distal mínima. Dos casos sufrieron pérdida parcial del injerto de piel total. Durante el desarrollo de la serie descubrimos algunos detalles de la técnica quirúrgica, que ahora discutimos en el artículo. Todos los pacientes recuperaron el contorno auricular, obteniendo los mejores resultados en aquellos en los que se aplicaron los refinamientos descritos. En conclusión, creemos

  17. CLINICAL OBSERVATION ON TREATMENT OF 61 CASES OF INSOMNIA WITH AURICULAR PLASTER THERAPY

    Institute of Scientific and Technical Information of China (English)

    张家彤; 王月

    2003-01-01

    Objective: To observe the therapeutic effect of auricular plaster (otopoint-pressure) therapy in thetreatment of insomnia. Methods: In this paper, 61 cases of insomnia patients including 16 males and 45 females weretreated with Ershenmen (MA-TF 1), Zhen (MA-AT), Yuanzhong (MA-AT), Nao Dian and E (MA-AT), combined withother otopoints according to symptoms. The otopoint was stuck with a piece of plaster adhered with vaccaria seeds andpressured by the patient him- or her-self. The treatment was given twice a week, with 7 times being a therapeuticcourse. Results: After 1 - 2 courses of treatment, 19 (31.15%) cases were cured, 34 (55.74 % ) had improvementand 8 (13.11%) had no changes, with the total effective rate being 86.9%. Conclusion: Auricular plaster therapyworks well in the treatment of insomnia patient.

  18. A Simplified Technique for Orientation of a Bone Anchored Auricular Prostheses: a Clinical Report

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    Hussein G. El Charkawi

    2012-08-01

    Full Text Available Background: A simple technique was presented in this clinical report for orientation of a bone anchored auricular prosthesis.Methods: The proposed technique includes drawing the intact ear on a transparent celluloid paper or radiographic film and flipping it to the opposite side and relating it to the fixed anatomical features on the face of patient.Results: The drawing, by this way provides a simple and easy way to duplicate and transfer the exact size and position of the intact ear to the defect side.Conclusions: This technique provides a simple, safe, inexpensive and time saving yet, an accurate and effective surgical template that orients the craniofacial implants to the confines of the definitive auricular prosthesis. It is indicated for restoration of single missing external ear either in aplasia, injuries and total resection.

  19. In vitro antioxidant activities of sulfated derivatives of polysaccharides extracted from Auricularia auricular.

    Science.gov (United States)

    Zhang, Hua; Wang, Zhen-Yu; Yang, Lin; Yang, Xin; Wang, Xue; Zhang, Zhi

    2011-01-01

    In this research, two types of sulfated polysaccharide derivatives were successfully synthesized. Their antioxidant activities were investigated by employing various established in vitro systems. In addition, the degree of sulfation was evaluated using ion-chromatography and IR spectra. The results verify that, when employing scavenging superoxide radical tests, both the sulfation of acid Auricularia auricular polysaccharides (SAAAP) and the sulfation of neutral Auricularia auricular polysaccharides (SNAAP) derivatives possessed considerable antioxidant activity and had a more powerful antioxidant competence than that of the native non-sulfated polysaccharides (AAAP and NAAP). On the other hand, AAAP and NAAP exhibited stronger activity on scavenging both the hydroxyl radical and lipid peroxidation. Available data obtained with in vitro measurements indicates that the sulfated groups of AAAP and NAAP played an important role on antioxidant activity. In sum, the research demonstrates that the antioxidant activity of sulfated polysaccharide derivatives in vitro has a potential significance for seeking new natural antioxidant protective agents.

  20. In Vitro Antioxidant Activities of Sulfated Derivatives of Polysaccharides Extracted from Auricularia auricular

    Directory of Open Access Journals (Sweden)

    Zhi Zhang

    2011-05-01

    Full Text Available In this research, two types of sulfated polysaccharide derivatives were successfully synthesized. Their antioxidant activities were investigated by employing various established in vitro systems. In addition, the degree of sulfation was evaluated using ion-chromatography and IR spectra. The results verify that, when employing scavenging superoxide radical tests, both the sulfation of acid Auricularia auricular polysaccharides (SAAAP and the sulfation of neutral Auricularia auricular polysaccharides (SNAAP derivatives possessed considerable antioxidant activity and had a more powerful antioxidant competence than that of the native non-sulfated polysaccharides (AAAP and NAAP. On the other hand, AAAP and NAAP exhibited stronger activity on scavenging both the hydroxyl radical and lipid peroxidation. Available data obtained with in vitro measurements indicates that the sulfated groups of AAAP and NAAP played an important role on antioxidant activity. In sum, the research demonstrates that the antioxidant activity of sulfated polysaccharide derivatives in vitro has a potential significance for seeking new natural antioxidant protective agents.

  1. Observations on the Efficacy of Auricular-plaster Therapy plus Medicine in Treating Heroin Addiction

    Institute of Scientific and Technical Information of China (English)

    王泽涛; 袁宜勤; 王军; 罗杰坤

    2006-01-01

    Objective:To investigate the curative effect of auricular-plaster therapy on heroin addiction. Methods: Sixty cases of heroin addiction were treated by auricular-plaster therapy in cooperation with methadone and another 60 cases with methadone as a control. The treatment lasted 10 days. Results and conclusion: The results showed that the curative effect of auricular-plaster therapy plus methadone on heroin addiction was significantly better than that of methadone in the control group(P<0.01). The rate of drug relapse was also significantly lower in the former(P<0.01). It is considered that auricular-plaster therapy in cooperation with methadone is now an ideal therapeutic method for drug withdrawal.%目的:观察耳穴贴压治疗海洛因依赖的疗效.方法:耳穴贴压配合西药美沙酮治疗海洛因依赖60例,并与美沙酮治疗60例作对照,临床戒毒观察10 d.结果与结论:结果表明,耳穴贴压配合西药美沙酮戒毒疗效明显优于对照组美沙酮的戒毒疗效(P《0.01),其复吸率也低(P《0.01).认为耳穴贴压配合西药美沙酮戒毒是目前比较理想的戒毒治疗方法.

  2. Role of Insulin-Transferrin-Selenium in Auricular Chondrocyte Proliferation and Engineered Cartilage Formation in Vitro

    Directory of Open Access Journals (Sweden)

    Xia Liu

    2014-01-01

    Full Text Available The goal of this study is to determine the effects of Insulin-Transferrin-Selenium (ITS on proliferation of auricular chondrocytes and formation of engineered cartilage in vitro. Pig auricular monolayer chondrocytes and chondrocyte pellets were cultured in media containing 1% ITS at different concentrations of fetal bovine serum (FBS, 10%, 6%, 2%, 0%, or 10% FBS alone as a control for four weeks. Parameters including cell proliferation in monolayer, wet weight, collagen type I/II/X (Col I, II, X and glycosaminoglycan (GAG expression, GAG content of pellets and gene expression associated with cartilage formation/dedifferentiation (lost cartilage phenotype/hypertrophy within the chondrocyte pellets were assessed. The results showed that chondrocytes proliferation rates increased when FBS concentrations increased (2%, 6%, 10% FBS in ITS supplemented groups. In addition, 1% ITS plus 10% FBS significantly promoted cell proliferation than 10% FBS alone. No chondrocytes grew in ITS alone medium. 1% ITS plus 10% FBS enhanced cartilage formation in terms of size, wet weight, cartilage specific matrices, and homogeneity, compared to 10% FBS alone group. Furthermore, ITS prevented engineered cartilage from dedifferentiation (i.e., higher index of Col II/Col I mRNA expression and expression of aggrecan and hypertrophy (i.e., lower mRNA expression of Col X and MMP13. In conclusion, our results indicated that ITS efficiently enhanced auricular chondrocytes proliferation, retained chondrogenic phenotypes, and promoted engineered cartilage formation when combined with FBS, which is potentially used as key supplementation in auricular chondrocytes and engineered cartilage culture.

  3. Acupressure, reflexology, and auricular acupressure for insomnia: A systematic review of randomized controlled trials

    OpenAIRE

    Chung, KF; Zhang, ZJ; Poon, MMK; Ho, FYY; Zhang, SP; Ziea, ETC; Wong, VT; Yeung, WF

    2012-01-01

    Previous randomized controlled trials (RCTs) have shown that acupuncture may be efficacious for insomnia. Instead of needling, acupressure, reflexology, and auricular acupressure are procedures involving physical pressure on acupoints or reflex areas. These variants of acupuncture are gaining popularity, perhaps due to their non-invasive nature. A systematic review has therefore been conducted to examine their efficacy and safety for insomnia. Two independent researchers searched five English...

  4. Characterization of pediatric microtia cartilage: a reservoir of chondrocytes for auricular reconstruction using tissue engineering strategies.

    Science.gov (United States)

    Melgarejo-Ramírez, Y; Sánchez-Sánchez, R; García-López, J; Brena-Molina, A M; Gutiérrez-Gómez, C; Ibarra, C; Velasquillo, C

    2016-09-01

    The external ear is composed of elastic cartilage. Microtia is a congenital malformation of the external ear that involves a small reduction in size or a complete absence. The aim of tissue engineering is to regenerate tissues and organs clinically implantable based on the utilization of cells and biomaterials. Remnants from microtia represent a source of cells for auricular reconstruction using tissue engineering. To examine the macromolecular architecture of microtia cartilage and behavior of chondrocytes, in order to enrich the knowledge of this type of cartilage as a cell reservoir. Auricular cartilage remnants were obtained from pediatric patients with microtia undergoing reconstructive procedures. Extracellular matrix composition was characterized using immunofluorescence and histological staining methods. Chondrocytes were isolated and expanded in vitro using a mechanical-enzymatic protocol. Chondrocyte phenotype was analyzed using qualitative PCR. Microtia cartilage preserves structural organization similar to healthy elastic cartilage. Extracellular matrix is composed of typical cartilage proteins such as type II collagen, elastin and proteoglycans. Chondrocytes displayed morphological features similar to chondrocytes derived from healthy cartilage, expressing SOX9, COL2 and ELN, thus preserving chondral phenotype. Cell viability was 94.6 % during in vitro expansion. Elastic cartilage from microtia has similar characteristics, both architectural and biochemical to healthy cartilage. We confirmed the suitability of microtia remnant as a reservoir of chondrocytes with potential to be expanded in vitro, maintaining phenotypical features and viability. Microtia remnants are an accessible source of autologous cells for auricular reconstruction using tissue engineering strategies.

  5. Changes in the tangent modulus of rabbit septal and auricular cartilage following electromechanical reshaping.

    Science.gov (United States)

    Lim, Amanda; Protsenko, Dmitry E; Wong, Brian J F

    2011-09-01

    Transforming decades' old methodology, electromechanical reshaping (EMR) may someday replace traditionally destructive surgical techniques with a less invasive means of cartilage reshaping for reconstructive and esthetic facial surgery. Electromechanical reshaping is essentially accomplished through the application of voltage to a mechanically deformed cartilage specimen. While the capacity of the method for effective reshaping has been consistently shown, its associated effects on cartilage mechanical properties are not fully comprehended. To begin to explore the mechanical effect of EMR on cartilage, the tangent moduli of EMR-treated rabbit septal and auricular cartilage were calculated and compared to matched control values. Between the two main EMR parameters, voltage and application time, the former was varied from 2-8 V and the latter held constant at 2 min for septal cartilage, 3 min for auricular cartilage. Flat platinum electrodes were used to apply voltage, maintaining the flatness of the specimens for more precise mechanical testing through a uniaxial tension test of constant strain rate 0.01 mm/s. Above 2 V, both septal and auricular cartilage demonstrated a slight reduction in stiffness, quantified by the tangent modulus. A thermal effect was observed above 5 V, a newly identified EMR application threshold to avoid the dangers associated with thermoforming cartilage. Optimizing EMR application parameters and understanding various side effects bridge the gap between EMR laboratory research and clinical use, and the knowledge acquired through this mechanical study may be one additional support for that bridge.

  6. A Randomized Controlled Trial of Auricular Transcutaneous Electrical Nerve Stimulation for Managing Posthysterectomy Pain

    Directory of Open Access Journals (Sweden)

    Hin Cheung Tsang

    2011-01-01

    Result. As compared to the baseline, only the true TENS group reported a significant reduction in VAS-rest (P=.001, VAS-huff (P=.004, and VAS-cough (P=.001, while no significant reduction in any of the VAS scores was seen in the sham TENS group (all P>.05. In contrast, a small rising trend was observed in the VAS-rest and VAS-huff scores of the control group, while the VAS-cough score remained largely unchanged during the period of the study. A between-group comparison revealed that all three VAS scores of the true TENS group were significantly lower than those of the control group at 15 and 30 minutes after the intervention (all P<.02. No significant between-group difference was observed in PEFR at any point in time. Conclusion. A single session of auricular TENS applied at specific therapeutic points significantly reduced resting (VAS-rest and movement-evoked pain (VAS-huff, VAS-cough, and the effects lasted for at least 30 minutes after the stimulation. The analgesic effects of auricular TENS appeared to be point specific and could not be attributed to the placebo effect alone. However, auricular TENS did not produce any significant improvement in the performance of PEFR.

  7. Association of auricular pressing and heart rate variability in pre-exam anxiety students

    Institute of Scientific and Technical Information of China (English)

    Wocao Wu; Junqi Chen; chuan Zhen; Huanlin Huang; Pei Zhang; Jiao Wang; Yingyi Ou; Yong Huang

    2013-01-01

    A total of 30 students scoring between 12 and 20 on the Test Anxiety Scale who had been exhibiting an anxious state > 24 hours, and 30 normal control students were recruited. Indices of heart rate variability were recorded using an Actiheart electrocardiogram recorder at 10 minutes before auricular pressing, in the first half of stimulation and in the second half of stimulation. The results revealed that the standard deviation of all normal to normal intervals and the root mean square of standard deviation of normal to normal intervals were significantly increased after stimulation. The heart rate variability triangular index, very-low-frequency power, low-frequency power, and the ratio of low-frequency to high-frequency power were increased to different degrees after stimulation. Compared with normal controls, the root mean square of standard deviation of normal to normal intervals was significantly increased in anxious students following auricular pressing. These results indicated that auricular pressing can elevate heart rate variability, especially the root mean square of standard deviation of normal to normal intervals in students with pre-exam anxiety.

  8. Auricular Point Acupressure for Chronic Low Back Pain: A Feasibility Study for 1-Week Treatment

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    Chao-Hsing Yeh

    2012-01-01

    Full Text Available Objectives. The objective of this one-group, repeated-measures design was to explore the acceptance of auricular point acupressure (APA to reduce chronic low back pain (CLBP and estimate minimum clinically important differences (MCIDs for pain intensity change. Methods. Subjects received 7-day APA treatment. After appropriate acupoints were identified, vaccaria seeds were carefully taped onto each selected auricular point for 7-day. The Brief Pain Inventory Short Form (BPI was used to collect outcome data. Results. A total of 74 subjects participated in the study. Ten subjects dropped out and the retention rate was 87%. Subjects reported a 46% reduction in BPI worst pain, and over 50% reduction in BPI average pain, overall pain severity and pain interference by the end of study, and 62.5% subjects also reported less pain medication use. The MCIDs for the subscale of BPI ranged from .70 to 1.86 points. The percentage improvement of MCIDs from baseline was between 14.5–24.9%. Discussion. APA appears to be highly acceptable to patients with CLBP. A sham group is needed in order to differentiate the true effects of APA from the possible psychological effects of more frequent visits by the auricular therapist and patients’ expectation of the APA treatment.

  9. Regulative Effects of Auricular Acupuncture,Moxibustion and Chinese Herbs on Immunologic Function in the D-Galactose-induced Aging Mouse

    Institute of Scientific and Technical Information of China (English)

    Xie Su; Ling Xiangli; Wang Youjing

    2008-01-01

    Objective:To observe the regulative effect of auricular acupuncture,moxibustion and Chinese herbs on immunologic function in the D-galactose-induced aging mouse and to probe the feasibility and possible mechanisms for delaying aging,so as to provide experimental basis for acupuncture,moxibustion and Chinese herbs for delaying aging.Methods:Aging mouse model was established by subcutaneous injection of D-galactose,and treated by auricular acupuncture,auricular acupuncture plus moxibustion,and auricular acupuncture plus Chinese herbs respectively for 6 weeks and then serum interleukin-2(IL-2) and IL-6 contents and splenic lymphocyte transformation rate were compared among the groups.Results:Compared with the young group,the serum IL-2 level and the splenic lymphocyte transformation rate significantly decreased and the IL-6 level significantly increased in the aging mouse.After treatment by auricular acupuncture,auricular acupuncture plus Chinese herbs,especially auricular acupuncture plus moxibustion,the serum IL-2 level and the splenic lymphocyte transformation rate significantly increased,and the IL-6 level significantly decreased as compared with the model group.Conclusions:Combined application of auricular acupuncture,moxibustion and Chinese herbs can improve the.decline or dysfunction of immunological function in the aging organism to a certain extent.

  10. The Terapeutic Effects of Electrical Acupuncture and Auricular-Plaster in 32 Cases of Chronic Fatigue Syndrome

    Institute of Scientific and Technical Information of China (English)

    Li Yuemei; Liu Hongping; Feng Shulan; Gong Dongfang

    2006-01-01

    Objective:To observe the therapeutic effects of electrical acupuncture and auricular-plaster therapy for chronic fatigue syndrome(CFS).Method:64 CFS patients were randomly divided into two groups.32 cases in the treatment group were treated by the electrical acupuncture and auricular-plaster therapy,and 32 cases in the control group with oral hydrocortisone.Results:The total effective rates were respectively 93.75% in the treatment group and 75.00% in the control group,with a statistically significant difference between the two groups(P<0.05).Conclusion:Electrical acupuncture and auricular-plaster therapy may show a better anti-fatigue effect than that of routine Western drugs.

  11. Fibrilación auricular en el postoperatorio de cirugía cardiaca : factores predisponentes y complicaciones

    OpenAIRE

    Noriega Sanz, Francisco Javier

    2012-01-01

    La fibril·lació auricular és una complicació freqüent en el postoperatori de cirurgia cardíaca que empitjora el pronòstic d'aquest procediment. Per aquest motiu decidim realitzar un estudi prospectiu observacional amb la finalitat de detectar factors relacionats amb l'aparició de fibril·lació auricular postquirúrgica, en el qual es van incloure 101 pacients intervinguts de cirurgia cardíaca en un període de 3 mesos. Es van recollir dades preoperatòries i intraoperatòries, així com complicacio...

  12. Vasoconstrictive Responses by the Carotid and Auricular Arteries in goats to Ergot Alkaloid Exposure

    Science.gov (United States)

    Aiken, Glen; Flythe, Michael

    2014-11-01

    A fungal endophyte (Neotyphodium coenophialum) infects most plants of ‘Kentucky 31’ tall fescue (Lolium arundinaceum) and produces ergot alkaloids that cause persistent constriction of the vascular system in grazing livestock. Consequently, animals undergoing this toxicosis cannot regulate core body temperature and are vulnerable to heat and cold stresses. An experiment was conducted to determine if the caudal and auricular arteries in goats (Capra aegagrus hircus) vasoconstrict in response to ergot alkaloids. Seven, rumen fistulated goats were fed ad libitum orchardgrass (Dactylis glomeratia) hay and ruminally infused with endophtye-free seed (E-) for a 7-day adjustment period. Two periods followed with E- and endophyte-infected (E+) seed being randomly assigned to the 2 goat groups in period 1 and then switching treatments between groups in period 2. Infused E+ and E- seed were in equal proportions to the hay such that concentrations of ergovaline and ergovalanine were 0.80 µg per g dry matter for the E+ treatment. Cross-sections of both arteries were imaged using Doppler ultrasonography on days 0, 2, 4, 6, 8, and 12 in period 1 and on days 0, 1, 2, 3, 6, 7, and 9 in period 2. Differences from average baseline areas were used to determine presence or absence of alkaloid-induced vasoconstriction. Carotid arteries initiated constriction on imaging day 2 in both periods, and auricular arteries initiated constriction on imaging day 2 in period 1 and on day 6 in period 2. Luminal areas of the carotid arteries in E+ goats were 46% less than baseline areas in both periods after vasoconstriction occurred, whereas auricular arteries in E+ goats were 52% less than baseline areas in period 1 and 38% in period 2. Both arteries in E+ goats in period 1 relaxed relative to baseline areas by imaging day 2 after they were switched to the E- treatment. Results indicated that goats can vasoconstrict when exposed to ergot alkaloids that could disrupt their thermoregulation.

  13. Vasoconstrictive Responses by the Carotid and Auricular Arteries in goats to Ergot Alkaloid Exposure

    Directory of Open Access Journals (Sweden)

    Glen Eris Aiken

    2014-11-01

    Full Text Available A fungal endophyte (Neotyphodium coenophialum infects most plants of ‘Kentucky 31’ tall fescue (Lolium arundinaceum and produces ergot alkaloids that cause persistent constriction of the vascular system in grazing livestock. Consequently, animals undergoing this toxicosis cannot regulate core body temperature and are vulnerable to heat and cold stresses. An experiment was conducted to determine if the caudal and auricular arteries in goats (Capra aegagrus hircus vasoconstrict in response to ergot alkaloids. Seven, rumen fistulated goats were fed ad libitum orchardgrass (Dactylis glomeratia hay and ruminally infused with endophtye-free seed (E- for a 7-day adjustment period. Two periods followed with E- and endophyte-infected (E+ seed being randomly assigned to the 2 goat groups in period 1 and then switching treatments between groups in period 2. Infused E+ and E- seed were in equal proportions to the hay such that concentrations of ergovaline and ergovalanine were 0.80 µg per g dry matter for the E+ treatment. Cross-sections of both arteries were imaged using Doppler ultrasonography on days 0, 2, 4, 6, 8, and 12 in period 1 and on days 0, 1, 2, 3, 6, 7, and 9 in period 2. Differences from average baseline areas were used to determine presence or absence of alkaloid-induced vasoconstriction. Carotid arteries initiated constriction on imaging day 2 in both periods, and auricular arteries initiated constriction on imaging day 2 in period 1 and on day 6 in period 2. Luminal areas of the carotid arteries in E+ goats were 46% less than baseline areas in both periods after vasoconstriction occurred, whereas auricular arteries in E+ goats were 52% less than baseline areas in period 1 and 38% in period 2. Both arteries in E+ goats in period 1 relaxed relative to baseline areas by imaging day 2 after they were switched to the E- treatment. Results indicated that goats can vasoconstrict when exposed to ergot alkaloids that could disrupt their

  14. Treatment of Stye by Auricular Point Blood-letting Therapy: A Report of 85 Cases

    Institute of Scientific and Technical Information of China (English)

    WANG Zhan-hui

    2005-01-01

    Eighty-five cases of stye were treated by pricking and extruding some blood in auricular points Eye 1 and Eye 2. After 5 treatments, 63 cases were cured, 17 cases obtained improvement, 5 cases obtained no effects, and the total effective rate is 94.1%.%点刺耳穴目1和目2,并挤压出血,治疗85例麦粒肿患者,经过5次治疗,治愈63例,好转17例,无效5例,总有效率94.1%.

  15. El rol de los nuevos anticoagulantes en pacientes con fibrilación auricular (FA)

    OpenAIRE

    Ferrari, Eliseo; Pérez Duhalde, Carolina; Bertaini, Omar; Farina, Juan P

    2016-01-01

    Alrededor de un 15 % de los accidentes cardiovasculares (ACV) son de tipo embolico, consecuencia principalmente de la Fibrilación Auricular (FA)1,2. Los anticoagulantes cumarínicos han demostrado reducir en forma significativa el riesgo de embolia en pacientes con FA 2,3. Las desventajas de estos fármacos son el riesgo de sangrado y que requieren un monitoreo estricto; lo que conlleva una adherencia poco confiable, alrededor de un 30 a 60%, y una extrema variabilidad en sus efectos 4. En a...

  16. Prevención de la fibrilación auricular en el paciente hipertenso

    OpenAIRE

    Carlos Escobar Cervantes; Alberto Calderón Montero; Vivencio Barrios Alonso

    2006-01-01

    Un porcentaje importante de pacientes con hipertensión arterial (HTA) tiene además fibrilación auricular (FA) presencia de HTA incrementa el riesgo de tener FA y su presencia empeora el pronóstico de los pacientes con HTA. La posibilidad de que algunos fármacos interfieran con las vías de transducción específicas que facilitan la aparición de FA resulta prometedora. Hasta la fecha, parece que la medida más efectiva es la inhibición del sistema renina- angiotensina- aldosterona mediante la uti...

  17. Fibrilación auricular en los servicios de urgencias hospitalarias

    OpenAIRE

    García Palacios, José David

    2016-01-01

    La fibrilación auricular (FA) es la arritmia cardíaca sostenida más frecuente en la población. Es una enfermedad grave y es un factor predictivo independiente de mortalidad, asociando un riesgo de ictus 5 veces superior a la población general. Los SUH constituyen la “puerta de entrada” al sistema sanitario para la población, de ahí la importancia de un adecuado manejo. Tipo de estudio: descriptivo transversal retrospectivo. Ámbito del estudio: Servicio de Urgencias de un hospital de tercer...

  18. Innervation of the Human Cavum Conchae and Auditory Canal: Anatomical Basis for Transcutaneous Auricular Nerve Stimulation

    Science.gov (United States)

    Bermejo, P.; López, M.; Larraya, I.; Chamorro, J.; Cobo, J. L.; Ordóñez, S.

    2017-01-01

    The innocuous transcutaneous stimulation of nerves supplying the outer ear has been demonstrated to be as effective as the invasive direct stimulation of the vagus nerve for the treatment of some neurological and nonneurological disturbances. Thus, the precise knowledge of external ear innervation is of maximal interest for the design of transcutaneous auricular nerve stimulation devices. We analyzed eleven outer ears, and the innervation was assessed by Masson's trichrome staining, immunohistochemistry, or immunofluorescence (neurofilaments, S100 protein, and myelin-basic protein). In both the cavum conchae and the auditory canal, nerve profiles were identified between the cartilage and the skin and out of the cartilage. The density of nerves and of myelinated nerve fibers was higher out of the cartilage and in the auditory canal with respect to the cavum conchae. Moreover, the nerves were more numerous in the superior and posterior-inferior than in the anterior-inferior segments of the auditory canal. The present study established a precise nerve map of the human cavum conchae and the cartilaginous segment of the auditory canal demonstrating regional differences in the pattern of innervation of the human outer ear. These results may provide additional neuroanatomical basis for the accurate design of auricular transcutaneous nerve stimulation devices.

  19. Auricular surface aging: a blind test of the revised method on historic Italians from Sardinia.

    Science.gov (United States)

    Hens, Samantha M; Belcastro, M Giovanna

    2012-01-10

    Age determination from human skeletal remains is an important biological parameter in both forensic and bioarchaeological contexts. This study presents the results of a blind test of the revised auricular surface age estimation method proposed by Buckberry and Chamberlain (Am. J. Phys. Anthropol. 119 (2002) 321-329) on a large sample (n=404) of known sex and age from the Sassari collection, housed at the Museum of Anthropology, University of Bologna, Italy. Ilia were scored for five features: transverse organization, surface texture, microporosity, macroporosity, and apical changes, which combined for a composite score. The results indicated that all features and the composite score were positively correlated with known age. Composite scores were significantly different between the sexes, suggesting that males and females should be treated separately. Bias and inaccuracy varied across age intervals. Age tended to be overestimated in individuals under age 59 and underestimated for those over age 60 years. However, the revised method showed improvement over the original auricular surface method (Lovejoy et al., Am. J. Phys. Anthropol. 68 (1985) 15-28), especially for aging older individuals. Considerable variation exists in the age ranges derived from composite scores and few significant differences were found between age stages, suggesting that fewer stages with wider age ranges may be necessary. The independent, quantitative scoring of the surface features makes the revised method substantially easier to apply and the method shows significant improvement for aging older individuals.

  20. CLINICAL STUDY ON CLIMACTERIC SYNDROME TREATED WITH AURICULAR PLUS BODY ACUPUNCTURE

    Institute of Scientific and Technical Information of China (English)

    徐天舒

    2003-01-01

    Aim: To search for the best therapeutic method for climacteric syndrome. Methods: A total of 190 cases of climacteric syndrome participants were randomly divided into auricular plus body acupuncture group (treatment group, n = 96) and simple body acupuncture group (control group, n = 94). Serum sexual hormone (FSH, LH and E2) and blood lipid (TC, LDL-C, HDL-C and TG) levels were detected before and after treatment. Results: After 30sessions of treatment, the total effective rates of treatment and control groups were 82.29% and 76.02% respectively, with the former being significantly higher than the later ( P < 0.01 ). In comparison with pre-treatment of each group, serum follicle-stimulating hormone (FSH) and luterotropic hormone (LH) levels lowered significantly; serum estradiol (E2) increased remarkably ( P < 0.05 - 0.01 ); serum high-density l ipoprotein-cholesterol (HDL-C) of two groups raised significantly ( P< 0.05- 0.01 ), and Iow-density lipoprotein (LDL)-C of treatment group decreased evidently (P< 0.05). In addition, the improvement of complaints of hot flushes, sweating, paresthesia, insomnia and emotional irritability in treatment group is significantly better than that of control group. Conclusion: Auricular acupuncture combined with body acupuncture has a better therapeutic effect than that of simple body acupuncture in the treatment of climacteric syndrome.

  1. The Effects and Measures of Auricular Acupressure and Interactive Multimedia for Smoking Cessation in College Students

    Directory of Open Access Journals (Sweden)

    Mei-Ling Yeh

    2014-01-01

    Full Text Available The earlier one starts to smoke, the more likely it is that one’s tobacco use will increase. Either auricular acupressure or multimedia education could improve physiological health status and reduce smoking for young smokers. This study aimed to evaluate the effects of a 10-week auricular acupressure (AA and interactive multimedia (IM on smoking cessation in college smokers. A pre- and posttest control research design with two experiments (AA and IM and one control was used. Thirty-two participants were in each of three groups. A significant difference from pretest to posttest among three groups was exhibited on carbon monoxide (CO, cotinine, and nicotine dependence. Scheffe’s post hoc test found significances on CO in the AA between the IM and the control and cotinine and nicotine dependence between the AA and the control. After controlling the covariates, the main effect of the group was no difference in all outcomes. The interventions, especially AA, may contribute to a decrease of CO, cotinine, and nicotine dependence along with the time change. An analysis without controlling influences may overestimate interventional effects.

  2. En bloc resection for treatment of refractory pre-auricular fistula

    Institute of Scientific and Technical Information of China (English)

    Jing Fei; Di Zhang; Xiao-qiang Sun; Chong Zhao; Gang Qin; Yue-hua Liu; Lin Zhu; Lei-ji Li

    2015-01-01

    Objective:To report a surgical method for the treatment of pre-auricular fistula to lower post-operative recurrence rate. Methods:Clinical data of 187 patients with pre-auricular fistula who underwent en bloc resection at the Affiliated Hospital of Luzhou Medical College from August 2006 to November 2012 were retrospectively reviewed. Factors that might affect the prognosis following En bloc fistula resection bordered by the superficial temporalis fascia, helix perichondrium and auriculocephalic sulcus were investigated. Results: Of the 187 patients, 181 achieved primary healing and 6 ended up with delayed healing. During the follow-up period (one to seven years), there were 4 cases of recurrence (2.1%). Conclusions:Clear demarcation of surgical resection can facilitate easy and thorough resection of preauricular fistula and lead to low recurrence rate. Proper timing and careful search for potential fistula branches are the two crucial factors affecting prognosis. Copyright © 2016, PLA General Hospital Department of Otolaryngology Head and Neck Surgery. Production and hosting by Elsevier (Singapore) Pte Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

  3. Agreement between auricular and rectal measurements of body temperature in healthy cats.

    Science.gov (United States)

    Sousa, Marlos G; Carareto, Roberta; Pereira-Junior, Valdo A; Aquino, Monally C C

    2013-04-01

    Measurement of body temperature is a routine part of the clinical assessment of a patient. However, this procedure may be time-consuming and stressful to most animals because the standard site of temperature acquisition remains the rectal mucosa. Although an increasing number of clinicians have been using auricular temperature to estimate core body temperature, evidence is still lacking regarding agreement between these two methods in cats. In this investigation, we evaluated the agreement between temperatures measured in the rectum and ear in 29 healthy cats over a 2-week period. Temperatures were measured in the rectum (using digital and mercury-in-glass thermometers) and ear once a day for 14 consecutive days, producing 406 temperature readings for each thermometer. Mean temperature and confidence intervals were similar between methods, and Bland-Altman plots showed small biases and narrow limits of agreement acceptable for clinical purposes. The interobserver variability was also checked, which indicated a strong correlation between two near-simultaneous temperature readings. Results are consistent with auricular thermometry being a reliable alternative to rectal thermometry for assessing core body temperature in healthy cats.

  4. Feasibility of robot-assisted modified radical neck dissection by post-auricular facelift approach.

    Science.gov (United States)

    Tae, K; Ji, Y B; Song, C M; Sung, E S; Chung, J H; Lee, S H; Park, H J

    2016-11-01

    The aim of this study was to evaluate the technical feasibility and safety of robot-assisted modified radical neck dissection (MRND) for head and neck cancer patients with a clinically node-positive neck. The cases of 10 head and neck cancer patients who underwent unilateral therapeutic robot-assisted MRND by post-auricular facelift approach were analyzed. The robot-assisted MRND was completed successfully in all patients without any conversion to conventional neck dissection. The mean number of lymph nodes removed was 36.7±8.6. The mean duration of surgery for robot-assisted MRND was 274±65min (range 175-395min). Transient marginal nerve palsy occurred in two patients and partial necrosis of the skin flap occurred in one patient. In terms of cosmetic satisfaction, 70% of patients were very satisfied or satisfied with postoperative cosmesis. In conclusion, robot-assisted MRND by post-auricular facelift approach is technically feasible and safe in selected patients with head and neck cancer, and yields excellent postoperative cosmesis.

  5. Brain-Modulated Effects of Auricular Acupressure on the Regulation of Autonomic Function in Healthy Volunteers

    Directory of Open Access Journals (Sweden)

    Xin-Yan Gao

    2012-01-01

    Full Text Available Auricular acupuncture has been described in ancient China as well as Egypt, Greece, and Rome. At the end of the 1950s, ear acupuncture was further developed by the French physician Dr. Paul Nogier. The goal of this study was to develop a new system for ear acupressure (vibration stimulation and to perform pilot investigations on the possible acute effects of vibration and manual ear acupressure on heart rate (HR, heart rate variability (HRV, pulse wave velocity (PWV, and the augmentation index (AIx using new noninvasive recording methods. Investigations were performed in 14 healthy volunteers (mean age ± SD: 26.3±4.3 years; 9 females, 5 males before, during, and after acupressure vibration and manual acupressure stimulation at the “heart” auricular acupuncture point. The results showed a significant decrease in HR (≤0.001 and a significant increase in HRV total (=0.008 after manual ear acupressure. The PWV decreased markedly (yet insignificantly whereas the AIx increased immediately after both methods of stimulation. The increase in the low-frequency band of HRV was mainly based on the intensification of the related mechanism of blood pressure regulation (10-s-rhythm. Further studies in Beijing using animal models and investigations in Graz using human subjects are already in progress.

  6. Fifty Cases of Child Restless Syndrome Treated with the Integrated Method of Chinese Herbal Drugs and Auricular-Plaster Therapy

    Institute of Scientific and Technical Information of China (English)

    2005-01-01

    @@ Fifty cases of child restless syndrome were treated with oral administration of Chinese traditional herbal drugs plus auricular-plaster therapy from December 1998 to November 2001, and another 47 cases were treated with oral administration of methylphenidate as controls. The result is reported as follows.

  7. Comparative Observation on Therapeutic Effects of Treating Menopausal Syndrome with Auricular Points Sticking-pressure and Acupuncture

    Institute of Scientific and Technical Information of China (English)

    孙冬梅; 单秋华; 吴富东; 韩丑萍

    2006-01-01

    目的:对比观察耳穴贴压与针刺治疗女性更年期综合征的疗效.方法:86例患者随机分为耳穴贴压组和针刺组.根据改良的Kupperman指数进行疗效对比观察.结果:两组疗效对比差异经统计学处理无显著性.结论:耳穴贴压与针刺疗法均能有效治疗女性更年期综合征,且耳穴贴压更具有操作简便,易于推广的优势.%Objective: To make a comparative observation on treating menopausal syndrome with auricular points sticking-pressure and acupuncture. Methods:The 86 cases were randomized into the group of auricular points sticking-pressure and acupuncture group, and then the comparative observation was made according to the modified Kupperman index. Results: The statistical analysis on the comparative observation showed there is no significant difference between the therapeutic effects of the two groups. Conclusion: Auricular points sticking-pressure and acupuncture are both effective for menopausal syndrome, and the auricular points sticking-pressure is worthy to spread with its easy operation.

  8. The Stimulation Effect of Auricular Magnetic Press Pellets on Older Female Adults with Sleep Disturbance Undergoing Polysomnographic Evaluation

    Directory of Open Access Journals (Sweden)

    Chyi Lo

    2013-01-01

    Full Text Available Study Objectives. To examine the stimulation effect of auricular magnetic press pellet therapy on older female adults with sleep disturbance as determined by polysomnography (PSG. Design. Randomized, single-blind, experimental-controlled, parallel-group. Setting. Community. Participants. Twenty-seven older female adults with sleep disturbance according to the Pittsburgh Sleep Quality Index (PSQI >5 for at least 3 months were recruited. Participants were screened by both the Hospital Anxiety and Depression Scale (HADS and the Mini-Mental State Examination (MMSE, as well as polysomnography prior to randomization. Interventions. All eligible participants were randomly allocated into the experimental or control group. Both groups were taped with magnetic press pellet on auricular points for 3 weeks. The experimental group was treated by applying pressure on the magnetic press pellets 3 times per day while no stimulation was applied on the control group. Measurements and Results. Both groups were measured by PSG and PSQI at the beginning of the study and 3 weeks after the study. Both groups showed improvements on PSQI scores compared to the baseline. One-way analysis of covariance adjusted for baseline scores showed that significant improvements of PSG-derived sleep parameters, such as sleep efficiency, were found in the experimental group. However, no significant differences between groups were observed in the proportion of sleep stages with the exception of Stage 2. Conclusions. Auricular therapy using magnetic pellets and stimulation by pressing was more effective in improving the sleep quality compared to auricular therapy without any stimulation.

  9. 3D Printing of Biocompatible Acellular Auricular Implant Using Dual Scaled Hydrid Technology Combining Fused Deposition Modeling with Electrospinning

    OpenAIRE

    Rezenda, R; Sabado, M; Kasjanovs, V; Baptista, L.; da Silva, K; Noritomi, P; Sena, F.; Wen, X.; Da Silva, J; Mironov, V.

    2013-01-01

    The dual-scaled hydrid scaffold fabrication technology based on combination of 3D printing (fused deposition modeling) and electrospining have been recently introduced. We report here the design, fabrication, mechanical testing, in vitro and in vivo biocompatibility testing of novel auricular implants for treatment microtia fabricated by dual scaled hydbrid scaffold fabrication technology.

  10. New method for estimation of adult skeletal age at death from the morphology of the auricular surface of the ilium.

    Science.gov (United States)

    Igarashi, Yuriko; Uesu, Kagumi; Wakebe, Tetsuaki; Kanazawa, Eisaku

    2005-10-01

    A new method for estimating skeletal age at death from the morphology of the auricular surface of the ilium is presented. It uses a multiple regression analysis with dummy variables, and is based on the examination of 700 modern Japanese skeletal remains with age records. The observer using this method needs only to check for the presence or absence of nine (for a male) or seven (for a female) features on the auricular surface and to select the parameter estimates of each feature, calculated by multiple regression analysis with dummy variables. The observer can obtain an estimated age from the sum of parameter estimates. It is shown that a fine granular texture of the auricular surface is typical of younger individuals, whereas a heavily porous texture is characteristic of older individuals, and that both of these features are very useful for estimating age. Our method is shown here to be more accurate than other methods, especially in the older age ranges. Since the auricular surface allows more expedient observations than other parts of the skeleton, this new method can be expected to improve the overall accuracy of estimating skeletal age at death.

  11. Introduction of Auricular Acupuncture in Elderly Patients Suffering from Major Depression: Protocol of a Mixed Methods Feasibility Study

    Directory of Open Access Journals (Sweden)

    Janina Geib

    2015-01-01

    Full Text Available Background. Due to an increasing number of elderly people suffering from major depression and potential side effects of the prescribed drugs, the introduction of new therapeutic approaches is needed. Currently, in Germany, auricular acupuncture is no part of clinical care for gerontopsychiatric patients. Based on promising clinical experiences and existing evidence for treating addiction and trauma, a benefit of auricular acupuncture integrated in existing treatment programs in elderly patients may be hypothesized. Within this project auricular acupuncture according to the National Acupuncture Detoxification Association (NADA will be integrated in the multimodal treatment regime for elderly patients with major depression in a daytime ward setting. Methods/Design. To evaluate the feasibility and acceptance a mixed method approach is used. In a day clinic, a sample of 20 psychogeriatric patients with the diagnosis of major depression will be enrolled. The patients will receive a total of nine auricular acupuncture treatments according to the standardized NADA protocol in a group setting. The therapeutic process, its organization, the experience, and the willingness of patients to participate will be evaluated by interviews with patients and the therapeutic team. Data will be analyzed qualitatively using content analysis. Additionally, quantitative outcome parameters will be measured by standardized questionnaires.

  12. Effect of Auricular Acupuncture with Low Power Laser on Four Chronic Allergic Dermatoses and Serum IgE Level

    Institute of Scientific and Technical Information of China (English)

    You-hong Hou; Fang Xu; Shao-xi Wu

    2005-01-01

    @@ The objective of the study was to investigate the effectiveness of low power laser irradiating auricular points on four chronic allergic dermatoses including eczema, urticaria, facial cosmetic dermatitis, and atopic dermatitis, and on the changes of serum IgE level.

  13. High-fidelity tissue engineering of patient-specific auricles for reconstruction of pediatric microtia and other auricular deformities.

    Directory of Open Access Journals (Sweden)

    Alyssa J Reiffel

    Full Text Available INTRODUCTION: Autologous techniques for the reconstruction of pediatric microtia often result in suboptimal aesthetic outcomes and morbidity at the costal cartilage donor site. We therefore sought to combine digital photogrammetry with CAD/CAM techniques to develop collagen type I hydrogel scaffolds and their respective molds that would precisely mimic the normal anatomy of the patient-specific external ear as well as recapitulate the complex biomechanical properties of native auricular elastic cartilage while avoiding the morbidity of traditional autologous reconstructions. METHODS: Three-dimensional structures of normal pediatric ears were digitized and converted to virtual solids for mold design. Image-based synthetic reconstructions of these ears were fabricated from collagen type I hydrogels. Half were seeded with bovine auricular chondrocytes. Cellular and acellular constructs were implanted subcutaneously in the dorsa of nude rats and harvested after 1 and 3 months. RESULTS: Gross inspection revealed that acellular implants had significantly decreased in size by 1 month. Cellular constructs retained their contour/projection from the animals' dorsa, even after 3 months. Post-harvest weight of cellular constructs was significantly greater than that of acellular constructs after 1 and 3 months. Safranin O-staining revealed that cellular constructs demonstrated evidence of a self-assembled perichondrial layer and copious neocartilage deposition. Verhoeff staining of 1 month cellular constructs revealed de novo elastic cartilage deposition, which was even more extensive and robust after 3 months. The equilibrium modulus and hydraulic permeability of cellular constructs were not significantly different from native bovine auricular cartilage after 3 months. CONCLUSIONS: We have developed high-fidelity, biocompatible, patient-specific tissue-engineered constructs for auricular reconstruction which largely mimic the native auricle both

  14. Anatomic location of Mycoplasma mycoides subsp. capri and Mycoplasma agalactiae in naturally infected goat male auricular carriers.

    Science.gov (United States)

    Gómez-Martín, Angel; De la Fe, Christian; Amores, Joaquín; Sánchez, Antonio; Contreras, Antonio; Paterna, Ana; Buendía, Antonio J; Corrales, Juan C

    2012-06-15

    This study sought to determine whether male goat auricular carriers of mycoplasmas known to cause contagious agalactia could harbour these microorganisms at anatomical sites other than the ears. A microbiological study was conducted in 6 naturally infected bucks that had been diagnosed as chronic auricular asymptomatic carriers of Mycoplasma (M.) mycoides subsp. capri (Mmc) more than one year previously. To detect mycoplasmas, cultures and PCR were performed on 46 samples taken from each goat from the cardio-respiratory, digestive, nervous, lymph and genitourinary systems and several joints. Of a total of 274 samples analyzed, 28 were positive for mycoplasmas (10.1%): Mmc was detected in 17 (6.1%), Mycoplasma (M.) agalactiae in 12 (4.3%) and both microorganisms were identified in one of the samples. In all 6 goats, mixed infection was observed despite none being auricular carriers of M. agalactiae. Mycoplasma spp. were identified at 15 different sites; the most frequent sites being the joints (31.2%, 5 positive samples), lymph nodes (25%, 4 positive samples) and respiratory tract (25%, 4 positive samples). Positive results were also obtained in three brain tissue (18.7%), two cardiac tissue (12.5%) and one ileum, urethra, testicle and bulbourethral gland (6.25%) samples. The histopathological findings may suggest the presence of mild chronic conditions in some of the organs where the bacteria were found. Our findings reveal for the first time the capacity of Mmc and M. agalactiae to colonize several other organ systems in chronically naturally infected auricular carriers, possibly representing an added risk factor for the spread of these microorganisms. In the case of M. agalactiae, colonization seemed to be independent of the animal's auricular carrier state.

  15. Effect of Auricular Acupress Therapy on Insomnia of Cancer Patients : Randomized, Single Blinded, Placebo Controlled Trial

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    In-Sook Jung

    2010-06-01

    Full Text Available Background: Auricular acupressure is one of the traditional health care treatments in oriental medicine. Approximately, 30~40% of the cancer patients have said to be suffering from insomnia and half of them having chronic and severe insomnia at the same time. Insomnia caused cancer patients feel more pain, fatigue, depression and anxiety and it sometimes let the power to have the best of cancer pull down. Objective: To investigate how effective the auricular acupressure treatment to cancer patients suffering from insomnia. Methods: We recruited participants from East-West Cancer Center of Daejeon University. Finally, of the people whose age range from 20 to 75, 12 patients who got less than 40 points from the score of Oh's sleeping score (OSS were recruited. Single-blind, randomized pilot study was performed. The treatment group received auricular acupressure treatment (AAT on active points and the control group had received sham acupressure treatment (SAT for five times. Sleep parameters were checked by using OSS and numeric rating scale (NRS. We checked the scale everytime, both before and after treatment. We analyzed the data statistically by using independent T-test, paired T-test and analysis of variance (ANOVA test. (p<0.05 Results: Twelve cancer patients participated in this pilot study and there was no significant difference between control and treatment group. Only 7 of them had completed the whole treatment process, 4 patients of AAT group and 3 participants of SAT. The OSS of AAT group had increased from 34.0± 4.3 to 39.5±3.1 and that of SAT group had increased from 38.3±3.5 to 40.0±0.0. There was no significant difference between them. The NRS of AAT group had increased from 6.3±2.9 to 4.8±2.1 and that of SAT group had increased from 7.0±1.0 to 5.0±2.6. No significant difference was observed between them. Conclusion: Although both groups did not show significant differences, most of the experimental participants showed

  16. Clinical Observations on the Treatment of Migraine by Acupuncture plus Auricular Plaster Therapy

    Institute of Scientific and Technical Information of China (English)

    孙培华

    2007-01-01

    目的:探讨针刺配合耳压辨证治疗偏头痛的临床疗效.方法:将150例偏头痛患者随机分为观察组(n=90)和对照组(n=60).观察组患者采用针刺配合耳压辨证治疗,对照组患者采用口服西比灵治疗,并将两组的治疗效果进行对比观察.结果:观察组总有效率为94.4%,好于对照组(73.3%),观察组痊愈率为87.8%,高于对照组(55.0%).两组差异有非常显著意义(P<0.01).结论:观察组疗效明显优于对照组,运用针刺配合耳压辨证治疗偏头痛,能获得良好的临床疗效.%Objective: To investigate the clinical efficacy of acupuncture plus auricular plaster therapy for treating migraine. Methods: One hundred and fifty migraine patients were randomly allocated to an observation group (n=90) and a control group (n=60). The observation group were treated by acupuncture plus auricular plaster therapy based on syndrome differentiation and the control group, by oral administration of Flunarizine. The curative effects were compared between the two groups. Results: The total efficacy rate was 94.4% in the observation group and higher than in the control group (73.3%). The recovery rate was 87.8% in the observation group and higher than in the control group (55.0%). There were significant differences between the two groups (both P<0.01). The curative effect was significantly better in the observation group than in the control group. Conclusion: Clinically, acupuncture plus auricular plaster therapy based on syndrome differentiation has a good effect on migraine.

  17. Methods for Producing Scaffold-Free Engineered Cartilage Sheets from Auricular and Articular Chondrocyte Cell Sources and Attachment to Porous Tantalum

    OpenAIRE

    Whitney, G. Adam; Mera, Hisashi; Weidenbecher, Mark; Awadallah, Amad; Mansour, Joseph M.; Dennis, James E.

    2012-01-01

    Abstract Scaffold-free cartilage engineering techniques may provide a simple alternative to traditional methods employing scaffolds. We previously reported auricular chondrocyte-derived constructs for use in an engineered trachea model; however, the construct generation methods were not reported in detail. In this study, methods for cartilage construct generation from auricular and articular cell sources are described in detail, and the resulting constructs are compared for use in a joint res...

  18. Auricular Oedema and Dyshidrotic Eczema in a Patient with Acute Myeloid Leukaemia Treated with Cytarabine

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    K. Brandt

    2010-10-01

    Full Text Available Cytarabine is an effective drug in the treatment of haematological malignancies. The therapy is associated with various complications. Frequencies of dermatological side-effects range from 2–72% and occur most commonly after high-dose regimens. Although most cutaneous reactions are mild and resolve spontaneously within several days, they may result in an increased risk of infection and alterations in comfort. In some cases, severe life-threatening reactions have been reported. Here we describe the case of a patient with acute myeloid leukaemia, who developed severe exceptional skin toxicity in terms of auricular oedema and palmar dyshidrotic eczema after the application of low-dose cytarabine. Re-administration of the drug resulted in reduced skin toxicity during further cycles of chemotherapy. Negative epicutaneous patch-testing supported the existence of cytarabine-provoked toxicity.

  19. Therapeutic Observation on Treatment of Enuresis with Combined Auricular Pressure and Tuina

    Institute of Scientific and Technical Information of China (English)

    王秋景; 刘玉泉; 王山

    2006-01-01

    Ninety-two cases of enuresis were treated with auricular point pressure onthe kidney (MA-SC), bladder (MA-SC 8), lung (MA-IC 1), heart (MA-IC), liver (MA-SC 5), Er Shenmen(MA-TF 1),Zhen (MA-AT) and Subcortex (MA-AT 1) plus tuina. After treatment, 61 cases were cured, 28 cases were effective and 3 cases were ineffective, with an effective rate of 96.7%.%贴压耳穴肾、膀胱、肺、心、肝、神门、枕和皮质下,结合推拿疗法,治疗了92例遗尿症患者,经治疗后痊愈61例,好转28例,无效3例,有效率96.7%.

  20. Simultaneous Vibrant Soundbridge Implantation and 2nd Stage Auricular Reconstruction for Microtia with Aural Atresia.

    Science.gov (United States)

    Lim, Lynne Hsueh Yee; Xiang, Ling; Del Prado, Jocelynne; Ee Chin, Ling; Beltrame, Millo Achille

    2011-07-01

    Aural atresia and severe microtia are associated malformations that result in problems with hearing and cosmesis, associated speech and language difficulties and diminished self-esteem. In cases where middle ear ossiculoplasty and aural atresia canalplasty are expected to give poor hearing outcomes that would eventually require the use of hearing aids, bone anchored hearing aids or active middle ear implants may be better options. This case report describes a simultaneous Vibrant Soundbridge implantation and 2(nd) stage auricular reconstruction with rib graft cartilage for an 11-year-old boy with grade III microtia and aural atresia 8 months after the 1(st) stage reconstruction. Audiometric results of the Vibrant Soundbridge aided ear were comparable to that of the contralateral hearing aid aided ear.

  1. Simultaneous vibrant soundbridge implantation and 2nd stage auricular reconstruction for microtia with aural atresia

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    Lynne Hsueh Yee Lim

    2011-09-01

    Full Text Available Aural atresia and severe microtia are associated malformations that result in problems with hearing and cosmesis, associated speech and language difficulties and diminished self-esteem. In cases where middle ear ossiculoplasty and aural atresia canalplasty are expected to give poor hearing outcomes that would eventually require the use of hearing aids, bone anchored hearing aids or active middle ear implants may be better options. This case report describes a simultaneous Vibrant Soundbridge implantation and 2nd stage auricular reconstruction with rib graft cartilage for an 11-year-old boy with grade III microtia and aural atresia 8 months after the 1st stage reconstruction. Audiometric results of the Vibrant Soundbridge aided ear were comparable to that of the contralateral hearing aid aided ear.

  2. Auricularia auricular polysaccharide-low molecular weight chitosan polyelectrolyte complex nanoparticles: Preparation and characterization

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    Wei Xiong

    2016-06-01

    Full Text Available Novel polyelectrolyte complex nanoparticles (AAP/LCS NPs were prepared in this study and these were produced by mixing negatively charged auricularia auricular polysaccharide (AAP with positively charged low molecular weight chitosan (LCS in an aqueous medium. The AAP was extracted and purified from auricularia auricular, and then characterized by micrOTOF-Q mass spectrometry, UV/Vis spectrophotometry, moisture analyzer and SEM. The yield, moisture, and total sugar content of the AAP were 4.5%, 6.2% and 90.12% (w/w, respectively. The AAP sample was water-soluble and exhibited white flocculence. The characteristics of AAP/LCS NPs, such as the particle size, zeta potential, morphology, FT-IR spectra, DSC were investigated. The results obtained revealed that the AAP/LCS NPs had a spherical shape with a diameter of 223 nm and a smooth surface, and the results of the FT-IR spectra and DSC investigations indicated that there was an electrostatic interaction between the two polyelectrolyte polymers. Bovine serum albumin (BSA, pI = 4.8 and bovine hemoglobin (BHb, pI = 6.8 were used as model drugs to investigate the loading and release features of the AAP/LCS NPs. The results obtained showed that the AAP/LCS NPs had a higher entrapment efficiency (92.6% for BHb than for BSA (81.5%. The cumulative release of BSA and BHb from AAP/LCS NPs after 24 h in vitro was 95.4% and 91.9%, respectively. The in vitro release demonstrated that AAP/LCS NPs provided a sustained release matrix suitable for the delivery of protein drugs. These studies demonstrate that AAP/LCS NPs have a very promising potential as a delivery system for protein drugs.

  3. Clinical Outcomes of Osseointegrated Prosthetic Auricular Reconstruction in Patients With a Compromised Ipsilateral Temporoparietal Fascial Flap.

    Science.gov (United States)

    Zuo, Kevin J; Wilkes, Gordon H

    2016-01-01

    Patients with major ear deformities and associated compromise of the superficial temporal artery are poor candidates for autogenous ear reconstruction because of a tenuous ipsilateral temporoparietal fascial flap (TPFF). Osseointegrated prosthetic auricular reconstruction (OPAR) is an alternative to contralateral free TPFF microsurgical and autogenous reconstruction, but data on clinical outcomes are limited. The records of patients with ear loss or major deformity and a compromised ipsilateral TPFF who underwent OPAR from 1989 to 2013 were reviewed. Satisfaction was assessed using a questionnaire based on a 5 point Likert scale. Thirty-two patients (8 women, 24 men) with mean age 43.0 years (range, 10-70 years) underwent OPAR. The ipsilateral TPFF was compromised due to major trauma (13 patients), cancer extirpation (9), burn injury (4), previous harvest (4), arteriovenous malformation (1), or infection (1). All but 2 patients had an associated craniofacial defect, such as soft tissue deformity (87.5%), hearing loss (46.9%), or bony deformity (31.3%). The overall implant success rate was 88.6% at mean follow-up time of 7.6 years post-OPAR. Prosthesis wear averaged 12.2 hours/day and 6.6 days/week (80.5 hours/week). All 5 patients who experienced implant failures had received prior head and neck irradiation. With their prosthesis, 76.2% (16 patients) stated that their self-consciousness and self-esteem were "better" or "much better," whereas 85.7% (18 patients) stated that their self-image was "better" or "much better." All patients declared that they would undergo the treatment again. Osseointegrated prosthetic auricular reconstruction is a reliable option in this challenging population with high patient satisfaction. Patients with prior radiotherapy may have a higher chance of implant failure and would benefit from extended annual follow-up.

  4. Análisis de la sístole auricular dentro de las primeras 24 horas post cardioversión en pacientes con fibrilación auricular aguda

    OpenAIRE

    Rodríguez Botta, Guillermo

    2009-01-01

    La recuperación de la actividad eléctrica de la aurícula izquierda en los pacientes que revierten a ritmo sinusal ya sea en forma espontánea o a través de maniobras farmacológicas o eléctricas dentro de las primeras 48 horas de iniciado el episodio arrítmico, puede no corresponderse con la recuperación de la actividad mecánica de la misma. La presencia de sístole auricular durante el primer día posterior al episodio de fibrilación auricular indica la finalización del riesgo cardioembólico aum...

  5. Estudio aleatorizado de propofol versus etomidato en la cardioversión eléctrica electiva para el tratamiento de la fibrilación-flúter auricular

    OpenAIRE

    Calbet Mañueco, Amaya

    2016-01-01

    La fibrilación auricular (FA) es la arritmia cardiaca sostenida más frecuente, afectando al 1-2% de la población. Su prevalencia aumenta con la edad llegando a afectar al 10-15% de la población de mayores de 80 años. Tanto la FA como el flúter auricular (FLA) suelen evolucionar desde episodios cortos y autolimitados (fibrilación auricular paroxística) a episodios cada vez más frecuentes y de mayor duración (fibrilación auricular persistente). La presencia de FA incrementa la mortalidad tanto ...

  6. Características de las personas afectadas de fibrilación auricular en una consulta de cardiología

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    Patricia López-Mases

    Full Text Available La Fibrilación auricular (FA presenta una elevada prevalencia en los ancianos. Se plantea como objetivo describir las características de la población afectada y valorar las relaciones existentes entre los diferentes aspectos medibles. Metodología: Estudio descriptivo e inferencial con muestreo por conveniencia, seleccionando todos los pacientes con episodios de FA asociados a frecuencias cardíacas (FC superiores a 80 ppm o que hayan revertido a ritmo sinusal, con el que se obtiene una muestra de 65 personas. Se han recopilado datos sociodemográficos, tipo de FA, variaciones en FC, visitas a urgencias y complicaciones. Los datos han sido analizados mediante el programa SPSS v.17.0. Resultados: La media de edad fue de 65 años. La FA paroxística se encuentra asociada a FC iniciales superiores a las del grupo de FA persistente, el cual se relaciona con edades más avanzadas. El grupo que acude a urgencias presenta FC iniciales superiores. Existen diferencias significativas, asociando directamente las consultas al servicio de urgencias con episodios de FA con FC elevadas que obliga a la derivación. A edades avanzadas, mayor asociación en el individuo de los factores de riesgo con los que esta se relaciona. Conclusiones: La FA es una de las arritmias más prevalentes, con un alto coste sanitario y con un empeoramiento de la calidad de vida, por lo que las actividades encaminadas a la detección precoz y tratamiento adecuado son fundamentales para su mejora.

  7. COMPARISON OF THE THERAPEUTIC EFFECT OF AURICULAR ACUPUNCTURE, BODY ACUPUNCTURE AND COMBINATION OF AURICULAR PLUS BODY ACUPUNCTURE FOR TREATMENT OF SIMPLE OBESITY

    Institute of Scientific and Technical Information of China (English)

    魏群利; 刘志诚

    2001-01-01

    Objective: To observe the therapeutic effect of auricular acupuncture (AA), body acupuncture (BA) and AA+BA for treatment of simple obesity. Methods: A total of 195 cases of obesity patients including 8 males and 187 females were randomly divided into AA group (n=55), BA group (n=64) and AA+BA group (n=76). Acupuncture treatment was given to the patient once every other day, with 12 sessions being a therapeutic course. Results: After one course of treatment, of the 55 cases in AA group, 1 case (1.8%) was cured, 15 (27.3%) had marked improvement, 11 (20.0%) had improvement and 28 (50.9%) failed in treatment, with the total effective rate being 49.9%. In BA group, of the 64 cases, 11 (17.2%) were cured, 23 (35.9%) had striking improvement, 18 (28. 1%) had improvement and 12 (18.8%) failed in treatment, with an effective rate of 81.2%. In AA+ BA group, of the 76 cases, 16 (21.1% ) were cured, 35 (46.1% ) had significant amelioration, 20 (26.3%) had amelioration and 5 (6.6%) failed in treatment with the effective rate being 93.4%. Statistical analysis showed that the therapeutic effect of BA and AA+BA group was significantly superior to that of AA group (P<0.05) ; and that of AA+BA group was higher than that of BA group Conclusion: The therapeutic effect of BA and AA+BA was superior to that of AA in treatment of simple obesity.

  8. La anticoagulación es necesaria cuando está indicada en pacientes con fibrilación auricular

    OpenAIRE

    Elibet Chávez-González

    2016-01-01

    En el año 2013 fue escrito un editorial titulado «Fibrilación auricular isquémica: cómo interpretar su fisiopatología y la decisión estratégica de tratamiento en torno a la arritmia». Permítanme comenzar de la misma forma, pues en aquel se habló sobre la anticoagulación en la fibrilación auricular (FA) isquémica y en este momento, se pretende mencionar la necesidad de anticoagulación en la FA cuando es requerida, a propósito del artículo original de Merino Barrera et al., que se publica en es...

  9. The strange case of the ear and the heart: The auricular vagus nerve and its influence on cardiac control.

    Science.gov (United States)

    Murray, Aaron R; Atkinson, Lucy; Mahadi, Mohd K; Deuchars, Susan A; Deuchars, Jim

    2016-08-01

    The human ear seems an unlikely candidate for therapies aimed at improving cardiac function, but the ear and the heart share a common connection: the vagus nerve. In recent years there has been increasing interest in the auricular branch of the vagus nerve (ABVN), a unique cutaneous subdivision of the vagus distributed to the external ear. Non-invasive electrical stimulation of this nerve through the skin may offer a simple, cost-effective alternative to the established method of vagus nerve stimulation (VNS), which requires a surgical procedure and has generated mixed results in a number of clinical trials for heart failure. This review discusses the available evidence in support of modulating cardiac activity using this strange auricular nerve.

  10. La anticoagulación es necesaria cuando está indicada en pacientes con fibrilación auricular

    Directory of Open Access Journals (Sweden)

    Elibet Chávez-González

    2016-03-01

    Full Text Available En el año 2013 fue escrito un editorial titulado «Fibrilación auricular isquémica: cómo interpretar su fisiopatología y la decisión estratégica de tratamiento en torno a la arritmia». Permítanme comenzar de la misma forma, pues en aquel se habló sobre la anticoagulación en la fibrilación auricular (FA isquémica y en este momento, se pretende mencionar la necesidad de anticoagulación en la FA cuando es requerida, a propósito del artículo original de Merino Barrera et al., que se publica en este número de CorSalud.

  11. The strange case of the ear and the heart: the auricular vagus nerve and its influence on cardiac control

    OpenAIRE

    Murray, AR; Atkinson, L; Mahadi, MK; Deuchars, SA; Deuchars, J

    2016-01-01

    The human ear seems an unlikely candidate for therapies aimed at improving cardiac function, but the ear and the heart share a common connection: the vagus nerve. In recent years there has been increasing interest in the auricular branch of the vagus nerve (ABVN), a unique cutaneous subdivision of the vagus distributed to the external ear. Non-invasive electrical stimulation of this nerve through the skin may offer a simple, cost-effective alternative to the established method of vagus nerve ...

  12. Adenoid cystic carcinoma of the parotid gland: Anastamosis of the facial nerve with the great auricular nerve after radical parotidectomy

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    Bahadir Osman

    2008-01-01

    Full Text Available Adenoid cystic carcinoma of the parotid gland is a rare and slowly growing, but highly malignant tumor. Surgical resection of a malignant parotid tumor should include resection of the facial nerve when the nerve is involved in the tumor. Facial nerve reconstruction is required after nerve resection. A 14 year-old female presented with complaints of painless enlargement of the right parotid gland and facial asymmetry. Physical examination revealed a firm mass in the region of the parotid gland as well as right facial paralysis. Biopsy obtained from the mass showed an adenoid cystic carcinoma of the parotid gland. A radical parotidectomy with a modified radical neck dissection was carried out. Grafting material for the facial reconstruction was harvested from the great auricular nerve. The proximal main trunk and each distal branch of the facial nerve were coapted with the greater auricular nerve. The patient received radiotherapy after surgery and was seen to achieve grade IV facial function one year after surgery. Thus, the great auricular nerve is appropriate grafting material for coaptation of each distal branch of the facial nerve.

  13. Platelet-rich plasma gel composited with nondegradable porous polyurethane scaffolds as a potential auricular cartilage alternative.

    Science.gov (United States)

    Wang, Zhongshan; Qin, Haiyan; Feng, Zhihong; Zhao, Yimin

    2016-02-01

    Total auricular reconstruction is still a challenge, and autologous cartilage transplant is the main therapy so far. Tissue engineering provides a promising method for auricular cartilage reconstruction. However, although degradable framework demonstrated excellent initial cosmetic details, it is difficult to maintain the auricular contour over time and the metabolites tended to be harmful to human body. In this study, biocompatible and safe nondegradable elastic polyurethane was used to make porous scaffold in specific details by rapid prototyping technology. Platelet-rich plasma contains fibrin and abundant autologous growth factors, which was used as cell carriers for in vitro expanded cells. When crosslinking polyurethane framework, platelet-rich plasma and cells together, we successfully made polyurethane/platelet-rich plasma/cell composites, and implanted them into dorsal subcutaneous space of nude mice. The results showed that this method resulted in more even cell distribution and higher cell density, promoted chondrocyte proliferation, induced higher level expressions of aggrecan and type II collagen gene, increased content of newly developed glycosaminoglycans, and produced high-quality cartilaginous tissue. This kind of cartilage tissue engineering approach may be a potential promising alternative for external ear reconstruction.

  14. Localization of Auricular Projection Area of the Liver and Its Use in the Monitoring of Viral Hepatitis

    Institute of Scientific and Technical Information of China (English)

    Jan Z. Szopinski; Xiao Hong Teng; Georg P. Lochner; Tomasz Macura; Iwona Karcz-Socha; Anna Kasprzyk-Minkner; Krzysztof Kielan; Barbara Krupa-Jezierska; Dariusz J. Nasiek; Piotr Warakomski

    2006-01-01

    Background:Localization of auricular projection area of the liver and evaluation of its usefulness in the monitoring of viral hepatitis. Design, Patients and Setting: Comparative study of the degree of electrical rectification measured at various spots in the auricular concha region, in 19 inpatients with hepatitis B and 15 clinically healthy volunteers, at the Department of Infectious Diseases, Provincial Teaching Hospital,Tychy, Poland. Intervention: Evaluation of electrical rectification at various spots on the auricular concha using a "rectification ratio" that quantifies the degree of rectification (normal range:0-60%). Main outcome measure: The location of the skin area where a statistically significant difference existed between the rectification ratios was observed in patients (82±12% at the time of the 'peak period') versus controls (42±8%). Results: A location was identified on the ear auricle where the electrical rectification phenomenon demonstrated a dependence on the presence of hepatitis. Conclusions: Liver projection area exists on the ear auricle which is located within the region of cymba conchae, next to anthelix and the cavity of concha. The existence of viral hepatitis causes this skin area to show a higher degree of electrical rectification once the skin resistance 'breakthrough effect' has been induced. Evaluation of the rectification phenomenon of the liver projection area provides a method of non-invasive monitoring of viral hepatitis.

  15. Auricular Acupressure to Improve Menstrual Pain and Menstrual Distress and Heart Rate Variability for Primary Dysmenorrhea in Youth with Stress

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    Yu-Jen Wang

    2013-01-01

    Full Text Available Background. Dysmenorrhea and accompanying symptoms can have a negative impact on academic achievement, physical activity and functioning, and quality of life. Unfortunately, stress increases the sensitivity and severity of pain, activating sympathetic responses while inhibiting parasympathetic responses. Objective. This study used objective, physiological measurements to evaluate the effects of auricular acupressure on menstrual pain and menstrual distress in young college students with primary dysmenorrhea across two menstrual cycles. The aim was to determine if significant differences could be detected between the intervention and follow-up phases after controlling life stress. Design. A one-group experimental research design was used, and repeated measurements and followups were done. Thirty-two women completed questionnaires and physiological parameters were measured. Results. Significant differences between the intervention and follow-up phases were found for high frequency (HF and blood pressure on day 1 and no significant differences in menstrual pain and menstrual distress, heart rate variability, low frequency (LF, LF/HF ratio, or heart rate. Conclusion. Auricular acupressure effectively increases parasympathetic activity to maintain autonomic function homeostasis in young women with primary dysmenorrhea and may have a value in alleviating menstrual pain and menstrual distress in a high-stress life. Future studies should consider stress, stimulus dose of auricular acupressure, severity of menstrual pain, and a longitudinal research design.

  16. Use of Auricular Acupressure to Improve the Quality of Life in Diabetic Patients with Chronic Kidney Diseases: A Prospective Randomized Controlled Trial

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    Shaoqing Wang

    2014-01-01

    Full Text Available Background. Diabetic patients with chronic kidney disease (CKD suffer from low quality of life (QOL. We aim to assess the effectiveness of auricular acupressure for QOL improvement in these patients. Materials and Methods. Sixty-two participants were randomly assigned to an auricular or a control arm in a randomized controlled trial. Participants in the auricular arm were instructed to perform auricular acupressure 3–5 times per day for 3 months, when they were receiving conventional treatments. Participants in the control arm received conventional treatments only. The primary outcome was the summarized score of Kidney Disease and Quality of Life Short-Form (KDQOL-SF at 3 months after randomization. The secondary outcomes included the 36-Item Short Form Health Survey (SF-36, glycosylated hemoglobin (HbA1c, and estimated glomerular filtration rate (eGFR. Results. The summarized KDQOL differed significantly between the acupressure (76.6, 95% CI, 72.2 to 81.0 and the control group (61.8, 95% CI, 57.7 to 65.9. Similar results were found in the SF-36 scores. HbA1c and eGFR were not found to be significantly different between the arms and neither were the adverse events. Conclusion. Auricular acupressure was well tolerated in diabetic patients with chronic kidney diseases receiving hemodialysis. Future research is needed to confirm these results.

  17. Auricular acupuncture for sleep disturbance in veterans with post-traumatic stress disorder: a feasibility study.

    Science.gov (United States)

    King, Heather C; Spence, Dennis L; Hickey, Anita H; Sargent, Paul; Elesh, Ronald; Connelly, Cynthia D

    2015-05-01

    The purpose of this study was to examine the feasibility and acceptability of an auricular acupuncture (AA) insomnia regimen among Operation Iraqi Freedom and Operation Enduring Freedom veterans with post-traumatic stress disorder and sleep disturbance. Secondarily, this study examined the effect of an AA insomnia regimen on objective sleep times by wrist actigraphy, subjective sleep times by sleep diary, and sleep quality ratings utilizing the Pittsburg Sleep Quality Index. Veterans (n = 30) were randomized to receive a 3-week AA insomnia regimen. Veterans receiving the AA insomnia regimen reported it as a more acceptable treatment for sleep disturbance than subjects in the control group (AA group median = 5 vs. control group median = 3, p = 0.004). Significant differences between groups were found on the sleep quality and daytime dysfunction components of the Pittsburgh Sleep Quality Index (p = 0.003, p = 0.004). No other significant differences between groups were found for objective and subjective sleep measures. These results suggest that an AA insomnia regimen may improve sleep quality and daytime dysfunction among veterans with post-traumatic stress disorder. Future, large-scale, prospective clinical trials are needed to examine AA effects on sleep.

  18. Osseointegrated Implants: An Alternative Approach in Patients with Bilateral Auricular Defects due to Chemical Assault

    Directory of Open Access Journals (Sweden)

    Emilio Mevio

    2016-01-01

    Full Text Available Acid attacks committed as crimes of passion are unfortunately becoming far from infrequent occurrence. The injuries sustained in such attacks mainly involve the face and trunk, with the acid causing cutaneous and subcutaneous tissue burns that can result in permanent scarring, loss of the nose or external ear, and severe visual impairment. Different surgical solutions have been proposed for reconstruction of the auricle following loss of the ear through traumatic injury or cancer or in patients with congenital defects: surgical reconstruction may involve the insertion of an autogenous rib cartilage framework or the use of a porous polymer material inserted into an expanded postauricular flap. Reconstruction with rib cartilage has given good results but requires more than one surgical step and may be associated with adverse events involving both the donor site and the recipient site, while rejections of polymeric prostheses have been reported following their insertion into expanded postauricular flaps. The use of a titanium dowel-retained silicone prosthesis, in which the dowel is anchored to the temporal bone, is a surgical possibility, indicated particularly in cases of pinna resection due to tumour or auricular scarring following traumatic injury.

  19. An alternative therapy for drug-resistant epilepsy: transcutaneous auricular vagus nerve stimulation

    Institute of Scientific and Technical Information of China (English)

    Rong Peijing; Liu Aihua; Zhang Jianguo; Wang Yuping; Yang Anchao; Li Liang; Ben Hui

    2014-01-01

    Background Previous studies demonstrated that vagus nerve stimulation (VNS) is an effective therapy for drugresistant epilepsy.Acupuncture is also used to treat epilepsy.This study was designed to examine the safety and effectiveness of transcutaneous auricular vagus nerve stimulation (ta-VNS) for patients with drug-resistant epilepsy.Methods A total of 50 volunteer patients with drug-resistant epilepsy were selected for a random clinical trial to observe the therapeutic effect of ta-VNS.The seizure frequency,quality of life,and severity were assessed in weeks 8,16,and 24 of the treatment according to the percentage of seizure frequency reduction.Results In the pilot study,47 of the 50 epilepsy patients completed the 24-week treatment; three dropped off.After 8-week treatment,six of the 47 patients (12%) were seizure free and 12 (24%) had a reduction in seizure frequency.In week 16 of the continuous treatment,six of the 47 patients (12%)were seizure free; 17 (34%) had a reduction in seizure frequency.After 24 weeks' treatment,eight patients (16%) were seizure free; 19 (38%) had reduced seizure frequency.Conclusion Similar to the therapeutic effect of VNS,ta-VNS can suppress epileptic seizures and is a safe,effective,economical,and widely applicable treatment option for drug-resistant epilepsy.(ChiCTR-TRC-10001023)

  20. A Randomized Clinical Trial of Auricular Point Acupressure for Chronic Low Back Pain: A Feasibility Study

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    Chao Hsing Yeh

    2013-01-01

    Full Text Available Objectives. This prospective, randomized clinical trial (RCT was designed to investigate the feasibility and effects of a 4-week auricular point acupressure (APA for chronic low back pain (CLBP. Methods. Participants were randomized to either true APA (true acupoints with taped seeds on the designated ear points for CLBP or sham APA (sham acupoints with taped seeds but on different locations than those designated for CLBP. The duration of treatment was four weeks. Participants were assessed before treatment, weekly during treatment, and 1 month following treatment. Results. Participants in the true APA group who completed the 4-week APA treatment had a 70% reduction in worst pain intensity, a 75% reduction in overall pain intensity, and a 42% improvement in disability due to back pain from baseline assessment. The reductions of worst pain and overall pain intensity in the true APA group were statistically greater than participants in the sham group (P<0.01 at the completion of a 4-week APA and 1 month followup. Discussion. The preliminary findings of this feasibility study showed a reduction in pain intensity and improvement in physical function suggesting that APA may be a promising treatment for patients with CLBP.

  1. A new skin flap method for total auricular reconstruction in microtia patients with a reconstructed ear canal: extended scalp and extended mastoid postauricular skin flaps.

    Science.gov (United States)

    Hwang, Euna; Kim, Young Soo; Chung, Seum

    2014-06-01

    Before visiting a plastic surgeon, some microtia patients may undergo canaloplasty for hearing improvement. In such cases, scarred tissues and the reconstructed external auditory canal in the postauricular area may cause a significant limitation in using the posterior auricular skin flap for ear reconstruction. In this article, we present a new method for auricular reconstruction in microtia patients with previous canaloplasty. By dividing a postauricular skin flap into an upper scalp extended skin flap and a lower mastoid extended skin flap at the level of a reconstructed external auditory canal, the entire anterior surface of the auricular framework can be covered with the two extended postauricular skin flaps. The reconstructed ear shows good color match and texture, with the entire anterior surface of the reconstructed ear being resurfaced with the skin flaps. Clinical question/level of evidence; therapeutic level IV.

  2. por valores

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    Jazmín Díaz-Barrios

    2005-01-01

    Full Text Available La era actual se caracteriza por una búsqueda de la identidad del hombre, donde el pivote del cambio organizacional es el individuo; cambiar en este entorno depende, en gran medida, de los valores que imperen en la cultura de la organización. Este trabajo documental intenta identificar aquellos valores, condición sine-qua-non, para el logro de los objetivos de cambio y analizarlos a fin de determinar sus indicadores, con el objeto de presentar una herramienta a las organizaciones que les facilite adaptarse a los nuevos tiempos. Se encontró que los valores: Delegación, Comunicación, Colaboración, Participación y Aprendizaje, son esenciales en los cambios integrales de esta era. Se determinaron 20 indicadores de su presencia. Se concluye que con esta información cada ente puede elaborar instrumentos que le permitan saber si los valores requeridos están presentes y en caso contrario tomar decisiones que alineen a la organización alrededor de los valores humanistas planteados, incrementando así las posibilidades de éxito en el proceso de cambio y por ende, las posibilidades de supervivencia en esta nueva época.

  3. Prosthesis-guided implant restoration of an auricular defect using computed tomography and 3-dimensional photographic imaging technologies: a clinical report.

    Science.gov (United States)

    Wang, Shuming; Leng, Xu; Zheng, Yaqi; Zhang, Dapeng; Wu, Guofeng

    2015-02-01

    The concept of prosthesis-guided implantation has been widely accepted for intraoral implant placement, although clinicians do not fully appreciate its use for facial defect restoration. In this clinical report, multiple digital technologies were used to restore a facial defect with prosthesis-guided implantation. A simulation surgery was performed to remove the residual auricular tissue and to ensure the correct position of the mirrored contralateral ear model. The combined application of computed tomography and 3-dimensional photography preserved the position of the mirrored model and facilitated the definitive implant-retained auricular prosthesis.

  4. Evaluación de costo-efectividad de los nuevos anticoagulantes orales en pacientes con fibrilación auricular no valvular en Colombia

    OpenAIRE

    García Peña, Angel Alberto

    2015-01-01

    La fibrilación auricular es el trastorno más frecuente del ritmo cardíaco y una de las causas potencialmente tratables de cardioembolía y ataque cerebrovascular. La disponibilidad de nuevos anticoagulantes para pacientes con fibrilación auricular no valvular (FANV), plantea interesantes retos, principalmente derivados de los costos de su uso, perfiles de eficacia y seguridad, tolerancia y disponibilidad para su uso. Se realizó un análisis de costo-efectividad con base en un modelo de Markov, ...

  5. Reconstruction of anterior auricular conchal defect after malignancy excision: revolving-door flap versus full-thickness skin graft.

    Science.gov (United States)

    Dessy, Luca Andrea; Figus, Andrea; Fioramonti, Paolo; Mazzocchi, Marco; Scuderi, Nicolò

    2010-05-01

    Skin tumours of the anterior auricular concha are not uncommon. Wider excision and immediate reconstruction are required to reduce the risks of recurrence of the disease, cartilage infection and external ear distortion. Many surgical methods have been described for reconstruction of conchal defects. Post-auricular island flaps, such as the revolving-door (RD) flap, and full-thickness skin grafts (FTSGs) are the most-performed procedures. Although the RD flap has been fully described, it is not widely accepted and many surgeons, in their daily practice, prefer to use FTSG. It is a common experience that FTSGs are more subjected to centripetal contraction, decreasing the structural firmness of the conchal cavity and affecting functional and aesthetic outcomes. Furthermore, FTSGs are more prone to delay in wound healing due to the difficult access to this region that hinders adequate tie-over dressings. Between March 2003 and January 2007, 40 patients affected by T1 and T2 non-melanotic skin cancer and T1 melanoma of the anterior conchal surface of the external ear were included in a prospective study and randomly assigned to the RD reconstructed group or to the FTSG reconstructed group to investigate, compare and define advantages and disadvantages of both the techniques. Visual Analogue Scale (VAS) was used to evaluate the overall outcome and the colour and texture match. No flap or skin graft total loss was observed. Six patients (30%) showed partial failure of FTSG. The RD group demonstrated excellent cosmetic outcome, ideal colour match, adequate structure of external ear, projection and shape. Wilcoxon matched-pairs rank-sum test demonstrated statistically significant higher scores for the RD group compared to the FTSG group (p<0.0001). The RD harvesting technique is easy and quicker than the FTSG technique. RD flap should be considered as the first choice for reconstruction of anterior auricular conchal defects following wider excision of skin tumours.

  6. EFFECT OF AURICULAR ACUPUNCTURE ON THE LEARNING AND MEMORY AND bcl-2 EXPRESSION IN VASCULAR DEMENTIA RATS

    Institute of Scientific and Technical Information of China (English)

    ZHANG Xuezhao; XIAO Maolei; SUN Guojie

    2002-01-01

    Objective: To study the effect of auricular acupuncture on dysmnesia and the relationship between the memory improvement and bcl-2 protein expression in vascular dementia (VD) rats. Methods: Forty Wistar rats were randomized into control group, VD group, acupuncture+ VD group and pseudo-operation group, with 10 cases in each group. Rat VD model was established by using 4-vessel occlusion method. Otopoint "Nao"-point and "Shen"(MA-SC)were punctured, once daily continuously for 15 days. The rats' memory capability was tested with Y-maze method and bcl-2 expression of the brain tissues displayed by immunohistochemical method and measured using MIAS-2000 Image Analyzer. Results: Results showed that the scores of control group, VD group and acupuncture+ VD group before operation were 5.68±1.29, 6.07±1.67 and 5.86±1.74 respectively, while following auricular acupuncture treatment,the scores of the 3 groups were 5.81±1.51, 18.06±2.68 and 8.31 ± 1.85 separately, suggesting that the VD rat's learning and memory abilities in acupuncture+ VD group were raised apparently in comparison with those of VD group (P < 0.01 ). In control, VD and acupuncture+VD group, bcl-2 immuno-reaction positive neurons in CA1 area of the hippocampus were 14.31 ± 4.87, 28.67 ± 5.63 and 65.74 ± 8.19 respectively, displaying that the improvement of learning and memory abilities caused by auricular acupuncture treatment may be related to the up-regulation of bcl-2expression (an inhibitory gene of apoptosis). In comparison with control group, the loss of neurons in the pyramidal cell layer of the hippocampal CA1 area of VD group was more severe, while that of acupuncture group was markedly lighter. Conclusion: Auricular acupuncture of otopoint "Nao"-point and "Shen" (MA-SC) can raise the learning and memory abilities of VD rats, which may be realized by its inhibitory effect on apoptosis and the protection action on ischemic hippocampal neurons.

  7. Ivermectina e abamectina em diferentes doses e vias de aplicação contra larvas de Cochliomyia hominivorax em bolsas escrotais de bovinos recém-castrados, provenientes da região sudeste do Brasil

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    Welber Daniel Zanetti Lopes

    2013-12-01

    Full Text Available Avaliou-se a eficácia preventiva da ivermectina e da abamectina, administradas em diferentes vias (subcutânea, intramuscular e pour-on e doses (200 e 500mcg kg-1, contra larvas de Cochliomyia hominivorax em bolsas escrotais de bovinos após a castração. Foram utilizados animais de seis propriedades do estado de São Paulo e Minas Gerais, Brasil. Para cada estudo, selecionou-se de 30 a 45 bovinos não castrados, dependendo do número de grupos. No dia zero do estudo, realizou-se o processo de castração pelo método cruento, sendo os animais tratados após este processo. Avaliou-se a eficácia da ivermectina e da abamectina administradas via pour-on (500mcg kg-1, subcutanea (200mcg kg-1, bem como a eficácia da abamectina pela via intramuscular (200mcg kg-1. Em cada experimento, um grupo de animais foi mantido como controle. Os animais foram avaliados do 3° ao 14° dia após o processo de castração/tratamento. Os valores de eficácia para ambos os princípios ativos foram ≤30% próximos ao 10° dia pós-tratamento (DPT, sendo que, em cinco experimentos, tanto a ivermectina quanto a abamectina, independente da via de administração, foram ineficazes (0,0% no 10°DPT. Com base nos resultados encontrados no presente estudo, conduzidos em diferentes propriedades da região sudeste do Brasil, tanto a ivermectina quanto a abamectina, quando utilizadas com base no protocolo apresentado, foram consideradas ineficazes na prevenção de miíases escrotais em bovinos, independente da via e dose de administração utilizada.

  8. Auricular Acupuncture and Cognitive Behavioural Therapy for Insomnia: A Randomised Controlled Study

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    L. Bergdahl

    2016-01-01

    Full Text Available Objective. The most effective nonpharmacological treatment for insomnia disorder is cognitive behavioural therapy-insomnia (CBT-i. However CBT-i may not suit everyone. Auricular acupuncture (AA is a complementary treatment. Studies show that it may alleviate insomnia symptoms. The aim of this randomised controlled study was to compare treatment effects of AA with CBT-i and evaluate symptoms of insomnia severity, anxiety, and depression. Method. Fifty-nine participants, mean age 60.5 years (SD 9.4, with insomnia disorder were randomised to group treatment with AA or CBT-i. Self-report questionnaires, the Insomnia Severity Index (ISI, Dysfunctional Beliefs and Attitudes about Sleep scale (DBAS-16, Epworth Sleepiness Scale (ESS, and Hospital Anxiety and Depression scale (HAD, were collected at baseline, after treatment, and at 6-month follow-up. A series of linear mixed models were performed to examine treatment effect over time between and within the groups. Results. Significant between-group improvements were seen in favour of CBT-i in ISI after treatment and at the 6-month follow-up and in DBAS-16 after treatment. Both groups showed significant within-group postintervention improvements in ISI, and these changes were maintained six months later. The CBT-i group also showed a significant reduction in DBAS-16 after treatment and six months later. Conclusions. Compared to CBT-i, AA, as offered in this study, cannot be considered an effective stand-alone treatment for insomnia disorder. The trial is registered with ClinicalTrials.gov NCT01765959.

  9. Auricular acupressure on specific points for hemodialysis patients with insomnia: a pilot randomized controlled trial.

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    Chuan Zou

    Full Text Available To assess the feasibility and acceptability of a randomized controlled trial compared auricular acupressure (AA on specific acupoints with AA on non-specific acupoints for treating maintenance hemodialysis (MHD patients with insomnia.Sixty three (63 eligible subjects were randomly assigned into either AA group received AA on specific acupoints (n=32, or sham AA (SAA group received AA on points irrelevant to insomnia treatment (n=31 for eight weeks. All participants were followed up for 12 weeks after treatments. The primary outcome was clinical response at eight weeks after randomization, defined as a reduction of Pittsburgh Sleep Quality Index (PSQI global score by 3 points and more.Fifty-eight (58 participants completed the trial and five dropped out. Twenty participants in AA group (62.5% and ten in SAA group (32.3% responded to the eight-week interventions (χ2 = 5.77, P = 0.02. PSQI global score declined 3.75 ± 4.36 (95%CI -5.32, -2.18 and 2.26 ± 3.89 (95%CI -3.68, -0.83 in AA group and SAA group respectively. Three participants died during the follow-up period. No evidence supported their deaths were related to the AA intervention. No other adverse event was observed.Feasibility and logistics of patient recruitment, randomization procedure, blinding approach, interventions application and outcome assessment had been tested in this pilot trial. The preliminary data appeared to show a favorable result on AA treatment. A full-scale trial is warranted.Chinese Clinical Trial Registry ChiCTR-TRC-12002272.

  10. Establishing an animal model for National Acupuncture Detoxification Association (NADA) auricular acupuncture protocol.

    Science.gov (United States)

    Kattalai Kailasam, Vasanth; Anand, Preeti; Melyan, Zara

    2016-06-15

    The use of opioids in the treatment of chronic pain has increased dramatically in the past few decades making them one of the most commonly prescribed medications in the US. However, long-term use of opioids is limited by development of tolerance (decreased antinociceptive efficacy) and opioid-induced hyperalgesia - paradoxical sensitization to noxious (hyperalgesia) and non-noxious (allodynia) stimuli. Novel adjunctive therapies are needed to increase the efficacy and prolong the duration of action of opioids in chronic pain treatment. Acupuncture is often used as an adjunct therapy for the treatment of symptoms induced by non-clinical use of opioids. The National Acupuncture Detoxification Association (NADA) auricular acupuncture protocol is the most common form of acupuncture treatment for substance abuse. The standardized, easy to use and virtually painless procedure make it an attractive complementary treatment option for patients suffering from opioid-induced adverse effects. Clinical trials designed to test the efficacy of the NADA protocol yielded contradictory results. The mechanism by which NADA acupuncture could serve as a successful treatment remains unknown. Therefore, establishing an animal model of NADA acupuncture can provide a tool for investigating the efficacy and cellular mechanisms of NADA treatment. Previous studies have shown that repeated morphine administration in rodents can produce locomotor sensitization and reduce analgesic potency of a challenge dose of morphine, indicating development of morphine tolerance. Here we show that NADA acupuncture treatment can both reduce morphine-induced locomotor sensitization and prevent the development of morphine tolerance in rats, thus validating a new model for NADA acupuncture studies. Our data provides support for evidence-based use of NADA acupuncture as a new adjunctive approach that can potentially improve the side-effect profile of morphine and other prescription opioids.

  11. Tratamiento de estenosis sintomática de venas pulmonares secundaria a ablación por radiofrecuencia

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    Adolfo Ferrero Guadagnoli

    2014-08-01

    Full Text Available El aislamiento de las venas pulmonares mediante la aplicación de radiofrecuencia es un tratamiento efectivo de la fibrilación auricular. Una de las complicaciones potenciales y de mayor compromiso clínico de esta técnica invasiva es la estenosis de una o varias venas pulmonares. Esta complicación puede ser tratada mediante angioplastia con o sin colocación de stent, logrando una adecuada mejoría clínica, aunque con un alto índice de recurrencia por re-estenosis.

  12. Auricular Acupressure for Managing Postoperative Pain and Knee Motion in Patients with Total Knee Replacement: A Randomized Sham Control Study

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    Ling-hua Chang

    2012-01-01

    Full Text Available Background. Postoperative pain management remains a significant challenge for all healthcare providers. A randomized controlled trial was conducted to examine the adjuvant effects of auricular acupressure on relieving postoperative pain and improving the passive range of motion in patients with total knee replacement (TKR. Method. Sixty-two patients who had undergone a TKR were randomly assigned to the acupressure group and the sham control group. The intervention was delivered three times a day for 3 days. A visual analog scale (VAS and the Short-Form McGill Pain Questionnaire were used to assess pain intensity. Pain medication consumption was recorded, and the knee motion was measured using a goniometer. Results. The patients experienced a moderately severe level of pain postoperatively (VAS 58.66 ± 20.35 while being on the routine PCA. No differences were found in pain scores between the groups at all points. However, analgesic drug usage in the acupressure group patients was significantly lower than in the sham control group (<0.05, controlling for BMI, age, and pain score. On the 3rd day after surgery, the passive knee motion in the acupressure group patients was significantly better than in the sham control group patients (<0.05, controlling for BMI. Conclusion. The application of auricular acupressure at specific therapeutic points significantly reduces the opioid analgesia requirement and improves the knee motion in patients with TKR.

  13. Comparison of Body, Auricular, and Abdominal Acupuncture Treatments for Insomnia Differentiated as Internal Harassment of Phlegm-Heat Syndrome: An Orthogonal Design

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    Yue Jiao

    2015-01-01

    Full Text Available Objective. To identify the optimum treatment protocol for insomnia among auricular, body, and abdominal needling methods. Methods. A three-factor (3 needling protocols and three-level experimental scheme was designed based on orthogonal method. 54 patients of insomnia differentiated as internal harassment of phlegm-heat syndrome were given two courses of acupuncture treatment (each with 20 times of acupuncture. The therapeutic effects were evaluated by comparing the Pittsburgh sleep quality index (PSQI, Hamilton Depression Scale (HAMD scores, and Hamilton Anxiety Scale (HAMA scores of patients before treatment, after one course of treatment, and after two courses of treatment as well as one month after treatment. Results. Body, auricular, and abdominal acupuncture treatments all alleviated symptoms of insomnia, depression, and anxiety, but body and auricular acupuncture had stronger therapeutic effects. Conclusions. Body acupuncture at basic points shall be given priority in protocol selection for insomnia. The second-best choice is auricular acupuncture with basic points combined with points based on Traditional Chinese Medicine (TCM theories. Abdominal needling with very quick effect can be an alternative protocol with basic points combined with syndrome differentiation points.

  14. Anticoagulación en fibrilación auricular y antiagregación en diabetes mellitus tipo 2: ¿Cómo lo hacemos?

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    M.P. Arroyo

    Full Text Available Fundamento: A pesar de la evidencia sobre el interés de anticoagular en Fibrilación Auricular (FA y antiagregar a los diabéticos (DM tipo 2, las referencias nacionales e internacionales hablan de un bajo nivel de asunción de esos criterios en la práctica. Navarra no dispone de estudios publicados sobre estos aspectos. Material y métodos: Estudio descriptivo transversal. Población: consulta de atención primaria (1600 personas 15 años. Criterios de inclusión: pacientes con diagnóstico de FA/ con diagnóstico de DM tipo 2 mayores de 40. Variables: edad y sexo, criterios de FA con alto riesgo embólico (6% anual y factores de RCV en DM2. Recogida de datos: en registro informatizado de Organitation and Management Information (OMI. Análisis: (estudiado el universo poblacional, resultados en números absolutos y porcentajes. Resultados: Veinticinco personas con diagnóstico de FA crónica (14 mujeres y 11 hombres, edad media 78,36 años; 22 (81,8% presentan alto riesgo embólico. Hubo contraindicaciones en 4 casos. Los diabéticos tipo 2 suman 69 personas (29 mujeres y 40 varones, edad media 68,57 años. En prevención primaria (PP hay 16 (23,1%, en prevención secundaria (PS 26 (37,3%, y no llevan tratamiento antiagregante 27 (39,1%. Existe contraindicación en 8 casos y serían 14 (20,2% los pacientes susceptibles de intervención. Conclusiones: - Los resultados de tratamiento anticoagulante oral (TAO en FA de alto riesgo superan las referencias contratadas. - La PP con DM2 con cifras similares a otros estudios; se detecta un campo de mejora. - Debemos solicitar la opinión del paciente e individualizar estas terapias. - Importante responsabilidad del médico de familia en la prevención cardiovascular de los pacientes afectados por estos procesos.

  15. Therapeutic Observation of Auricular Acupuncture with Electoacupuncture and Auricular Acupressure for Insomnia%针刺耳穴配合电针与耳穴贴压治疗失眠症疗效观察

    Institute of Scientific and Technical Information of China (English)

    徐丽丽; 胥方元

    2015-01-01

    目的:探讨比较针刺耳穴配合电针与耳穴贴压治疗失眠症的疗效。方法:将来我院门诊确诊为失眠症的69例患者,按照就诊时间先后随机分为治疗组和对照组,分别用2种不同的治疗方法进行治疗3个疗程,观察治疗效果。结果:治疗组有效率为97.2%,对照组有效率为78.8%,2组比较疗效差异有统计学意义。结论:2种治疗方法对失眠症的治疗都有效果,但是治疗组的效果更加明显。%Objective:To investigate compare auricular acupuncture with electoacuputure and auricular acupressure efficacy of treatment of insomnia .Methods:In our hospital diagnosed 69 cases of insomnia patients , according to the chronological treatment were randomly divided into treatment and control groups , respectively, with two different treatment methods for treatment three courses, the observed treatment effect. Results:The treatment group was 97.2%, the effective rate was 78.8%in the control group , the difference was statistically significant efficacy .Conclusion:Both treatments for insomnia have effect , but the effect is more pronounced treatment groups .

  16. A Curative Effect Study on Auricular Seed-pressing Therapy Used for Patients with Insomnia%耳穴贴压治疗失眠症患者的疗效观察

    Institute of Scientific and Technical Information of China (English)

    臧镭镭; 胡虹

    2014-01-01

    Objective To observe the effect of auricular seed-pressing for patients with insomnia. Methods 120 patients with insomnia were randomly divided into three groups, each group of 40 cases, are treated with single medication, single auricular seed-pressing and combined with auricular seed-pressing and medication. Results Combined with auricular seed-pressing and medication group in all aspects of indicators are better than the single medication group and single auricular seed-pressing group. Conclusion Combined with auricular seed-pressing and medication treats the insomnia curative effect to be remarkable.%目的:观察耳穴贴压治疗失眠症患者的疗效。方法失眠症患者120例随机分为三组。每组40例,分别给予单纯服药,单纯耳穴贴压及服药联合耳穴贴压。结果服药联合耳穴贴压组在各方面指标均优于单纯服药组和单纯耳穴贴压组。结论服药联合耳穴贴压治疗失眠症疗效显著。

  17. The Anticonvulsant Effect of Transcutaneous Auricular Vagus Nerve Stimulation is Associated with Balancing the Autonomic Dysfunction in Rats

    Institute of Scientific and Technical Information of China (English)

    Wei He; Xiao-Yu Wang; Hong Shi; Yang-Shuai Su; Xiang-Hong Jing; Bing Zhu

    2016-01-01

    Objective: The present study aims to investigate whether the anticonvulsant effect of transcutaneous auricular vagus nerve stimulation is associated with balancing the autonomic dysfunction in rats. Methods: Healthy adult male Sprague-Dawley rats were anesthetized with an intraperitoneal injection of 10%urethane. Seizures were evoked by intraperitoneal injection of pentylenetetrazol (PTZ, 60 mg/kg). Femoral vein catheterization was performed for injection of sympathetic agonist and antagonists. Bipolar globe silver electrodes were utilized for epidural EEG recording. Three needles were inserted separately in subcutaneous muscles of left anterior limb, right anterior limb, and left hind limb to record ECG signals. ta-VNS was performed at auricular concha. Results: In comparison with preictal state, the mean heart rate (HR) increased slightly during epileptic seizures (P<0.05). In comparison with ictal state, the mean HR decreased a little at postictal state (P<0.05). When continuous epileptic seizures in EEG traces occurred (in ictal state), vein injection of propranolol hydrochloride (sympathetic antagonist) suppressed the epileptic seizures. When epileptic seizures occurred rarely (in postictal state), vein injection of adrenaline hydrochloride (sympathetic agonist) exacerbated the epileptic seizures. In comparison with pre-stimulation, the integral of EEG traces after ta-VNS decreased (P<0.05), the mean HR decreased (P<0.05), and the high power (HF) of HRV increased (P<0.05) after ta-VNS. Conclusion: The results showed that autonomic dysfunction occurred in epileptic rats characterized by enhanced sympathetic nerve activity. Epileptic seizures in EEG traces decreased, HR decreased and HF increased after ta-VNS, which indicated that ta-VNS may suppress epileptic seizures via balancing the autonomic dysfunction.

  18. Ear-Shaped Stable Auricular Cartilage Engineered from Extensively Expanded Chondrocytes in an Immunocompetent Experimental Animal Model.

    Science.gov (United States)

    Pomerantseva, Irina; Bichara, David A; Tseng, Alan; Cronce, Michael J; Cervantes, Thomas M; Kimura, Anya M; Neville, Craig M; Roscioli, Nick; Vacanti, Joseph P; Randolph, Mark A; Sundback, Cathryn A

    2016-02-01

    Advancement of engineered ear in clinical practice is limited by several challenges. The complex, largely unsupported, three-dimensional auricular neocartilage structure is difficult to maintain. Neocartilage formation is challenging in an immunocompetent host due to active inflammatory and immunological responses. The large number of autologous chondrogenic cells required for engineering an adult human-sized ear presents an additional challenge because primary chondrocytes rapidly dedifferentiate during in vitro culture. The objective of this study was to engineer a stable, human ear-shaped cartilage in an immunocompetent animal model using expanded chondrocytes. The impact of basic fibroblast growth factor (bFGF) supplementation on achieving clinically relevant expansion of primary sheep chondrocytes by in vitro culture was determined. Chondrocytes expanded in standard medium were either combined with cryopreserved, primary passage 0 chondrocytes at the time of scaffold seeding or used alone as control. Disk and human ear-shaped scaffolds were made from porous collagen; ear scaffolds had an embedded, supporting titanium wire framework. Autologous chondrocyte-seeded scaffolds were implanted subcutaneously in sheep after 2 weeks of in vitro incubation. The quality of the resulting neocartilage and its stability and retention of the original ear size and shape were evaluated at 6, 12, and 20 weeks postimplantation. Neocartilage produced from chondrocytes that were expanded in the presence of bFGF was superior, and its quality improved with increased implantation time. In addition to characteristic morphological cartilage features, its glycosaminoglycan content was high and marked elastin fiber formation was present. The overall shape of engineered ears was preserved at 20 weeks postimplantation, and the dimensional changes did not exceed 10%. The wire frame within the engineered ear was able to withstand mechanical forces during wound healing and neocartilage

  19. Clinical Efficacy of a Modified Nagata Method That Retains the Fascia Pedicle of the Mastoid Skin Flap in Auricular Reconstruction of Chinese Microtia Patients.

    Science.gov (United States)

    Wang, Wang-Shu; Yan, Dong-Mei; Chen, Jun-Yang; Zhang, Duo; Shao, Ying; Peng, Wei-Hai

    2016-03-01

    The purpose of this study was to search for an enhanced blood supply in the distal edge of the skin at the mastoid area in total auricular reconstruction. The authors modified the Nagata method by reserving a subcutaneous fascia pedicle (diameter, 3 to 5 mm) at the intersection of the point 11 to 13 mm from the residual ear tragus (or tragus projection) and 8 to 10 mm from the lowest point of the residual ear lobe. Compared with the traditional Nagata method group, the modified Nagata method group that retained the fascia pedicle of the mastoid skin flap had higher rates of excellent and good flaps (p < 0.05). Auricular reconstruction with the modified Nagata method, retaining the fascia pedicle of the mastoid skin flap, had a reduced incidence of skin flap necrosis.

  20. Fibrilación auricular en el postoperatorio de cirugía cardíaca: Prevalencia y tiempo de internación

    OpenAIRE

    Alejandro E. Contreras; Adolfo Ferrero Guadagnoli; Eduardo J. Brenna; Pablo Pogonza; Luis A. Coppa; Guillermo G. Paladini; Salomone, Oscar A.

    2010-01-01

    La fibrilación auricular es el trastorno del ritmo más frecuente luego de la cirugía cardíaca. En estudios previos se ha asociado a prolongación de la internación, aumento en los costos e incremento en la mortalidad. El objetivo de este estudio fue conocer la prevalencia de fibrilación auricular en el postoperatorio de cirugía cardíaca y determinar el efecto en el tiempo de estadía hospitalaria. Se analizaron retrospectivamente las historias clínicas de pacientes sometidos a cirugía cardíaca ...

  1. Auricular reconstruction for concha-type microtia%耳甲腔型小耳畸形的耳廓再造术

    Institute of Scientific and Technical Information of China (English)

    王美水; 王彪; 郑厚兵; 吴杉英; 单秀英; 庄福连

    2011-01-01

    Objective To investigate the method of auricular reconstruction for concha-type microtia. Methods Two-staged auricular reconstruction was applied in 13 cases (14 ears) with conchatype microtia. The cartilage auricular framework was fabricated and implanted in the first stage, followed by ear elevation and cranio-auricle angle formation at the second stage. Results The patients were followed up for 2 months to 2 years with satisfactory aesthetic result. The reconstructed ears had a good appearance and position, and were symmetric to the healthy ears. Conclusions The two-staged auricular reconstruction with autologous cartilage framework is ideal for concha-type microtia.%目的 分析和探讨适合耳甲腔型小耳畸形的耳廓再造术.方法 采用自体肋软骨二期法耳廓再造术对13例(14只耳)耳甲腔型小耳畸形患者实施耳廓再造,一期为肋软骨耳廓支架的成型和移植,二期为颅耳角成形.结果 经过2个月至2年的随访,14只再造耳外形满意,耳解剖结构清晰,并拥有良好的颅耳角,其大小、位置与健侧耳也基本一致.结论 自体肋软骨二期法耳廓再造术是矫正耳甲腔型小耳畸形较理想的手术方法.

  2. 扩张法全耳再造皮瓣破溃后的处理%Management after expanded flap ulceration during auricular reconstruction

    Institute of Scientific and Technical Information of China (English)

    李旭文; 章庆国; 谢洋春; 刘暾; 周栩; 韩雪峰

    2012-01-01

    Objective To investigate the feasibility of Brent [ methods for total auricular reconstruction when expanded flap ulceration happened. Methods The expanded flaps in the retroauricular region ulcerated during total auricular reconstruction in 8 patients with microtia. Then the expanders were removed and autologous rib cartilage frameworks were implanted.Brent Ⅰ techniques for the total auricular reconstruction were employed.Results All the wounds in 8 patients with microtia healed primarily.The expanded flaps survived completely.The reconstructed ears had good shape and appearance with little hair. The size, shape and position of reconstructed ears were coordinated with the face.Conclusions Brent Ⅰ technique is an alternative method for total auricular reconstruction when the expanded flap ulceration occurs during total ear reconstruction.%目的 探讨临床应用扩张法全耳再造过程中出现耳后扩张皮瓣破溃,采用Brent Ⅰ期耳再造术作为补救方法的可行性.方法 8例扩张法全耳再造术的患者,在扩张器注水过程中发生耳后扩张皮瓣破溃,将扩张器取出,植入自体肋软骨支架,行Brent Ⅰ期耳再造术.结果 8例创口均一期愈合,扩张皮瓣血供良好,再造耳形态逼真,轮廓清晰,耳轮毛发少,其大小、形状、位置与面部协调,效果满意.结论 Brent Ⅰ期耳再造术是扩张法全耳再造过程中发生耳后扩张皮瓣破溃后的一种较好补救方法.

  3. Clinical application of improved Brent's techniques in auricular reconstruction for microtia%改良Brent法外耳再造的临床应用研究

    Institute of Scientific and Technical Information of China (English)

    徐红霞; 于燕

    2013-01-01

    目的 总结改良Brent法外耳再造的临床应用效果.方法 2009年6月至2012年7月,共20例小耳畸形患者就诊于海军总医院医学整形科,均为单侧小耳畸形,其中右侧13例,左侧7例.采用Brent法行外耳再造并加以改良,观察手术效果.结果 20例患者经过手术治疗均获得了比较满意的再造耳.两侧耳廓形态相似,耳轮、对耳轮、耳舟、耳甲腔等结构清晰.结论 改良Brent法外耳再造效果逼真.%Objective To introduce the clinical application of improved Brent's techniques in auricular reconstruction for microtia.Methods From June 2009 to July 2012,20 patients with congenital microtia were adopted in our department.13 patients were right microtia and 7 patients were left microtia.Improved Brent's techniques were applied to reconstruct auricle,and the efficacy were studied.Results All 20 patients got satisfied auricle after the operation.The shapes of the auricular were similar.The structure of the helix,antihelix,scaphoid fossa,cavity of auricular concha were clear.Conclusion Improved Brent's technique as auricular reconstruction operation has advantages such as life-like effect and deserves further exploration and application.

  4. Methods for producing scaffold-free engineered cartilage sheets from auricular and articular chondrocyte cell sources and attachment to porous tantalum.

    Science.gov (United States)

    Whitney, G Adam; Mera, Hisashi; Weidenbecher, Mark; Awadallah, Amad; Mansour, Joseph M; Dennis, James E

    2012-08-01

    Scaffold-free cartilage engineering techniques may provide a simple alternative to traditional methods employing scaffolds. We previously reported auricular chondrocyte-derived constructs for use in an engineered trachea model; however, the construct generation methods were not reported in detail. In this study, methods for cartilage construct generation from auricular and articular cell sources are described in detail, and the resulting constructs are compared for use in a joint resurfacing model. Attachment of cartilage sheets to porous tantalum is also investigated as a potential vehicle for future attachment to subchondral bone. Large scaffold-free cartilage constructs were produced from culture-expanded chondrocytes from skeletally mature rabbits, and redifferentiated in a chemically-defined culture medium. Auricular constructs contained more glycosaminoglycan (39.6±12.7 vs. 9.7±1.9 μg/mg wet weight, mean and standard deviation) and collagen (2.7±0.45 vs. 1.1±0.2 μg/mg wet weight, mean and standard deviation) than articular constructs. Aggregate modulus was also higher for auricular constructs vs. articular constructs (0.23±0.07 vs. 0.12±0.03 MPa, mean and standard deviation). Attachment of constructs to porous tantalum was achieved by neocartilage ingrowth into tantalum pores. These results demonstrate that large scaffold-free neocartilage constructs can be produced from mature culture-expanded chondrocytes in a chemically-defined medium, and that these constructs can be attached to porous tantalum.

  5. 手法按摩配合耳穴治疗失眠症临床观察%Clinical Observation on Manipulation Combined with Auricular Therapy for Insomnia

    Institute of Scientific and Technical Information of China (English)

    蔡献芬

    2013-01-01

      目的:观察手法按摩配合耳穴治疗失眠症的临床疗效。方法:采用手法按摩配合耳穴磁珠治疗31例失眠患者,2个疗程后评价疗效。结果:痊愈6例,显效16例,有效8例,无效1例,总有效率96.8%,愈显率达71.0%。结论:手法按摩配合耳穴治疗失眠症疗效显著,无副作用,值得临床推广应用。%Objective:To observe the efficacy of treating insomnia by manipulation combined with auricular therapy. Methods:31 cases of insomnia patients were all treated by manipulation combined with auricular therapy, and evaluated the efficacy after 2 courses of treatment. Results:6 cases were cured, 16 cases had marked effect, 8 cases were effective, and 1 cases was ineffective, the total effective rate was 96.8%, the cured and marked effect rate was 71.0%. Conclusion:Manipulation combined with auricular therapy has significant efficacy and no side effects, deserves clinical pro-motion and application.

  6. Dan Zhi Xiao Yao Yin Combined With Auricular-Point-Pressing for Treatment of Optic Atrophy - A Clinical Observation of 51 Cases

    Institute of Scientific and Technical Information of China (English)

    杨海燕

    2004-01-01

    To evaluate the therapeutic effect of Dan Zhi Xiao Yao Yin (丹栀消遥饮 Decoction of Moutan Bark and Capejasmine) combined with auricular-point- pressing therapy for treatment of optic atrophy. The visual acuity and visual field was observed in the 51 cases (58 eyes) from the treatment group that were treated with Dan Zhi Xiao Yao Yin combined with auricular-point-pressing therapy and the 43 cases (49 eyes)from the control group that were treated with routine western drugs at the end of the trial (60 days). The effective rates of increase in visual acuity obtained in the treatment and the control groups were 79.3% and 44.89% respectively and enlargement in visual field were 61.9% and 22.6% respectively. Statistical analysis showed that there were significant differences between two groups (P<0.05). The therapeutic effect of Dan Zhi Xiao Yao Yin combined with auricular-point -pressing therapy in increasing the visual acuity and enlarging the visual field was superior to that of the routine western drugs.

  7. Quantitative analysis of the morphological changes of the pubic symphyseal face and the auricular surface and implications for age at death estimation.

    Science.gov (United States)

    Villa, Chiara; Buckberry, Jo; Cattaneo, Cristina; Frohlich, Bruno; Lynnerup, Niels

    2015-05-01

    Age estimation methods are often based on the age-related morphological changes of the auricular surface and the pubic bone. In this study, a mathematical approach to quantify these changes has been tested analyzing the curvature variation on 3D models from CT and laser scans. The sample consisted of the 24 Suchey-Brooks (SB) pubic bone casts, 19 auricular surfaces from the Buckberry and Chamberlain (BC) "recording kit" and 98 pelvic bones from the Terry Collection (Smithsonian Institution). Strong and moderate correlations between phases and curvature were found in SB casts (ρ 0.60-0.93) and BC "recording kit" (ρ 0.47-0.75), moderate and weak correlations in the Terry Collection bones (pubic bones: ρ 0.29-0.51, auricular surfaces: ρ 0.33-0.50) but associated with large individual variability and overlap of curvature values between adjacent decades. The new procedure, requiring no expert judgment from the operator, achieved similar correlations that can be found in the classic methods.

  8. HOSPITALIZACIONES EVITABLES POR INSUFICIENCIA CARDÍACA. VARIABLES RELACIONADAS

    Directory of Open Access Journals (Sweden)

    Victoria Ruiz-Romero

    2016-01-01

    Full Text Available Los ingresos hospitalarios evitables por insuficiencia cardiaca (IC son un problema para los sistemas de salud, consumen recursos, generan morbilidades adicionales y alta mortalidad. El objetivo del estudio fue conocer los factores de riesgo de las personas hospitalizadas por insuficiencia cardiaca. Métodos: Se constituyó un grupo con médicos de atención primaria y hospitalaria. Se realizaron auditorías de las historias clínicas de 110 pacien - tes de la poblacion de la comarca del Aljarafe con mayores tasas de ingreso por insuficiencia cardiaca y estudio descriptivo y comparativo con T-Student y U-Mann Whitney para cuantitativas y λ 2 y Fisher para cualitativas. Resultados: Los pacientes que ingresaron por IC tenían 78,1 años (SD: 9,56 de media; 73 (66,4% fueron mujeres; un Índice Barthel de 45,0 de media; un 53,5% con grado III de la NYHA y 17 (15,5% institucionaliza - dos. El 70% presentaban 3-5 comorbilidades, hipertensión (87,3%, dislipe - mia (60,0% diabetes (57,3%, enfermedad renal crónica (56,4%, anemia (53,2% o fibrilación auricular (52,7%. Fallecieron al ingreso 23 (20,9% pacientes. Conclusiones: Los ingresos se dieron en personas mayores con múl - tiples enfermedades (hipertensión, diabetes, EPOC, enfermedad renal y escasa capacidad para actividades básicas de la vida diaria. El fallecimiento hospitalario se asoció a edad avanzada, ser mujer, menor uso de betabloqueantes y la no inclusión del paciente en el proceso asistencial.

  9. Modulation of Muscle Tone and Sympathovagal Balance in Cervical Dystonia Using Percutaneous Stimulation of the Auricular Vagus Nerve.

    Science.gov (United States)

    Kampusch, Stefan; Kaniusas, Eugenijus; Széles, Jozsef C

    2015-10-01

    Primary cervical dystonia is characterized by abnormal, involuntary, and sustained contractions of cervical muscles. Current ways of treatment focus on alleviating symptomatic muscle activity. Besides pharmacological treatment, in severe cases patients may receive neuromodulative intervention such as deep brain stimulation. However, these (highly invasive) methods have some major drawbacks. For the first time, percutaneous auricular vagus nerve stimulation (pVNS) was applied in a single case of primary cervical dystonia. Auricular vagus nerve stimulation was already shown to modulate the (autonomous) sympathovagal balance of the body and proved to be an effective treatment in acute and chronic pain, epilepsy, as well as major depression. pVNS effects on cervical dystonia may be hypothesized to rely upon: (i) the alteration of sensory input to the brain, which affects structures involved in the genesis of motoric and nonmotoric dystonic symptoms; and (ii) the alteration of the sympathovagal balance with a sustained impact on involuntary movement control, pain, quality of sleep, and general well-being. The presented data provide experimental evidence that pVNS may be a new alternative and minimally invasive treatment in primary cervical dystonia. One female patient (age 50 years) suffering from therapy refractory cervical dystonia was treated with pVNS over 20 months. Significant improvement in muscle pain, dystonic symptoms, and autonomic regulation as well as a subjective improvement in motility, sleep, and mood were achieved. A subjective improvement in pain recorded by visual analog scale ratings (0-10) was observed from 5.42 to 3.92 (medians). Muscle tone of the mainly affected left and right trapezius muscle in supine position was favorably reduced by about 96%. Significant reduction of muscle tone was also achieved in sitting and standing positions of the patient. Habituation to stimulation leading to reduced stimulation efficiency was observed and

  10. Auricular Electroacupuncture Reduced Inflammation-Related Epilepsy Accompanied by Altered TRPA1, pPKCα, pPKCε, and pERk1/2 Signaling Pathways in Kainic Acid-Treated Rats

    Directory of Open Access Journals (Sweden)

    Yi-Wen Lin

    2014-01-01

    Full Text Available Background. Inflammation is often considered to play a crucial role in epilepsy by affecting iron status and metabolism. In this study, we investigated the curative effect of auricular acupuncture and somatic acupuncture on kainic acid- (KA- induced epilepsy in rats. Methods. We established an epileptic seizure model in rats by KA (12 mg, ip. The 2 Hz electroacupuncture (EA was applied at auricular and applied at Zusanli and Shangjuxu (ST36-ST37 acupoints for 20 min for 3 days/week for 6 weeks beginning on the day following the KA injection. Results. The electrophysiological results indicated that neuron overexcitation occurred in the KA-treated rats. This phenomenon could be reversed among either the auricular EA or ST36-ST37 EA treatment, but not in the sham-control rats. The Western blot results revealed that TRPA1, but not TRPV4, was upregulated by injecting KA and could be attenuated by administering auricular or ST36-ST37 EA, but not in the sham group. In addition, potentiation of TRPA1 was accompanied by increased PKCα and reduced PKCε. Furthermore, pERK1/2, which is indicated in inflammation, was also increased by KA. Furthermore, the aforementioned mechanisms could be reversed by administering auricular EA and could be partially reversed by ST36-ST37 EA. Conclusions. These results indicate a novel mechanism for treating inflammation-associated epilepsy and can be translated into clinical therapy.

  11. Terapia antitrombótica en la fibrilación auricular no valvular, a la luz de la medicina basada en la evidencia Antithrombotic therapy in non-valvular atrial fibrillation

    Directory of Open Access Journals (Sweden)

    Juan Manuel Senior Sánchez

    2003-02-01

    Full Text Available La fibrilación auricular (FA afecta a más de dos millones de personas en Estados Unidos y se calcula que afectará a más de tres millones para el año 2020. Se caracteriza por la presencia en el electrocardiograma de ondas rápidas e irregulares sobre la línea de base, que varían de tamaño, morfología y tiempo. Es particularmente frecuente en los ancianos. Se produce por múltiples circuitos de microrreentrada que salen de la aurícula, colisionan, se extinguen y reaparecen; es necesaria una masa critica de tejido auricular para sostener un mínimo de circuitos que permitan perpetuar la arritmia. Dos estudios recientes permiten concluir que la terapia dirigida solamente al control de la respuesta ventricular es igualmente efectiva para el control del ritmo cardíaco, lo que desvirtúa la conducta de intentar restablecer el ritmo sinusal en todos los pacientes con FA. Una de las complicaciones más severas de la FA son los eventos tromboembólicos sistémicos que se presentan principalmente al sistema nervioso central; a la FA se le atribuye ser el factor causal en el 15% de todos los casos y en el 30% de los que ocurren en personas mayores de 80 años. Se revisan y analizan diferentes estudios de prevención tanto primaria como secundaria en pacientes con FA no valvular, los cuales sustentan las recomendaciones de consensos internacionales para su tratamiento basado en anticoagulación o antiagregación. The number of people with atrial fibrillation (AF in the United States has been projected to increase from the current 2.2 million to 3 million in 2020. It is characterized by the presence of rapid and irregular waves on the base line that vary in size, shape and timing. It is particularly frequent in the elderly. In AF multiple, small microreentrant circuits are constantly arising in the atria, colliding, being extinguished, and arising again; a critical mass of atrial tissue is required to sustain the minimal number of simultaneous

  12. Bloqueo auriculoventricular transitorio de primer grado en paciente con poliintoxicación por drogas de abuso y etanol: The Holiday Heart Syndrome

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    P Poveda Velázquez

    2014-01-01

    Full Text Available Las intoxicaciones por alcohol y drogas de abuso son una causa frecuente de consulta en los Servicios de Urgencias. Las alteraciones electrocardiográficas y las arritmias debidas a la ingesta de alcohol se conocen como Holiday Heart Syndrome. Este síndrome se define como la presencia de alteraciones del ritmo o de la conducción cardiaca asociadas al consumo de alcohol que revierten tras la intoxicación y que se producen en una persona sin enfermedad cardiaca conocida. La alteración más común es la fibrilación auricular. Se presenta el caso de una paciente joven que ingresa en urgencias por intoxicación por alcohol y diferentes drogas y que presentaba un bloqueo auriculoventricular de primer grado transitorio. Se discute el posible efecto causal de las drogas y del alcohol en los cambios electrocardiográficos observados en esta paciente.

  13. The genetics of auricular development and malformation: new findings in model systems driving future directions for microtia research.

    Science.gov (United States)

    Cox, Timothy C; Camci, Esra D; Vora, Siddharth; Luquetti, Daniela V; Turner, Eric E

    2014-08-01

    Microtia is a term used to describe a wide array of phenotypic presentations of the outer ear. Although the majority of the cases are isolated in nature, much of our understanding of the causes of microtia has been driven by the identification of genes underlying syndromic forms where the anomaly co-presents with various other craniofacial and extra-craniofacial structural defects. In this review we discuss recent findings in mice deficient in Hoxa2, a key regulator of branchial arch patterning, which has necessitated a revision to the canonical model of pinna morphogenesis. The revised model will likely impact current classification schemes for microtia and, as we argue in this review, the interpretation of the developmental basis for various auricular malformations. In addition, we highlight recent studies in other mammalian species that are providing the first clues as to possible causes of at least some isolated anomalies and thus should now accelerate the search for the more elusive genetic contributions to the many isolated and non-syndromic cases of microtia. These findings, together with the application of new genome-level sequencing technologies and more thorough quantitative assessment of available mutant mouse resources, promise an exciting future for genetic studies in microtia.

  14. MANEJO DE LA FIBRILACIÓN AURICULAR EN LA PACIENTE OBSTÉTRICA Atrial fibrillation treatment in obstetric patient

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    Ricardo Augusto Sandoval Vásquez

    2010-12-01

    Full Text Available Durante el embarazo las arritmias pueden comprometer el pronóstico fetal y la estabilidad hemodinámica de la madre. La fibrilación auricular en el embarazo es infrecuente pero requiere un reconocimiento de manera precoz para prevenir el embolismo cerebral, las alteraciones circulatorias, el aborto y el parto prematuro. El manejo médico no sólo se circunscribe a controlar el ritmo o la frecuencia cardiaca, o en la paciente inestable a realizar cardioversión eléctrica; es necesario también, de acuerdo al tiempo, realizar anticoagulaciónSome arrhythmias during pregnancy can compromise fetal outcome and hemodynamic stability of the mother. Atrial fibrillation in pregnancy is an infrequent arrhythmia that needs to be recognized at an early stage to prevent cerebral embolism, circulatory disorders, miscarriage and premature delivery. Medical management is not only limited to control the pace or heart rate, or the unstable patient to perform electrical cardioversion, it is also necessary, according to time perform anticoagulation.

  15. Effects of Electroacupuncture at Auricular Concha Region on the Depressive Status of Unpredictable Chronic Mild Stress Rat Models

    Directory of Open Access Journals (Sweden)

    Ru-Peng Liu

    2013-01-01

    Full Text Available To explore new noninvasive treatment options for depression, this study investigated the effects of electroacupuncture (EA at the auricular concha region (ACR of depression rat models. Depression in rats was induced by unpredictable chronic mild stress (UCMS combined with isolation for 21 days. Eighty male Wistar rats were randomly assigned into four groups: normal, UCMS alone, UCMS with EA-ACR treatment, and UCMS with EA-ear-tip treatment. Rats under inhaled anesthesia were treated once daily for 14 days. The results showed that blood pressure and heart rate were significantly reduced in the EA-ACR group than in the UCMS alone group or the EA-ear-tip group. The open-field test scores significantly decreased in the UCMS alone and EA-ear-tip groups but not in the EA-ACR group. Both EA treatments downregulated levels of plasma cortisol and ACTH in UCMS rats back to normal levels. The present study suggested that EA-ACR can elicit similar cardioinhibitory effects as vagus nerve stimulation (VNS, and EA-ACR significantly antagonized UCMS-induced depressive status in UCMS rats. The antidepressant effect of EA-ACR is possibly mediated via the normalization of the hypothalamic-pituitary-adrenal (HPA axis hyperactivity.

  16. Auricular Point Acupressure to Manage Chronic Low Back Pain in Older Adults: A Randomized Controlled Pilot Study

    Directory of Open Access Journals (Sweden)

    Chao Hsing Yeh

    2014-01-01

    Full Text Available This prospective, randomized clinical trial (RCT pilot study was designed to (1 assess the feasibility and tolerability of an easily administered, auricular point acupressure (APA intervention and (2 provide an initial assessment of effect size as compared to a sham treatment. Thirty-seven subjects were randomized to receive either the real or sham APA treatment. All participants were treated once a week for 4 weeks. Self-report measures were obtained at baseline, weekly during treatment, at end-of-intervention (EOI, and at a 1-month follow-up. A dropout rate of 26% in the real APA group and 50% in the sham group was observed. The reduction in worst pain from baseline to EOI was 41% for the real and 5% for the sham group with a Cohen’s effect size of 1.22 P<0.00. Disability scores on the Roland Morris Disability Questionnaire (RMDQ decreased in the real group by 29% and were unchanged in the sham group (+3% P<0.00. Given the high dropout rate, results must be interpreted with caution; nevertheless, our results suggest that APA may provide an inexpensive and effective complementary approach for the management of back pain in older adults, and further study is warranted.

  17. Gangrena de pavilhão auricular como primeira manifestação de síndrome do anticorpo antifosfolípide Gangrene of the auricle as the first sign of antiphospholipid antibody syndrome

    Directory of Open Access Journals (Sweden)

    Erika Bettini de Sá

    2011-12-01

    Full Text Available A síndrome do anticorpo antifosfolípide (SAF, mais comum em mulheres, manifesta-se clinicamente como trombose e/ou abortamentos de repetição. Anemia hemolítica autoimune e manifestações neurológicas, cardíacas e cutâneas são comuns. Relata-se o caso de um paciente do gênero masculino cuja manifestação inicial da doença foi gangrena em pavilhão auricular, e o diagnóstico de SAF se deu por meio de biópsia de pele do membro inferior, que mostrava vasculopatia trombótica, sem evidência de vasculite. Esse resultado é um dos dois critérios maiores que, associados a um critério menor, fecham o diagnóstico dessa doença. Discutem-se neste caso os possíveis diagnósticos diferenciais e como eles se diferenciam da doença em foco, além da importância que a biópsia teve no diagnóstico de SAF nesse indivíduo.Antiphospholipid syndrome (APS, more common in females, manifests clinically as thrombosis and/or recurrent fetal loss. Hemolytic autoimmune anemia and neurological, cardiac and cutaneous manifestations are common. This is the case report of a male patient whose first manifestation of the disease was gangrene of the auricle. The diagnosis of APS was established by biopsy of the lower limb skin, which showed thrombotic vasculopathy with no evidence of vasculitis. This is one of the two major criteria, which, along with a minor criterion, establishes the diagnosis of APS. Possible differential diagnoses are discussed. The importance of the biopsy in the APS diagnosis of this male patient is emphasized.

  18. 带蒂筋膜管的耳大神经移植治疗面神经缺失性损伤%Treating defective damage of facial nerve with great auricular nerve grafting covered by pediculated fascial tube

    Institute of Scientific and Technical Information of China (English)

    蒋立新

    2002-01-01

    Objective To study the curative effect of grafting great auricular nerve with pediculated fascial tube in defective damage of facial nerve.Method All the patients in the study were treated by grafting great auricular nerve which was covered by pediculated fascial tube near facial nerve trunk.Result The 3 otogenic fascial paralysis patients had grade III recovery of facial nerve function(30% ~ 38% ) 2.0 to 2.5 years after the nerve grafting operation; 2 post- traumatic facial paralysis patients had grade II recovery of facial nerve function (69% ~ 71% ) 2.5 to 3.5 years after the nerve grafting operation.Conclusion The grafting of pediculated fascial tube surrounded great auricular nerve can provide a biological environment with excellent blood supply for the plerosis and regeneration of nerves and can accelerate the functional recovery of nerves after the nerve grafting.

  19. Pericondrite por piercing: relato de casos e revisão da literatura Ear piercing perichondritis: case reports and literature review

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    Ernesto N. Takahashi

    2004-10-01

    Full Text Available A pericondrite é uma infecção que envolve o pericôndrio do pavilhão auricular. Desencadeada pelo piercing, é secundária a uma reação alérgica ao níquel. O diagnóstico é essencialmente clínico, porém a realização de cultura e antibiograma é fundamental. Os patógenos freqüentemente envolvidos são germes Gram negativos (Pseudomonas aeruginosa. Os autores apresentam 3 casos de pericondrite por piercing atendidos no ambulatório de otorrinolaringologia e realizam uma revisão da literatura.Auricular perichondritis is a complication related to ear piercing, caused by the hypersensitivity to nickel. The diagnosis is essentially based on clinical findings. The most pathogen frequently involved is Pseudomonas aeruginosa. Culture is important to determine the antibiotic susceptibility. We report 3 cases of ear piercing associated perichondritis and present a literature review.

  20. RAPD analysis of genetic diversity of nine strains of Auricularia auricular cultivated in Heilongjiang Province%黑龙江省黑木耳9个栽培菌株遗传多样性的RAPD分析

    Institute of Scientific and Technical Information of China (English)

    李玲; 李杰; 邹丽; 白素英; 牛黎明; 马玉堃

    2007-01-01

    本文对黑龙江省9个黑木耳 (Auricularia auricular)栽培菌株进行PCR-RAPD扩增和群体聚类分析, 在40个10bp随机引物中,筛选出13个引物.结果表明:黑木耳不同栽培菌株之间存在着丰富的多态性(96.05%).用引物27和引物46的RAPD扩增指纹能有效分辨9个不同菌株的基因型,这一结果有助于在早期对黑木耳栽培菌株进行快速鉴别,为规范鉴别食用菌菌种混乱的局面提供科学依据.%Polymorphism of nine strains (CF05, CF09, 29, 916, AU9, Chang10, Chang7, 8808 and AU. Japanese) of A. auricular cultivated in Heilongjiang Province were analyzed by RAPD (Random Amplication polymorphic DNA). Thirteen primers were selected from forty PCR primers with 10bp long random primer. The results showed that nine strains of A. auricular have a high level of genetic diversity and the percentage of DNA polymorphic was 96.05. The genotypes of 9 strains of Auricularia auricular were identified by the fingerprints from primer 27 and primer 46 by RAPD analysis. The results are helpful for quickly identifying strains of A. auricular in its early breeding time, and also provides a powerful theoretic basis to differentiate strains (Auricularia auricular) whose morphology is very similar in breeding programs of edible fungus.

  1. Study on compound health thick soup of Tremella fuciformis and Auricularia auricular%银耳黑木耳复合保健羹的研究

    Institute of Scientific and Technical Information of China (English)

    陈峰; 江瑞荣; 曾霖霖; 陈秋颜; 杨小兵

    2012-01-01

    为了探索银耳、黑木耳深加工的新路,本文研究了银耳黑木耳复合保健羹的生产工艺。应用了正交实验设计确定复合保健羹的最佳配方,并运用了改进的模糊数学评判方法对三种不同配方保健羹进行比较。结果表明:银耳黑木耳复合保健羹的最佳配方为银耳12%,黑木耳5%,冰糖8%,柠檬酸0.05%,柠檬酸钠0.05%..海藻酸钠0.15%,黄原胶0.15%:模糊综合评判结果与正交实验结果一致。%In order to explore the new direction of processing of Tremella fuciformis and Auricularia auricular, the processing technique of compound health thick soup made from Tremella fuciformis and Auricularia auricular was studied. Orthogonal designs were applied to obtain the best prescription and fuzzy mathematics was applied to compare the three different formulations of thick soup. The results indicated Ihat the best formulation of the compound health thick soup was Tremella fuciformis 12% ,Auricularia auricular 5% ,rock candy 8% ,citrio acid 0.05%,sodium citrate 0.05%,sodium alginate 0.15%,xanthan gum 0.15%. The results of fuzzy comprehensive evaluation was consistent with orthogonal test.

  2. 针刺结合耳穴治疗失眠临床观察%A Randomized Control Study of Acupuncture Plus Auricular-plaster Therapy for Insomnia

    Institute of Scientific and Technical Information of China (English)

    赖旖; 罗敏; 邱剑锋

    2011-01-01

    Objective : To investigate the efficacy of acupuncture plus auricular-plaster therapy in treating insomnia. Methods: Twenty patients with insomnia were randomly allocated to two groups, acupuncture plus auricular-plaster ( study group )and simple medication with diazepam ( control group ). One course of treatment consisted of four weeks. The Pittsburgh Sleep Quality Index ( PSQI ) was used to assess sleep quality in both groups before and after treatment. A difference of PSQI score between pretreatment and posttreatment was compared between the groups. Results: After treatment there was a significant difference in clinical therapeutic effect between the study and control groups ( P<0.05 ) . Conclusion ; Acupuncture plus auricular-plaster therapy has a marked therapeutic effect on insomnia and is an effective therapy for treating insomnia.%目的:观察针刺结合耳穴贴压治疗失眠的临床疗效.方法:将40例失眠患者随即分为两组,针刺结合耳穴组(观察组)和单纯药物组(对照组),4周为1疗程.两组在治疗前后分别进行匹兹堡睡眠质量指数测验( PSQI),观察指数前后差值作组间比较.结果:经过治疗后,两组疗效比较,差异有统计学意义(P<0.05).结论:针刺结合耳穴治疗失眠疗效显著.

  3. La orejuela izquierda como fuente de accidentes cerebrovasculares: cerrar (y cómo), o no cerrar (y por qué) Left atrial appendage as a source of stroke: to close (and how), or not to close (and why)

    OpenAIRE

    R. Hernández-Estefanía; Levy, B; G. Rábago

    2012-01-01

    La orejuela izquierda se considera la principal fuente de émbolos en los accidentes cerebrovasculares que se producen en pacientes con fibrilación auricular. El tratamiento con anticoagulantes orales reduce significativamente el riesgo de accidentes embólicos cerebrales en relación con la aspirina, pero se asocia a riesgo de complicaciones hemorrágicas, por lo que no siempre son utilizados. Se ha descrito que el cierre de la orejuela izquierda reduce la tasa de accidentes tromboembólicos y en...

  4. Reconstrucción Parcial de Pabellón Auricular con Colgajo Retroauricular e Injerto. Presentación de 1 caso

    OpenAIRE

    2012-01-01

    Se presenta el caso de un paciente varón de 33 años quien fuera agredido a través de una mordida en el Pabellón Auricular Izquierdo, cercenándole aproximadamente un tercio del Hélix y Antihélix, siendo sometido a una cirugía en 2 tiempos operatorios, con un Colgajo Retroauricular y colocación de un Injerto de Piel Parcial en la zona dadora de dicho colgajo. Se presenta la técnica quirúrgica y se discuten las diversas formas de reconstrucción.

  5. Exercise and manual auricular acupuncture: a pilot assessor-blind randomised controlled trial. (The acupuncture and personalised exercise programme (APEP Trial

    Directory of Open Access Journals (Sweden)

    Hurley D

    2008-03-01

    Full Text Available Abstract Background Evidence supports the use of exercise for chronic low back pain (CLBP; however, adherence is often poor due to ongoing pain. Auricular acupuncture is a form of pain relief involving the stimulation of points on the outer ear corresponding with specific body parts. It may be a useful adjunct to exercise in managing CLBP; however, there is only limited evidence to support its use with this patient group. Methods/Design This study was designed to test the feasibility of an assessor-blind randomised controlled trial which assess the effects on clinical outcomes and exercise adherence of adding manual auricular acupuncture to a personalised and supervised exercise programme (PEP for CLBP. No sample size calculation has been carried out as this study aims to identify CLBP referral rates within the catchment area of the study site. The researchers aim to recruit four cohorts of n = 20 participants to facilitate a power analysis for a future randomised controlled trial. A computer generated random allocation sequence will be prepared centrally and used to allocate participants by cohort to one of the following interventions: 1 six weeks of PEP plus manual auricular acupuncture; 2 six weeks of PEP alone. Both groups will also complete a further six weeks of self-paced exercise with telephone follow-up support. In addition to a baseline and exit questionnaire at the beginning and end of the study, the following outcomes will be collected at baseline, and after 7, 13 and 25 weeks: pain frequency and bothersomeness, back-specific function, objective assessment and recall of physical activity, use of analgesia, perceived self-efficacy, fear avoidance beliefs, and beliefs about the consequences of back pain. Since this is a feasibility study, significance tests will not be presented, and treatment effects will be represented by point estimates and confidence intervals. For each outcome variable, analysis of covariance will be performed on

  6. Empiema por Fusobacterium necrophorum

    OpenAIRE

    ML. Valle Feijoo; M. Rodriguez Arias; A. Cobas Paz; J. De la Fuente Aguado

    2014-01-01

    Resumen La infección sistémica por Fusobacterium necrophorum se caracteriza por la tríada clásica de trombosis de la vena yugular interna, bacteriemia y focos metastásicos y se conoce como Síndrome de Lemierre (SL), sepsis post-angina o necrobacilosis. El compromiso pulmonar precipitado por la embolización séptica es extremadamente común en el SL, sin embargo el F. necrohorum raramente se asila en empiemas sin SL concurrente, por lo que hemos estimado oportuno comunicar un nuevo caso clíni...

  7. Celulitis por citomegalovirus

    OpenAIRE

    2002-01-01

    Las lesiones cutáneas por citomegalovirus (CMV) son infrecuentes y a menudo una manifestación tardía de una enfermedad sistémica, que generalmente anuncia un curso fatal. Comunicamos un caso de celulitis por CMV: una mujer de 70 años con trasplante renal efectuado 1 mes antes de la consulta, terapia inmunosupresora con ciclosporina A y metilprednisona. La paciente ingresó por fiebre, dolor e impotencia funcional en pierna derecha. Comprobamos la existencia de una placa de 8 por 4 cm eritemato...

  8. Estenosis de venas pulmonares post ablación por radiofrecuencia

    Directory of Open Access Journals (Sweden)

    Marcelo Guzzi

    2011-06-01

    Full Text Available Es importante estar atento ante la aparición de síntomas respiratorios luego de la realización de un procedimiento de ablación por radiofrecuencia en el tratamiento de la fibrilación auricular, pues la estenosis de venas pulmonares (EVP tiene una incidencia de entre 1 y 3% y puede aparecer hasta en los dos años posteriores al procedimiento1. Presentamos el caso de un paciente de 41 años de sexo masculino, que ingresó por un cuadro de hemoptisis y toracodinia de tres semanas de evolución, con antecedente de ablación por radiofrecuencia 6 meses antes de la admisión. La angiotomografía no evidenció tromboembolismo pulmonar (TEP y la angiorresonancia detectó hipoperfusión deI lóbulo superior del pulmón izquierdo (LSI. Debido a los antecedentes de ablación se solicitó angiotomografía de venas pulmonares, que evidenció estenosis de la vena del LSI. Se realizó estudio hemodinámico con dilatación y colocación de stent.

  9. Clinical Observation on Acupuncture Plus Auricular Acupuncture in Treating Insomnia for 60 Cases%针灸配合耳针治疗失眠症60例

    Institute of Scientific and Technical Information of China (English)

    赵云; 李志轩

    2014-01-01

    目的:观察针灸配合耳针治疗失眠症的临床疗效。方法对60例失眠患者,以针刺百会、神门、内关、三阴交为主穴,配合耳针皮质下、神门、心、肾、垂前。结果经治疗后,治愈30例,显效12例,有效12例,无效6例。总有效率90%。结论针刺配合耳穴治疗失眠疗效显著。%Objective To observe the clinical effect of treating insomnia by acupuncture and auricular acupuncture .Methods 60 cases of patients with insomnia were treated by acupoint , such as BaiHui, ShenMen, NeiGuan, SanYinJiao, coordinated auricular acupuncture point such as Subcortical, ShenMen, Xin, Shen, ChuiQian.Result After treatment, 48 cases were cured, 6 cases were markedly effective, 6 cases were ineffective .The cure rate fou 80%, The total effective rate was 90%.Conclusion The effect of treating insomnia by acupuncture and ear pressure was significant .

  10. Avaliação da acupressão auricular na síndrome do ombro doloroso: estudo de caso

    Directory of Open Access Journals (Sweden)

    Ana Paula Zanelatto

    2013-10-01

    Full Text Available A Síndrome do Ombro Doloroso (SOD é definida como dor e limitação funcional decorrente do acometimento de estruturas estáticas e dinâmicas do ombro, como ligamentos, cápsula e músculos. É uma das queixas mais comuns e incapacitantes do sistema musculoesquelético na população em geral com uma prevalência estimada entre 15 a 25%. Este estudo objetivou avaliar os resultados da acupressão auricular quando usada como terapia no tratamento da Dor crônica, secundária à SOD, quanto ao efeito analgésico e terapêutico satisfatório e o tempo estimado de tratamento. Para a obtenção do objetivo foi realizado um Estudo de Caso que teve como intervenção a acupressão auricular com esferas de cristais e como indicador de resultado o questionário Penn Shoulder Score (PSS - Brasil. Os dados foram analisados qualitativa e quantitativamente. Conclui-se que a auriculoterapia é uma importante técnica terapêutica, pois o estudo demonstrou uma melhora na pontuação total do PSS - Brasil em 34,3%.

  11. Clinical Effect of Auricular-acupressure Treating Postpartum Hypogalactia%耳穴贴压治疗产后缺乳临床研究概述

    Institute of Scientific and Technical Information of China (English)

    叶智祺; 陈佳绮; 黄丽英; 陆文娟; 陆萍

    2013-01-01

    To summarize the causes and influencing factors which are analyzed domestically and abroad. To comment the clinical researches of auricular - acupressure treating postpartum hypogalactia. The efficiency has been examined and supported by clinical trials. It is with great value in the field of post - natal care. This summary will lay foundation for future clinical research on auricular - acupressure treating postpartum hypogalactia.%对国内外分析产生缺乳的原因与影响因素作了归纳,并对耳穴贴压治疗产后缺乳的临床研究作了评述.认为产后耳穴贴压能使产妇早泌乳、多泌乳,其有效性得到了临床的实践检验,且有一定的临床试验支持,在产后护理领域上有很好的推广价值,同时为今后耳穴贴压治疗产后缺乳的临床研究开展打下基础.

  12. Celulitis por citomegalovirus

    Directory of Open Access Journals (Sweden)

    A. Ruiz Lascano

    2002-12-01

    Full Text Available Las lesiones cutáneas por citomegalovirus (CMV son infrecuentes y a menudo una manifestación tardía de una enfermedad sistémica, que generalmente anuncia un curso fatal. Comunicamos un caso de celulitis por CMV: una mujer de 70 años con trasplante renal efectuado 1 mes antes de la consulta, terapia inmunosupresora con ciclosporina A y metilprednisona. La paciente ingresó por fiebre, dolor e impotencia funcional en pierna derecha. Comprobamos la existencia de una placa de 8 por 4 cm eritematoedematosa. La tratamos con antibióticos sin mejoría, por lo que realizamos un estudio histopatológico de piel que mostró cambios citopáticos compatibles con infección por CMV. Los cultivos bacteriológicos y micológicos fueron negativos. La inmunohistoquímica específica para CMV y el estudio de reacción en cadena de la polimerasa (PCR de la biopsia de piel fueron positivas, al igual que la antigenemia. El tratamiento con ganciclovir produjo la mejoría del cuadro clínico. En la literatura revisada no hemos encontrado la celulitis como manifestación de enfermedad cutánea por CMV.

  13. 改良Nagata法耳郭再造术治疗先天性小耳畸形%A modified Nagata auricular reconstruction for congenital microtia

    Institute of Scientific and Technical Information of China (English)

    颜薇; 章庆国; 刘暾; 周栩; 韩雪峰; 谢洋春; 田蒙; 陈琨; 蔡磊

    2012-01-01

    Objective To explore the clinical application of a modified Nagata auricular reconstruction in congenital microtia. Methods A hundred and ten patients of congenital microtia with postauricular der-matochalasis and more tissue of incomplete ear were treated with the modified Nagata auricular reconstruction. The whole method was divided into 3 procedures, including lobule transposition, reconstructed ear upright and final repair of the reconstructed ear. Results After 6 to 36 months following up, satisfactory results were obtained postoperatively. All reconstructed ears were vivid with clear outline. Non chest wall deformities was observed in the patients during their postoperative life. Conclusion The modified Nagata auricular reconstruction is an effective method for congenital microtia with lower risk of chest wall deformities. The method provides us%目的 探讨改良Nagata法耳郭再造术的临床应用效果.方法 对110例先天性小耳畸形耳后皮肤松,且残耳组织多的患者,采用改良Nagata法实施耳郭再造术,手术分3期完成.Ⅰ期:取同侧肋软骨,采用第6、7肋联合部的方法 雕刻耳郭支架,耳后皮下埋植、耳垂换位;Ⅱ期:再造耳竖立;Ⅲ期:再造耳修整、耳甲腔加深.结果 经6个月至3年的随访,术后短期恢复及长期随访效果好,再造耳形态逼真.结论 改良Nagata法耳郭再造术是一种行之有效的耳郭再造术式,可减少肋软骨的切取,降低胸廓畸形的发病率,具有操作简便、治疗周期短的优点,是耳后皮肤松的患者首选的治疗方法.

  14. Desarrollo de modelo preoperatorio basado en el remodelado auricular anatomo-eléctrico para la predicción del éxito de la ablación quirúrgica concomitante de la fibrilación auricular crónica

    OpenAIRE

    Martin Gutiérrez, Elio

    2015-01-01

    TEMÁTICA La ablación quirúrgica de la fibrilación auricular (FA), como cualquier procedimiento invasivo, es exigible que se aplique bajo indicaciones consensuadas, con una probabilidad de éxito alta y no suponiendo un incremento significativo de la morbilidad ni de la complejidad; sobre todo si se realiza de forma concomitante a otro procedimiento quirúrgico, principal indicación de la intervención. No obstante, si se revisa la evidencia recogida en las guías clínicas1,2 y otros documento...

  15. 骨整合义耳在耳廓缺损修复中的应用%Clinical application of osseointegrated prosthetic in reconstraction of auricular defects

    Institute of Scientific and Technical Information of China (English)

    张志钢; 郑亿庆

    2013-01-01

    Auricular deformity,a common disease of the external ear in China,can be divided into congenital deformity and acquired deformity caused by trauma or ablative origin.Ear reconstruction with autogenous rib cartilage grafts provides consistent emotional relief and psychological benefits due to the repair.However,autogenous reconstruction is complex and challenging,and can be fraught with complications,in addition sometimes it may not be an option for the patients with poor skin cover,severe craniofacial anomalies,those with microtia who have had a failed previous reconstruction and microtia patients with a very low hairline and residual lobe.As an alternative to the significant surgical morbidity of autogenous reconstruction,osseointegrated implant reconstruction has several distinct advantages.This current essay was to illustrate the superiority,indications,feasibility and complications of osseointegrated implant reconstruction,and provide alternative way to help patient who was deprived of ear(s).

  16. Mid-Section Auricular Reconstruction for Mild Microtia%中段耳廓再造矫正轻度小耳畸形

    Institute of Scientific and Technical Information of China (English)

    韩景健; 赵延勇; 林琳; 姬东硕; 杨媚

    2013-01-01

    Objective To introduce a novel approach of mid-section auricular reconstruction for the treatment of mild microtia. Method Reconstruction of the mid-section of the auricle was used with preservation of existing crus helicis and ear-lobe in patients with mild microtia that were about 1/2 to 2/3 of normal auricular sizes. Local tissue was expanded and carti-lage framework was designed and constructed to fit the need of each individual patient, while preserving as much usable native auricle tissue as possible. Result Since 2010, 13 auricles were reconstructed with this approach. There was no postoperative flap necrosis. All reconstructed auricles were rated as yielding acceptable cosmetic effects. Most patients did not need addi-tional adjustment operations. Conclusion Auricular reconstruction should be guided by microtia classification which deter-mines the specific approach. For mildly microtic ears with near normal auricular appearance in which composite tissue trans-plantation reconstruction is not indicated, simple mid-section reconstruction with skin expansion is a better approach com-pared with total ear reconstruction.%目的:介绍一种中段耳廓再造矫正轻度小耳畸形的手术方法。方法对于耳廓大小为正常1/2或2/3的小耳畸形,采用保留耳轮脚和耳垂的中段耳廓再造法。以扩张皮瓣法耳廓再造为基础,根据残耳的形态个体化设计耳软骨支架形态,最大程度保留形态接近正常的残耳组织。结果自2010年至今,采用本法进行耳廓再造13例,术后无一例皮瓣坏死。再造耳形态良好,患者及家属满意,且多数无需三期手术。结论小耳畸形应根据不同程度选择适当的修复重建方法,对于保留了大部分正常耳廓形态但不能用复合组织移植方法修复的轻度小耳畸形,采用扩张皮瓣法中段耳廓再造较全耳再造可获得更好的治疗效果。

  17. Principios básicos de las nuevas estrategias farmacológicas antiarrítmicas en fibrilación auricular

    OpenAIRE

    Filgueiras-Rama,David; Castrejón,Sergio; Calvo, Conrado; Estrada, Alejandro; Doiny,David; Ortega, Marta; Berenfeld, Omer; Merino, José L.; Jalife, José

    2012-01-01

    La fibrilación auricular (FA) es la arritmia crónica sostenida más frecuente en la población general. A pesar de los últimos avances tecnológicos y en el entendimiento de sus mecanismos, derivados de modelos experimentales, así como de los procedimientos de ablación en pacientes con FA, los fármacos antiarrítmicos siguen siendo la principal estrategia para la cardioversión y mantenimiento del ritmo sinusal. Nuevas generaciones de fármacos antiarrítmicos han llegado a la práctica clínica, y ot...

  18. Novos anticoagulantes orais no tromboembolismo venoso e fibrilhação auricular New oral anticoagulants in the treatment of venous thromboembolism and atrial fibrillation

    Directory of Open Access Journals (Sweden)

    Luís Silvestre

    2012-03-01

    Full Text Available Os antagonistas da vitamina K foram, durante mais de 50 anos, os únicos anticoagulantes orais disponiveis. A imprevisibilidade da farmacocinética e farmacodinâmica desta classe de fármacos, responsável pela dificuldade na sua utilização, conduziu à necessidade do desenvolvimento de novas moléculas anticoagulantes. Estão actualmente diponíveis os resultados dos estudos de novos anticoagulantes orais no tromboembolismo venoso e na fibrilhação auricular, que se revêem neste trabalho.For more than 50 years, vitamin K antagonists were the only oral anticoagulants available. The unpredictability of its pharmacokinetics and pharmacodynamics, responsible for its difficult clinical management, has raised the need of new anticoagulants. Results of trials involving the new anticoagulants in venous thromboembolism and atrial fibrillation are now available and reviewed in this paper.

  19. Ototoxicidad por medicamentos

    OpenAIRE

    Mercado M,Víctor; Burgos S,Rodolfo; Muñoz V,Claudio

    2007-01-01

    Se define ototoxicidad a las perturbaciones transitorias o definitivas de la función auditiva, vestibular, o de las dos a la vez, inducidas por sustancias de uso terapéutico¹. Son muchos los trabajos de investigación que se han dedicado ha este tema quedando aun dudas por resolver debido a las complejas consecuencias donde está envuelto el daño cocleovestibular. El propósito de esta revisión, es presentar las últimas teorías que tratan de explicar desde el punto de vista de la farmacociónétic...

  20. Electrocardiografo por computadora

    OpenAIRE

    Tinoco Hernandez, Rosanna; Paredes Bejarano, Margarita; Romero Chaglia, Norman; Yapur Auad, Miguel Eduardo

    2009-01-01

    El presente trabajo trata sobrees el diseño y la implementación de un graficador de señales cardiacas por computadora, para lo cual diseñamos un circuito electrónico capaz de recibir la senal analógica proveniente de la actividad electrica del corazón , amplificarla, y luego convertirla en una señal digital para ser procesada por software y finalmente ser graficada, siendo posible así observar la señal cardiaca en el monitor de un computador como un tren de pulsos. Cabe destacar que par...

  1. Evaluation of the efficacy of a novel radical neck dissection preserving the external jugular vein, greater auricular nerve, and deep branches of the cervical nerve

    Directory of Open Access Journals (Sweden)

    Li Y

    2013-04-01

    Full Text Available Yadong Li, Jinsong Zhang, Kai Yang Department of Oral and Maxillofacial Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, People's Republic of China Background: Conventional radical neck dissection often causes a variety of complications. Although the dissection method has been improved by retaining some tissues to reduce complications, the incomplete dissection may cause recurrence of disease. In the present study, we developed a novel radical neck dissection, which preserves the external jugular vein, the greater auricular nerve, and the deep branches of the cervical nerve, to effectively reduce complications and subsequently, to promote the postoperative survival quality. Methods: A total of 100 cases of radical neck dissection were retrospectively analyzed to evaluate the efficacy, rate of complication, and postoperative dysfunction of patients treated with the novel radical neck dissection. Data analysis was performed using the Chi-square test. Results: Compared with conventional radical neck dissection, the novel radical neck dissection could significantly reduce complications and promote postoperative survival quality. Particularly, the preservation of the external jugular vein reduced the surgical risk (ie, intracranial hypertension and complications (eg, facial edema, dizziness, headache. Preservation of the deep branches of the cervical nerve and greater auricular nerve resulted in relatively ideal postoperative functions of the shoulders and ear skin sensory function (P 0.05. Conclusion: Our novel radical neck dissection procedure could effectively reduce the complications of intracranial hypertension, shoulder dysfunction, and ear sensory disturbances. It can be used as a regular surgical approach for oral carcinoma radical neck dissection. Keywords: oral cancer, head and neck cancer, squamous cell carcinoma, survival quality, neck dissection, recurrence

  2. Application of postauricular expanded flap flattening in auricular reconstruction%耳后扩张皮瓣舒平术在扩张法外耳再造术中的应用

    Institute of Scientific and Technical Information of China (English)

    胡守舵; 赵延勇; 潘博; 蒋海越; 杨庆华; 庄洪兴

    2012-01-01

    Objective To summarize the application of the melhod of poslauricular expanded flap flat-lening in auricular reconslruclion. Methods From January 2003 to Oclober 2006, the melhod of poslauricular expanded flap flallening was adopted lo treat the 17 palienls with infection of poslauricular expanded flap < 13 cases) and purulenl secretion and infectious granuloma in the expanded envelope < 4 cases) , and then aulogeneic coslal cartilage framework was used lo perform auricular reconstruction at 3 months. Results Auricular reconstruction was performed smoothly wilh good auricular appearance. Following up was performed in 10 cases for 3 to 30 months, and all cases were satisfied wilh the auricular appearances which were not different wilh ones without infection. Conclusion The melhod of poslauricular expanded flap flatting is an effective treatment when the recipient bed is infected during the auricular reconstruction.%目的 总结耳后扩张皮瓣舒平术在扩张法外耳再造中的应用.方法 自2003年1月至2006年10月,对出现耳后扩张皮瓣感染(13例)征象和扩张包膜内出现脓性分泌物或炎性肉芽肿(4例)的17例外耳再造患者,先采用耳后扩张皮瓣舒平术,3个月后再采用自体肋软骨支架外耳再造术.结果 本组17例患者,再造耳外观均良好,手术顺利.10例获随访,最长30个月,最短3个月,平均9个月,术后恢复好,与无感染者无明显差异.结论 耳后扩张皮瓣舒平术是外耳再造过程中出现扩张皮瓣受植床感染时的一项非常有效的处理方法.

  3. 耳针作用的形态学基础-来自HRP神经示踪法的证据%Morphological Basis of Auricular Acupuncture Effects: Evidences from Neural Tracer Method of HRP

    Institute of Scientific and Technical Information of China (English)

    梅志刚; 朱兵; 何伟; 高昕妍

    2009-01-01

    Objective To observe projections of nervus auricularis vagi in brain stem of oblongata level,and to study the mechanism of auricular acupuncture. Methods Ten SD rats were used in this experiment, a skin incision was performed in the region of auricular concha of each rat, forty microliters of a 30% solution of horseradish peroxidase (HRP) in normal saline were subcuta-neously injected into the cut central end of auricular branch of vagus nerve, then distribution of the labeled neurons in the primary brain stem was observed using HRP retrograde tracing technique. Results Labeled neurons and fibers were seen in the nucleus of solitary tract, dorsal nucleus of vagus nerve and other nucleus besides nucleus of spinal tract of trigeminal. Conclusion There exists neural projection to NTS and DMV from the terminal of auricular vagus branch, maybe effect of auricular acupuncture is completed through auricular - vagal reflexes.%目的 观察支配耳甲区迷走神经在延髓水平中枢的投射情况,探讨耳针作用机理.方法 健康成年SD大鼠10只,外耳道口方向分离耳甲皮肤与皮下组织,微量注射器缝内注射40 μl 浓度为30%的HRP神经示踪剂,神经示踪技术观察标记细胞在延脑水平核团分布情况.结果 除了在三叉神经脊束核外,在孤束核和迷走神经运动背核以及其他核团也发现了标记神经元或神经纤维.结论 耳甲区迷走神经分支与迷走初级中枢有神经联系,耳甲穴位针刺效应很可能是通过耳-迷走反射途径实现的.

  4. Volumen de la aurícula izquierda indexada por superficie corporal en sujetos normales divididos por sexo y edad

    Directory of Open Access Journals (Sweden)

    Héctor A. Deschle

    2010-01-01

    Full Text Available RESUMENIntroducciónEl tamaño de la aurícula izquierda (AI se ha relacionado con la ocurrencia de eventoscardiovasculares en pacientes mayores sin cardiopatía previa.Los valores considerados normales en adultos se suelen tomar de publicaciones extranjerasque presentan valores disímiles y no incluyen la división por edades, por lo que no quedaclaro el impacto que el envejecimiento podría tener sobre el tamaño auricular izquierdo, locual los hace difícilmente aplicables a la población general.ObjetivosEvaluar las modificaciones en el volumen indexado de la aurícula izquierda en sujetos saludablesde nuestro medio divididos por sexo y edad.Material y métodosEntre 2007 y 2008 ingresaron 725 pacientes asintomáticos sin antecedentes de cardiopatía,diabetes, ni enfermedades de relevancia clínica. Sexo masculino: 325. Se dividieron en gruposetarios: a 65 años. El volumen de laaurícula izquierda (AI se calculó de acuerdo con la fórmula: 8/3 π [(A1(A2/(L] (A1 = áreaen 4 cámaras, A2 = área en 2 cámaras, L = longitud más pequeña entre ambas vistas. Lasuperficie corporal se calculó con la fórmula de Mosteller.ResultadosEl volumen indexado de la AI fue significativamente mayor en varones > 64 años (32,89 ±5,93 cm³/m² con respecto a los tres primeros grupos etarios (p < 0,01. No hubo diferenciassignificativas entre los grupos del sexo femenino.ConclusiónEl volumen de la AI es significativamente mayor en varones de más de 64 años.REV ARGENT CARDIOL 2010;78:39-42.

  5. [Blade auricular septostomy].

    Science.gov (United States)

    Ledesma Velasco, M; Nuñez Garduño, D; Salgado Escobar, J L; Munayer Calderón, J; Rodríguez Hernández, L; Rangel Abundis, A

    1987-01-01

    We describe the first case of BAS in our country in a three months old child with transposition of the great arteries, restrictive atrial septal defect (RASD) and intact interventricular septum. When he was 15 days old, we performed a balloon atrial septostomy. He had temporal improvement and six weeks later his cyanosis increased, and a new catheterization showed systemic arterial oxygen saturation of 30%, RASD and an interatrial pressure gradient of 2.1 mmHg (left atrium LA: 3.9 and right atrium RA: 1.8). We decided to perform a new septostomy with Park's blade atrial septostomy catheter. After the procedure the interatrial pressure gradient decreased to 0.2 mmHg (RA: 4.3 and LA: 4.5), the angiography shunt and atrial pressures increased. Five months later the child is alive and the systemic arterial oxygen saturation is 51.3%. The technique, advantages and complications are described.

  6. Osteomielitis por salmonella

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    Alicia Velázquez Pérez

    2014-08-01

    Full Text Available Se presenta el caso de una paciente femenina de color blanco y dos años de edad, con diagnóstico prenatal de sicklemia, que desde edades tempranas tiene problemas de la enfermedad. Ingresó en esta ocasión por una de las complicaciones infecciosas que ocasiona este padecimiento, una osteomielitis del húmero izquierdo, aislándose el germen en el hemocultivo realizado, una salmonella. Necesitó de tratamiento enérgico y prolongado; se obtuvo un resultado satisfactorio en la evolución de la enfermedad y se sigue sistemáticamente por consulta externa en la actualidad

  7. Forty-nine cases of insomnia treated by acupoint catgut-embedding therapy in combination with auricular point sticking%穴位埋线配合耳穴贴压治疗失眠49例

    Institute of Scientific and Technical Information of China (English)

    郝玉林; WANG Fang

    2011-01-01

    @@ Insomnia is defined as difficulty in falling into sleep and failure to acquire normal sleep, resulting in short sleep time, even staying asleep the whole night in serious case, which impacts on the normal daytime activity and brings the deep pains to the patients.The author had treated 49 cases of insomnia with acupoint catgut-embedding therapy in combination with auricular point sticking from February 2008 to August 2009.The report is as follows.

  8. causada por Fusarium moniliforme

    Directory of Open Access Journals (Sweden)

    Mariano Mendoza Elos

    2006-01-01

    Full Text Available El objetivo de éste trabajo fue determinar la resistencia horizontal de 134 líneas S1 de maíz al hongo Fusarium moniliforme. La enfermedad fue inducida mediante inoculación en la etapa de floración masculina bajo condiciones de campo utilizando la técnica del palillo. Las líneas se evaluaron en México en 2002. La estimación de la enfermedad se hizo en dos ocasiones con una separación de 20 días. Las evaluaciones mostraron que las líneas Roque-801, 804, 1103 y 1405 fueron resistentes en la primera evaluación. Las tasas de incremento de la enfermedad variaron de 0,01 a 0,229 por unidad por día. Las líneas mostraron bajos niveles de enfermedad de 0 a 1 % en la primera evaluación. En la segunda evaluación, los niveles de enfermedad variaron de 49 a 100 %. En un programa de mejoramiento genético estas líneas pueden ser utilizadas para mejorar la resistencia horizontal del maíz a la pudrición del tallo causada por Fusarium moniliforme

  9. La lucha por Guayaquil

    Directory of Open Access Journals (Sweden)

    Felipe Burbano de Lara

    2009-01-01

    Full Text Available En el contexto del referendo constitucional del 2008 en Ecuador, este texto analiza la disputa entre Rafael Correa, presidente del Gobierno ecuatoriano y principal líder de Alianza País, y el alcalde la ciudad más grande del país, Jaime Nebot. Disputa que es examinada a partir de tres ejes: la lucha contra el neoliberalismo, la construcción de un proyecto estatal nacional y la búsqueda por una por una hegemonía política de Alianza País. Se profundiza en las nociones de autonomía y globalización que sirvieron de eje al discurso del alcalde, frente al modelo de autonomía propuesto por el Gobierno.In the context of Ecuador's 2008 Constitutional Referendum, this text analyses the dispute between Rafael Correa –the President of the Ecuadorian government and the figurehead of Alianza País– and the mayor of the largest city in the country, Jaime Nebot. The argument will be developed along three fronts: the battle against neoliberalism, the construction of a national state project, and the search for the political hegemony of Alianza País. The article examines the concepts of autonomy and globalization that were central to Nebot's discourse and contrasts them with the autonomous model put forward by the government.

  10. Clinical Observation on Acupuncture and Cupping Combined with Auricular Plaster Therapy in Treating 68 Cases of Acnes%针刺、拔罐联合耳穴贴压治疗痤疮68例临床观察

    Institute of Scientific and Technical Information of China (English)

    刘君奇

    2012-01-01

    Objective: To observe therapeutic effects of acupuncture, cupping and auricular plaster therapy in treating acnes. Method: Sixty-eight patients were treated with acupuncture,cupping and auricular plaster therapy. Result: Among the patients, 36 cases were cured and accounted for 52.94%; 27 cases effective and 39.71%; five cases ineffective and 7.36%; total effective rate was 92.64%. Conclusion: Acupuncture, cupping and auricular therapy is effective for acnes.%目的:观察针刺、拔罐联合耳穴贴压治疗痤疮的临床疗效.方法:针刺、拔罐联合耳穴贴压治疗符合诊断标准的68 例痤疮患者.结果:治愈36 例,占52.94%;好转27 例,占39.71%;无效5 例,占7.36%;总有效率92.64%.结论:针刺、拔罐联合耳穴贴压治疗痤疮临床疗效显著.

  11. 耳穴贴压配合隔姜灸治疗青年妇女经迟的体会%Experience on Auricular Plaster combined with Ginger Moxibustion in the Treatment of Delayed Menstrual Cycle of Young Women

    Institute of Scientific and Technical Information of China (English)

    朱茜

    2016-01-01

    Objective To observe the effect of auricular plaster combined with ginger moxibustion in the treatment of delayed menstrual cycle of young women. Methods 30 cases of female patients with delayed menstrual cycle were selected. Their age are 20 years old to 40 years old. They were treated with auricular point sticking combined with ginger moxibustion. Results The total effective rate was 93. 33%. Conclusion The auricular plaster combined with ginger moxibustion in the treatment of delayed menstrual cycle of young women has clinical curative effect, and the operation method is simple and convenient. In clinical medication, there were no toxic side effects. It is convenient for the promotion in primary hospitals.%目的:观察耳穴贴压配合隔姜灸治疗年轻妇女经迟的疗效。方法选取年轻的经迟女性患者30例,年龄段为20岁~40岁,采用耳穴贴压联合隔姜灸进行治疗。结果总有效率达93.33%。结论耳穴贴压配合隔姜灸治疗年轻妇女经迟的疗效肯定,操作方法简单便捷,临床用药中,未见有毒副作用的案例,方便基层医院推广。

  12. The Auricular Beans on the Recovery of Gastrointestinal Function after Abdominal Surgery%耳穴埋豆对外科术后胃肠功能腹胀恢复的探讨

    Institute of Scientific and Technical Information of China (English)

    张兆莉

    2014-01-01

    目的:观察耳穴埋豆对术后胃肠功能腹胀恢复的效果。方法:将80例患者分为对照组和试验组,对照组给予常规护理,试验组在常规护理基础上采用耳穴埋豆治疗。结果:试验组的腹胀发生率低于对照组,肠蠕动恢复及肛门排气时间均早于对照组。结论:耳穴埋豆法能有效降低腹胀的发生率。%Objective:To observe the effect of auricular beans on the recovery of gastrointestinal function in postoperative abdominal distension. Method:80 patients were divided into control group and experimental group.The control group was given routine nursing,the experimental group was given auricular beans on the basis of conventional care buried treatment.Result:In the experimental group,the incidence of abdominal distension was lower than the control group,the intestinal peristalsis and anus exhaust time were earlier than that of the control group.Conclusion:Auricular bean method can effectively reduce the incidence of abdominal distension.

  13. Aspectos clínicos e macroscópicos da palatoplastia imediata com implante de cartilagem da pina articular, conservada em glicerina a 98%, após indução experimental de fenda palatina em cães Clinic and macroscopic view of immediate palatoplasty with auricular pinna cartilage preserved in 98% glycerin in canine experimental palat cleft

    Directory of Open Access Journals (Sweden)

    Emerson Antônio Contesini

    2003-02-01

    Full Text Available Os defeitos de espessura completa do palato que resultam em comunicação oro-nasal raramente cicatrizam espontaneamente. Eles requerem reparo cirúrgico, porém, pode ser difícil obter cicatrização satisfatória devido às condições próprias das cavidades nasal e oral. Neste experimento, foram utilizados 14 cães, reunidos em dois grupos de igual número. Todos animais foram submetidos à indução de fenda palatina experimental. O grupo G1 foi o controle, cuja palatoplastia foi realizada a partir da confecção de "flap" muco-periósteo. No grupo G2, foi utilizada cartilagem da pina auricular conservada em glicerina a 98% entre o osso palatino e o muco-periósteo. Os animais foram avaliados macroscopicamente quanto ao processo cicatricial, por radiografias para a regeneração óssea e por rinoscopia para observar a regeneração da mucosa nasal. Foi observada a cicatrização da mucosa oral a partir do 10º dia, com deiscência de sutura em dois animais do grupo G1. A radiografia demonstrou evolução na cicatrização óssea, num processo mais acelerado no grupo G2 quando comparado ao grupo G1. A rinoscopia revelou, aos 60 dias, completa regeneração da mucosa nasal em ambos os grupos. Ao final do período de avaliação foi observada macroscopicamente, completa fusão óssea nos animais do grupo G2 e incompleta nos do grupo G1, o que demonstrou a interferência benéfica do implante no processo cicatricial do grupo G2.The incomplete defects of hard palate result in oro-nasal fistula seldom cure themselves in a spontaneous way, due to limited condition in oral and nasal cavity it may be difficult to obtain satisfactory cicatrization, requiring surgery to interfere in the healing process. Fourteen dogs arranged in two groups were submitted to experimental hard palate cleft. The G1 group was the control group, in which palatoplasty was achieved with mucous-periosteum flap. In the G2 group, a preserved at 98% glycerin auricular pinna

  14. Por mil devaluados pesos

    Directory of Open Access Journals (Sweden)

    Annie Rodríguez Collázos

    2013-03-01

    Full Text Available El estudio de lo popular y lo urbano hasta ahora se ha centrado en el comportamiento y en algunas relaciones de los habitantes con su entorno. “Por mil devaluados pesos. Publicidad popular y urbana”, pretende explorar las formas de publicidad, dispersas en diferentes espacios populares y urbanos en Bogotá, identificando esquemas y formas características de sus propios códigos comunicativos; se centran en un objeto de estudio consistente en las estrategias publicitarias y los códigos comunicativos en los mensajes publicitarios populares en las subculturas de San Victorino, 7 de Agosto y Sanandresito de San José.

  15. Aprendizaje significativo por competencias

    OpenAIRE

    Acevedo Tovar, Luz Marina; Universidad Nacional Mayor de San Marcos

    2014-01-01

    Los cambios que desde hace un tiempo se han venido produciendo en educación, han dado lugar a la aparición de nuevos conceptos o a la modificación del significado de algunos térmi¬nos. Dos de estos conceptos, son los de aprendizaje significativo y competencias ¿Qué es realmente aprendizaje significativo?; ¿existe una oposición entre aprendizaje signifi¬cativo y aprendizaje repetitivo?- ¿el aprendizaje significativo es posible sólo por competen¬cias?.- Intentaré responder a estos interrogantes...

  16. Onicomicosis por hongos fuliginosos

    OpenAIRE

    Ingrid Salas-Campos; Norma T Gross-Martinez; Pedro J Carrillo-Dover

    2009-01-01

    Justificación y objetivo: Las infecciones de las uñas producidas por hongos son un problema de frecuente consulta dermatológica. Los dermatofitos son la mayor causa de estas infecciones, siendo Trichophyton rubrum el agente etiológico más importante. Sin embargo, los hongos no dermatofitos, tanto hialinos como fuliginosos, pueden ser también responsables de estos cuadros clínicos. Debido a que estos hongos tienden a ser resistentes a los antimicóticos comúnmente usados para tratar las onicomi...

  17. A modified approach to remain major auricular nerve and parotid fascia in parotidectomy%腮腺筋膜和耳大神经保留的改良方法

    Institute of Scientific and Technical Information of China (English)

    李明月; 张伟; 刘宁; 陈方文

    2009-01-01

    目的:介绍一种腮腺切除术中保留耳大神经和腮腺筋膜的改良方法.方法:取常规S形切口,在腮腺筋膜浅面先向前游离皮瓣至腮腺近前缘,再于耳垂前1cm处纵形切开腮腺筋膜,在腮腺筋膜深面、腮腺组织表面向后游离至胸锁乳突肌,形成皮肤筋膜瓣.在游离过程中,将耳大神经主干及耳垂支、耳后支保留在皮肤筋膜瓣上,最后向前游离筋膜瓣.完成腮腺切除后,将前、后腮腺筋膜瓣折叠,拉紧缝合.结果:45/46例患者获得随访.术后3例分别在5个月、9个月和11个月出现轻度Frey综合征.9例术后出现耳垂暂时麻木,1~3个月后恢复感觉.下颌后凹陷不明显,无涎瘘发生.结论:改良的手术方法能完好地保留腮腺筋膜和耳大神经耳垂支、耳后支,显著降低相应并发症的发生.%PURPOSE: To introduce a new method of remaining major auricular nerve and parotid fascia in parotideetomy. METHODS: Traditional S-shaped incision was used, the skin flap was separated to the anterior border of the parotid gland on the superfieial of parotid fascia, then the deep parotid fascia was cut longitudinal in front of the auricular lobule. After that, the skin flap was separated backward to the stem cleidomastoid museles. The major auricular nerve and its two branches were kept in the skin flap. Finally, the fascia flap was freed forward, the two sides of the parotid fascia were drawn tight and sutured together. RESULTS: 45 out of 46 patients were followed up, 3 of them developed Frey's syndrome, and 11 months after surgery, respectively; 9 patients had temporary auricular lobule numb and recovered 1 to 3 months later. No salivary fistula was noted. CONCLUSIONS: The new approach can remain parotid fascia and major auricular nerve branches completely with minor complications.

  18. Análisis de coste-utilidad del manejo de la fibrilación auricular concomitante en España Cost-utility analysis of concomitant atrial fibrillation management in Spain

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    María Jesús López Gude

    2010-01-01

    Full Text Available Objetivos: La fibrilación auricular (FA es la arritmia más común en la práctica clínica; es un factor de riesgo de accidente cerebrovascular (ACV, y está asociada a una importante morbilidad y mortalidad. Nuestro objetivo fue realizar un análisis de coste-utilidad de las diferentes opciones de tratamiento en pacientes >40 años con FA concomitante con valvulopatía mitral en España, desde la perspectiva del Sistema Nacional de Salud. Métodos: Se realizó una evaluación económica mediante un modelo de Markov con cuatro estados de salud (ritmo sinusal, FA, ACV dependiente, muerte simulando una cohorte de 1.000 pacientes en cada opción de tratamiento más cirugía de válvula mitral (tratamiento farmacológico, ablación quirúrgica y ablación por catéter. El horizonte temporal fue de 5 años, con ciclos de 3 meses. Los datos de costes y efectos se obtuvieron de la revisión de la literatura y de la opinión de expertos clínicos, descontados al 3,5% anual. Se realizó un análisis de sensibilidad probabilístico para determinar la robustez de nuestros resultados. Resultados: Los años de vida ajustados por calidad (AVAC ganados fueron 3,29, 3,89 y 3,83, respectivamente, para las alternativas de no ablación, ablación quirúrgica y ablación por catéter. Los costes por paciente fueron de 5.770€, 10.034€ y 11.289€, respectivamente. La razón coste/AVAC de ablación quirúrgica frente a no ablación fue de 7.145€. La ablación quirúrgica resultó dominante frente a la ablación por catéter. El análisis probabilístico de sensibilidad mostró que los resultados del modelo fueron robustos. Conclusiones: La ablación quirúrgica es una opción de tratamiento coste-efectiva en los pacientes con FA concomitante, con una razón coste-efectividad por debajo del umbral de eficiencia comúnmente aceptado en España.Objectives: Atrial fibrillation (AF is the most common arrhythmia in clinical practice; this disorder is a risk factor

  19. Sepsis por shigella flexneri

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    César Cabrera C

    2005-04-01

    Full Text Available Se presenta un caso raro de sepsis por Shigella flexneri en una paciente de 45 años de edad quien estando hospitalizada para el estudio de un tumor cerebral, requirió el uso de manitol y dosis altas de corticoides; luego de ello presenta deposiciones líquidas con moco y sangre, desarrolla síndrome de respuesta inflamatoria sistémica, luego se aísla Shigella flexneri en el hemocultivo; recibió tratamiento antibiótico con ciprofloxacina. Se describen las características del caso y se comenta de acuerdo con la revisión de literatura.

  20. Pasos por la salud

    OpenAIRE

    Fierro Rojas, Carlos

    2013-01-01

    Pasos por la Salud surge como un proyecto (mismo que derivara una estrategia de atención) que establece el Departamento de Educación Física Valle de México, para fortalecer la aplicación del programa de Educación Física en Educación Básica, fomentará la práctica del ejercicio físico hacia la promoción de la salud, brindará a los alumnos elementos teóricos y bases metodológicas que le ayuden a comprender los beneficios de salud que producen la práctica del ejercicio, concientizar al alumno de ...

  1. Onicomicosis por hongos fuliginosos

    Directory of Open Access Journals (Sweden)

    Ingrid Salas-Campos

    2009-12-01

    Full Text Available Justificación y objetivo: Las infecciones de las uñas producidas por hongos son un problema de frecuente consulta dermatológica. Los dermatofitos son la mayor causa de estas infecciones, siendo Trichophyton rubrum el agente etiológico más importante. Sin embargo, los hongos no dermatofitos, tanto hialinos como fuliginosos, pueden ser también responsables de estos cuadros clínicos. Debido a que estos hongos tienden a ser resistentes a los antimicóticos comúnmente usados para tratar las onicomicosis, es que se hace indispensable que el clínico se asegure por medio de un examen de laboratorio de la etiología de la infección. Métodos: Se estudiaron tres casos de pacientes con lesiones en uñas, que acudieron al laboratorio de Micología Médica, Facultad de Microbiología, Universidad de Costa Rica. Se realizaron los análisis de rutina para aislamiento e identificación de hongos patógenos. Resultados: En los tres casos estudiados se observó al examen directo micelio fuliginoso. En uno de los casos se aisló e identificó Scytalidium dimidiatum, hongo que presenta resistencia a los antifúngicos utilizados para tratar onicomicosis. Conclusión. El reporte de hongos diferentes a los dermatofitos como agentes etiológicos de onicomicosis es importante para que el médico pueda elegir el tratamiento más recomendado para este tipo de infección.

  2. Motivado por cirujanos

    Directory of Open Access Journals (Sweden)

    Carlos Salazar-Vargas

    2010-12-01

    Full Text Available Comenzaba la década de los 60 y nuestro grupo nerviosamente iniciaba lecciones en los hospitales de San José. En aquellos años, el estudiante de medicina empezaba su contacto con pacientes, por lo menos 1 ó 2 años después de iniciada la carrera. El estudio del ser humano normal que ya habíamos concluido, continuaba con el del enfermo, y más adelante aprenderíamos el tratamiento. La enfermedad descrita en el libro, de pronto se convertía en un enfermo, y es a este quien hoy veíamos, cohibido pero inquisidor, en la cama de un hospital. Los profesores nos enseñaban a interrogar y a examinar a los pacientes, y cada gesto suyo, cada pregunta, cada maniobra, eran celosamente guardados en la memoria de los educandos. Con claridad percibíamos, aun a temprana edad, las diferencias entre los especialistas, y casi de manera involuntaria, cada quien iba tomando partido y escogía su futuro camino. Fue durante esos tempranos años, cuando mi vida se cruzó con la de 7 maravillosas personas y excelentes cirujanos, que marcaron para siempre mi destino y, sin quererlo ellos, me hicieron inclinarme por la cirugía. Dos eran serios y profundamente académicos: el Dr. Manuel Aguilar Bonilla y el Dr. Vesalio Guzmán Calleja; 3, decididos, incansables y muy hábiles: el Dr. Longino Soto Pacheco, el Dr. Claudio Orlich Carranza y el Dr. Carlos Prada Díaz, y 2, abordables, prácticos, joviales y amistosos: el Dr. Fernando Valverde Soley y el Dr. Randall Ferris Iglesias….

  3. Sino-European Transcontinental Basic and Clinical High-Tech Acupuncture Studies—Part 1: Auricular Acupuncture Increases Heart Rate Variability in Anesthetized Rats

    Directory of Open Access Journals (Sweden)

    Xin-Yan Gao

    2012-01-01

    Full Text Available Evidence-based research concerning the effects of high-tech acupuncture on autonomic function was performed by two research teams from China and Austria. This study describes the first transcontinental teleacupuncture measurements in animals. Heart rate (HR and heart rate variability (HRV recordings in 10 male Sprague-Dawley anesthetized rats were performed under stable conditions in Beijing, China, and the data analysis was completed in Graz, Austria. The electrocardiograms (ECGs were recorded by an HRV Medilog AR12 system during acupuncture of the ear and body (PC6 Neiguan, CV12 Zhongwan, ST36 Zusanli. The data were analyzed using specially adapted novel Austrian software. HR did not change significantly during any acupuncture stimulation in anesthetized rats (ear acupuncture, PC6, CV12, or ST36. Total HRV only changed significantly (P=0.025 during auricular acupuncture (acupoint heart. The low-frequency/high-frequency ratio parameter decreased significantly (P=0.03 during stimulation of ST36. This change was based on intensification of the related mechanism of blood pressure regulation that has been demonstrated in previous studies in humans. Modernization of acupuncture research performed as a collaboration between China and Austria has also been demonstrated.

  4. Auricular Acupuncture Versus Progressive Muscle Relaxation in Patients with Anxiety Disorders or Major Depressive Disorder: A Prospective Parallel Group Clinical Trial

    Directory of Open Access Journals (Sweden)

    Lukas de Lorent

    2016-08-01

    Full Text Available Although acupuncture treatment is increasingly in demand among psychiatric patients, to date no studies have investigated the effectiveness of auricular acupuncture (AA in treating anxiety disorders or major depressive disorder. Thus, this study aimed to compare the effectiveness of AA versus progressive muscle relaxation (PMR, a standardized and accepted relaxation method. We examined 162 patients with a primary diagnosis of anxiety disorder or major depressive disorder, and each patient chose between treatment with AA, executed according to the National Acupuncture Detoxification Association protocol, and treatment with PMR. Each group had treatments twice a week for 4 weeks. Before and after treatment, each participant rated four items on a visual analog scale: anxiety, tension, anger/aggression, and mood. Statistical analyses were performed with the original visual analog scale scores and the Change-Intensity Index, an appropriate indicator of the difference between two values of a variable. Our results show that treatment with AA significantly decreased tension, anxiety, and anger/aggression throughout the 4 weeks, but did not elevate mood. Between AA and PMR, no statistically significant differences were found at any time. Thus, we suggest that both AA and PMR may be useful, equally-effective additional interventions in the treatment of the above-mentioned disorders.

  5. Sino-European transcontinental basic and clinical high-tech acupuncture studies-part 1: auricular acupuncture increases heart rate variability in anesthetized rats.

    Science.gov (United States)

    Gao, Xin-Yan; Liu, Kun; Zhu, Bing; Litscher, Gerhard

    2012-01-01

    Evidence-based research concerning the effects of high-tech acupuncture on autonomic function was performed by two research teams from China and Austria. This study describes the first transcontinental teleacupuncture measurements in animals. Heart rate (HR) and heart rate variability (HRV) recordings in 10 male Sprague-Dawley anesthetized rats were performed under stable conditions in Beijing, China, and the data analysis was completed in Graz, Austria. The electrocardiograms (ECGs) were recorded by an HRV Medilog AR12 system during acupuncture of the ear and body (PC6 Neiguan, CV12 Zhongwan, ST36 Zusanli). The data were analyzed using specially adapted novel Austrian software. HR did not change significantly during any acupuncture stimulation in anesthetized rats (ear acupuncture, PC6, CV12, or ST36). Total HRV only changed significantly (P = 0.025) during auricular acupuncture (acupoint heart). The low-frequency/high-frequency ratio parameter decreased significantly (P = 0.03) during stimulation of ST36. This change was based on intensification of the related mechanism of blood pressure regulation that has been demonstrated in previous studies in humans. Modernization of acupuncture research performed as a collaboration between China and Austria has also been demonstrated.

  6. Auricular Acupuncture Versus Progressive Muscle Relaxation in Patients with Anxiety Disorders or Major Depressive Disorder: A Prospective Parallel Group Clinical Trial.

    Science.gov (United States)

    de Lorent, Lukas; Agorastos, Agorastos; Yassouridis, Alexander; Kellner, Michael; Muhtz, Christoph

    2016-08-01

    Although acupuncture treatment is increasingly in demand among psychiatric patients, to date no studies have investigated the effectiveness of auricular acupuncture (AA) in treating anxiety disorders or major depressive disorder. Thus, this study aimed to compare the effectiveness of AA versus progressive muscle relaxation (PMR), a standardized and accepted relaxation method. We examined 162 patients with a primary diagnosis of anxiety disorder or major depressive disorder, and each patient chose between treatment with AA, executed according to the National Acupuncture Detoxification Association protocol, and treatment with PMR. Each group had treatments twice a week for 4 weeks. Before and after treatment, each participant rated four items on a visual analog scale: anxiety, tension, anger/aggression, and mood. Statistical analyses were performed with the original visual analog scale scores and the Change-Intensity Index, an appropriate indicator of the difference between two values of a variable. Our results show that treatment with AA significantly decreased tension, anxiety, and anger/aggression throughout the 4 weeks, but did not elevate mood. Between AA and PMR, no statistically significant differences were found at any time. Thus, we suggest that both AA and PMR may be useful, equally-effective additional interventions in the treatment of the above-mentioned disorders.

  7. Situación del riesgo de embolia y de hemorragia según las escalas CHADS₂, CHA₂DS₂-VASc y HAS-BLED en pacientes con diagnóstico de fibrilación auricular crónica, en un centro de salud de Madrid

    OpenAIRE

    Fernández Arranz, María

    2016-01-01

    La fibrilación auricular (FA) es la arritmia sostenida más frecuente en la práctica clínica, consistente en la desorganización total de la actividad eléctrica de la aurícula y ausencia de contracción auricular ordenada. Las últimas guías americanas AHA/ACC/HRS del 2014 definen “fibrilación auricular no valvular” (FANV) como aquella que aparece en ausencia de estenosis mitral reumática, prótesis valvular cardíaca o reparación valvular mitral, que en la FA en la que basamos este trabajo. La pre...

  8. Sociedad por Acciones Simplificada

    Directory of Open Access Journals (Sweden)

    Carlos Andrés Arcila Salazar

    2009-06-01

    Full Text Available En Colombia, aspectos como la responsabilidad limitada; supresión de la llamada doctrina de ultra vires; duración ilimitada; eliminación de la regla, una acción, un voto; remedios al abuso de los derechos; posibilidad de eliminar prohibiciones a los administradores, libertad de establecer restricciones para la transferencia de acciones y la simplificación de los procedimientos de fusión; son inviables bajo nuestra legislación. Sin embargo, la Ley 1258 de 2008, ha incorporado al derecho societario colombiano un nuevo tipo societario híbrido, llamado “Sociedad por Acciones Simplificada”. Esta forma societaria híbrida se basa en un principio básico: garantizar amplia libertad a los empresarios en la estructuración de sus relaciones a través de disposiciones contractuales. La S.A.S. provee a los empresarios significativa flexibilidad contractual, a la vez que preserva beneficios como la limitación de la responsabilidad.

  9. Sociedad por Acciones Simplificada

    Directory of Open Access Journals (Sweden)

    Carlos Andrés Arcila Salazar

    2009-07-01

    Full Text Available En Colombia, aspectos como la responsabilidad limitada; supresión de la llamada doctrina de ultra vires; duración ilimitada; eliminación de la regla, una acción, un voto; remedios al abuso de los derechos; posibilidad de eliminar prohibiciones a los administradores, libertad de establecer restricciones para la transferencia de acciones y la simplificación de los procedimientos de fusión; son inviables bajo nuestra legislación. Sin embargo, la Ley 1258 de 2008, ha incorporado al derecho societario colombiano un nuevo tipo societario híbrido, llamado “Sociedad por Acciones Simplificada”. Esta forma societaria híbrida se basa en un principio básico: garantizar amplia libertad a los empresarios en la estructuración de sus relaciones a través de disposiciones contractuales. La S.A.S. provee a los empresarios significativa flexibilidad contractual, a la vez que preserva beneficios como la limitación de la responsabilidad.

  10. 耳穴贴压结合心理护理对患者失眠状态的影响%The Effect of Auricular Application Pressure Combined with Psychological Care on the Insomnia State of Patients with Insomnia

    Institute of Scientific and Technical Information of China (English)

    陈秀娟

    2015-01-01

    Objective: To observe the effect of auricular application pressure combined with psychological nursing on the insomnia state of pa-tients with insomnia.Methods:172 cases of insomnia were randomly divided into the treatment group and the control group , 86 cases in each group.The treatment group was treated with auricular application pressure and psychological care and the control group was given estazolam or neu-roleptic treatment and conventional care, with the clinical efficacy compared between the two groups 2 months after the treatment.Results:The to-tal effective rate in the treatment group was 97.67% and that in the control group was 74.42 %, with a significant difference between the two group ( P <0.05).Conclusion: Auricular application pressure combined with psychological nursing can bring about an curative effect on patients with insomnia.%目的:观察耳穴贴压结合心理护理治疗患者失眠的临床疗效。方法:选择失眠患者172例,随机分为治疗组和对照组,每组86例,治疗组予耳穴贴压治疗和心理护理;对照组予艾司唑仑或安定治疗和常规护理;治疗2个月后,比较两组患者的临床疗效。结果:治疗组总有效率为97.67%,对照组总有效率为74.42%,两组比较差异有统计学意义( P <0.05)。结论:耳穴贴压结合心理护理对患者失眠有效。

  11. Clinical Study of Auricular Plaster Therapy for Post-laparoscopic Cholecystectomy Nausea and Vomiting%耳穴压豆缓解腹腔镜胆囊切除术后恶心、呕吐的临床研究

    Institute of Scientific and Technical Information of China (English)

    费华华; 贾丽萍

    2015-01-01

    目的:观察耳穴压豆缓解腹腔镜胆囊切除术后恶心、呕吐的效果。方法将240例腹腔镜胆囊切除术患者随机分为治疗组和对照组,每组120例。两组均采用常规护理,治疗组在此基础上给予耳穴压豆治疗。观察两组恶心、呕吐发生情况。结果治疗组恶心、呕吐发生率为46.7%,对照组为60.8%,两组比较差异具有统计学意义(P<0.05)。结论耳穴压豆法能缓解腹腔镜胆囊切除术后患者恶心、呕吐症状。%Objective To investigate the efficacy of auricular plaster therapy for post-laparoscopic cholecystectomy nausea and vomiting. Methods Two hundred and forty laparoscopic cholecystectomy patients were randomly allocated to treatment and control groups, 120 cases each. Both groups received routine nursing care. In addition, the treatment group received auricular plaster therapy. The incidence of nausea and vomiting was observed in the two groups.Results The incidence of nausea and vomiting was 46.7% in the treatment group and 60.8% in the control group; there was a statistically significant difference between the two groups (P<0.05).Conclusion Auricular plaster therapy can relieve postoperative nausea and vomiting in laparoscopic cholecystectomy patients.

  12. 耳穴疗法干预调理体质偏颇患者1477例临床研究%Clinical research on auricular point therapy for 1477 cases of biased constitution

    Institute of Scientific and Technical Information of China (English)

    刘继洪; 张年; 宋少英; 梁伟杰; 余志映; 岑宝英

    2013-01-01

    目的:基于治未病思想,观察耳穴疗法对体质偏颇患者的疗效.方法:采用自身对照方式,对1477例体质偏颇患者运用耳穴贴压或针刺疗法进行调理,并进行随访追踪、统计学分析,观察其疗效.结果:显效322例,有效914例,无效241例,总有效率为83.7%(1236/1477).结论:耳穴综合疗法对体质偏颇患者具有明显疗效,且操作简便,易被患者接受,可推广成为一种新的养生保健干预方式,是治未病领域的一个新方向.%Objective To observe the efficacy of biased constitution patients treated by auricular point therapy on the basis of "preventive treatment" theory. Methods By means of self-control, 1477 cases of biased constitution were regulated by auricular point sticking therapy or acupuncture, and follow-up and statistical analysis were conducted to observe the efficacy. Results There were 322 markedly effective patients, 914 effective patients, 241 failed patients and the total effective rate was 83. 7% (1236/1477). Conclusion The comprehensive auricular treatment which is easy to operate and acceptable for patients has obvious effect in biased constitution patients. As a new direction of the "preventive treatment" theory, it can be promoted to be a new intervention way of health care.

  13. The Kidney Strong Soup Auricular Acupressure Treatment of Postmenopausal Osteoporosis Clinical Research%补肾强骨汤联合耳穴贴压治疗绝经后骨质疏松症临床研究

    Institute of Scientific and Technical Information of China (English)

    吴建新; 洪澜; 王晔

    2013-01-01

    Objective:To study Bushen strong bone soup combined auricular acupressure treatment effect of postmenopausal osteoporosis . Methods:The patients were divided into combination therapy group, the Bushen strong bone soup treatment group , auricular acupressure treatment group, the control group , positive drug group . were respectively treated . Results:The combined treatment group compared to the other group which was significant therapeutic effect , compared to positive group no diversity.Conclusion:The Bushen strong bone soup combined auricular acupressure treat postmenopausal osteoporosis,is worthed of promotion.%  目的:研究补肾强骨汤联合耳穴贴压法治疗绝经后骨质疏松症的临床疗效。方法:将患者分为联合治疗组、补肾强骨汤治疗组、耳穴贴压法治疗组、空白对照组、阳性药物组。分别对其进行治疗。结果:联合治疗组相比于补肾强骨汤治疗组、耳穴贴压法治疗组都有明显的治疗作用,同阳性药物组效果没有差异。结论:补肾强骨汤联合耳穴贴压法对治绝经后骨质疏松症比阿仑膦酸钠不良反应少。

  14. 耳穴按压结合电针治疗中风后焦虑症90例%Auricular Acupressure Combined with Electroacupuncture in the Treatment of Post-stroke Anxiety Disorder:Analysis of 90 Cases

    Institute of Scientific and Technical Information of China (English)

    孙姜云; 孙远征

    2014-01-01

    目的:观察耳穴按压结合电针治疗中风后焦虑症的临床疗效。方法:90例中风后焦虑患者在基础针刺及口服西药黛力新的基础上,进行耳穴按压及电针的治疗,根据汉密尔顿焦虑量表( HAMA )、生活自理能力评定Barthel指数(BI)的评分变化来评价疗效。结果:经过治疗后,总有效率为85.56%,自理能力均明显增强。结论:耳穴按压结合电针是治疗中风后遗焦虑症的有效方法。%Objective:To investigate the clinically curative effect of the auricular acupressure combined with electroacupuncture treatment on patients with anxiety disorders after stroke.Methods:Ninety patients with anxi-ety disorders after stroke received oral paroxetine and basic acupuncture treatment as well as the auricular acu-pressure combined with electroacupuncture treatment.Anxiety levels and patients’ conditions were assessed by the score of Hamilton Anxiety Scale ( HAMA) and Barthel Index( BI) before and after treatment.Results:After the treatment,the total effective rate was 85.56%,and self-care ability improved significantly.Conclusion:The auricular acupressure combined with electroacupuncture treatment is an effective therapy for anxiety disor-ders after stroke.

  15. Treating one case of intractable insomnia by acupuncture, bloodletting in auricular point plus sharp-eared%针刺、耳穴配合耳尖放血治愈顽固性失眠1例

    Institute of Scientific and Technical Information of China (English)

    王燕; 陈华德

    2012-01-01

      With the accelerating pace of biochemical, various pressure is unexpected. The Insomnia becomes a common clinical disease. Acupuncture, bloodletting in auricular point plus sharp-eared is effective in treating insomnia.%  随着生化节奏的不断加快,各种压力突如其来,失眠成为临床常见疾病。运用针刺、耳穴配合耳尖放血治疗失眠取得良好地疗效。

  16. Effects of auricular point sticking therapy on sleep in the middle-aged patients of insomnia%耳穴贴压对中年失眠症患者睡眠功能的影响

    Institute of Scientific and Technical Information of China (English)

    胡伟; 李萍; 贾海鹏; 黄启军

    2010-01-01

    Objective To compare therapeutic effect of auricular point sticking therapy and western medication on insomnia in the middle-aged patients. Methods Sixty-three middle-aged patients of insomnia were randomly divided into an auricular point sticking group(n=32) and a Diazepam group(n=31). In the auricular point sticking group, auricular point sticking was given at auricular points Gan(liver), Pi(spleen), Shenmen on one side; and in the Diazepam group, 2.5 mg Diazepam was orally administrated, once each day. The clinical therapeutic effects, Pittsburgh Sleep Quality Index (PSQI) and the Athens Insomnia Scale (AIS) scores were compared before and after treatment in the two groups. Results After treatment for 4 weeks, the total effective rate of 90.6%(29/32) in the auricular point sticking group was better than 61.3%(19/31) in the Diazepam group (P<0.01); the scores of all items in PSQI in the auricular point sticking group, and the sleep quality, sleep time and the total score in the Diazepam group were significantly decreased (all P<0.01); the auricular point sticking group in improvement of sleep quality, falling asleep time, sleep efficacy, somnipathy, hypnotic use, daytime dysfunction and the total score in PSQI, and early awaking, total sleep time, daytime emotion, daytime state, daytime sleepy in AIS was superior to the Diazepam group (P<0.05, P<0.01). Conclusion Auricular point sticking therapy has a good therapeutic effect on insomnia which is better than oral Diazepam.%目的:比较耳穴贴压和口服西药治疗中年失眠症的疗效差异.方法:选择中年失眠症患者63例,随机分为耳穴贴压组(32例)和地西泮组(31例).耳穴贴压组选取耳穴肝、脾、神门3穴,予单耳耳穴贴压;地西泮组口服地西泮2.5 mg,每日1次.比较两组治疗前后临床疗效、匹兹堡睡眠质量指数和阿森斯失眠量表评分.结果:经过4周治疗后,耳穴贴压组总有效率为90.6%(29/32),优于地西泮组的61.3%(19/31)(P<0

  17. 耳穴贴压治疗原发性失眠的临床研究现状及问题分析%Research Status and Problems Analysis of Auricular Acupressure Treatment for Primary Insomnia

    Institute of Scientific and Technical Information of China (English)

    明彩琴; 袁林; 谭慧娟; 吴曦; 梁繁荣

    2014-01-01

    Objective To investigate the domestic existing problems of clinical research about auricular acupressure treatment for primary insomnia.Methods We reviewed and investigated the domestic research about auricular acupressure treatment of primary insomnia in recent 5 years in diagnostic criteria , intervention, trial design, efficacy and safety evaluation .Results At present, the domestic research about auricular acupressure treatment of primary insomnia has some major disadvantages .For example,the diagnostic criteria is not unified leading to obvious difference in choosing patients; the trial design random , blind method , sethic and registered principle are implemented badly, controls fall behind the clinical practice , the best intervention is not clear , which leading to the inner authenticity of the test results should be treated with caution; efficacy evaluation lack of the gold standard , long-term follow-up, which leading to therapeutic effect evidence is not sufficient , and effect advantage is uncertain .Conclusion The clinical research program about auricular acupressure treatment for primary insomnia should be further standardized in trial design , implementation, quality control in future.%探讨国内耳穴贴压治疗原发性失眠临床研究存在的问题。对近五年国内耳穴贴压治疗原发性失眠的研究按疾病诊断标准、试验设计、干预措施、疗效及安全性评定进行分类综述及问题探讨。目前国内耳穴贴压治疗原发性失眠的临床研究主要存在疾病诊断标准不统一导致患者筛选差异明显;试验设计随机、盲法、伦理及注册原则贯彻较差,对照选择落后临床实际,导致试验结果的内在真实性需谨慎对待;疗效评价缺乏金指标,缺乏随访等,导致疗效证据不充分,效应优势不明确。今后耳穴贴压治疗原发性失眠的临床研究需在设计、实施和质量控制方面进一步规范。

  18. Culture and identification of the chondrocytes from auricular cartilage of rhesus monkey%猕猴耳廓软骨细胞的体外培养与鉴定

    Institute of Scientific and Technical Information of China (English)

    张金宁; 王旭东; 杨驰

    2001-01-01

    Objective:To culture the auricular chondrocytes of rhesus monkeyin vitro,and to certify the possibility of auricular cartilage as an ideal donor site for chondrocytes transplantation.Methods:The auricular cartilages of 6 rhesus monkeys were dissected and digested,the chondrocytes were isolated and cultured in F-12 medium.The changes of cellular morphology were investigated with inverted microscope.The cellular activities were studied with immunohistochemistry(IHC).Results:The homogenous,high-activity chondrocytes were harvested and cultured iv vitro successfully and IHC showed that there was no significant difference between type Ⅰ and type Ⅱ collagen stain in 3rd generation.Conclusions:Auricular cartilage of rhesus monkey is an ideal donor site for chondrocytes transplantation.%目的 掌握猕猴耳廓软骨细胞的体外分离、培养和鉴定技术,探讨耳廓软骨作为软骨细胞供区的可行性。材料与方法:对6只猕猴进行耳廓软骨取材、软骨细胞的分离,并行单层贴壁培养。通过倒置显微镜观察细胞生长情况并行细胞生长曲线的绘制;通过免疫组织化学染色对细胞分泌的基质成分进行鉴定。结果:6只猕猴的耳廓软骨经分离后,获得了高纯度、高活性的软骨细胞,并成功地进行了体外培养;软骨细胞倍增时间为98小时;免疫组织化学染色发现体外培养的软骨细胞具有分泌胶原基质的能力,但第三代细胞分泌Ⅰ、Ⅱ型胶原的能力无明显区别。结论:利用猕猴耳廓软骨细胞体外分离及培养,能成功地获得具有体内活性的软骨细胞,耳廓软骨是一种易获取的软骨细胞供区。

  19. UTILIZAÇÃ O DE EQUIPAMENTOS DE PROTEÇÃ O INDIVIDUAL POR FRENTISTAS DE POSTOS DE COMBUSTÍVEIS: CONTRIBUIÇÃ O DA ENFERMAGEM

    Directory of Open Access Journals (Sweden)

    Laurelize Pereira Rocha

    2014-01-01

    Full Text Available Se objetivó identificar la utilización de equipamientos de protección individual, por asistentes/ empleados de gasolineras de la ciudad de Rio Grande-RS. Se trata de un estudio cuantitativo, exploratorio, descriptivo, realizado con 221 trabajadores de 22 estaciones de servicio, por medio de cuestionario y registro de observación no participante y sistemático. Para análisis fueron realizadas estadística descriptiva y el control de calidad de las preguntas, se deo por medio del test Alpha de Cronbach, obteniendos el resultado de 0,96. Se verificó la predominancia de la multifunción y la utilización de botas, delantal, guantes, máscara, lentes, protector auricular y uniforme, conforme autoreferido. La observación confirmó únicamente el uso de botas y uniformes, constatandose inconsistencia. Los puntos planteados demuestran la necesidad de actuación de las enfermeras, a través de acciones de protección y prevención de los riesgos y peligros para la salud del trabajador, estimulando la vigilancia de la salud.

  20. PROPAFENONE FOR SINUS RHYTHM RECOVERY AND SUPPORT IN PATIENTS WITH PERSISTENT FORM OF AURICULAR FIBLILLATION. “PROMETHEUS” – OPENED MULTICENTER STUDY IN RUSSIAN FEDERATION

    Directory of Open Access Journals (Sweden)

    I. G. Fomina

    2006-01-01

    Full Text Available Aim. To study efficiency and safety of propafenone internally used for recovery and support of sinus rhythm in patients with the persistent form of auricular fibrillation (AF. Material and methods. 503 patients with the persistent form of AF, aged 31-68 years were included into multicenter study. Patients were randomized into 2 groups. First group included 285 patients, who were prescribed propafenone (Propanorm, PRO.MED.CS Praha a.s., Czech Republic in a single per oral dose of 600 mg for AF paroxysm relief. Second group included 218 patients, who took propafenone for AF paroxysm prevention in daily dose of 450 mg. Efficiency of sustaining antiarrhythmic therapy was assessed in 1, 3 and 9 months after the treatment started by carrying out daily monitoring of EKG. Results. Propafenone in a single per oral dose of 600 mg leaded to sinus rhythm recovery in 230 (81% patients. Average time for sinus rhythm recovery made up 210±50 minutes. Relief, caused by propafenone within 4 hours after taking the drug, was observed in 182 (64% patients. Propafenone in dose of 450 mg daily lets keep sinus rhythm after 1 month of treatment in 161 patients (74%, after 3 months – in 130 patients (60% and after 9 months – in 98 patients (45%. Effect of preventive antiarythmic therapy within first 3 months of treatment with propafenone can be regarded good, and within 9 months – satisfactory. Conclusion. Propafenone in per oral single dose of 600 mg is an efficient method of sinus rhythm recovery in patients with the persistent form of AF, and its long-term usage in dose 450 mg daily is an efficient and safe method of sinus rhythm support.

  1. Por que sou rondoniano

    Directory of Open Access Journals (Sweden)

    Mércio Pereira Gomes

    2009-01-01

    Full Text Available Numa revisão contextualizada no tempo e projetada pelos seus resultados, a obra do sertanista marechal Cândido Rondon (1867-1958 é avaliada positivamente pela dedicação à causa dos povos indígenas do Brasil, pela formação de uma ética de respeito do brasileiro para com os índios e pela institucionalização do dever do Estado brasileiro de proteger, assistir e ajudar os povos indígenas a manterem-se coesos e autônomos e ao mesmo tempo se projetarem no mundo mais amplo. A vida de Rondon é acompanhada desde a sua formação como cadete da Escola Militar, como membro da Igreja do Apostolado Positivista, como comandante da Expedição Rondon (1907-1930, que levou o telégrafo de Cuiabá a Porto Velho, e especialmente como criador e dirigente-mor do Serviço de Proteção aos Índios (SPI, 1910-1967. Rondon é o criador da expressão "Morrer se preciso for, matar nunca", que pautou a ação de indigenistas brasileiros que fizeram os primeiros contatos com muitos povos indígenas desde 1910. E muitos morreram seguindo essa norma, numa clara demonstração do novo espírito humanista criado pela atitude rondoniana. O indigenismo brasileiro implantado por Rondon teve altos e baixos ao longo de quase cem anos, que hoje prossegue pela Fundação Nacional do Índio (Funai. De fato, muitos povos indígenas perderam suas terras e muitos foram dizimados no século XX, mas os mais de 220 que sobreviveram vêm crescendo em número, obtendo suas terras (13% do território nacional e conquistando novos espaços político-culturais no Brasil.This paper reviews the life and work of Brazilian Indianist Marshall Cândido Rondon. Rondon's life is marked by a profound dedication to the Brazilian Indian cause and to instilling in Brazilians a respect for Indian peoples. He influenced the Brazilian government in shaping a policy of protecting, assisting, and helping Indian peoples retain cohesive, self-determined societies. He also encouraged Indians to

  2. Registro Nacional de Internación por Insuficiencia Cardíaca

    Directory of Open Access Journals (Sweden)

    Raúl Borracci

    2009-01-01

    Full Text Available IntroducciónLa insuficiencia cardíaca representa una de las principales causas de internación con una tasa elevada de complicaciones y cuyo enfoque no parece que haya mejorado en los últimos años.ObjetivosConocer el perfil epidemiológico y clínico, analizar las medidas terapéuticas y la evolución durante la internación y a los 3 meses de pacientes admitidos por insuficiencia cardíaca descompensada.Material y métodosRegistro prospectivo, multicéntrico de pacientes internados por insuficiencia cardíaca descompensada en 31 centros de todo el país que aceptaron la invitación a participar del registro. Se analizaron variables vinculadas con la presentación y la evolución hospitalaria y a los 90 días.ResultadosSe incluyeron 736 pacientes, mediana de edad 74 años (64-82, 41% mujeres, 75% hipertensos, 27% diabéticos, 20% infarto previo, 30% fibrilación auricular crónica, 17% insuficiencia renal crónica, 18% EPOC. Sólo el 29% era de etiología isquémico-necrótica. El 47% había tenido internación en el último año por insuficiencia cardíaca. Las causas de descompensación más frecuentes fueron infecciones, suspensión del tratamiento y transgresión alimentaria.Las formas graves de presentación (shock cardiogénico, edema agudo de pulmón, anasarca representaron el 30%. El 60% de los pacientes se internaron en área crítica. La mediana de permanencia fue de 7 (5-11 días. La mortalidad hospitalaria fue del 8%. A los 90 días, la reinternación fue del 24,5% y la mortalidad posalta fue del 12,8%.ConclusionesEl presente registro confirma que se trata de una población de edad avanzada con una incidencia alta de comorbilidades. Muchas descompensaciones ocurren por factores prevenibles. La tasa de complicaciones es elevada y no se redujo en la última década.REV ARGENT CARDIOL 2009;77:33-39.

  3. Application of acellular dermal matrix and expandedflapin half auricular reconstructionwithrib cartilage grafts%脱细胞真皮及扩张皮瓣在肋软骨移植半耳缺损再造中的应用

    Institute of Scientific and Technical Information of China (English)

    董海江; 王喜梅; 万程; 李想; 张琼阁

    2016-01-01

    BACKGROUND:Traumatic auricle defectsin upper 1/2 or lower 1/2,seriously involve theauricular cartilage and skin blood vessels. The autogenic rib cartilage graft and acelular dermal matrix have good histocompatibility, and expanded flapis a kind of thin and achromatic tissue for skin defect repair. OBJECTIVE:To explore theapplication ofacelular dermal matrix and expanded flap in half auricular reconstruction,and to find out the fine carving and anastomosis of autogenic rib cartilage graftas wel as its similarities with the ear and clinical significance. METHODS:Eight cases of half auricular defects were treated with expanded flap, autogenic rib cartilage graft, fine anastomosisofautogenic rib cartilage graft and residual earfor half auricular reconstruction,during which theacelular dermal matrixwas usedto promote residual ear docking and skul auricle angle formation. The reconstructionwasperformed in three stages:first,anexpander(volume, 80mL)wassubcutaneously implanted attheretro-auricular area;second, the auricular defects were reconstructed with fine rib cartilage graft, acelular dermal matrix and auriculoplasty;finaly, acelular dermal matrixwas usedto promote residual ear docking. Thenthehalf auricular reconstructionwas evaluatedby objective measurement and subjective rating. RESULTS AND CONCLUSION:Half auricular reconstruction was successful in al the eight caseswithout obvious complications, and the cartilage grafts were in good condition.During thefolow-up,thereconstructed auriclewasshapedwel andformed a good involution withtheresidualauricle. In addition, the flange was smooth withoutobviouscolor difference and edema, and its position, size and shape were consistent with those of thecontralateralone. Afterthefolow-up of 6 months, objective indicators showed that the affected side had no significant differencefromthe contralateralone(P> 0.05). In conclusion,theacelular dermal matrixcanobviously decrease the complications of the cartilage grafts

  4. Evaluation of the Immediate Effect of Auricular Acupuncture on Pain and Electromyographic Activity of the Upper Trapezius Muscle in Patients with Nonspecific Neck Pain: A Randomized, Single-Blinded, Sham-Controlled, Crossover Study

    Directory of Open Access Journals (Sweden)

    Andréia Cristina de Oliveira Silva

    2015-01-01

    Full Text Available Background. The aim of the present study was to assess the immediate effects of auricular acupuncture (AA on the electromyographic (EMG activity of the upper trapezius muscle and pain in nonspecific neck pain (NS-NP patients. Twelve patients with NS-NP (NS-NP group and 12 healthy subjects (HS Group were enrolled in a randomized, single-blinded, crossover study. Each subject received a single session of AA and sham AA (SAA. Surface EMG activity was measured in the upper trapezius muscle at different “step contractions” of isometric shoulder elevation (15%, 20%, 25%, and 30% MVC. The outcome measure in patients with NS-NP was based on the numerical pain rating scale (NRS. AA treatment led to a significant decrease in EMG activity in both groups (NS-NP group: p = 0.0001; HS group: p < 0.0001—ANOVA test. This was not the case for the SAA treatment (NS-NP group: p = 0.71; HS group: p < 0.54. Significant decreases (p < 0.001 in the NRS were found for both treatments (AA and SAA. This study demonstrated the immediate effect of auricular acupuncture on the electromyographic activity of the upper trapezius muscle but the effect of this intervention on pain symptoms in patients with nonspecific neck pain was inconclusive.

  5. Evaluation of the Immediate Effect of Auricular Acupuncture on Pain and Electromyographic Activity of the Upper Trapezius Muscle in Patients with Nonspecific Neck Pain: A Randomized, Single-Blinded, Sham-Controlled, Crossover Study.

    Science.gov (United States)

    Silva, Andréia Cristina de Oliveira; Biasotto-Gonzalez, Daniela Aparecida; Dos Santos, Douglas Meira; Melo, Nivea Cristina De; Gomes, Cid André Fidelis de Paula; Amorim, César Ferreira; Politti, Fabiano

    2015-01-01

    Background. The aim of the present study was to assess the immediate effects of auricular acupuncture (AA) on the electromyographic (EMG) activity of the upper trapezius muscle and pain in nonspecific neck pain (NS-NP) patients. Twelve patients with NS-NP (NS-NP group) and 12 healthy subjects (HS Group) were enrolled in a randomized, single-blinded, crossover study. Each subject received a single session of AA and sham AA (SAA). Surface EMG activity was measured in the upper trapezius muscle at different "step contractions" of isometric shoulder elevation (15%, 20%, 25%, and 30% MVC). The outcome measure in patients with NS-NP was based on the numerical pain rating scale (NRS). AA treatment led to a significant decrease in EMG activity in both groups (NS-NP group: p = 0.0001; HS group: p treatment (NS-NP group: p = 0.71; HS group: p treatments (AA and SAA). This study demonstrated the immediate effect of auricular acupuncture on the electromyographic activity of the upper trapezius muscle but the effect of this intervention on pain symptoms in patients with nonspecific neck pain was inconclusive.

  6. 针刺配合耳穴贴压治疗更年期综合症疗效观察%Clinical Observation of Acupuncture Combined with Auricular Acupressure in Treatment of Menopausal Syndrome

    Institute of Scientific and Technical Information of China (English)

    巴正兵; 吴群; 吴松; 吕彬

    2015-01-01

    s:Objective To observe the effect of acupuncture combined with auricular acupressure in treatment of menopausal syndrome. Methods 60patientswererandomlydividedintotwogroups.Thetreatmentgroupreceivedacupuncturecombinedwithauricularacupressure treatment, the control group received Xiaoyao powder, after the end of treatment,the effect was evaluated.Results The total effective rate of treatment group was better than control group (P<0.05).Conclusion Acupuncture combined with auricular acupressure in treatment of menopausal syndrome has remarkable and stable effect ,less side effects.%目的:观察针刺配合耳穴贴压对更年期综合症患者的治疗效果。方法60例更年期综合症患者随机分为两组。治疗组采用针刺配合耳穴贴压治疗,对照组采用口服用逍遥丸治疗,疗程结束后评定疗效。结果治疗组总有效率优于对照组( P<0.05)。结论针刺配合耳穴贴压治疗更年期综合症疗效显著,作用稳定,副作用小。

  7. Efficacy of the auricular plaster therapy on subjective feeling following total knee arthroplasty%耳穴贴压对全膝关节置换患者术后主观体验的影响

    Institute of Scientific and Technical Information of China (English)

    闫智华

    2015-01-01

    Objective: To observe efficacy of the auricular plaster therapy on subjective feeling following TKA. Methods: 60 cases were assigned into the auricular group and control group, 30 cases for each group. The control group took conventional treatment; in the night before surgery, the other group received the auricular plaster therapy more, for 3 days. Controlled indwelt intravenous analgesia run within 48h following surgery. VAS scores at rest were recorded by the VAS pain measurement scale. Sedation and sleep quality were evaluated by Ramsay Sedation Scale and PSQI scores. Results: In 6h, 12h, 24h, 48h, 72h, in the auricular group, the scores of VAS and sedation were lower than those in the control group; and sleep quality was better, with statistically significant difference. Conclusion:Application of the auricular plaster therapy in treating TKA can relieve pain, keep sedation, and improve sleep quality after surgery and postoperative subjective feeling.%目的:观察全膝关节置换术应用耳穴贴压后对患者术后主观体验的影响。方法:将60例患者随机分成耳穴组和对照组,每组各30例。耳穴组患者在常规治疗的基础上,术前晚予耳穴贴压,留埋3d,对照组采用常规治疗,两组患者术后48h内均留置自控静脉镇痛泵。使用 VAS(视觉模拟)疼痛测量尺记录患者静息时 VAS 评分;Ramesay 镇静评分量表和匹兹堡睡眠质量指数(PSQI)进行镇静和睡眠质量评价。结果:耳穴组患者术后6h、12h、24h、48h、72h VAS 评分和镇静评分均低于对照组,差异有统计学意义;耳穴组睡眠质量高于对照组,差异有统计学意义。结论:全膝关节置换围手术期应用耳穴贴压,可减轻术后疼痛,使患者保持镇静,提高术后睡眠质量,改善患者术后主观体验。

  8. 耳穴贴压对腹部手术患者术后疼痛干预的效果观察%Clinical Observation on Auricular-plaster Therapy Intervening Postoperative Pain of the Patients with Abdominal Surgery

    Institute of Scientific and Technical Information of China (English)

    唐秀琴; 王芳; 张海燕

    2014-01-01

    目的:观察耳穴贴压对腹部手术患者术后疼痛干预的临床效果。方法:将腹部手术患者185例采用完全随机法分为耳穴贴压护理干预组(耳压组)93例和对照组92例。2组患者均在术前、术后给予心理干预及常规护理。耳压组患者采用耳穴贴压以缓解疼痛。同时采用“视觉模拟评分法(visual analogue scale, VAS)”评定疼痛程度。观察2组患者术后72小时内伤口疼痛程度、止痛药使用情况、首次肛门排气平均时间等,并比较2组患者平均住院天数。结果:耳穴贴压护理法在减轻腹部手术患者术后伤口疼痛程度及缩短疼痛时间、促进胃肠功能恢复方面明显优于传统护理方法。结论:耳穴贴压护理干预能有效减轻腹部手术患者术后伤口疼痛程度、缩短疼痛时间、减少止痛药使用,并能促进胃肠功能的恢复,尽早肛门排气,能使患者提早进食,加快术后恢复,进而缩短住院天数。%Objective: To study curative effects of auricular-plaster therapy influencing postoperative pain of the patients undergoing abdominal surgery. Methods: All 185 patients were allocated to 93 cases of the intervention group (auricular-plaster therapy group) and 92 cases of the control group by total randomized method. Both groups were administered with psychological intervention and routine care before and after the surgery. The intervention group adopted auricular-plaster therapy to relieve the pain. The degree of the pain was judged by visual analogue scale (VAS). Wound pain degree in 72 hours after the surgery, the conditions of painkillers, average time of first anal exhaust and others of both groups were observed, average hospitalization days of the patients in both groups were compared at the same time. Results: Auricular-plaster therapy was superior to traditional nursing method in relieving wound pain degree of the patients after the surgery, shortening pain time

  9. Effects of auricular acupressure on postoperative complications of laparoscopic surgery and its function of improving the gastrointestinal peristaltic function%耳穴按压对腹腔镜术后胃肠功能恢复的影响

    Institute of Scientific and Technical Information of China (English)

    张阳德; 林伶; 陈紫煜

    2011-01-01

    目的 应用耳穴按压于腹腔镜围手术期治疗,探讨耳穴按压对腹腔镜术后胃肠功能恢复的影响,研究其预防腹腔镜围手术并发症或不良反应的作用.方法 选择2009年7月~2010年6月100例行腹腔镜手术患者并随机分为两组,即耳穴按压组(A组,50例)和对照组(C组,50例),A组患者在自术前24 h至术后3d行耳穴按压,而C组患者不行任何干预,观察两组患者肠呜音恢复时间及肛门首次排气时间;术后并发症如腹胀、呕吐的发生率;术后补救治疗药物使用情况,来评价两组胃肠功能恢复情况.结果 两组患者在年龄,体重,身高,或麻醉时间差异无显着性.耳穴组患者术后肠2音恢复时间,肛门首次排气时间均较对照组显著提前(P<0.05).耳穴按压组患者术后并发症发生率较对照组小,术后止呕药物使用较对照组少(P<0.05).未观察到耳穴按压有明显副作用.结论 耳穴按压可促进术后胃肠功能恢复,并有效预防腹腔镜术后并发症,值得临床推广和进一步研究.%[ Objectives ] To evaluate auricular acupressure's function of improving the gastrointestinal peristaltic function and investigate its influence on postoperative complications of laparoscopic surgery. [Methods] From July 2009 to June 2010,100 patients after laparoscopic operation were enrolled in and randomly divided into two groups, auricular acupressure group (Group A, 50 cases) and control group (Group C, 50 cases). In Group A, the patients were treated with auricular acupressure preoperatively and postoperatively. In Group C, the patients were treated by non nonintervention. The effects of auricular acupressure on postoperative complications and its function of improving the gastrointestinal peristaltic function in each group were analyzed and evaluated. [ Results ] The bowel sound recovery time and the postoperative exhaust time in Group A was statistically earlier than that in Group C (P <0.05). The

  10. Debating some issues on the national standard Standardized Manipulation of Acupuncture and Moxibustion,Part 3:Auricular Acupuncture%国家标准《针灸技术操作规范第3部分:耳针》的若干问题研讨

    Institute of Scientific and Technical Information of China (English)

    李桂兰; 郭义; 陈泽林; 李桂华

    2009-01-01

    从耳针操作规范化研究编制的意义、科学性及关键问题三方面对国家标准编制中的主要难点与争议问题进行探讨,主要包括:怎样规范耳针操作;标准制定的依据与科学性;术语和定义的选择;为何仅规范4种耳针的操作方法等.进一步提出了需要研究和完善的问题.%The main difficulties and disputable problems on develping the national standard Standardized Manipulation of Acupuncture and Moxibustion, Part 3: Auricular Acupuncture are debated in this paper from the three aspects of its meaning, scientific basis and key point. The difficult points mainly include manipulation standandization of auricular acupuncture, basis and science of the standards stipulated, selection of technical terms and definition, and why only the four kinds of manipulations are used for auricular acupuncture. Finally, the authors suggest that the Standardized Manipulation of Acupuncture and Moxibustion , Part 3: Auricular Acupuncture needs further to be studied and improved.

  11. Porøse materialer

    DEFF Research Database (Denmark)

    Hansen, Ernst Jan de Place

    2000-01-01

    Dette undervisningsnotat er en samling af noter, der refererer til den indledende del af kurset Materialmekanik og Porøse materailer på Insitut for Bærende Konstruktiner og Materialer (BKM).......Dette undervisningsnotat er en samling af noter, der refererer til den indledende del af kurset Materialmekanik og Porøse materailer på Insitut for Bærende Konstruktiner og Materialer (BKM)....

  12. Colecistitis aguda por Streptococcus constellatus

    OpenAIRE

    M Sandra Gómez-Canosa; Cristina Lijó-Carballeda; Begoña Vázquez-Vázquez; M José Bello-Peón

    2016-01-01

    Presentamos el caso de una paciente de edad avanzada y significativa comorbilidad que se diagnosticó de colecistitis aguda por Streptococcus constellatus. El drenaje de la vesícula biliar por colecistostomía percutánea, asociado a penicilinas, ha conseguido una evolución favorable. We report the case of a patient of advanced age and significant comorbidity diagnosed acute cholecystitis by Streptococcus constellatus. Gallbladder drainage by percutaneous cholecystostomy associated ...

  13. Otitis externa por Demodex cati

    OpenAIRE

    L. Real; Ortuñez, A.; Verde Arribas, Mª T.; Navarro, L.; Vilela, C

    2010-01-01

    La demodicosis por Demodex cati es una enfermedad parasitaria poco común que se presenta bajo tres formas clínicas: generalizada, localizada y otitis externa ceruminosa u otodemodicosis. El objetivo de esta comunicación es presentar dos casos clínicos de otitis ceruminosa causada por D.cati sin la presencia de otros síntomas cutáneos.

  14. Ecology and epidemiology of Screwworm, Cochliomyia hominivorax (Coquerel, 1858

    Directory of Open Access Journals (Sweden)

    Elkin G. Forero Becerra

    2007-12-01

    Full Text Available Screwworm myiasis causes staining fur around infested wounds with malodorous blooding exudates. Pathological effects include mechanical irritation because of larval feeding until dead of hosts under successive infestations. In natural conditions, population densities of screwworm fly are low. Its distribution follows running waters, potential hosts proximity and vegetation density. Warm and moist climate increases of screwworm populations. Among domestic animals, cattle are mostly affected by screwworm myiasis. Risk factors in animals are related to management practices. In humans, the children and the elderly, homeless and dirty, are more vulnerable. Technical aspects for analysis in planning ecological and epidemiological studies in Colombia are pointed out.

  15. CARACTERIZACIÓN CLÍNICA Y PRONÓSTICA DE LA FIBRILACIÓN AURICULAR POR VÍA ACCESORIA / Clinical and prognostic characterization of atrial fibrillation due to an accessory pathway

    Directory of Open Access Journals (Sweden)

    Raimundo Carmona Puerta

    2009-09-01

    Full Text Available Introduction and objectives: Atrial fibrillation is the most common arrhythmia in adults, with a prevalence of 0.4 percent in the general population. It is the main cause of embolic events and serious hemodynamic alterations, having important clinical, social and economic repercussions. Besides, it is the second most frequent arrhythmia in patients with an accessory pathway. The objective of the study is to characterise atrial fibrillation with anterograde conduction through an accessory pathway. Method: A descriptive, prospective and longitudinal study was carried out in 26 patients who were treated at the Cardiac Electrophysiology Services of the Ernesto Che Guevara Cardiology Hospital in Santa Clara during a year period. The variables related to the prevalence of atrial fibrillation, risk factors, circumstances of appearance, therapeutic options and predictors of sudden death, were studied. Results: It was determined a prevalence 34.2 percent with a predominance of the male gender. The most important risk factor was the existence of previous events of atrial fibrillation in 35 percent of the patients, which appeared most frequently during rest periods. There was a predominance of the left pathways (54 % and 84 percent of the patients required medication to achieve an acute reversion. Conclusions: Pre-excited atrial fibrillation presents an important prevalence in our environment. There was a predominance of the male gender and the left pathways. The mean RR interval during the pre-excitation was 213 milliseconds and there were minimal RR intervals of less than 170 milliseconds.

  16. 双扩张器重叠扩张无需植皮的全耳成形术%Auricular reconstruction with overlapping tissue expansion techniques

    Institute of Scientific and Technical Information of China (English)

    刘嘉锋; 孙家明; 张一鸣

    2009-01-01

    Objective To investigate a method of auricular reconstruction with overlapping tissue expansion techniques and without skin graft. Methods Two tissue expanders were implanted subcutaneously at the mastoid. 6 patients with microtia(overlapping group)were treated. After completion of skin expansion, the expanders were removed. The autolognus rib cartilage or Medpor scaffolds were implanted. The flap A made by the upper expanded flap was used to cover the upper part of the front and the back of the framework. The flap B made by lower expanded flap was transplanted to cover the lower part of the back of frameworks. The remaining expanded skin was designed to cover the postanricular wound. The other thirteen microtia patients who treated by the traditional auricular reconstruction were selected as control(traditional group). Results Skin graft was not necessary in the patients of overlapping groups. The appearance of the reconstructed ear was very satisfactory. Epidermal necrosis of 0.5 cm × 0.5 cm happened at the distal end of postauricular flap in one case. All the other cases had no complication of infection or framework exposure. The patients were followed up for 3~6 months. Compared with the traditional group, the scar in the costal donor site was inconspicuous in overlapping group(P <0.05). The complication rate was lower and satisfactory rate was higher in overlapping group (P < 0.01 and P < 0.05). But there was hair growth in the helix of reconstructed ear in overlapping group. Conclusions The overlapping expansion can provide enough skin for ear reconstruction. The skin graft is not necessary, resulting less donor site scar and low complications.%目的 探讨一期采用双扩张器重叠扩张,二期无需植皮进行全耳成形术的方法,并总结其优缺点及适应证.方法 对6例先天性小耳畸形患者,采用一期在耳后区上、下重叠各埋置1个扩张器,常规注水扩张.二期取出扩张器,以自体肋软骨或Medpor材料作

  17. Ptose palpebral causada por Paquidermoperiostose

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    Patricia Regina de Pinho Tavares

    2014-08-01

    Full Text Available A paquidermoperiostose é uma síndrome caracterizada por acometimento cutâneo e ósseo, e em alguns casos ocorre comprometimento palpebral leve. É uma síndrome rara, idiopática ou hereditária, com provável herança autossômica dominante de penetrância variável. Descreve-se o caso de um paciente com ptose grave por paquidermoperiostose elucidando sua fisiopatologia e conduta cirúrgica aplicada.

  18. Sepse por Serratia marcescens KPC

    OpenAIRE

    Del Peloso, Pedro Fernandez; Barros,Matheus Felipe Leal de; Santos,Fernanda Abreu dos

    2010-01-01

    A resistência aos carbapenems entre as bactérias não fermentadoras de glicose é comumente descrita. Porém, os relatos de resistência aos carbapenems em enterobactérias ainda são fatos isolados. Neste relato de caso, descrevemos um caso de infecção generalizada por Serratia marcescens carreadora de gene blaKPC. No Brasil, já foram relatados casos de isolados de Klebsiella pneumoniae e Escherichia coli carreando gene blaKPC, ficando evidente a emergência desse tipo de carbapenemase e sua dissem...

  19. Colecistitis aguda por Streptococcus constellatus

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    M Sandra Gómez-Canosa

    2016-03-01

    Full Text Available Presentamos el caso de una paciente de edad avanzada y significativa comorbilidad que se diagnosticó de colecistitis aguda por Streptococcus constellatus. El drenaje de la vesícula biliar por colecistostomía percutánea, asociado a penicilinas, ha conseguido una evolución favorable. We report the case of a patient of advanced age and significant comorbidity diagnosed acute cholecystitis by Streptococcus constellatus. Gallbladder drainage by percutaneous cholecystostomy associated with penicillins has achieved a favorable outcome.

  20. Asma inducida por el ejercicio.

    OpenAIRE

    Laurencena, Soledad

    2010-01-01

    El asma inducido por el ejercicio es una sensación de dificultad respiratoria, con la presencia de tos, sibilancias y opresión torácica tras realizar un esfuerzo físico. Sería el broncoespasmo transitorio que ocurre tras un ejercicio mantenido de tres a ocho minutos de duración al ochenta por ciento o más de la frecuencia cardíaca máxima. Se realizó un estudio transversal, descriptivo no experimental, tomando una muestra de 100 personas, entre 14 y 18 años, que estudian el ...

  1. Effect of auricular acupuncture on visceral pain induced by colorectal distension in rats%耳针对结直肠扩张导致大鼠内脏痛的影响

    Institute of Scientific and Technical Information of China (English)

    胡莎莎; 李晗; 王茵萍

    2013-01-01

    目的 研究耳针对结直肠扩张(CRD)所造成大鼠内脏痛的影响.方法 29只SD大鼠随机分为空白对照组(A组,7只)、模型组(B组,7只)、耳针组(C组,8只)和假针刺组(D组,7只).连续记录大鼠CRD前后、干预期及干预后各30 min的肌电图(EMG)和心率变异性(HRV),采用荧光定量PCR观察结肠中5-羟色胺1A(5-HTIA)受体mRNA的表达.结果 CRD后,B、C、D组EMG均较A组显著升高(P<0.05),但HRV与扩张前比较无统计学差异(P>0.05).C组EMG和5-HT1A受体mRNA表达较B组、D组明显降低(P<0.05).结论 耳针可有效改善CRD导致的大鼠内脏痛.这种调节作用可能与5-HT递质受体系统有关.%Objective To investigate the effect of auricular acupuncture on the visceral pain induced by colorectal distension(CRD) in rats.Methods Twenty-nine SD rats were randomly divided into four groups of A (blank control,7 rats),B (CRD model,7 rats),C (intervened with auricular acupuncture,8 rats) and D(sham acupuncture,7 rats).The electromyography(EMG) and heart rate variability(HRV) were continuously recorded each for 30 min before and after CRD and during and after intervention.The mRNA expression of 5-hydroxytryptamine1A (5-HT1A) receptor in the colon tissues was detected by fluorescent quantitative PCR.Results After CRD,EMG in groups of B,C and D was significantly higher than that in group A(P<0.05),but HRV was not markedly changed,compared with baseline (P>0.05).The mRNA expression of 5-HT1A receptor and EMG in group C were lower than those in groups of B and D (P<0.05).Conclusion Auricular acupuncture can effectively improve visceral pain induced by CRD in rats,which may be related to 5-HT receptor system.

  2. Usage of Residual Ear in Auricular Reconstruction for Concha-Type Microtia%耳甲腔型小耳畸形残耳组织的合理应用

    Institute of Scientific and Technical Information of China (English)

    吴荣薇; 潘博; 林琳; 蒋海越; 赵延勇; 杨庆华; 何乐人

    2013-01-01

    目的:探讨耳甲腔型小耳畸形的残耳组织在耳再造术中的合理应用方法。方法2011年8月-2013年6月,我科对85例耳甲腔型小耳患者(88只耳)行扩张器法耳再造术。一期行耳后扩张器植入和残耳耳垂旷置。二期取自体肋软骨做扩张皮瓣耳廓再造术,并利用旷置的耳垂行转位术与再造耳支架衔接。三期将剩余的残耳组织做再造耳的局部修整。结果随访6~15个月,再造耳立体感强,以残耳形成的耳垂外形丰满,覆盖于耳甲腔处的残耳耳甲皮瓣色泽自然,垫于耳支架后方的残耳软骨弹性好,患者及家属均满意。结论耳甲腔型小耳畸形的残耳组织量丰富,在耳再造各期手术中的综合利用方法值得推广。%Objective To study the utility of existing residual ear structures in auricular reconstruction for concha-type microtia. Methods From August 2011 to July 2013, 85 patients with microtia (88 ears) were treated with staged auricle recon-struction treatment using tissue expander. The first stage involved placement of a tissue expander. Reconstruction using the ex-panded skin flap and autogenous cartilage framework was performed in the second stage, completed with linking the existing earlobe to the reconstructed-ear scaffold. In the third stage, unused residual ear structures were exploited to improve final mor-phology of the reconstructed-ear. Results The patients were followed up for 3 months to 2 years with satisfactory aesthetic re-sults. Earlobes appeared natural, the residual flap covering the concha survived well, and the residual auricular cartilage mat-ted behind the scaffold exhibited good elasticity. Conclusion Residual auricular tissues in concha-type microtia is easily available and can be very useful in staged auricle reconstruction.

  3. 慢性鼻窦炎鼻内镜术后耳穴贴压辅助治疗的疗效观察%Clinical efficacy of adjuvant auricular point sticking on chronic rhinosinusitis patients after endoscopic sinus surgery

    Institute of Scientific and Technical Information of China (English)

    郭成兵; 吴曙辉; 朱红; 杨艳; 闫勇; 朱静静

    2016-01-01

    Objective:To investigate the clinical efficacy of conventional western medicine combined with auricular point stickingon chronic rhinosinusitispatientsafter nasal endoscopic surgery . Methods: 124 cases of CRS patients were randomly divided into control group and treatment group .The control group was given routine treatment ,the treatment group was given auricular point sticking based on conventional medicine .The clinical efficacy and the improvement of the symptoms of both groups were observed .Results:The effective rate of the control group and the treatment group were 73 .77% and 90 .47%(P<0 .05) 6 months after the operation .At 1 month ,3 months and 6 months after surgery ,the VAS (visual analogue scale) scores of both groups were improved ,and the score of the treatment group became better with the treatment time(P<0 .05) . Conclusions :Conventional western medicine combined with auricular point stickinghas better efficacyin CRS patients after ESS , w hich can effectively improve the patients'subjective symptoms .%目的:探讨常规西医治疗结合耳穴贴压疗法在慢性鼻窦炎(chronic rhinosinusitis ,CRS )鼻内窥镜术(endoscopic sinus surgery ,ESS)后的临床疗效。方法:将124例CRS患者随机分为对照组和治疗组,对照组给予常规治疗,治疗组在此基础上给予耳穴贴压治疗。观察两组治疗的临床疗效和症状改善情况。结果:患者术后6个月,对照组与治疗组治疗的有效率分别为73.77%、90.47%(P<0.05)。术后1个月、3个月和6个月,两组视觉模拟评分(visual analogue scale ,VAS)评分均有改善,随着治疗时间的推移进一步改善,以治疗组更明显(P<0.05)。结论:CRS患者ESS术后在常规西医治疗基础上辅以耳穴贴压治疗的疗效更优,能有效改善患者症状。

  4. 耳穴贴压配合低盐饮护理在高血压患者中的应用观察%An observation of auricular acupressure with Low-salt diet care for patients with hypertension

    Institute of Scientific and Technical Information of China (English)

    杨文军

    2014-01-01

    Objective:Investigate on the auricular pressure with Low-salt diet application methods and efficacy of care in the adjuvant treatment of hypertension.Method:Select patients with hypertension 100 cases were randomly divided into observation group and control group, 50 cases in each group,the patients in observation group received drug treatment at the same time treatment with auricular acupressure with Low-salt diet care, the control group were simply given medication,4 weeks as a course, then observed two groups of antihypertensive effect, the improvement of clinical symptoms. Result:The two groups of antihypertensive effect, the improvement of clinical symptoms are significant differences(P<0.05). Conclusion:Application of auricular acupressure with Low-salt diet treatment of hypertension achieved the exact effect, this method reflects the advantages of Chinese medicine care, it can be used in clinical.%目的:探讨耳穴贴压配合低盐饮食护理辅助治疗高血压病的方法及效果。方法:选取高血压病患者100例,随机分为观察组和对照组,两组各50例。观察组在药物治疗的同时加用耳穴贴压及低盐饮食护理,对照组单纯以药物治疗,疗程4周。观察两组降压效果、临床症状等的改善情况。结果:两组降压效果、临床症状改善情况比较均有显著性差异(P<0.05)。结论:耳穴贴压配合低盐饮食对高血压病疗效确切,体现了中医护理的优势,可应用于临床。

  5. 针对性护理干预配合耳穴压豆在乙肝患者中的应用%Application of nursing intervention combined with auricular acupressure therapy in patients with hepatitis B

    Institute of Scientific and Technical Information of China (English)

    于皎

    2016-01-01

    Objective:To investigate the effect of nursing intervention combined with auricular acupressure therapy in patients with hep-atitis B. Methods:158 patients with chronic hepatitis B were randomly divided into the observation group(n = 80)and the control group (n = 78). The patients in both groups were treated with hepatoprotective drug and auricular acupressure therapy,the patients in the control group were given routine nursing care and the patients in the observation group were provided the targeted nursing intervention,and then the anxiety,sleep quality,liver function and quality of life of the patients were compared between the two groups. Results:The anxiety,sleep quality and the improvement of the liver function of the patients were better in the observation group than those in the control group(P <0. 05);the scores of quality of life(SF - 36)of the patients were higher in the observation group than the control group(P < 0. 05). Con-clusion:The targeted nursing intervention combined with auricular acupressure therapy can effectively relieve anxiety and improve the sleep quality and quality of life of the patients with hepatitis B.%目的:探讨针对性护理干预配合耳穴压豆在乙肝患者中的应用效果。方法:将158例乙肝患者随机分为对照组78例和观察组80例,两组均给予保肝降酶药物治疗和耳穴压豆疗法,对照组给予常规护理,观察组在常规护理基础上给予针对性护理干预,比较两组焦虑情绪、睡眠质量、肝功能指标及生活质量变化情况。结果:观察组焦虑情绪、睡眠质量、肝功能指标恢复情况优于对照组(P <0.05),观察组生活质量(SF -36)评分高于对照组(P <0.05)。结论:针对性护理干预配合耳穴压豆能有效改善乙肝患者焦虑情绪及睡眠状况,提高其生活质量。

  6. Effect of Auricular Plaster Therapy plus Umbilical Application of Chinese Herbal Medicine on Opioid Action%耳穴贴压联合中药敷脐对阿片类药物作用的影响

    Institute of Scientific and Technical Information of China (English)

    吴辉渊

    2016-01-01

    ObjectiveTo investigate the effect of auricular plaster therapy plus umbilical application of Chinese herbal medicine on opioid analgesic action and adverse reactions.MethodOne hundred and twentypatients with cancer pain treated with opioids were randomly allocated to treatment and control groups. The treatment group received auricular plaster therapy plus umbilical application of Chinese herbal medicine. Opioid dosage and adverse reactions were observed in the two groups.ResultOpioid dosage, the severities of nausea, vomiting and defecation and the incidences of dizziness, somnolence, itching, urinary voiding difficulty and Respiratory inhibition decreased significantly and the quality of life improved significantly in the treatmentgroup compared with the control group.ConclusionAuricular plaster therapy plus umbilical application of Chinese herbal medicine can improve opioid analgesic effect and reduce the incidences and severities of adverse reactions.%目的:观察耳穴贴压联合中药敷脐对阿片类药物镇痛效果及不良反应的影响。方法将120例使用阿片类药物的癌性疼痛患者随机分为治疗组与对照组,治疗组采用耳穴贴压联合中药敷脐治疗,观察两组阿片类药物使用量及不良反应。结果与对照组比较,治疗组阿片类药物的用量明显减少,恶心呕吐、便秘的程度明显下降,头晕、嗜睡、瘙痒、排尿困难、呼吸抑制发生率明显减少,生活质量改善明显提高。结论耳穴贴压联合中药敷脐能增强阿片类药物的镇痛效果,减少不良反应发生率并降低其严重程度。

  7. 止痛方配合耳穴贴压对痛经患者的疗效观察%Clinical efficacy of analgesic prescription combined with auricular plaster therapy for dysmenorrhea

    Institute of Scientific and Technical Information of China (English)

    韩冬梅; 廉印玲

    2016-01-01

    目的 观察止痛方配合耳穴贴压治疗痛经的效果.方法 收集本院门诊收治的痛经患者60例,分为治疗组和对照组,每组30例.治疗组采用止痛方(当归、熟地、赤芍、川芎、元胡、川楝子、蒲黄、五灵脂、乌药、川牛膝、小茴香、香附、枳壳、半夏、乳香)配合耳穴贴压疗法;对照组单用止痛方,比较两组的疗效.结果 治疗组总有效率93.3%,对照组总有效率73.3%,治疗组显著优于对照组(P<0.05).结论 痛方配合耳穴贴压治疗痛经的效果优于单用止痛方.%Objective To observe the efficacy of analgesic prescription combined with auricular plaster therapy in the treatment of dysmenorrhea.Methods Sixty dysmenorrhea patients treated in our hospital clinics from May 2013 to November 2011 were randomly divided into a treatment group and a control group,30 patients in each group.The treatment group adopted the analgesic prescription (Angelica sinensis,prepared Rehmannia glutinosa,Radix Paeoniae Rubra,Ligusticum chuanxiong,Corydalis yanhusuo,Melia toosendan,Pollen Typhae,feces of Trogopterus xanthipes,Lindera aggregata,Cyathula officinalis,Foeniculum vulgare,Cyperus rotundus,Citrus aurantium,and Pinellia ternate and frankincense) combined with auricular plaster therapy,and the control group was treated with the analgesic prescription alone.The curative effects of 2 groups were compared.Results The total effectiveness of the treatment group was 93.3%,and the total effectiveness of the control group was 73.3%.The treatment group was better than the control group,and there was statistically significant difference (P < 0.05).Conclusion The analgesic prescription combined with auricular plaster therapy has better clinical efficacy than the analgesic prescription alone for the treatment of dysmenorrhea.

  8. Ocorrência de úlcera por pressão em pacientes submetidos a cirurgias eletivas Ocurrencia de úlcera por presión en pacientes sometidos a cirugías electivas Occurrence of pressure ulcers in patients undergoing elective surgeries

    Directory of Open Access Journals (Sweden)

    Elizabeth Silva Ursi

    2012-01-01

    Full Text Available OBJETIVO: Identificar a ocorrência de úlcera por pressão em pacientes submetidos a cirurgias eletivas de porte II, III e IV. MÉTODOS: Estudo de abordagem quantitativa, com delineamento de pesquisa não experimental, tipo descritivo e prospectivo. A amostra foi composta por 148 pacientes adultos, de ambos os gêneros, submetidos à cirurgia eletiva, conforme os critérios de seleção determinados previamente. RESULTADOS: Da amostra avaliada, 108 pacientes receberam alta hospitalar, três faleceram e 37 desenvolveram úlceras por pressão. Esses pacientes apresentaram 44 lesões, sendo a maioria diagnosticada de estágio II (56,8%, seguida por lesões de estágio I (40,9% e estágio III (2,3%. As áreas corporais mais acometidas foram a região sacro/glútea (68,2%, calcâneos (18,1%, região dorsal (9% e o pavilhão auricular (4,6%. CONCLUSÃO: A ocorrência de úlcera por pressão foi de 25% indicando a necessidade de implementação de intervenções efetivas para a prevenção desse evento adverso no perioperatório.OBJETIVO: Identificar la ocurrencia de úlcera por presión en pacientes sometidos a cirugías electivas de porte II, III y IV. MÉTODOS: Estudio de abordaje cuantitativo, con delineamiento de investigación no experimental, tipo descriptivo y prospectivo. La muestra estuvo compuesta por 148 pacientes adultos, de ambos géneros, sometidos a la cirugía electiva, conforme los criterios de selección determinados previamente. RESULTADOS: De la muestra evaluada, 108 pacientes recibieron alta hospitalaria, tres fallecieron y 37 desarrollaron úlceras por presión. Esos pacientes presentaron 44 lesiones, siendo la mayoría diagnosticada de estadío II (56,8%, seguida por lesiones de estadío I (40,9% y estadío III (2,3%. Las áreas corporales más afectadas fueron la región sacro/glútea (68,2%, calcáneos (18,1%, región dorsal (9% y el pabellón auricular (4,6%. CONCLUSIÓN: La ocurrencia de úlcera por presión fue del 25

  9. Descenso de los niveles de propéptido natriurético de tipo B-N terminal luego de la reversión de pacientes con fibrilación auricular y función ventricular conservada

    Directory of Open Access Journals (Sweden)

    Claudio Higa

    2011-04-01

    Full Text Available El objetivo fue comparar los niveles de Pro Péptido Natriurético tipo B-N terminal (Pro-BNP-NT basales y post reversión en pacientes con fibrilación auricular solitaria (FAS de comienzo reciente y con función ventricular izquierda conservada. Se determinaron niveles del Pro BNP NT antes y después de su reversión en treinta pacientes con FAS de comienzo reciente y fracción de eyección de ventrículo izquierdo ≥ 50%. Basalmente, los niveles de Pro BNP NT fueron significativamente más elevados respecto a un grupo control sano: 529 pg/ml (157-1763 versus 31.5 pg/ml (24-76, p < 0.0001. Las concentraciones de Pro BNP NT descendieron significativamente luego de la cardioversión de 529 (157-1763 a 318 (98-870 pg/ml, p < 0.001. Los descensos se objetivaron tanto luego de la cardioversión eléctrica como de la obtenida por vía farmacológica, 345 (153-1151 pg/ml a 169 (86-407 pg/ml, p: 0.02 y de 1624 (541-4010 pg/ml a 856 (532-1160 pg/ml, p < 0.001, respectivamente. Este fenómeno se observó fundamentalmente en aquellos con una FAS con duración mayor a 8 horas: 1289 (338-2103 a 410 (169-905 pg/ml, p < 0.001. No se observó correlación entre los cambios de la frecuencia cardíaca y del Pro BNP NT pre y post cardioversión a ritmo sinusal. Se observaron descensos significativos de Pro BNP NT basalmente y post reversión (tanto farmacológica como eléctrica en pacientes con FA de reciente aparición y función ventricular conservada. Estos descensos fueron más ostensibles a partir de las 8 horas de duración de la arritmia.

  10. DESAJUSTE EDUCATIVO POR REGIONES EN COLOMBIA: ¿COMPETENCIA POR SALARIOS O POR PUESTOS DE TRABAJO?

    Directory of Open Access Journals (Sweden)

    Maribel Castillo Caicedo

    2007-06-01

    Full Text Available Este trabajo aporta una perspectiva del fenómeno de la sobreeducación, entendida como un desajuste por exceso, entre el nivel educativo alcanzado por el individuo y el exigido por el puesto de trabajo en el cual se desempeña; esto se debe a que existe una demanda laboral estrecha de puestos de trabajo para personas calificadas en Colombia. Se analizan las contribuciones empíricas existentes y el debate sobre las mismas; se examinan las teorías que permiten explicar la existencia de un desajuste educativo y se realiza una revisión de la literatura internacional y nacional sobre el tema. Adicionalmente, se plantean una serie de hipótesis para desarrollar un esquema que permita determinar el comportamiento del individuo en el fenómeno de la sobreeducación.

  11. Celulitis por citomegalovirus Cytomegalovirus cellulitis

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    A. Ruiz Lascano

    2002-12-01

    Full Text Available Las lesiones cutáneas por citomegalovirus (CMV son infrecuentes y a menudo una manifestación tardía de una enfermedad sistémica, que generalmente anuncia un curso fatal. Comunicamos un caso de celulitis por CMV: una mujer de 70 años con trasplante renal efectuado 1 mes antes de la consulta, terapia inmunosupresora con ciclosporina A y metilprednisona. La paciente ingresó por fiebre, dolor e impotencia funcional en pierna derecha. Comprobamos la existencia de una placa de 8 por 4 cm eritematoedematosa. La tratamos con antibióticos sin mejoría, por lo que realizamos un estudio histopatológico de piel que mostró cambios citopáticos compatibles con infección por CMV. Los cultivos bacteriológicos y micológicos fueron negativos. La inmunohistoquímica específica para CMV y el estudio de reacción en cadena de la polimerasa (PCR de la biopsia de piel fueron positivas, al igual que la antigenemia. El tratamiento con ganciclovir produjo la mejoría del cuadro clínico. En la literatura revisada no hemos encontrado la celulitis como manifestación de enfermedad cutánea por CMV.Cutaneous lesions in CMV infection are rare, often a late manifestation of systemic infection, and usually herald a fatal course. A 70 year-old woman received a kidney transplantation one month before consulting and immunosuppressive therapy that included cyclosporine A and methylprednisone. She complained of fever, local pain in her right leg, and an erythematous and swelling plaque. She was treated with intravenous antibiotics without improvement. A skin biopsy was performed and the tissue obtained was sent for bacterial and fungal cultures as well as for histological examination. Cultures were negative. The biopsy showed CMV cytopathic changes. Immunoperoxidase staining was positive for CMV and polymerase chain reaction (PCR testing revealed CMV DNA. She was treated with ganciclovir with resolution of the lesion. CMV cellulitis is a rare cutaneous manifestation

  12. Migraine without aura treated by comprehensive auricular acupuncture: a multicentral controlled study%耳穴综合疗法治疗无先兆型偏头痛:多中心对照观察

    Institute of Scientific and Technical Information of China (English)

    杨佃会; 马祖彬; 韩晶; 鞠琰莉; 王金玲; 张永臣; 单秋华

    2012-01-01

    目的:客观评价耳穴综合疗法治疗无先兆型偏头痛的疗效.方法:将3个中心共90例无先兆型偏头痛患者作为治疗观察对象.每个中心30例均采用耳穴综合疗法,包括两侧耳背静脉放血,自体血穴位注射风池、阳陵泉,点刺耳穴颞、枕、胰胆、神门、交感、皮质下、内分泌,7~10天治疗1次,连续治疗3次为一疗程.结果:3个中心患者1个疗程结束后头痛积分较治疗前均明显降低(均P<0.05),3个中心之间比较差异无统计学意义(均P>0.05).3个中心的临床总有效率分别为93.3%(28/30)、90.0%(27/30)和93.3%(28/30),经比较3个中心疗效差异无统计学意义(P>0.05).结论:耳穴综合疗法治疗无先兆型偏头痛能明显降低患者的头痛积分,缓解偏头痛临床症状,是治疗无先兆型偏头痛的一种简单有效的方法.%Objective To assess objectively the efficacy of migraine without aura treated by comprehensive auricular acupuncture. Methods Ninty patients of migraine without aura from three centers were selected as the observation subjects. Thirty cases from each center were treated with the comprehensive auricular acupuncture. This therapy included the retroauricular venous bleeding on the ears, the autologous blood injection at Fengchi (GB 20) and Yanglingquan (GB 34) and bleeding at the Nie (temporal), Zhen (occiput), Yidan (pancreas), Shenmen, Pizhixia (subcortex) and Neifenmi (endocrine) of auricular point. The therapy was applied once every 7-10 days. The continuous 3 treatments made one session. Results At the end of one session for the patients in three centers, the headache scores were reduced apparently as compared with those before treatment (all P0. 05). The clinical total effective rates were 93.3% (28/30), 90.0% (27/30) and 93.3% (28/30) in three centers separately. There was no obvious difference in the efficacy in comparison among three centers (P>0. 05). Conclusion The comprehensive auricular

  13. Ear abnormalities in patients with oculo-auriculo-vertebral spectrum (Goldenhar syndrome Anormalidades auriculares em pacientes com espectro óculo-aurículo-vertebral (síndrome de Goldenhar

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    Rafael Fabiano Machado Rosa

    2011-08-01

    Full Text Available Oculo-auriculo-vertebral spectrum (OAVS is a rare condition characterized by the involvement of the first branchial arches. PURPOSE: To investigate the ear abnormalities of a sample of patients with OAVS. MATERIALS AND METHODS: The sample consisted of 12 patients with OAVS seen at the Clinical Genetics Unit, UFCSPA/CHSCPA. The study included only patients who underwent mastoid computed tomography and with normal karyotype. We performed a review of its clinical features, giving emphasis to the ear findings. RESULTS: Nine patients were male, the ages ranged from 1 day to 17 years. Ear abnormalities were observed in all patients and involved the external (n=12, middle (n=10 and inner ear (n=3. Microtia was the most frequent finding (n=12. The most common abnormalities of the middle ear were: opacification (n=2, displacement (n=2 and malformation of the ossicular chain. Agenesis of the internal auditory canal (n=2 was the most frequent alteration of the inner ear. CONCLUSIONS: Ear abnormalities are variable in patients with OAVS and often there is no correlation between findings in the external, middle and inner ear. The evaluation of these structures is important in the management of individuals with OAVSO espectro óculo-aurículo-vertebral (EOAV é uma condição rara caracterizada pelo envolvimento dos primeiros arcos branquiais. OBJETIVOS: Verificar as alterações auriculares de uma amostra de pacientes com EOAV. MATERIAL E MÉTODOS: A amostra foi constituída de 12 pacientes com EOAV atendidos no Serviço de Genética Clínica da UFCSPA/CHSCPA. Foram incluídos no estudo apenas pacientes submetidos à tomografia computadorizada de mastoide e com cariótipo normal. Realizou-se uma revisão dos seus achados clínicos, dando-se ênfase aos achados auriculares. RESULTADOS: Nove pacientes eram do sexo masculino, idades variaram de 1 dia a 17 anos. Anormalidades auriculares foram observadas em todos os pacientes e envolveram a orelha externa (n=12

  14. Observations on the Efficacy of Auricular Plaster Therapy plus Scalp Acupuncture in Treating Post-stroke Depression%头针配合耳穴贴压治疗脑卒中后抑郁疗效观察

    Institute of Scientific and Technical Information of China (English)

    岳琳

    2016-01-01

    目的:观察头针配合耳穴贴压治疗脑卒中后抑郁的临床疗效。方法将125例脑卒中后抑郁患者随机分为A组42例、B组42例和C组41例。A组采用单纯头针治疗,B组采用单纯耳穴贴压治疗,C组采用头针配合耳穴贴压治疗。观察3组治疗前后汉密尔顿抑郁量表(HAMD)评分,并比较3组临床疗效。结果3组治疗2个月后HAMD评分与同组治疗前比较,差异具有统计学意义(P<0.01)。C组治疗1、2个月后HAMD评分与A组和B组比较,差异均具有统计学意义(P<0.05)。A组总有效率和愈显率分别为90.5%和33.3%,B组分别为88.1%和35.7%,C组分别为92.7%和56.1%。3组总有效率比较,差异均无统计学意义(P>0.05);C组愈显率与A组和B组比较,差异均具有统计学意义(P<0.05)。结论头针配合耳穴贴压是一种治疗脑卒中后抑郁的有效方法。%Objective To investigate the clinical efficacy of auricular plaster therapy plus scalp acupuncture in treating post-stroke depression.Methods One hundred and twenty-five patients with post-stroke depression were randomly allocated to group A of 42 cases, group B of 42 cases and group C of 41 cases. Group A received scalp acupuncture alone; group B, auricular plaster therapy alone; group C, auricular plaster therapy plus scalp acupuncture. The Hamilton Depression Scale (HAMD) score was recorded in the three groups before and after treatment. The clinical therapeutic effects were compared between the three groups. Results There was a statistically significant pre-/post-treatment difference in the HAMD score in the three groups after two months of treatment (P0.05).Conclusion Auricular plaster therapy plus scalp acupuncture is an effective way to treat post-stroke depression.

  15. Observation on clinical effect of auricular acupoint sticking plus music therapy for post-stroke insomnia%耳穴贴压结合音乐疗法对脑卒中后失眠的疗效观察

    Institute of Scientific and Technical Information of China (English)

    蔡晓敏; 章旭萍; 唐杏

    2015-01-01

    目的:观察耳穴贴压结合音乐疗法对脑卒中失眠的疗效。方法:将154例脑卒中后失眠患者按照随机数表法分为对照组及观察组,每组各77例。对照组接受耳穴贴压治疗,观察组在耳穴贴压的基础上结合音乐移情护理。比较两组患者疗程结束时及治疗结束3个月后的临床疗效。结果:治疗结束时,观察组总有效率为98.7%,显著高于对照组的89.6%,两组差异具有统计学意义(P<0.05);治疗结束3个月后,观察组总有效率为90.9%,显著高于对照组的80.5%,两组差异具有统计学意义(P<0.05)。结论:耳穴贴压结合音乐疗法治疗脑卒中后失眠临床疗效肯定,为制定脑卒中后失眠患者最佳护理康复干预方案提供了新思路。%Objective:To observe the clinical effect of auricular acupoint sticking plus music therapy for post-stroke insomnia. Methods:A total of 154 cases with post-stroke insomnia were randomly divided into a control group and an observation group by the random digital table, 77 cases in each group. The control group was treated by auricular acupoint sticking, while the observation group was treated by auricular acupoint sticking plus music therapy, to compare the clinical effects at the end of the treatment and three months after the treatment between the two groups. Results:At the end of treatment, the total effective rate was 98.7% in the observation group, remarkably higher than 89.6% in the control group, with a statistically significant difference between the two groups (P Conclusion:Auricular acupoint sticking plus music therapy was affirmative in the clinical effects for post-stroke insomnia, providing a new idea to design a best nursing and rehabilitative plan for the patients with post-stroke insomnia.

  16. Curative Effects of Auricular Plaster Therapy Combined with Electroacupuncture on Lumbar Muscle Strain%耳穴贴压配合电针治疗腰肌劳损的疗效观察

    Institute of Scientific and Technical Information of China (English)

    黄志勇; 陈家凤; 黄臻; 高燕

    2014-01-01

    Objective:To investigate the auricular plaster therapy for enhancing the clinically curative effect of electroacupuncture treatment on lumbar muscle strain.Methods:90 lumbar muscle strain patients were randomly divided into an observation group ( auricular plaster therapy with electroacupuncture ) and a control group ( electroacupuncture) ,and each group had 45 cases.The observation group was treated with auricular plaster therapy combined with electroacupuncture, and the control group was treated with electroacupuncture.Observe the efficacy and SF-MPQ before and after treatment.Results:The total effective rate of the observation group and the control group was 93.33% and 77.78%,and there was a significant difference between two groups (P0.05).Compared with those before treatment, after treatment in two groups PRI feelling,PRI emotion, PRI total score,VAS,PPI score were significantly decreased (P<0.05), and the observation group decreased more significantly than the control group (P<0.05).Conclusion:Auricular plaster therapy can enhance the clinically curative effect of electroacupuncture on lumbar muscle strain,and it is a safe and effective method,which is worth clinical popularization and application.%目的:探讨耳穴贴压能否增强电针治疗腰肌劳损的临床疗效。方法:90例腰肌劳损患者随机分成观察组和对照组,每组各45例。观察组采用耳穴配合电针治疗,对照组采用电针治疗,观察两组的临床疗效及SF-MPQ评分的变化。结果:观察组和对照组的总有效率分别为93.33%和77.78%,两组比较有显著性差异( P<0.05)。治疗前两组患者PRI感觉、PRI情感、PRI总分、VAS、PPI共5个项目评分差异无统计学意义( P>0.05);与治疗前相比,治疗后两组患者PRI感觉、PRI情感、PRI总分、VAS及PPI评分均显著下降(P<0.05),而观察组下降更为显著(P<0.05)。结论:耳穴贴压疗法能增

  17. 耳穴按压对大鼠精神性疲劳影响的实验研究%Experimental Study on Mental Fatigue of Rats by Auricular Acupressure Pressing

    Institute of Scientific and Technical Information of China (English)

    丁婷婷; 袁红; 李思诺; 梁田; 张茜; 肖响

    2014-01-01

    目的:探究耳穴按压对大鼠精神疲劳的治疗作用。方法:将60只Wistar大鼠随机分为空白组、单纯抓取组、模型组及耳穴按压组,每组15只。检测各组大鼠自发活动度(爬格数和探身数)、负重游泳时间。结果:与空白组对照比较,模型组的自发活动度显著减弱(P<0.05),负重游泳时间显著缩短(P<0.05),说明造模成功;与空白组对照比较,单纯抓取组的自发活动度无显著变化(P>0.05),负重游泳时间无显著延长或缩短(P>0.05),说明单纯抓取对大鼠没有治疗作用;与模型组对照比较,耳穴按压组的自发活动度显著增强(P<0.05),耳穴按压组的负重游泳时间显著延长(P<0.05),说明耳穴按压对模型大鼠具有一定的治疗作用。结论:按压耳穴可显著改善大鼠精神性疲劳的症状和体征。%Objective:To study the therapeutic effects on mental fatigue of rats by auricular acupressure press -ing.Methods:Sixty wistar rats were randomly divided into four groups ( n=15 ): normal group , grabbing only group , model group , and auricular acupressure pressing group .Spontaneous activity and time of loaded -swim-ming were measured .Results:Compared with normal group , frequency of spontaneous movement in model group was significantly reduced ( P0.05 ) and the time of loaded -swimming ( P >0.05 ) in grabbing only group , which meant grabbing had no effects on mental fatigue of rats .Compared with model group , frequency of spontaneous movement in model group was significantly improved ( P<0 .05 ); the time of loaded-swimming was significantly prolonged (P<0.05).It meant auricular acupressure pressing could be taken into considera-tion when there were therapeutic effects on mental fatigue of rats .Conclusion:Auricular acupressure pressing can improve the signs and symptoms of mental fatigue of rats .

  18. 耳穴贴压促进术后胃肠功能恢复干预性试验的Meta分析%Trails about auricular acupressure in improving the postoperative gastrointestinal peristaltic function:a Meta-analysis

    Institute of Scientific and Technical Information of China (English)

    王晓庆; 段培蓓; 张晓琴; 诸建华; 梅思娟; 杨丽华; 孙龙

    2014-01-01

    Objective To systematically review the effect of auricular acupressure on the recovery of gastrointestinal peristaltic functioning after the surgery .Methods The randomized controlled trials ( RCT) and controlled clinical trail on auricular acupressure after the surgery were collected using the databases of Cochrane Library, JBI Library,PubMed,EMbase,CBMdisc,China National Knowledge Infrastructure (CNKI) and Chinese BioMedical Literature Database ( CBM ) . After selection and critical appraisal of the retrieved studies , a quantitative systemic review(Meta-analysis)was conducted by RevMan 5.0 software.Results Four RCTs and ten CCTs were included with the literature quality of B .Meta-analysis showed that auricular acupressure after the surgery could significantly shorten the time to first flatus (WMD=-14.16,95%CI=-18.40 -9.93,P<0.01),time to first bowel motion(WMD =-10.33,95%CI =-12.98 -7.69,P <0.01),time to first passage of feces(WMD=-19.19,95%CI=-27.56 -10.81,P<0.01),and reduced the rate of abdominal distension (OR=0.17,95%CI:0.10-0.29,P<0.01).Conclusions Auricular acupressure after surgery is beneficial in promoting the recovery of gastrointestinal peristaltic function .However ,more high quality RCTs on the basic research of action mechanism , and standardized clinical research are still required to verify the effects .%目的:评价耳穴贴压对患者术后胃肠功能恢复的影响。方法检索Cochrane及JBI图书馆、PubMed (1966-2013年)、EMbase (1989-2013年)、CBMdisc (1978-2013年)和 CNKI (1994-2013年)数据库中符合纳入排除标准的中英文文献,由3名研究者对文献进行质量评价,使用RevMan 5.0软件对符合标准的研究结局指标进行分析和描述。结果共纳入14项临床干预性研究,文献质量等级均为B级。 Meta分析结果显示,在常规治疗护理的基础上结合耳穴贴压疗法,可明显缩短患者术后排气的时间(WMD=-14.16,95%CI:-18.40~-9

  19. (phoenicopterus roseus por intoxicación aguda por plomo

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    D Romero

    2007-01-01

    Full Text Available La presencia de plomo en el medio ambiente es un hecho indiscutible. Ello es objeto de gran interés sanitario pues repercute tanto en la salud de los animales como en la del ser humano. El plumbismo es una intoxicación que puede afectar a cualquier especie animal. En el ámbito de la fauna silvestre se asocia principalmente a la actividad cinegética en los humedales y a la ingestión de plomo metálico por parte de las aves que frecuentan estos ecosistemas. En España cada año mueren decenas de miles de aves acuáticas como consecuencia de la ingesta de perdigones de plomo. En los individuos capturados enfermos se pueden observar signos clínicos, mientras que a partir de muestras de cadáveres se obtienen datos sobre niveles tisulares de plomo. Sin embargo la evaluación de lesiones anatomopatológicas en animales de vida silvestre es difícil de realizar por la dificultad de encontrar animales recién muertos o afectados de un cuadro agudo mortal. La reproducción de esta patología en animales de experimentación se suele realizar en cisnes, palomas o patos, pero no en flamencos, por lo que no es usual disponer de datos histológicos en esta especie. En este trabajo presentamos la clínica, analítica y estudio microscópico de diferentes tejidos de un flamenco común (Phoenicopterus roseus muerto por plumbismo.

  20. Nursing care of congenital microtia malformation two stage auricular reconstruction%先天性小耳畸形二期法耳廓再造术的护理

    Institute of Scientific and Technical Information of China (English)

    林美华; 王维; 王彪

    2015-01-01

    Objective To summarize the nursing experience of two-stage operation of auricular reconstruction in congenital microtia. Methods 103 cases of two-stage auricular reconstruction of microtia patientswith the assessment and care of the preoperative psychological status ,skin preparation and posture training.the postoperative observation and nursing of negative pressure drainage and local flap situations,the reconstructed ear and the rib cartilage donor. Results The surgical results were satisfactory to the patients and the irfa milies whose reconstructed ear had verisimilar shape. Conclusion The auricle reconstruction surgery is difficult.In addition to good prognosis is related with the technology level of the doctors,and the high quality nursing before and after operation,the coordination of the patients and their families have a close relationship.%目的:总结先天性小耳畸形二期法耳廓再造术的护理体会。方法:对103例行二期法耳廓再造术的小耳患者实施术前心理状况评估与护理,皮肤准备及体位训练等,术后做好负压引流及皮瓣的观察与护理,再造耳和肋软骨供区的局部护理。结果:再造耳解剖结构清晰,形态逼真,患者及家属对治疗效果满意。结论:耳廓再造手术难度大,良好的预后效果除与医生技术水平有关外,还与手术前后优质护理、患者及家属的高度配合密切相关。

  1. Auricular acupuncture for insomnia: a randomized controlled trial%耳穴贴压疗法治疗失眠症的随机对照研究

    Institute of Scientific and Technical Information of China (English)

    姜斌; 马朱红; 左芳

    2010-01-01

    Objective To investigate the effect of auricular acupuncture therapy (AAT) and standardized acupoints on sleep parameters among people with insomnia. Methods A single-blind,randomized pilot study where the treatment group AAT on active points and the control group received AAT on sham points during a 4-week treatment period. Participants were recruited from the Acupuncture Outpatient Clinics in the General Hospital of People' s Liberation Army. In all, 125 patients were included in the study, with 63 in treatment group and 62 in control group. Sleep parameters were obtained by using the Pittsburgh Sleep Quality Index (PSQI). Results (1)Significant improvement in the PSQI total score and seven components score including sleep quality,time on falling asleep, sleeping time, efficiency and disorder of sleep, hypnotic and daytime functional disorder after treatment in both treatment group and control group (P<0.01). (2) After treatment, there was a statistically significant difference seen in the PSQI total score and six components score (P<0.01) except for hypnotic between the two groups. There were statistically significant differences in the rank differential value of total score and seven components of two groups (P<0.01). (3) There were statistically significant differences in the mean rank of PSQI seven components using Mann-Whitney test (P<0.01). Conclusion Evidence was found to support the hypothesis that AAT played an effective role in improving the quantity and quality of sleep in those subjects with insomnia. A standardized AAT might help the treatment of insomnia, especially when combined with other treatments as psychological and behavioral therapies.%目的 探讨耳穴贴压疗法及特定穴位治疗失眠症的有效性.方法 选择符合纳入标准的失眠症患者125例,随机分为真穴治疗组63例和伪穴对照组62例.真穴组选取神门、皮质下、心、肾、肝、脾、枕等穴位,伪穴组选上述穴位旁开2~3mm

  2. 耳穴贴压疗法对妊娠剧吐患者胃动素水平的影响%The Influence of Auricular Acupoint Acupressure Therapy on Serum Motilin of Patients with Hyperemesis Gravidarum

    Institute of Scientific and Technical Information of China (English)

    吴小华; 胡丽莎; 陈晓勇; 吴淑珍

    2015-01-01

    Objective To study the clinical therapeutic effect of auricular acupoint acupressure therapy on pa‐tients with hyperemesis gravidarum(HG)and the influence on serum motilin(MOT)of these patients.Methods Sixty four patients with HG were randomized equally into two groups ,the auricular acupoint acupressure group and conventional therapy group. There are also thirty cases of early pregnant women as a control group. The clini‐cal efficacy and the MOT levels before and after treatment were observed.Results The cure rate of the auricular acupoint acupressure group was significantly higher than that of the conventional therapy group(P<0.05). There was no statistically difference in the effective rates between the two therapy groups.Before treatment ,the serum MOT levels of auricular acupoint acupressure therapeutic alliance group and conventional therapy group were all lower than that of the early pregnant control group(P<0.05);there was no statistically difference in serum MOT level between the two therapy groups(P<0.05).After the treatment ,the serum MOT levels of two therapy group obviously increased(P< 0.05) ,whereas auricular therapy group increased more significantly compared with the conventional treatment group(P<0.05).Conclusion The occurrence of HG is correlated with the lowering of lev‐el of serum MOT. The auricular acupoint acupressure therapy is effective in treating HG through increasing the level of serum MOT ,promoting the peristalsis of stomach and intestine and improving appetite.%目的:观察耳穴贴压疗法治疗妊娠剧吐的临床疗效,并研究其对患者胃动素(MOT)水平的影响。方法将2012年本院收治的64例妊娠剧吐患者随机分为耳穴贴压组及常规治疗组,并设30例正常早孕为对照组。耳穴贴压组采用耳穴贴压疗法联合常规治疗,常规治疗组仅给予常规西医支持治疗。观察比较2种治疗方法的临床疗效及治疗前后 MOT 水平的变化。结果耳穴贴

  3. Se los por se lo

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    José Luis Rivarola

    1985-12-01

    Full Text Available El sistema de la conjugación "objetiva" plantea interesantesproblemas que fueron tratados en parte por K. Heger (1966 en suestudio comparativo del francés y del español. De la comparaciónse desprende, por ejemplo, que en español hay un cierto número deambigüedades que no permiten establecer un "paradigma tan completo y unívoco" como en el caso del francés. Dentro de estas ambigüedades se encuentran las que propicia el gramema se: "El morfema [gramema] se funciona no sólo como pronombre reflexivo, sinotambién como variante combinatoria del pronombre personal complemento indirecto de la tercera persona.

  4. por el Tribunal Constitucional chileno

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    Marisol Peña Torres

    2008-01-01

    Full Text Available La modificación introducida por la reforma constitucional de agosto de 1989 al artículo 5º de la Constitución chilena sentó un criterio decisivo en la incorporación del derecho internacional de los derechos humanos al ordenamiento jurídico interno. El artículo examina la jurisprudencia del Tribunal Constitucional antes y después de esa reforma distinguiendo entre la aplicación del Derecho Internacional de los Derechos Humanos por haberse invocado en la acción deducida y la aplicación de principios y criterios hermenéuticos extraídos del mismo.

  5. Sepsis neonatal por Estreptococos Pyogenes

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    Gilberto Rodríguez-Herrera

    2009-09-01

    Full Text Available Se presenta el caso de un paciente masculino, recién nacido a término adecuado para la edad gestacional, quien nace por parto vaginal, con el antecedente de fiebre en la madre durante el periodo de postparto inmediato. Los padres consultan a los 2 días de vida pues le notan dificultad respiratoria, hipoactividad y rechazo a la leche materna. El paciente se interna y se aborda como una sepsis. Durante su estancia en el servicio de neonatología del Hospital Nacional de Niños asocia fallo respiratorio que amerita ventilación mecánica asistida por varios días en diferentes ocasiones, derrame pleural exudativo, convulsiones de origen hipóxico isquémico. Con reporte de hemocultivos positivos por Estreptococos pyogenes. El Estreptococos pyogenes o estreptococo β-hemolνtico del grupo A, fue un problema en los comienzos del siglo pasado, siendo frecuente en las infecciones puerperales y del reciιn nacido. En la actualidad es un germen sumamente raro en los procesos de sepsis neonatal.2 La gravedad de la enfermedad causada por este microorganismo en el periodo neonatal varνa desde una onfalitis crónica de bajo grado a una septicemia, una meningitis fulminante y la muerte.1 El presente artículo pretende hacer un resumen del paciente, con su evolución clínica, radiológica y además ejemplificar todas las complicaciones que tuvimos con este germen tan poco frecuente en la actualidad en sepsis neonatal.

  6. posteriori por el Tribunal Constitucional

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    Teodoro Ribera Neumann

    2007-01-01

    Full Text Available Este trabajo clarifica la posición de los tratados internacionales en el orden jurídico chileno y analiza los argumentos a favor y en contra de la procedencia del control de constitucionalidad a posteriori de los tratados internacionales por el Tribunal Constitucional, concluyendo que dicha herramienta jurídica es procedente sobre la base de la reforma a la Constitución de 2005.

  7. Implant-supported auricular prosthesis

    OpenAIRE

    Aditi Nanda; Veena Jain; Rakesh Kumar; Krishna Kabra

    2011-01-01

    Differences in the balance of shape, size, and position of body organs are immediately perceived as "looking wrong" and this perception can subject the individual to significant peer ridicule and social ostracism, often expressing as intense shame and anguish in the attitude of the afflicted. Rehabilitation of such patients can be remarkably beneficial on the individual′s self-esteem and body image. The onus of the deed lies in the hands of a team that combines artistic excellence with surgic...

  8. Muerte materna por malaria grave por Plasmodium vivax

    OpenAIRE

    Arróspide, Nancy; Espinoza, Máximo Manuel; Miranda Choque, Edwin; Mayta Tristán, Percy; Legua, Pedro; Cabezas,César

    2015-01-01

    Se presenta el caso de una mujer de 19 años con 29 semanas de gestación, procedente de Llumpe (Ancash) con antecedentes de viajes a las localidades de Chanchamayo (Junín) y Rinconada (Ancash). Ingresó al Hospital de Chacas (Ancash) por presentar mal estado general, deshidratación, dificultad respiratoria, ictericia, sensación de alza térmica y dolor abdominal, tuvo reporte de: hemoparásitos 60% en frotis sanguíneo. Fue transferida al Hospital Ramos Guardia (Huaraz) donde presentó ...

  9. Agujeros negros vistos por fuera y por dentro

    OpenAIRE

    Janssen, Bert

    2015-01-01

    La Relatividad General es la teoría moderna de la gravedad, que corrige los problemas que surgen con la gravedad descrita por Newton. Explicaremos porque la gravedad newtoniana es incompatible con la Relatividad Especial y cual es la solución que propone Einstein: la gravedad como una manifestación del espacio curvo. Hablaremos brevemente de los fenómenos que surgen de la Relatividad General, como los agujeros negros, las ondas gravitacionales y la cosmología. Universidad de Málaga. Campu...

  10. Desajuste educativo por regiones en Colombia: ¿competencia por salarios o por puestos de trabajo?

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    Castillo Caicedo Maribel

    2007-08-01

    Full Text Available Este trabajo aporta una perspectiva del fenómeno de la sobreeducación,
    entendida como un desajuste por exceso, entre el nivel educativo alcanzado
    por el individuo y el exigido por el puesto de trabajo en el cual se
    desempeña; esto se debe a que existe una demanda laboral estrecha de
    puestos de trabajo para personas calificadas en Colombia. Se analizan las
    contribuciones empíricas existentes y el debate sobre las mismas; se
    examinan las teorías que permiten explicar la existencia de un desajuste
    educativo y se realiza una revisión de la literatura internacional y
    nacional sobre el tema. Adicionalmente, se plantean una serie de hipótesis
    para desarrollar un esquema que permita determinar el comportamiento
    del individuo en el fenómeno de la sobreeducación.

  11. Muerte materna por malaria grave por Plasmodium vivax

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    Nancy Arróspide

    Full Text Available Se presenta el caso de una mujer de 19 años con 29 semanas de gestación, procedente de Llumpe (Ancash con antecedentes de viajes a las localidades de Chanchamayo (Junín y Rinconada (Ancash. Ingresó al Hospital de Chacas (Ancash por presentar mal estado general, deshidratación, dificultad respiratoria, ictericia, sensación de alza térmica y dolor abdominal, tuvo reporte de: hemoparásitos 60% en frotis sanguíneo. Fue transferida al Hospital Ramos Guardia (Huaraz donde presentó mayor dificultad respiratoria, coluria, hematuria, disminución del débito urinario y reporte de Plasmodium (+, luego fue transferida al Hospital Cayetano Heredia (Lima donde ingresó a la Unidad de Cuidados Intensivos (UCI, con evolución a falla multiorgánica, óbito fetal y muerte materna. Se confirmó infección por Plasmodium vivax. Destacamos la importancia de mejorar nuestras capacidades de diagnóstico y manejo para brindar un tratamiento adecuado y oportuno.

  12. Surtos de enfermidades transmitidas por alimentos causados por Salmonella Enteritidis

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    Peresi Jacqueline T.M.

    1998-01-01

    Full Text Available OBJETIVO: São descritos surtos de salmonelose notificados no período de julho de 1993 a junho de 1997 na região Noroeste do Estado de São Paulo, Brasil, tendo em vista os vários surtos de veiculação alimentar ocasionados por Salmonella nessa região. MÉTODO: Foram obtidos 19 inquéritos epidemiológicos para análise de dados, 87 amostras de fezes e 38 amostras de alimentos, incluindo 12 de ovos para análise microbiológica. Cepas de Salmonella foram submetidas a sorotipagem, fagotipagem e teste de sensibilidade a 13 agentes antimicrobianos. RESULTADOS: Foram acometidas 906 pessoas com 295 hospitalizações. Cepas de Salmonella Enteritidis Fagotipo 4 foram isoladas de 80,5% das coproculturas, de todas amostras de alimentose de 41,7% dos ovos. Em 22 (95,7% surtos os a salmonela foi veiculada por alimentos contendo ovos crus ou semicrus. Os testes de sensibilidade a antimicrobianos revelaram sensibilidade à maioria das cepas. CONCLUSÕES: Considerando os resultados obtidos, torna-se necessária a implantação e intensificação de medidas de controle na produção e armazenamento dos ovos, além da orientação à população quanto aos riscos no consumo inadequado desse alimento.

  13. 穴位埋线结合耳穴贴压治疗原发性遗尿症的临床研究%Clinical Research of Acupoint Thread-embedding and Auricular Point Sticking in the Treatment of Primary Enuresis

    Institute of Scientific and Technical Information of China (English)

    韩雪; 金玉晶; 焦凡; 李书纳; 姚静静

    2012-01-01

    Objective:To observe the clinical efficacy of acupoint thread-embedding and auricular point sticking in the treatment of pri-mary enuresis. Methods:87 patients were randomly divided into the 45 cases of treatment group and 42 cases of control group. The treat-ment group was treated with acupoint thread-embedding and auricular point sticking therapy. The control group was treated with routine acupuncture combined with auricular point sticking. Observe the curative effect after three months. Results: The effective rate was 91. 11% of treatment group and 78.57% of control group.The difference was statistically significant (P<0.05).The treatment group was superior to control group. Conclusions: Acupoint thread-embedding and auricular point sticking in the treatment of primary enuresis has evident effect.%目的:观察穴位埋线结合耳穴贴压治疗原发性遗尿症的疗效.方法:将87例惠儿随机分为治疗组45例,对照组42倒.治疗组给予穴位埋线结合耳穴贴压治疗,对照组给予常规针灸治疗配合耳穴贴压.3个月后观察疗效.结果:治疗组有效率为91.11%,对照组有效率为78.57%,两组患者疗效比较,差异有统计学意义(P<0.05).结论:穴位埋线结合耳穴贴压治疗原发性遗尿症疗效显著.

  14. Medidor de distancias por ultrasonidos

    OpenAIRE

    Sánchez Blanco, Oliver

    2011-01-01

    El proyecto consiste en la realización de un medidor de distancias, para ello se ha utilizado un sensor de ultrasonidos y un microcontrolador. El sensor nos proporciona la señal que necesitamos para medir la distancia y con el microcontrolador trabajamos dicha señal para poder obtener los datos que nos interesa y poder visualizarlos a través de un módulo LCD. Este proyecto consta de tres fases: - Diseño del prototipo por software y posterior simulación. - Verificaci...

  15. Once mil metros por segundo

    OpenAIRE

    2012-01-01

    Esta exposición es una ventana hacia el mundo de la Ciencia Ficción. Los sueños de escritores extraordinarios, personajes, lugares, máquinas y robots que cada día están más cerca de nuestra cotidianidad gracias a los avances de la ciencia y la tecnología hacen parte de la muestra itinerante por las sedes de la Universidad Nacional. El visitante puede recorrer los diferentes géneros que constituyen este género literario, además de conocer sus principales representantes. Así mismo se explor...

  16. Miasis ocular por Oestrus ovis

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    María Beltrán F

    2006-01-01

    Full Text Available Se presentan tres casos de miasis ocular (dos adultos y un niñoprocedentes de zonas ganaderas de la provincia de Huaura,departamento de Lima,que acudieron al Hospital Regional de Huacho por presentar el ojo rojo,fotofobia, edema palpebral y sensación de cuerpo extraño;se extrajeron larvas adheridas al canto interno del ojo,las cuales se recibieron en el Instituto Nacional de Salud y fueron identificadas como Oestrus ovis .

  17. Clonagem de canistel por estaquia

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    Fernando Marcelo Chiamolera

    2014-09-01

    Full Text Available O canistel é nativo do sul do México e América Central e seus frutos apresentam elevado teor de carotenoides e vitamina A. Sua propagação é feita via sementes, resultando em considerável variabilidade genética entre os indivíduos, sendo a propagação vegetativa preferível, a fim de fixar características desejáveis. Assim, o objetivo deste trabalho foi avaliar a propagação vegetativa por estaquia de ramos semi-herbáceos de canistel, em função de quatro genótipos e quatro concentrações de AIB. Foram utilizadas estacas semiherbáceas apicais, mantidas com um par de folhas, sob nebulização intermitente, por 120 dias. O delineamento experimental foi o inteiramente casualizado, em esquema fatorial 4×4 (genótipos de canistel × concentrações de AIB, com quatro repetições e dez estacas por parcela. Foram avaliados a porcentagem de sobrevivência, a retenção foliar, o enraizamento, o calejamento, o número e o comprimento médio de raízes por estaca. O genótipo PC-1 foi superior aos demais, em todas as variáveis avaliadas, com destaque para o enraizamento das estacas, superior a 60%. As concentrações de AIB (0; 1.000; 3.000 e 5.000 mg L-1 não influenciaram na sobrevivência, retenção foliar e enraizamento das estacas, mas aumentaram o número e o comprimento de raízes em relação ao tratamento-controle (sem AIB. Há diferença na capacidade de enraizamento das estacas entre os genótipos de canistel, sendo a melhor resposta obtida com PC-1. A concentração de 3.000 mg L-1 de AIB resulta em maior número e comprimento de raízes nas estacas de canistel.

  18. Por um hospital mais urbano

    OpenAIRE

    Figueiredo, Ana Teresa

    2013-01-01

    Dissertação de Mestrado Integrado em Arquitectura, apresentada ao Departamento de Arquitectura da F. C. T. da Univ. de Coimbra. A partir do século XX, uma nova linguagem, proveniente da revolução industrial, torna-se transversal a todo o discurso arquitectónico. O hospital pavilhonar é substituído por uma nova tipologia – o hospital vertical. Com o acelerado crescimento urbano proveniente do processo de industrialização das cidades, as novas construções hospitalares tendem a oc...

  19. A Vida por Outros Lados

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    Maria Berenice da Costa Machado

    2003-06-01

    Full Text Available Diálogo entre a imagem e o slogan do anúncio publicitário “A vida por todos os lados”, do jornal Zero Hora (ZH, com as características da Modernidade e da Pós-modernidade. A intenção é a refletir sobre a complexidade da comunicação institucional deste diário e sua ligação com as tendências contemporâneas.

  20. Polioencefalomalacia experimental em bovinos induzida por toxicose por enxofre

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    Paulo H.J. Cunha

    2011-01-01

    Full Text Available O presente trabalho teve como objetivos avaliar os sinais clínicos, as concentrações do sulfeto de hidrogênio ruminal e as alterações anatomopatológicas associadas à intoxicação experimental por enxofre em bovinos. Foram utilizados dez bezerros mestiços leiteiros, sendo que quatro bovinos ingeriram ração sem sulfato de sódio (G1 e seis consumiram ração com sulfato de sódio (G2. Exames clínicos (temperatura retal, frequência cardíaca e respiratória e motricidade ruminal e laboratoriais (hemograma, fibrinogênio, proteína plasmática, pH do fluido ruminal, concentração do sulfeto de hidrogênio ruminal, líquido cerebrospinal e histopatológico foram realizados. A temperatura retal, frequência cardíaca, hemograma, fibrinogênio, proteína plasmática, pH do fluido ruminal e os valores do líquido cerebrospinal estavam dentro dos valores de referência para a espécie. Taquipnéia, hipomotricidade ruminal e elevados valores de sulfeto de hidrogênio ruminal foram observados nos bezerros do grupo G2. Um bezerro do grupo G2 apresentou sinais neurológicos e lesões histopatológicas de PEM. Dois animais de cada grupo foram eutanasiados. Lesões microscópicas foram observadas nos bezerros do G2. Histologicamente as alterações observadas foram necrose neuronal cortical e lesões hemorrágicas nos núcleos basais, tálamo, mesencéfalo, ponte e bulbo. O protocolo experimental constituído por uma dieta rica em carboidrato de alta fermentação, baixa quantidade de fibra efetiva e altos níveis de enxofre (0,52% ocasionou alterações clinicas e histológicas e elevadas concentrações de sulfeto de hidrogênio ruminal compatíveis com quadro de intoxicação por enxofre.

  1. toxicidad neuroendocrina inducida por cadmio

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    A Romero

    2008-01-01

    Full Text Available El cadmio es un agente químico tóxico importante debido a su creciente nivel en el medio ambiente como resultado de prácticas industriales y agrícolas. Como perturbador endocrino, el cadmio modifica la secreción de hormonas hipofisarias. Los efectos indirectos del cadmio provocan la generación de especies reactivas de oxígeno y reducen la actividad de las proteínas implicadas en las defensas antioxidantes. La melatonina es conocida como un potente antioxidante, scavenger de radicales libres y quelante de metales sintetizada en la glándula pineal. De esta manera, las acciones antioxidantes de esta indolamina protegen frente a la peroxidación lipídica y el daño oxidativo de los radicales y de sus productos tóxicos. Los trabajos recopilados en esta revisión ponen de manifiesto la capacidad antioxidante de la melatonina y, por lo tanto, su posible papel protector frente a la toxicidad del cadmio en lo que se refiere al estrés oxidativo y peroxidación lipídica inducidos por la exposición a este metal.

  2. Pneumonia grave por "Chlamydia psittaci"

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    MOSCHIONI CRISTIANE

    2001-01-01

    Full Text Available A psitacose, também conhecida como ornitose, é causada pela Chlamydia psittaci; caracteriza-se por doença de início insidioso, sintomas brandos e inespecíficos, lembrando infecção de vias aéreas superiores. Acomete principalmente o pulmão, sendo raramente doença sistêmica e fatal. Descreve-se um caso raro de pneumonia por Chlamydia psittaci que evoluiu para insuficiência respiratória aguda, necessitando de ventilação mecânica. Destaca-se a importância em considerar o diagnóstico, especialmente em casos de pneumonia comunitária que evolui de modo insatisfatório, que não responde à terapia antimicrobiana e cuja epidemiologia é positiva para exposição às aves. O diagnóstico precoce é fundamental devido à excelente resposta terapêutica. O diagnóstico tardio pode levar a curso grave e fatal da doença.

  3. Por amor a los libros

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    Ismael Diadié Haidara

    2015-06-01

    Full Text Available Crecí entre libros. Muy joven, de noche, mi padre me dormía recitando poemas de románticos franceses como Lamartine, Vigny, Musset o Victor Hugo. Los aprendí de memoria y le escuchaba sin entender gran cosa aunque dormía mecido por el ritmo de sus versos. A diario, me mandaba traerle un Montaigne, un Marco Aurelio, un Marx, yo obedecía, uniendo los nombres a formatos y colores de los libros. Eran tiempos de encanto y siempre veo las manos de mi padre prolongadas por un libro. No hay encanto que dure toda la vida y en 1968, con once años, presencié cómo después del golpe de estado que arrebató a su amigo, Modibo Keita, la presidencia de Mali, como militares llegaron y se fueron con cajas de libros en un camión verde. Se llevaron todo, los libros y la máquina de escribir. Sólo quedaron en el salón estanterías vacías y mucho dolor.

  4. Hipoglucemia inducida por carcinoma adrenal

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    Jimena Soutelo

    2013-08-01

    Full Text Available El carcinoma suprarrenal es una neoplasia maligna infrecuente y de mal pronóstico. La presentación clínica más común es originada por la producción hormonal excesiva, mientras que el desarrollo de hipoglucemia sintomática es excepcional. Presentamos el caso de una mujer de 37 años que ingresó al hospital por síntomas de hipoglucemias graves, hipertensión arterial, hipopotasemia y amenorrea secundaria. En el laboratorio se halló hipoglucemia con insulina inhibida y niveles de andrógenos en rango tumoral. La tomografía computarizada (TC de abdomen y pelvis mostró voluminosa formación heterogénea de aspecto sólido sin plano de clivaje con respecto al parénquima hepático e intenso realce con contraste. Luego de la extirpación de la masa retroperitoneal, evolucionó con valores de glucemia y potasemia normales, estabilizó la presión arterial y recuperó los ciclos menstruales.

  5. Hiperalgesia induzida por opioides (HIO

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    Plínio da Cunha Leal

    2010-12-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: Opioides são medicamentos frequentemente usados para o controle da dor que, contudo, podem causar hiperalgesia. A circunstância pela qual esse fenômeno pode ocorrer não está inteiramente esclarecida. O objetivo desta revisão foi descrever os mecanismos, os fatores implicados e a modulação por medicamentos. CONTEÚDO: Foram descritos os fatores implicados no desenvolvimento da hiperalgesia induzida por opioides (HIO, como duração de uso, dose e tipo de opioide. Os mecanismos incluem o sistema glutamatérgico e receptores N-metil-D-aspartato (NMDA, ativação de ciclo-oxigenase (COX espinal, aminoácidos excitatórios, dinorfina, citocinas e quimocinas; prostaglandinas e facilitação descendente. A modulação de hiperalgesia pode ser feita com antagonistas de receptores NMDA, agonistas adrenérgicos-alfa2 e inibidores de COX. CONCLUSÕES: O assunto é bastante complexo, envolvendo uma série de mecanismos fisiopatológicos que podem contribuir para a HIO e o desconforto do paciente, trazendo consequências que podem ser danosas.

  6. La administración por objetivos

    OpenAIRE

    García Madariaga, Ricardo

    1988-01-01

    De la administración por objetivos puede esperarse dos clases de resultados diferentes pero complementarios. Por una parte, la administración por objetivos contribuye a crear o mantener las condiciones que aseguren la evolución permanente de la organización para que ésta no solamente pueda adaptarse a los cambios del entorno sino también crecer y desarrollarse. Por otra parte, mejora la productividad racionalizando el empleo de los recursos humanos.

  7. Surtos de enfermidades transmitidas por alimentos causados por Salmonella Enteritidis

    OpenAIRE

    Peresi Jacqueline T.M.; Almeida Ivete A Z.C.; Lima Sonia I.; Marques Denise F.; Rodrigues Elisabete C.A.; Fernandes Sueli A.; Gelli Dilma S.; Irino Kinue

    1998-01-01

    OBJETIVO: São descritos surtos de salmonelose notificados no período de julho de 1993 a junho de 1997 na região Noroeste do Estado de São Paulo, Brasil, tendo em vista os vários surtos de veiculação alimentar ocasionados por Salmonella nessa região. MÉTODO: Foram obtidos 19 inquéritos epidemiológicos para análise de dados, 87 amostras de fezes e 38 amostras de alimentos, incluindo 12 de ovos para análise microbiológica. Cepas de Salmonella foram submetidas a sorotipagem, fagotipagem e teste d...

  8. Mortalidad intrahospitalaria por accidente cerebrovascular

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    Federico Rodríguez Lucci

    2013-08-01

    Full Text Available La mortalidad global por accidente cerebrovascular (ACV ha disminuido en las últimas tres décadas, probablemente debido a un mejor control de los factores de riesgo vascular. La mortalidad hospitalaria por ACV ha sido tradicionalmente estimada entre 6 y 14% en la mayoría de las series comunicadas. Sin embargo, los datos de ensayos clínicos recientes sugieren que esta cifra sería sustancialmente menor. Se revisaron datos de pacientes internados con diagnóstico de ACV del Banco de Datos de Stroke de FLENI y los registros institucionales de mortalidad entre los años 2000 y 2010. Los subtipos de ACV isquémicos se clasificaron según criterios TOAST y los ACV hemorrágicos en hematomas intrapanquimatosos, hemorragias subaracnoideas aneurismáticas, malformaciones arteriovenosas y otros hematomas intraparenquimatosos. Se analizaron 1514 pacientes, 1079 (71% con ACV isquémico (grandes vasos 39%, cardioembólicos 27%, lacunares 9%, etiología indeterminada 14%, otras etiologías 11% y 435 (29% con ACV hemorrágico (intraparenquimatosos 27%, hemorragia subaracnoidea 30%, malformaciones arteriovenosas 25% y otros hematomas espontáneos 18%. Se registraron 38 muertes intrahospitalarias (17 ACV isquémicos y 21 ACV hemorrágicos, representando una mortalidad global del 2.5% (1.7% en ACV isquémicos y 4.8% en ACV hemorrágicos. No se registraron muertes asociadas al uso de fibrinolíticos endovenosos. La mortalidad intrahospitalaria en pacientes con ACV isquémico y hemorrágico en nuestro centro fue baja. El manejo en un centro dedicado a las enfermedades neurológicas y el enfoque multidisciplinario por personal médico y no médico entrenado en el cuidado de la enfermedad cerebrovascular podrían explicar, al menos en parte, estos resultados.

  9. Clinical Analysis on Nurses with Sleep Disorder Treated by Set Auricular Plaster Therapy%固定耳穴贴压治疗临床护士睡眠障碍的疗效观察

    Institute of Scientific and Technical Information of China (English)

    叶宇飞

    2011-01-01

    目的:观察固定耳穴贴压治疗护士睡眠障碍的临床疗效.方法:将64例存在睡眠障碍的临床护士随机分为观察组(32例)、对照组(32例).对照组选择耳廓周边非穴位位置贴压耳豆治疗,观察组采用固定配穴位置贴压耳豆治疗,两组疗程均为1周,治疗前后应用亚健康中医证候测量量表和匹兹堡睡眠质量指数量表(PSQI)进行测定评分.结果:观察组睡眠障碍症状缓解的总有效率71.9%,对照组总有效率37.5%,观察组优于对照组(P<0.05);观察组中医临床症状改善的总有效率46.9%,对照组总有效率15.6%,观察组优于对照组(P<0.05).结论:固定耳穴贴压能显著改善睡眠障碍护士的睡眠质量,改善亚健康状态.%Objective: To approach the therapeutic effect of set Auricular Plaster Therapy for the treatment of sleep disorder of nurses. Methods:64 nurses with sleep disorders were randomized into two groups. 32 cases in the observed group, 32 cases in the control group. Selected control group of non - acupuncture points around the location of ear as the placebo, observed group fixed point position with set Auricular Plaster Therapy, and they were treated for one week. Before and after treatment, sub Syndrome Scale and the Pittsburgh Sleep Mass Index Scale (PSQI) score were measured. Results:The effective rate of group of sleep disorder symptoms was 71. 9% , and the efficiency of the control group was 37. 5%. The observed group was more effective than the control group (P <0. 05) ; The total effective rate of TCM clinical symptoms in observed group was 46. 9% ,and the control group was 15. 6%. The observed group was more effective than the control group(P <0. 05). Conclusion : Auricular Plaster Therapy can significantly improve the quality of sleep disorder of nurses, and it can improve the sub - health state.

  10. Prevention and Treatment of Complications from Post-Auricular Tissue Expanders in Patients with Congenital Microtia%先天性小耳畸形耳后埋置扩张器后并发症的防治

    Institute of Scientific and Technical Information of China (English)

    尚巧利; 何乐人; 林琳; 杨庆华; 周佳宇; 蒋海越

    2013-01-01

    目的:探讨先天性小耳畸形皮肤扩张法耳廓再造术I期术后并发症的预防及处理方法。方法对2012年6月1日至2013年5月31日在我科行耳后扩张器置入术的353例患者共368只扩张器进行回顾,其中血肿5例,感染4例,切口裂开4例,扩张皮瓣破溃扩张器外露14例,分别给予清除血肿,放置引流冲洗扩张囊腔,切口重新缝合,换药后限期手术等处理。结果5例血肿患者清除血肿后如期完成手术,4例感染患者及4例切口裂开患者经过处理后,扩张延期7-10天,均完成了Ⅱ期手术,14例扩张皮瓣破溃者处理后限期完成手术。结论I期术后尽管会发生各种并发症,经过恰当及时的处理后,均能得到控制,未对II期手术造成严重影响。%Object To study prevention and management of complications caused by the tissue expander used behind the ear in patients with congenital microtia. Methods We reviewed data from patients with congenital microtia treated from June 1st 2012 to May 31st 2013 with post-auricular tissue expanders. A total of 368 expanders were used in 353 patients. Complications included necrosis of expanded post-auricular skin flaps (n=14), hematoma (n=5), infections (n=4), and rup-ture of wound (n=4). Timely intervention was implemented and included debridement, profuse irrigation and re-suturing of the wound with drains and follow up wound care. Results The Stage II procedure was not delayed in the 5 patients with hemato-ma after debridement. Skin expansion was extended by 7-10 days before Stage II procedure in the 4 patients with local infec-tion and the 4 patients with wound rupture. All complications had resolved before Stage II procedure after timely and appropri-ate treatment. Conclusion Complications caused by the post-auricular tissue expander are common. Choice of appropriate op-erative techniques, careful post-operative observation and timely management can help reduce complications

  11. EFFECTIVENESS OF TWO-STAGE OPERATION OF AURICULAR RECONSTRUCTION IN TREATMENT OF LOBULE-TYPE MICROTIA%二期法耳廓再造术治疗耳垂型小耳畸形的临床疗效

    Institute of Scientific and Technical Information of China (English)

    王美水; 王彪; 郑厚兵; 吴杉英; 单秀英; 庄福连

    2011-01-01

    Objective To investigate the method and effectiveness of two-stage operation of auricular reconstruction in treating lobule-type microtia. Methods Between March 2007 and April 2010, 19 patients (19 ears) of lobule-type microtia were treated. There were 13 males and 6 females, aged 5 to 27 years (mean, 12.6 years). Of 19 patients, 11 were less than or equal to 14 years old. The locations were left ear in 9 cases and right ear in 10 cases. Two-stage operation for auricular reconstruction of lobule-type microtia included fabrication and grafting of the costal cartilage framework at the first-stage operation and the ear elevation operation at the second-stage operation. Results Pseudomonas aeruginosa infection occurred in 1 patient after the first-stage operation, who was not given the second-stage operation. Skin necrosis occurred in 1 patient 8 days after the second-stage operation and healed after symptomatic treatment. Eighteen patients were followed up 6 months to 2 years (mean, 14 months). Retraction of cranioauricular angle and thoracic deformity occurred in 1 patient. The surgical results were satisfactory in the other 17 patients whose reconstructive ear had verisimilar shape and suitable cranioauricular angle. Conclusion Two-stage operation of auricular reconstruction is considered to be an ideal method for lobule-type microtia.%目的 探讨二期法耳廓再造术治疗耳垂型小耳畸形的方法及疗效.方法 2007年3月-2010年4月,收治19例耳垂型小耳畸形患者.男13例,女6例;年龄5~27岁,平均12.6岁;其中≤14岁11例.左耳9例,右耳10例.一期手术行肋软骨耳廓支架成形和移植,二期重建颅耳角. 结果 1例因一期术后2个月出现耳轮脚处软骨外露并铜绿假单胞菌感染取出支架,未行二期手术;其余患者均顺利完成二期手术.1例二期术后8d发现再造耳背侧皮片坏死、软骨外露,经对症处理后愈合.18例术后获随访,随访时间6个月~2年,平均14个月.1

  12. 骨整合义耳修复全耳廓缺损的远期疗效观察%Long-term therapeutic effects of repairing the whole auricular defects with osseointegrated prosthetic ears

    Institute of Scientific and Technical Information of China (English)

    张志钢; 陈穗俊; 郑亿庆; 陈斌; 陈洽鑫

    2010-01-01

    Objective To evaluate the long-term therapeutic effects of repairing the whole auricular defects with osseointegrated prosthetic ears. Methods From January 2002 to December 2005, 62 patients (63 ears) with the whole auricular defects were treated with osseointegrated prosthetic ears and followed up for 5- 8 years (median 6.5 years) after operations. In all cases, the following items were analyzed: stability and dislocation rate of the implants fixing prosthetic ears, infection of tissues surrounding implants, time and appearance satisfaction of wearing prosthetic ears, rate and time length of replacement of prosthetic ears, and presence of systemic complications or not. Results All 63 ears were healed with one surgery, with the appearances of life like shapes, stable fixation, and natural color. Infection of implants and their surrounding tissues occured in all cases, but didn't influence the stability of the implants. All 126 implant particles in 63 ears survived after one surgery, execpt that 4 implant particles were dislocated by trauma. In all cases, the time of wearing prosthetic ears was more than 8 hours per day. Because of color fading and breakage, average time length of replacement of prosthetic ears was 3.0 years. There were no intracranial or systemic complications. Conclusions Osseointegrated prosthetic ears can be used in the treatment of the patients with the whole auricular defects, because of its safety and reliability, the stability of long-term therapeutic effects, and the good satisfaction of the patients.%目的 探讨骨整合义耳修复全耳廓缺损的远期疗效.方法 回顾性分析中山大学附属第二医院耳鼻咽喉头颈外科自2002年1月至2005年12月行骨整合义耳修复耳廓缺损患者62例(63耳),随访5~8年,中位随访时间6.5年.就其固位义耳种植体的稳定性、脱出率,种植体周围组织感染,配戴义耳时间和外观满意度,义耳更换频率和周期及有无全

  13. 耳穴压豆在冠心病急性心绞痛患者中的应用%Application of acupressure therapy with Wangbuliuxing at auricular point in CHD patients with acute angina pectoris

    Institute of Scientific and Technical Information of China (English)

    王洪燕

    2016-01-01

    Objective:To investigate the application of acupressure therapy with Wangbuliuxing at auricular point in patients with acute angina pectoris resulting from coronary heart disease(CHD). Methods:80 patients with acute angina pectoris were randomly divided into the observation group and the control group(40 cases in each group). The conventional treatment and nursing care were given to the pa-tients in the control group;the acupressure therapy with Wangbuliuxing at auricular point was additionally adopted in the observation group. The heart rate and systolic blood pressure of the patients,clinical curative effect,angina attack frequency and duration were com-pared between the two groups. Results:The heart rate and systolic blood pressure of the patients was lower in the observation group than the control group after the acupressure therapy for 10,20 and 30 minutes respectively(P < 0. 05);there were statistically significant differences between the two groups in the comparison of the total effective rate,angina attack frequency and duration of the patients during hospitaliza-tion(P < 0. 05). Conclusion:The acupressure therapy with Wangbuliuxing at auricular point has has the two - way adjustment function and it can quickly relieve symptoms,reduce angina attack frequency and shorten the duration.%目的:探讨耳穴压豆在冠心病急性心绞痛患者中的应用。方法:将80例冠心病急性心绞痛患者随机分为观察组和对照组各40例,对照组给予常规治疗和护理,观察组在此基础上给予耳穴压豆治疗,比较两组心率、收缩压、临床疗效、心绞痛发作次数及持续时间。结果:观察组按压10、20、30 min 时心率和收缩压均低于对照组(P <0.05),两组总有效率、住院期间心绞痛发作次数及持续时间比较差异均有统计学意义(P <0.05)。结果:耳穴压豆治疗对冠心病急性心绞痛患者的心率和血压有双向调节作用,能够迅速缓解患

  14. 头穴透刺配合耳穴贴压治疗失眠疗效观察%Clinical Observation of Scalp Penetration Acupuncture Combined with Auricular Acupressure in Treatment of Insomnia

    Institute of Scientific and Technical Information of China (English)

    巴正兵; 陈丽; 吴群; 吴松

    2015-01-01

    Abstracts:Objective To investigate the treatment effect on scalp penetration acupuncture with auricular of insomnia.Methods 70 cases of patients with insomnia were randomly divided into treatment group and control group, 35 cases in each group.The treatment group received scalp penetration acupuncture with auricular acupressure treatment, the control group received oral treatment with estazolam.Evlal-vate the efficacy after 1 month of continuous treatment.Using the Spitzer Quality of Life (QL) Index after in 1 month and 3 months of treat-ment to score the patients’ conditions.Results Treatment group’s total effective rate was 91.4%,control group’s total effective rate was 82.9%.The total efficiency of the two groups were statistically significant (P <0.05), there were significant differences.The QL Index of the treatment group was on the rise after 1 month and 3 months of treatment, compared with before treatment, there was a significant differ-ence (P <0.05); compared with the same period in control group, there was a significant difference (P <0.05).Conclusion The observa-tion shows that scalp penetration acupuncture with auricular acupressure treatment of insomnia is effective and reliable, can significantly im-prove the life quality of patients with few side effects and no drug dependences.%目的:观察头穴透刺配合耳穴贴压治疗失眠的临床疗效。方法70例失眠患者随机分为两组。治疗组采用头穴透刺配合耳穴贴压治疗,对照组采用口服用艾司唑仑治疗。连续治疗1个月后评定疗效,采用 Spitzer 生活质量指数分别于治疗1个月后及3个月后评分患者情况。结果治疗组总有效率高于对照组(P <0.05);治疗组患者治疗1个月后及3个月后的 Spitzer 生活指数积分呈上升趋势,与治疗前比较,有显著性差异(P <0.05);与同时期对照组比较,有显著性差异(P <0.05)。结论头穴透刺配合耳穴贴压治疗失眠

  15. Detector de movimiento por infrarrojos

    OpenAIRE

    Fuertes Araque, Joaquin

    2007-01-01

    En las sucesivas paginas hablaremos del espectro electromagnético, de como un cuerpo negro absorbe o emite toda la energía sin reflejar nada. Verá como es la distribución de energía de un cuerpo, donde apreciará que a mayor temperatura el máximo de radiación se obtiene a longitudes de onda más pequeñas. Hablaremos de un sensor PIR, de como esta constituido por dos cristales piroeléctricos, que crean un campo magnético cuando reciben radicación infrarroja. Verá que tipo de le...

  16. Observations on the community nursing intervention treatment combined with auricular pressure for female insomnia caused by menopause%社区护理干预结合耳穴埋豆治疗女性更年期失眠症疗效观察

    Institute of Scientific and Technical Information of China (English)

    王琼

    2016-01-01

    Objective: To compare the therapeutic effects of community nursing intervention treatment combined with auricular pressure and pure auricular pressure therapy on the female insomnia caused by menopause. Method: 60 patients diagnosed with menopausal women with insomnia were randomly divided into treatment group and control group. The treatment group used of community nursing intervention therapy by health education, psychological counseling, dietary guidance, sports proposal, family visits with auricular pressure as the treatment method, the control group used pure auricular pressure as the treatment method. Two groups in 14 days for a period of treatment course and curative effect were evaluated after four treatment courses. Result: The total effective rate was 93.33% in the treatment group versus 83.33% in the control group, the difference was statistically significant (P<0.05).Conclusion: Community nursing intervention treatment combined with auricular pressure is an effective way to treat the patients diagnosed with menopausal women with insomnia.%目的:比较社区护理干预结合耳穴埋豆与单纯耳穴埋豆治法对女性更年期失眠症的疗效差异。方法:将60例确诊为更年期失眠症的女性患者随机分为治疗组和对照组。治疗组选用由健康宣教、心理疏导、膳食指导、运动建议、家庭访视组成的社区护理干预结合耳穴埋豆疗法,对照组仅选用耳穴埋豆疗法。两组均以14天为一疗程,4个疗程后评定疗效。结果:治疗组总有效率为93.33%,对照组总有效率为83.33%,两组比较差异具有统计学意义(P<0.05)。结论:社区护理干预结合耳穴埋豆疗法是治疗女性更年期失眠症的有效方法。

  17. Auricular Cartilage Unfolding and Free Composite Tissue Transplantation for Concha-type microtia%耳软骨舒展联合矫正复合组织移植耳甲腔型小耳畸形

    Institute of Scientific and Technical Information of China (English)

    林琳; 蒋海越; 潘博; 赵延勇; 韩娟

    2013-01-01

    Objective To report outcomes of treatment of moderate concha-type microtia with radial cartilage incision and convolution with free auricular composite tissue transplantation. Methods From Jan 1, 2009 to Jun 30, 2012, 16 patients with moderate concha-type microtia were treated using combined radial cartilage incision/convolution and free auricular com-posite tissue transplantation. Results After 3 to 12 months follow-up, most patients remained satisfied with the results. Compli-cations were rare and there was no donor site deformity. Conclusions The reported technique provides a simple and promising treatment for moderate concha-type microtia. Furthermore, this technique is easy to implement with predictable good outcomes.%目的:探讨耳软骨放射状切开反折法舒展及对侧耳廓复合组织移植联合分期矫正中度耳甲腔型小耳畸形的疗效。方法自2009年1月至2012年6月,应用一期软骨放射状切开反折法残耳舒展术、二期对侧耳廓复合组织移植术联合矫正中度耳甲腔型小耳畸形患者16例。结果随访3-12月,患侧移植组织成活良好,形态基本满意,供区无明显畸形。结论残耳卷曲软骨放射状切开反折舒展术及复合组织移植术联合分期矫正中度耳甲腔型小耳畸形,方法相对简单,组织损伤较小,可得到较满意的效果。

  18. Estenosis de venas pulmonares post ablación por radiofrecuencia Pulmonary vein stenosis after radio frequency ablation

    Directory of Open Access Journals (Sweden)

    Marcelo Guzzi

    2011-06-01

    Full Text Available Es importante estar atento ante la aparición de síntomas respiratorios luego de la realización de un procedimiento de ablación por radiofrecuencia en el tratamiento de la fibrilación auricular, pues la estenosis de venas pulmonares (EVP tiene una incidencia de entre 1 y 3% y puede aparecer hasta en los dos años posteriores al procedimiento1. Presentamos el caso de un paciente de 41 años de sexo masculino, que ingresó por un cuadro de hemoptisis y toracodinia de tres semanas de evolución, con antecedente de ablación por radiofrecuencia 6 meses antes de la admisión. La angiotomografía no evidenció tromboembolismo pulmonar (TEP y la angiorresonancia detectó hipoperfusión deI lóbulo superior del pulmón izquierdo (LSI. Debido a los antecedentes de ablación se solicitó angiotomografía de venas pulmonares, que evidenció estenosis de la vena del LSI. Se realizó estudio hemodinámico con dilatación y colocación de stent.Physicians should be alert to the occurrence of respiratory symptoms after radio frequency ablation for the treatment of atrial fibrillation. Pulmonary veins stenosis could appear with an incidence of between 1and 3% during the two years following the procedure. We present the case of a 41year-old-male patient admitted with a three weeks old hemoptysis and thoracodinia and a prior history of a radiofrecuency ablation procedure performed six months earlier. The angiotomography was not compatible with the diagnosis of pulmonary embolism and the angio-MRI detected hypoperfusion of the left upper pulmonary lobe. Consequently pulmonary veins angiotomography was requested, showing upper pulmonary lobe vein stenosis. An hemodynamic study with vein expansion and stent placement was successfully performed.

  19. Miotoxicidade por organofosforados Organophosphate myotoxicity

    Directory of Open Access Journals (Sweden)

    Maria J. Cavaliere

    1996-06-01

    Full Text Available Os organofosforados são um grupo de compostos químicos amplamente utilizados em agropecuária como inseticidas, ocasionando intoxicações acidentais em animais e humanos, e mesmo sendo utilizados em tentativas de suicídio. A toxicidade desses produtos decorre sobretudo de insuficiência cárdio-respiratória por compromentimento do sistema nervoso autônomo. Sabe-se que alguns destes compostos induzem em animais de experimentação e em humanos, uma miopatia caracterizada por degeneração de células musculares, comprometendo sobretudo a musculatura respiratória. Baseado no fato de que este comprometimento contribui para a piora da função respiratória, propõe-se um protocolo de avaliação rotineira de miotoxicidade por compostos organofosforados, através de uma bateria mínima e suficiente de colorações e reações histoquímicas para quantificação da necrose muscular. Utilizaram-se como modelo experimental, grupos de ratos albinos (Wistar intoxicados com o organofosforado paraoxon, com e sem antídotos (atropina ou pralidoxima. Verificou-se nos grupos tratados com paraoxon e paraoxon mais atropina, necrose de fibras musculares no diafragma, que atingia em determinadas áreas até 15% das fibras. No grupo tratado com paraoxon mais pralidoxima, a necrose foi mínima, evidenciando o papel mioprotetor deste último antídoto.Organophosphates comprise a group of chemical compounds extensively used in farming as insecticides, which cause accidental poisoning in animals and men and are also used in suicide attempts. The toxicity of these compounds is due especially to the cardiac and respiratory impairment in consequence of autonomic nervous system disorders. However, it is known that some of these products induce a myopathy in experimental animals and humans. This myopathy is characterized by muscle cell degeneration, involving above all the respiratory muscles. Based on the fact that this involvement certainly enhances the

  20. GESTIÓN POR PROCESOS

    Directory of Open Access Journals (Sweden)

    Alejandro Hernández Lugo

    2003-04-01

    Full Text Available

    La gestión por procesos en una organización encierra un significado diferente a lo que podría ser un simple enfoque, o una aproximación para mejorar una tarea o varias, implica la planificación,organización, control y dirección de las actividades. La RAE define este vocablo como:

     

    gestión: acción de administrar algo. Los procesos se deben administrar.

  1. Osteomalacia inducida por tumor: hemangiopericitoma rinosinusal

    Directory of Open Access Journals (Sweden)

    Enriqueta M. Serafini

    2013-02-01

    Full Text Available La osteomalacia inducida por tumor es una rara enfermedad del metabolismo óseo caracterizada por el aumento en la excreción de fosfato a nivel renal seguido de hipofosfatemia. Es causada por agentes fosfatúricos producidos por determinados tumores. La resección total del tumor resulta en la completa reversión de las anormalidades bioquímicas, la desaparición de las manifestaciones clínicas y los hallazgos en los estudios por imágenes. Presentamos el caso de un varón de 61 años con cuadro clínico y laboratorio compatibles con osteomalacia oncogénica inducida por tumor mesenquimático de localización rinosinusal. En nuestro caso el diagnóstico histológico correspondió a una neoplasia de tipo vascular: hemangiopericitoma.

  2. Research on alleviating postoperative pains of four limbs closed fracture with auricular point sticking%耳穴贴压对减轻四肢闭合性骨折患者术后伤口疼痛的研究

    Institute of Scientific and Technical Information of China (English)

    刘红梅

    2013-01-01

      目的:探讨耳穴贴压对减轻四肢闭合性骨折患者术后伤口疼痛的效果.方法:首先进行选穴:根据患者四肢骨折的手术部位和术后诊断进行选取耳穴并进行贴压.取肾、肾上腺、神门、皮质下为主穴,如上肢骨折取肩、肘、腕穴为辅穴,下肢骨折取膝、踝、趾穴为辅穴;尔后进行耳穴贴压:在患者术后返回病房0.5h内,使用75%酒精棉球消毒耳廓待干,采用压痛法用探针以轻、慢而均匀的压力寻找压痛敏感点,确认贴压治疗的耳穴刺激点.用莱菔子耳穴贴在相应穴位上贴敷,并予适当按压,使耳廓有发热、胀痛感(即得气).每个穴位以60~80次/min的频率进行按压,约5 min/次左右,以患者感觉到酸、麻、胀为度,3h/次,夜间入眠后则适当延长按压间隔时间,双耳交替.对照组患者实施常规心理护理干预.遵医嘱肌注或口服曲马多镇痛.采用SPSS13.0软件进行统计学分析.结果:研究组患者术后4h、8h、12h和24h的疼痛程度较对照组减轻,使用曲马多止痛的病例减少,差异有统计学意义(P<0.05).结论:四肢闭合性骨折术后的患者,采用耳穴贴压护理干预可有效地减轻术后疼痛,降低止痛药的使用.%Objective: To investigate the clinical effect of applying auricular point sticking on traumatic patients with closed fracture duringpostoperative pain management. Methods:In the study group, we chose the points of auricular point sticking according to patients’ operative sites and postoperative diagnosis. The main points were Shen,Shenshangxian, Shenmen and Pizhixia. And the assistant points were Jian, Zhou and Wan among patients with upper limb fracture, as well Qi,Huai and Zhi among patients with lower limb fracture. Then, the treatment of auricular point sticking was used on them as follows. When patients got operations and were sent back to wards in half an hour, their ears would be sterilized with 75%concentrations

  3. Low-level transcutaneous electrical stimulation of the auricular branch of vagus nerve ameliorates left ventricular remodeling and dysfunction by downregulation of matrix metalloproteinase 9 and transforming growth factor β1.

    Science.gov (United States)

    Wang, Zhuo; Yu, Lilei; Huang, Bing; Wang, Songyun; Liao, Kai; Saren, Gaowa; Zhou, Xiaoya; Jiang, Hong

    2015-04-01

    Vagus nerve stimulation improves left ventricular (LV) remodeling by downregulation of matrix metalloproteinase 9 (MMP-9) and transforming growth factor β1 (TGF-β1). Our previous study found that low-level transcutaneous electrical stimulation of the auricular branch of the vagus nerve (LL-TS) could be substituted for vagus nerve stimulation to reverse cardiac remodeling. So, we hypothesize that LL-TS could ameliorate LV remodeling by regulation of MMP-9 and TGF-β1 after myocardial infarction (MI). Twenty-two beagle dogs were randomly divided into a control group (MI was induced by permanent ligation of the left coronary artery, n = 8), an LL-TS group (MI with long-term intermittent LL-TS, n = 8), and a normal group (sham ligation without stimulation, n = 6). At the end of 6 weeks follow-up, LL-TS significantly reduced LV end-systolic and end-diastolic dimensions, improved ejection fraction and ratio of early (E) to late (A) peak mitral inflow velocity. LL-TS attenuated interstitial fibrosis and collagen degradation in the noninfarcted myocardium compared with the control group. Elevated level of MMP-9 and TGF-β1 in LV tissue and peripheral plasma were diminished in the LL-TS treated dogs. LL-TS improves cardiac function and prevents cardiac remodeling in the late stages after MI by downregulation of MMP-9 and TGF-β1 expression.

  4. Study on intervention treatment with auricular acupressure in people at high risk for diabetes%干预治疗加耳穴按压对糖尿病高危人群研究

    Institute of Scientific and Technical Information of China (English)

    贾荣娟; 李惠云; 于向英; 于志红; 高丽红

    2015-01-01

    目的:评价强化干预加耳穴按压对老年糖尿病高危患者的效果。方法病例选择威海市文登城区6个社区糖尿病高危人群共103例,按照随机数字法分为观察组52例和对照组51例。观察组中男27例,女25例,平均年龄(55.2±6.7)岁;对照组中男25例,女26例,平均年龄(53.8±5.9)岁。观察组进行强化健康教育加耳穴按压,选取耳穴(胰胆、屏间和阿是穴等)贴压王不留行籽,嘱患者每日餐前及睡前30 min按压1次,每次1~2 min;对照组进行常规健康教育。1年后,观察2组患者体质指数(BMI)、腰围、总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)、空腹血糖(FBG)、餐后2 h血糖(2 hPG)和糖化血红蛋白(HbAlc)。采用SPSS13.0统计学软件进行数据分析,两组疗效比较采用两组独立样本t检验,自身前后比较采用配对t检验,以P<0.05为差异有统计学意义。结果干预1年后2组患者BMI、腰围、TC、TG、LDL-C、FBG、2 hPG和HbAlc比较t值分别为4.38、4.98、19.17、10.46、6.74、10.20、5.18和22.84,均P<0.05,差异有统计学意义。结论强化干预加耳穴按压能明显控制体质指数、血糖和血脂水平,从而达到预防和延缓糖尿病发生的目的。%Objective To evaluate the clinical efficacy of intervention treatment with auricular acupressure in elderly patients at high risk for diabetes.Methods A total of 103 patients at high risk of diabetes were selected from six communities of Weihai Wendeng city. Patients were randomly divided into two groups, observation group ( n=52 ) and control group ( n=51 ). There were 27 male patients and 25 female patients in observation group, with mean age ( 55.2±6.7 ) years. The mean age of was ( 53.8±5.9 ) years, and there were 25 male patients and 26 female patients in control group. The observation group was given the intensive health education combined with

  5. Absceso epidural cervical por peptostreptococcus anaerobius

    OpenAIRE

    Fernandez Garcia, L.; Machado Baldasano, A.; Villanueva Pareja, F.; García de Quevedo Puerta, D.; Marfil Romero, M.

    1996-01-01

    Se presenta 1 caso de infección con absceso epidural a nivel cervical producido por un Peplostreptococcus anaerobius en 1 paciente en el que se realizó previamente una artrodesis C6-C7 por una hernia discal cervical. En la literatura no se han encontrado referencias bibliográficas de casos similares, por la etiología y la localización. Se discute la importancia de las infecciones por bacterias anaerobias en patología osteoarticular, métodos diagnósticos, así como su abordaje te...

  6. Perfil de riesgo y valoración del tratamiento anticoagulante en pacientes con fibrilación auricular atendidos en un servicio de urgencias hospitalario

    OpenAIRE

    Pozo Vegas, Carlos del

    2015-01-01

    Los pacientes con FA consultan en los SUH por motivos relacionados con su arritmia así como de otra índole. Sus características clínicas, sociales y funcionales deben ser representativas de la población general de enfermos con FA. Caracterizar el perfil de riesgo de estos pacientes permitirá valorar la adecuación de la prescripción del tratamiento antitrombótico considerando escalas de riesgo embólico y de sangrado aplicables en la práctica diaria. Asumiendo que los AVK siguen siendo la tera...

  7. ¿paz por estatalización, paz por cortes de justicia, paz por tratado, paz por soberanía,paz por derecho penal?

    OpenAIRE

    Marquardt, Bernd

    2012-01-01

    Con este artículo se pretende introducir la historia de la paz en Europa, teniendo en cuenta los enfoques de la ciencia de la Historia del Derecho y de las investigaciones propias sobre la Historia Universal del Estado. Se quiere presentar los desarrollos y transformaciones de la paz en el milenio entre 800 y 1800 d.C. El lector va a realizar un viaje a través del tiempo, pasando por grandes eventos de paz como la Paz Territorial de Maguncia de 1235, la Paz Et...

  8. La inconstitucionalidad por omisión

    Directory of Open Access Journals (Sweden)

    Luz Bulnes Aldunate

    2006-01-01

    Full Text Available El artículo analiza la facultad de los tribunales constitucionales para determinar la inconstitucionalidad por omisión, en virtud del silencio u omisión de la autoridad de normar un principio o regla constitucional dispuesto por la Constitución explícita o implícitamente.

  9. 坎地沙坦酯联合耳穴压豆对非杓型高血压病患者的疗效观察%Candesartan Cilexetil Combined With Auricular Acupuncture Point on Curative Effect of Non-Dipper Type Hypertension Patients

    Institute of Scientific and Technical Information of China (English)

    曲玉梅; 吴华慧

    2015-01-01

    目的:观察坎地沙坦酯联合耳穴压豆对非杓型高血压患者的血压影响。方法选取70例非杓型高血压患者随机分为治疗组和对照组,对照组夜间口服坎地沙坦酯;治疗组在口服坎地沙坦酯的同时加用耳穴压豆法。结果治疗后治疗能明显降低非杓型高血压患者的舒张压及收缩压,同时坎地沙坦酯联合耳穴压豆能促使非杓型高血压患者向杓型高血压转换。结论耳穴贴压法能明显降低非杓型高血压患者的血压,疗效优于对照组。%ObjectiveObservation of candesartan in conjunction of ear beans on non-Dipper type hypertension patients' blood pressure.Methods Select 70 non-Dipper type hypertension patients were randomly divided into treatment and control groups, controls the night oral candesartan ester treatment group at the time of oral administration of candesartan ester plus Auricular bean method.Results After treatment in the treatment of non-Dipper type hypertension patients can signiifcantly reduce the systolic blood pressure and diastolic blood pressure and candesartan combined Auricular beans can induce non-Dipper type hypertension patients switch to Dipper type hypertension. Conclusion Auricular acupoint method non-Dipper type hypertension patients can signiifcantly reduce blood pressure, than the control group.

  10. 耳针联合倍他司汀治疗椎基底动脉供血不足临床疗效回顾性分析%A retrospective analysis of treating vertebral basilar insufifciency by auricular acupuncture plus Betahistine

    Institute of Scientific and Technical Information of China (English)

    汪建平; 辛庆锋

    2016-01-01

    Objective: To retrospectively analyze clinical effects and safety of auricular acupuncture plus Betahistine on vertebral basilar insufficiency. Methods: 56 cases were randomly divided into 2 groups. The control group was given low molecular dextran; the observed group was treated by auricular acupuncture plus Betahistine. Results: The total efficiency and vertebral-basilar artery hemodynamic improvement in the observed group were both obviously better,P0.05). Conclusion: Auricular acupuncture plus Betahistine on vertebral basilar insufifciency showed a signiifcant effects, with safety, and was worthy of promotion.%目的:回顾性分析耳针联合倍他司汀治疗椎基底动脉供血不足的临床疗效及安全性。方法:回顾分析本院2011年1月-2013年12月收治的56例椎基底动脉供血不足患者,依据纠正眩晕的治疗方法分为两组。对照组给予低分子右旋糖酐,观察组给予耳针联合倍他司汀。结果:观察组在临床疗效、椎基底动脉血液动力学改善等方面均明显优于对照组(P0.05)。结论:耳针联合倍他司汀治疗椎基底动脉供血不足疗效显著且安全可靠,值得临床选择和推广。

  11. 耳穴压籽配合中药足浴及护理用于老年不寐的疗效观察%Clinical Observation on Auricular-plaster combined with Traditional Chinese Medicine Foot-bath Therapy and Nursing of Elderly Insomnia

    Institute of Scientific and Technical Information of China (English)

    丛立新; 单晓慧; 孙守坤

    2016-01-01

    Objective To observe clinical effect of auricular-plaster with traditional Chinese medicine foot-bath therapy on elderly insomnia . Methods 43 cases of elderly insomnia patients were treated with auricular-plaster and traditional Chinese medicine foot-bath with nursing . After 20 consecutive days, effect evaluation and Pittsburgh sleep quality index (PSQI) score were performed.Results After treatment, the full asleep time, sleep time, sleep efficiency and PSQI total score were all showed a significantly better result than those before treatment . The total effective rate was 79%.Conclusion Auricular-plaster with traditional Chinese medicine foot-bath therapy has a good effect on treating elderly insomnia .%目的:探讨耳穴压籽联合中药足浴对老年不寐患者睡眠质量的影响。方法选择43例老年不寐患者,在常规护理的基础上给予耳穴压籽联合自制中药足浴的干预方法,连续20天后,进行疗效评价和匹兹堡睡眠质量指数量表(PSQI)评分。结果治疗后老年不寐患者入睡时间、睡眠时间、睡眠效率和PSQI总得分均得到明显改善( P<0.05),总有效率达到79%。结论采用耳穴压籽联合中药足浴对治疗老年不寐症具有较好的疗效。

  12. Análisis coste-utilidad de apixabán frente al ácido acetilsalicílico en la prevención del ictus en pacientes con fibrilación auricular no valvular en España

    OpenAIRE

    Ginés Escolar-Albaladejo; Gonzalo Barón-Esquivias; José Luis Zamorano; Lourdes Betegón-Nicolás; Cristina Canal-Fontcuberta; Marina de Salas-Cansado; Darío Rubio-Rodríguez; Carlos Rubio-Terrés

    2016-01-01

    Objetivo: Evaluar el coste-utilidad de apixabán frente al ácido acetilsalicílico (AAS) en la prevención del ictus en pacientes con fibrilación auricular no valvular (FANV) con contraindicación de antagonistas de la vitamina K en España. Métodos: Se adaptó un modelo de Markov, simulando toda la vida del paciente. Los datos de eficacia y seguridad provienen del ensayo clínico AVERROES. Perspectivas del análisis: Sistema Nacional de Salud (SNS) y sociedad. El coste de los medicamentos se calc...

  13. La responsabilidad civil medioambiental por productos defectuosos

    OpenAIRE

    2014-01-01

    La tesis cuestiona por una parte la exhaustividad del marco regulador de la responsabilidad Civil por productos defectuosos y, por la otra, la singularidad de los daños medioambientales. Así, pretende, entre otros objetivos, contribuir en la construcción del Derecho Civil medioambiental, buscando, dentro del ámbito de protección de la legislación sobre productos defectuosos, el posible anclaje de los daños medioambientales. Gira en torno a la cuestión del régimen aplicable a supuesto...

  14. Búsquedas por similitud en PostgreSQL

    OpenAIRE

    2012-01-01

    Las búsquedas en espacios métricos y los operadores para búsquedas por similitud han sido estudiados y son actualmente material de estudio recurrente debido al auge de datos no convencionales como por ejemplo audio o video disponibles en grandes repositorios de datos. Por lo tanto, surge la necesidad de almacenar y posteriormente consultar dichos datos. A pesar de ello no se encuentran gestores de bases de datos que implementen todos los operadores relevantes sobre datos de estas característi...

  15. TERAPIA ASSISTIDA POR ANIMAIS (TAA – ZOOTERAPIA)

    OpenAIRE

    Tadeu Junior, Flavio Gomes; Residente do Hospital Veterinário da Faculdade Dr. Francisco Maeda - FAFRAM; Costa, Paula Ferreira; Professora Dra. da fundação Educacional de Ituverava.; Palazzo, Elzylene Lega; Professora Dra. da Fundação Educacional de Ituverava

    2014-01-01

    A Terapia Assistida por Animais (TAA) envolve a interação entre pacientes e um animal treinado, sob a supervisão de profissionais da saúde devidamente capacitados e habilitados. Utiliza-se da forte ligação homem animal em intervenções direcionadas como parte integrante do tratamento do paciente. O presente estudo tem como objetivo apresentar a efetividade e alguns dos benefícios que a Terapia Assistida por Animais traz à saúde dos pacientes, por estímulo de ativida...

  16. Hemorragias intracraneales de carácter evitable asociadas a anticoagulantes orales en pacientes con fibrilación auricular Avoidable intracranial hemorrhages associated with oral anticoagulants in patients with atrial fibrillation

    Directory of Open Access Journals (Sweden)

    A. García Luque

    2011-12-01

    Full Text Available Introducción y objetivo: El aumento de la prescripción de anticoagulantes orales ha provocado un aumento de hemorragias intracraneales, la reacción adversa más grave asociada a este grupo farmacológico. El objetivo del estudio es evaluar el carácter evitable de hemorragias intracraneales asociada a anticoagulantes orales que causan ingreso hospitalario en pacientes con fibrilación auricular. Método: Supervisión de las historias clínicas de los pacientes que ingresaron en los Hospitales Universitarios Virgen del Rocío (01/01/03 al 31/03/07 con hemorragia intracraneal y fibrilación auricular; considerando hemorragia intracraneal asociada a anticoagulantes orales aquellas con una relación ≥ posible al aplicar el algoritmo de causalidad del Sistema Español de Farmacovigilancia. Para valorar el carácter evitable de la hemorragia intracraneal se ha estudiado la relación beneficio/riesgo del uso de anticoagulantes orales. Resultados: Al menos 20/57 (35,1% hemorragias intracraneales asociadas a anticoagulantes orales pudieron ser potencialmente evitables, de las cuales en 7/20 (35% el desenlace fue mortal, presentando secuelas 8/13 (61,5% de los supervivientes. El fármaco sospechoso de interaccionar con anticoagulantes orales referenciado con mayor frecuencia fue el omeprazol, 11/57 (19%, a pesar de estar documentada esta interacción como altamente probable en la Bibliografía y en los protocolos del Hospital. Conclusiones: La relación beneficio/riesgo del uso de anticoagulantes orales, el control estricto del Índice Normalizado Internacional, junto con las posibles interacciones medicamentosas deben ser evaluadas de forma individualizada y periódicamente para minimizar el riesgo de hemorragia intracraneal, que en un porcentaje elevado de casos es una reacción adversa potencialmente evitable y mortal.Introduction and objectives: The increase in oral anticoagulants prescription has caused an increase in intracranial hemorrhages

  17. Application of Su's localization method for auricular reconstruction in patients with microtia%苏氏定位法在小耳畸形患者耳廓再造中的应用

    Institute of Scientific and Technical Information of China (English)

    苏法仁; 丁静华; 刘玉红

    2016-01-01

    Objective To report application of a localization method (Su’s localization method) for auricular recon-struction in patients with microtia. Methods The Su’s localization method was used in 893 microtia cases (the study group) and compared with 289 cases in which visual localization method was used (the control group). Anteroposterior and vertical position differences from the normal auricle were analyzed after six months. Results The anteroposterior and vertical posi-tion differences in the study group (0.55 ± 0.18 cm and 0.43 ± 0.15 cm respectively) were smaller than in the control group (0.71 ± 0.22 cm and 0.63 ± 0.19 cm respectively) (P<0.05). Conclusion The Su’s localization method is a preferable way in auricular reconstruction which improves the accuracy of location of the reconstruction auricle, and is worth broad adoption.%目的:探讨一种再造耳廓位置的定位方法(苏氏定位法[1])在先天性小耳畸形患者耳廓再造中的应用。方法收集893例先天性小耳畸形患者作为实验组,在耳廓再造中应用苏氏定位法对再造耳廓进行定位;以289例先天性小耳畸形患者作为对照组,在耳廓再造中应用目测测量法对再造耳廓进行定位。术后半年测量再造耳廓与健侧耳廓的前后、上下位置差值并进行统计学分析。结果实验组两侧耳廓前后、上下位置差值(0.55±0.18 cm、0.43±0.15 cm)小于对照组(0.71±0.22 cm、0.63±0.19 cm)差异具有统计学意义(P<0.05)。结论苏氏定位法应用于先天性小耳畸形患者耳廓再造手术中,能使再造耳廓位置更准确,优势明显,是目前耳廓再造手术中较好的定位方法,值得临床应用与推广。

  18. 不同干预措施对战士吸烟行为的影响%Effects of psychological intervention, auricular acupuncture and smoking cessation medication on cigarette smoking behavior in soldiers: a pilot randomized controlled trial

    Institute of Scientific and Technical Information of China (English)

    姜斌; 左芳; 吴蕾; 何耀; 陈肇始; 郑家强; 林大庆

    2011-01-01

    Objective To evaluate the effects of different smoking cessation interventions on cigarette consumption for young soldiers.Methods Sixty-eight soldiers were prospectively investigated in this randomly controlled clinical trial and assigned to the psychological intervention group,auricular acupuncture group,and smoking cessation medication group.Results All the participants showed significant reduction(33.3% to 73.9%)in post-treatment cigarette consumption.The highest quit rate was found at 7 days,although this declining trend was faded over time.One-year follow-up indicated a 6-month quit rate of 16.7%,23.8% and 30.4% in three groups,respectively.Conclusion Psychological intervention,auricular acupuncture and smoking cessation medication may be effective methods of reducing cigarette consumption and improving quit rate in young soldiers.%目的 探讨和评价不同的干预措施对集体生活年轻人群吸烟行为的影响.方法 将68名吸烟战士随机分为3组,分别采取心理干预、心理干预+耳针和心理干预+药物对其吸烟行为进行干预.采用统一问卷进行基线调查,在1、3、6个月和1年进行随访,观察不同随访时点吸烟量的减少和戒烟率.结果 三组研究对象可比性较好.在1、3、6个月随访时点,各组吸烟者的吸烟量均有不同程度的下降(33.3%~73.9%).在上述各随访时点,7d时点戒烟率均较高,而持续1个月的戒烟率和持续3个月的戒炯率有随时间下降的趋势.但3组1年随访时,持续6个月的戒烟率仍可达到16.7%、23.8%、30.4%.结论 集体管理生活环境中的戒烟心理干预是年轻战士吸烟量的减少和提高戒烟成功率的有效措施之一,药物和耳针等辅助戒烟方法的使用亦有一定的促进作用.

  19. 耳穴压豆对血液透析伴失眠患者睡眠及生活质量的影响%Influence of Auricular Acupoint Bean Pressing on Insomnia and Life Quality in Hemodialysis Patient s

    Institute of Scientific and Technical Information of China (English)

    郑青海; 刘成福

    2014-01-01

    目的:探讨能有效改善维持性血液透析患者睡眠及生活质量的方法。方法将我院80例维持性血液透析伴有失眠的患者随机分为实验组和对照组,两组均接受血液透析、纠正贫血、控制血压等基础治疗,实验组在此基础上加用耳穴压豆治疗,对照组口服阿普唑仑,以8周为一个疗程,在治疗前后用匹兹堡睡眠质量指数(PSQI)及肾脏病生活质量评分(KDQOL-SF-36)观察两组的睡眠情况以及生活质量并进行比较。结果在治疗前两组患者失眠及生活质量比较无差异(P>0.05),在治疗后实验组睡眠状况以及生活质量优于对照组(P0.05) . After treatment, PSQI and KDQOL-SF-36 scores of experiment group were significantly lower and higher respectively than those of control group ( P <0.05) . Conclusion Auricular acupoint bean pressuring therapy could improve sleep and life quality of hemodialysis patients.

  20. Sectional anatomical analysis of auricular and middle ear malformation in patients with microtia%先天性小耳外中耳畸形断面影像解剖学分析

    Institute of Scientific and Technical Information of China (English)

    韩娟; 卢九星; 邢宁; 林琳; 蒋海越; 庄洪兴

    2011-01-01

    Objective To analyze the sectional anatomical features of auricular and middle ear malformation in patients with microtia so as to improve the clinical classification and the instruction of surgery. Methods From Jun. to Dec. 2009,36 cases with microtia were selected in the center of auricular reconstruction in Plastic Surgery Hospital, including 22 cases of unilateral microtia and 14 cases of bilateral microtia. 22 patients with unilateral microtia were studied with the contralateral healthy ears as controls. Spiral CT was performed for high-resolution scan of the temporal bone. The coronal, sagittal and 3D reconstruction images were created with Mimic software. Several distances and degrees were measured. Results The patients were classified by Max classification. The anteroposterior diameter and the vertical diameter of tympanic cavity were (7. 75 ± 1. 92) mm and ( 14. 66 ± 4. 75 ) mm for type Ⅰ ; (6.17±2.56) mm and(14. 35 ±5. 12) mm for type Ⅱ ; (6. 31 ±3. 40) mm and (9.97 ±4.36) mm for type Ⅲ ( P = 0.001). The mastoid pneumatization degree for type Ⅰ , Ⅱ , Ⅲ were 13.33% , 13.64% ,30.77% in sclerotic type, 13. 33% , 18. 18 % , 7. 69% in diploetic type, 0, 9. 09% , 38. 46% in composite type,73. 33% ,59. 09% ,23. 08% in pneumatic type(x2 = 24. 11 ,P = 0. 002 ). The cover of fenestra vestibuli by facial nerve was 21. 43% ,47.62%, 54.55% (x2 =23.44, P = 0. 002 ) for type Ⅰ , Ⅱ , Ⅲ. There was a statistical difference between the microtia group and the control group. Conclusions According to the Max classification, the middle ear malformation changed along the auricular malformation. The anatomical variations was complicated in type Ⅱ microtia, which should be sub-classified.%目的 通过对先天性小耳患者外、中耳的畸形断面影像解剖学特征的系统研究,比较其与正常解剖之间的差异,总结重要解剖结构的变异规律及相互关系,以利于临床分型及手术治疗.方法 选取2009年6月至12月中

  1. Intoxicación por Paraquat

    Directory of Open Access Journals (Sweden)

    Glenda Viales López

    2014-12-01

    Full Text Available El paraquat es un herbicida bipiridílico que actúa por contacto, se presenta en forma líquida en concentraciones del 20% para uso agrícola. Su nombre químico es eI 1-1´-dimetil-4-4- bipiridilo, con el nombre comercial de Gramoxone. La intoxicación por paraquat tiene una tasa de mortalidad elevada. La intoxicación grave se caracteriza por la afectación de múltiples órganos, principalmente los pulmones, los riñones y el hígado. El pulmón es el órgano diana en la intoxicación por paraquat y la insuficiencia respiratoria con fibrosis pulmonar aguda es la causa más común de muerte.

  2. 14 Nobel, preocupados por el CERN

    CERN Multimedia

    Rivera, A

    2003-01-01

    "E l presidente del Consejo del CERN (Laboratorio Europeo de Fisica de Particulas, junto a Ginebra), Maurice Bourquin, ha recibido una carta firmada por un grupo de cientificos muy especiales: 14 premios Nobel de Fisica" (1 page).

  3. Micetoma por Nocardia brasiliensis: reporte de caso

    Directory of Open Access Journals (Sweden)

    Miriam Guevara R

    2003-07-01

    Full Text Available Se presenta el caso de un paciente peruano, agricultor, con una infección cutánea de origen traumático causada por Nocardia brasiliensis, que evolucionó hacia la amputación del miembro inferior afectado. El diagnóstico se realizó por examen directo y cultivo del espécimen.

  4. La orejuela izquierda como fuente de accidentes cerebrovasculares: cerrar (y cómo, o no cerrar (y por qué Left atrial appendage as a source of stroke: to close (and how, or not to close (and why

    Directory of Open Access Journals (Sweden)

    R. Hernández-Estefanía

    2012-04-01

    Full Text Available La orejuela izquierda se considera la principal fuente de émbolos en los accidentes cerebrovasculares que se producen en pacientes con fibrilación auricular. El tratamiento con anticoagulantes orales reduce significativamente el riesgo de accidentes embólicos cerebrales en relación con la aspirina, pero se asocia a riesgo de complicaciones hemorrágicas, por lo que no siempre son utilizados. Se ha descrito que el cierre de la orejuela izquierda reduce la tasa de accidentes tromboembólicos y en la actualidad se recomienda en pacientes en fibrilación auricular sometidos a cirugía mitral, pero la formación de émbolos en estos pacientes puede deberse a otras causas, y la implicación de la orejuela podría ser menor de la que se presupone. Además, no todos los pacientes son candidatos para la anticoagulación oral, y no todos se mantienen en un rango terapéutico adecuado, lo que podría justificar la formación de trombos auriculares. Existen diversos métodos para el cierre de la orejuela: sutura directa, exclusión epicárdica mediante grapadora o clip, u oclusión mediante los recientes dispositivos endovasculares de aplicación percutánea. Pero, según la bibliografía, la efectividad de estos métodos para ocluir completamente la orejuela, así como su seguridad y eficacia para la prevención de accidentes embólicos cerebrales, pueden presentar resultados dispares. Para aumentar la controversia, algunos métodos de cierre con sutura no revelan un claro beneficio e, incluso, en algunos se describe un aumento del riesgo de tromboembolismo. Se presenta una revisión sobre la necesidad de cierre de la orejuela izquierda para la prevención de accidentes vasculares cerebrales, así como los diversos procedimientos descritos.Left atrial appendage is considered the main source of emboli in stroke for patients with atrial fibrillation. Oral anticoagulant therapy significantly reduces the risk of cerebral embolic events as compared with

  5. Intoxicación por metales

    Directory of Open Access Journals (Sweden)

    A. Ferrer

    Full Text Available Los metales están entre los tóxicos más antiguos conocidos por el hombre. En el industrializado mundo actual las fuentes de exposición a metales son ubicuas tanto en el campo laboral como a partir de agua, los alimentos o el ambiente contaminados. Su toxicidad está caracterizada por el elemento metálico en cuestión pero se ve modificada por el tipo de compuesto, orgánico o inorgánico y sus características de hidro o liposolubilidad, que determina su toxicocinética y por tanto sus posibilidad de alcanzar sus dianas. Las biomoléculas más afectadas por los metales son las proteínas con actividad enzimática por lo que su patología es multisistema. Los principales sistemas afectados son el gastrointestinal, neurológico central y periférico, hemático y renal. Algunos de los compuestos metálicos son carcinógenos. Los metales se benefician de un tratamiento condicionado por su reactividad química. Pueden ser inactivados y eliminados mediante la administración de substancias quelantes que producen con ellos moléculas complejas, atóxicas y excretables. Los principales agentes quelantes son: BAL (British Anti-Lewisite o dimercaprol, DMPS (ácido 2,3-dimercapto-1-propanosulfonico y DMSA (ácido meso-2,3-dimercatosuccínico o Succimer, EDTA, Penicilamina (ß,ß-dimetilcisteína y Desferoxamina. Se exponen a continuación las características toxicocinéticas, mecanismo de acción, clínica y tratamiento de alguno de los metales y metaloides más relevantes: plomo, mercurio y arsénico.

  6. Effect of auricular-plaster therapy combined with aromatherapy on anxiety and quality of life in patients with colorectal surgery%耳穴按压配合芳香疗法对大肠癌手术患者焦虑和生活质量的影响

    Institute of Scientific and Technical Information of China (English)

    王晨霞; 金昌德; 王彦鑫; 张萌

    2013-01-01

    Objective To explore the effect of auricular-plaster therapy combined with aromatherapy on anxiety and quality of life in patients with colorectal surgery.Methods A total of 135 patients with colorectal surgery were randomly divided into group A (auricular-plaster therapy combined with aromatherapy),group B(auricular-plaster therapy),group C (aromatherapy),group D(blank).Anxiety and life quality levels of four groups were determined by using self-rating anxiety scale(SAS),quality of life instruments for cancer patients (QLICP-CR)and were compared between four groups before and after intervention.Results The SAS and QLICP-CR scores of group A were lower than those of group B,group C and group D after intervention.The SAS and QLICP-CR scores of group B and group C were lower than that of group D after intervention.There were no statistical significant differences in SAS and QLICP-CR scores between group B and group C after intervention.Conclusions Auricular-plaster therapy combined with aromatherapy can effectively alleviate anxiety of patients with colorectal surgery and improve their quality of life,and the effect is better than that of auricular-plaster therapy and aromatherapy.%目的 评价耳穴按压配合芳香疗法对大肠癌手术患者焦虑和生活质量的影响.方法 将135例大肠癌手术患者随机分为A组(耳穴按压配合芳香疗法)33例、B组(耳穴按压)33例、C组(芳香疗法)34例、D组(空白组)35例,采用焦虑自评量表(SAS)、大肠癌生活质量测定量表(QLICP-CR)对4组干预前后的焦虑和生活质量水平进行测试并比较不同方法的效果.结果 A、B、C组干预前后SAS与QLICP-CR总分比较差异均有统计学意义;A、B、C组干预后的SAS和QLICP-CR总分与D组比较差异均有统计学意义;A组干预后SAS和QLICP-CR总分与B、C组比较,比较差异均有统计学意义;C组干预后SAS和QLICP-CR总分与B组比较差异无统计学意义.结论 耳穴按压配合芳香疗

  7. 耳穴按压配合芳香疗法对大肠癌手术患者应激反应的影响%The effect of auricular-plaster therapy combined with aromatherapy on stress responses in patients receiving colorectal surgery

    Institute of Scientific and Technical Information of China (English)

    王晨霞; 王仲兰; 庄桂学; 金昌德

    2013-01-01

    目的 评价耳穴按压配合芳香疗法对缓解大肠癌手术患者应激反应的效果.方法 将135例大肠癌手术患者分为A组33例(耳穴按压配合芳香疗法)、B组33例(耳穴按压)、C组34例(芳香疗法)、D组35例(空白对照).采用焦虑自评量表(SAS)对4组患者不同时间点的焦虑水平进行测试;记录4组患者不同时间点的心率和血压.结果 4组不同测量时间及组间的焦虑评分、血压、心率比较,差异均有统计学意义(P<0.01).干预后A组焦虑评分、血压、心率低于B、C、D组,差异均有统计学意义(P<0.05).干预后B组和C组焦虑评分、血压、心率低于D组,差异有统计学意义(P<0.05).干预后B组焦虑评分、血压、心率与C组比较,差异无统计学意义(P>0.05).结论 耳穴按压配合芳香疗法能有效减轻大肠癌手术患者的焦虑,稳定血压和心率,且效果优于单独采用耳穴按压或芳香疗法.%Objective To evaluate the effect of auricular-plaster therapy combined with aromatherapy on stress responses in patients receiving colorectal surgery.Methods Totally 135 patients receiving colorectal surgery were randomly divided into group A(auricular-plaster therapy combined with aromatherapy),group B(auricular-plaster therapy),group C (aromatherapy) and group D(blank).The patients' anxiety was assessed by Self-Rating Anxiety Scale(SAS).Moreover,the patients' heart rate(HR) and blood pressure(BP) were recorded at different time.Results A group main effect(P<0.01),time main effect(P<0.01) and interaction effect between time and group was found(P<0.01).After intervention,the patients' anxiety,BP and HR in group A were significantly lower than group B,C and D(P<0.05); the patients' anxiety,BP and HR in group B and group C were significantly lower than group D(P<0.05).Conclusion Auricular-plaster therapy combined with aromatherapy can effectively alleviate anxiety and stabilize BP and HR in patients with colorectal

  8. Por que morrem os cortadores de cana?

    OpenAIRE

    Alves, Francisco

    2006-01-01

    O objetivo deste trabalho é demonstrar que a morte dos trabalhadores assalariados rurais, cortadores de cana, advém do pagamento por produção. Os processos de produção e de trabalho vigentes no Complexo Agroindustrial Canavieiro foram concebidos objetivando a produtividade crescente do trabalho e, combinados ao pagamento por produção, provocam a necessidade de os trabalhadores aumentarem o esforço despendido no trabalho. O crescimento do dispêndio de energia e do esforço para cortar mais cana...

  9. Algunos problemas de rutas por arcos

    OpenAIRE

    Ávila Valverde, Thais

    2014-01-01

    En esta tesis se estudian tres problemas de rutas por arcos muy importantes tanto a nivel práctico como teórico. Se tratan del General de Rutas por Arcos en un grafo dirigido (Directed General Routing Problem, DGRP), su caso particular, el problema de la Grúa (Stacker Crane Problem, SCP) y el problema del Cartero Rural Generalizado en un grafo dirigido (Generalized Directed Rural Postman Problem, GDRPP). El primer problema estudiado es problema de la Grúa el cual se define en un grafo mi...

  10. Endoftalmite por Candida albicans Candida albicans endophthalmitis

    Directory of Open Access Journals (Sweden)

    Pedro Duraes Serracarbassa

    2003-10-01

    Full Text Available O autor descreve os aspectos epidemiológicos, histopatológicos e clínicos da endoftalmite endógena por Candida albicans. Apresenta ainda novos métodos diagnósticos e opções terapêuticas utilizadas no tratamento das infecções fúngicas intra-oculares, por meio de revisão bibliográfica.The author describes epidemiological, histopathological and clinical aspects of endogenous Candida albicans endophthalmitis. He also presents new diagnostic methods and therapeutical options to treat intraocular fungal infections, based on literature review.

  11. Neumopericardio debido a herida por arma blanca

    Directory of Open Access Journals (Sweden)

    Samuel I. Merino Barrera

    2015-10-01

    Full Text Available Hombre de 24 años de edad que ingresó en el hospital debido a una herida por arma blanca penetrante en el hemitórax derecho. La herida, de 3 cm a nivel de la piel, se localizaba a nivel del segundo espacio intercostal derecho y la radiografía de tórax demostró un neumotórax del mismo lado y una colección radiotransparente, por debajo del pericardio parietal, desde el origen de los grandes vasos hasta la porción apical del ventrículo izquierdo.

  12. ACATISIA INDUCIDA POR TIETILPERAZINA EN PACIENTE EMBARAZADA

    OpenAIRE

    Vera,Gabriela; Varas,Aldo

    2002-01-01

    La acatisia es un efecto lateral neurológico agudo común a diversos fármacos que actúan a nivel dopaminérgico, su manifestación fundamental es la inquietud psicomotora, es importante diagnosticar y tratar precozmente este síndrome. Tietilperazina es una fenotiazina cuyo efecto antiemético es usado en diversas circunstancias clínicas, presentamos el caso de una paciente hospitalizada por hiperemesis gravídica que es derivada a psiquiatría por la presencia de síntomas aparentemente ansiosos. El...

  13. Surto de intoxicação por sal em ovinos no estado do Pará

    Directory of Open Access Journals (Sweden)

    Marcos D. Duarte

    2014-11-01

    Full Text Available O presente trabalho relata um surto de intoxicação por sal em ovinos no Brasil, em uma propriedade no estado do Pará. De um total de 545 ovinos, oito animais adoeceram (1,46% e quatro destes morreram (50%. A avaliação das instalações e do manejo indicaram como fatores predisponentes a ingestão excessiva de mistura mineral e a restrição hídrica. Os principais sinais clínicos foram decúbito, diminuição ou ausência da sensibilidade cutânea, ausência dos reflexos de ameaça, palpebral e auricular, midríase, nistagmo, opistótono, espasticidade de membros, sonolência e estupor. Havia ainda, timpanismo, diarreia, taquipneia, taquicardia, desidratação e poliúria. A evolução do quadro clínico nos animais que morreram variou de duas horas e meia a 48 horas. As médias das concentrações séricas de sódio e de potássio de 31 ovinos do mesmo lote afetado pela intoxicação, em amostras colhidas durante o surto, revelaram hipernatremia (190mEq/l e hipercalemia (8,2mEq/l. À necropsia, observou-se em um animal, achatamento das circunvoluções cerebrais. Microscopicamente, neste animal, evidenciou-se vacuolização moderada do neurópilo, particularmente nas lâminas intermediárias do córtex cerebral, com aumento dos espaços perineural e perivascular. Nessas áreas foram observados ainda, acentuada tumefação e edema dos astrócitos e necrose neuronal aguda. A dosagem de sódio no encéfalo de um ovino, revelou-se elevada com valor de 3.513ppm. O diagnóstico foi realizado com base na epidemiologia, nos sinais clínicos, nas lesões macro e microscópicas e nas dosagens de sódio no soro e no encéfalo dos ovinos.

  14. Tavares Bastos por Evaristo de Moraes Filho

    OpenAIRE

    Ferreira, Gabriela Nunes [UNESP

    2002-01-01

    A reedição de volume dedicado pelo jurista e pensador político Evaristo de Moraes Filho à obra de Tavares Bastos é comentada por autora de obra recente sobre essa importante figura política do Império brasileiro.

  15. Endocardite infecciosa causada por Eikenella corrodens

    Directory of Open Access Journals (Sweden)

    Cardoso Juliano Novaes

    2005-01-01

    Full Text Available Os microorganismos do grupo HACEK (Haemophilus spp, Actinobacillus actinomycetemcomitans, Cardiobacterium hominis, Eikenella corrodens e Kingella kingae são responsáveis por 3% dos casos de endocardites. Eles apresentam propriedades clínicas e microbiológicas semelhantes entre si: são bacilos gram-negativos, isolados mais facilmente em meios aeróbicos, suas culturas necessitam de tempo prolongado de incubação para crescimento (média 3,3 dias e podem ser considerados como parte da flora normal do trato respiratório superior e da orofaringe1,2. Algumas características foram identificadas nas endocardites por esses agentes, como o quadro clínico insidioso¹, diagnóstico difícil pela natureza fastidiosa e culturas negativas3,4. A endocardite por Eikenella corrodens foi descrita pela primeira vez em 1972(5 e continua sendo um agente etiológico raro. Relatamos o caso de uma paciente com valva nativa que apresentou endocardite infecciosa causada por Eikenella corrodens.

  16. Conflictos por el espacio y orden urbano

    Directory of Open Access Journals (Sweden)

    Emilio Duhau

    2004-01-01

    Full Text Available En este artículo se explora una interpretación de los conflictos en torno al espacio en la Zona Metropolitana de la Ciudad de México (ZMCM con base en los conceptos de orden y de contextos urbanos. Para ello se presenta en primer término un conjunto de formas históricas de producción del espacio urbano que, de acuerdo con los autores, conforman en la actualidad cuatro “ciudades”, es decir, otros tantos contextos urbanos que se diferencian entre sí, entre otras cuestiones, por el tipo de conflictos por el espacio que en cada uno de ellos aparece como dominante. En segundo término se examina el concepto de orden urbano y se propone una línea de interpretación de los conflictos relacionados con el espacio que marcan en la actualidad dicho orden en la metrópoli. Por último se describen e ilustran las dinámicas que caracterizan a cada uno de los cuatro contextos urbanos o “ciudades” a partir de las formas en que se combinan diferentes modalidades de organización del espacio, usos del espacio público y privado y conflictos dominantes por el espacio.

  17. Pedro Teixeira y su viaje por Mesopotamia

    Directory of Open Access Journals (Sweden)

    Fuente del Pilar, José Javier

    2005-04-01

    Full Text Available Pedro Teixeira es un integrante notable de la ilustre nómina de los viajeros portugueses que, a finales del s, XVI y principios del XVII, ensancharon para Occidente las fronteras del mundo. Su conocimiento en España se debe a la publicación en 1994 de su obra «Relaciones del Origen, Descendencia y Sucesión de los Reyes de Persia, y de Harmuz, y de un viaje hecho por el autor dende la India hasta Italia por tierra», en edición realizada por el profesor Eduardo Barajas Sala, lamentablemente fallecido en 1997. En este artículo se ofrece una reseña biográfica de Pedro Teixeira, y un análisis del viaje narrado por el autor en la última parte de sus «Relaciones »: el que desde Ormuz le conducirá, a través de Mesopotamia, hasta la costa del Mediterráneo.…

  18. Auricular reconstruction by soft tissue expansion techniques without skin grafting%无需植皮的皮肤软组织扩张法耳廓再造术

    Institute of Scientific and Technical Information of China (English)

    刘嘉锋; 孙家明; 李小丹

    2012-01-01

    Objective To investigate a methad of auricular reconstruction by soft tissue expansion techniques without skin grafting.Methods Two tissue expanders (50 ml and 70 ml) were implanted under the skin of mastoid in 15 patients with grade Ⅱ or Ⅲ microtia. One big expander(100ml) were implanted under the skin of mastoid in 13 patients with grade Ⅰ microtia and 3 patients with grade Ⅱ or Ⅲ microtia.After skin expansion,the expanders were taken out. The autologous rib cartilage or Medpor scaffolds were implanted.The superior expanded skin flap was used to cover the frontal surface and the upper part of the back surface of the framework.The inferior expanded skin flap was transplanted to cover the lower part of the back surface of the framework.The remained expanded skin flap was transplanted to cover the wound in the lateral of head.Results No skin graft was needed in all the patients.Epidermis blister occurred at the distal part of flap in one case.No other complication was happened.A follow-up of 6 to 12 months ( mean 10.9 months) was carried out in all patients with good cosmetic result when the reconstructed ear underwent second-stage operation.The scar size on the dornor site was (5.2 ± 0.6) cm2.The satisfactory rate was 90% (28/31).Conclusions The expanded skin with this new method is enough for auricular reconstruction without skin grafting,leaving less complication and less scar at donor site.%目的 探讨一期采用大容量扩张器或双扩张器重叠扩张,二期无需植皮进行耳廓再造的方法,并评价其临床效果.方法 2006年1月至2010年1月,对15例Ⅱ或Ⅲ度小耳畸形的患者,采用一期在耳后区上、下重叠各埋植1个扩张器(50和70 ml)的重叠扩张,常规注水扩张;13例Ⅰ度小耳畸形及3例Ⅱ或Ⅲ度小耳畸形患者,采用1个100 ml扩张器,适当超量扩张.二期取出扩张器,以自体肋软骨或Medpor材料作为支架,筋膜瓣包裹支架,设计上部扩张皮瓣覆盖支架前侧及

  19. 耳穴磁贴辅助全麻对妇科手术患者术后恢复的影响%Effect of assisted anesthesia of auricular point magnetic sticking on postoperative recovery of gynecological surgery

    Institute of Scientific and Technical Information of China (English)

    李万山; 万赖思琪; 刘晓静; 李万瑶; 肖建斌; 招伟贤

    2013-01-01

    Objective To explore an optimum method on postoperative recovery of general-anesthesia gynecological laparoscopic surgery.Methods One hundred and twenty cases of gynecological laparoscopic surgery were randomly divided into three groups,40 cases in each one.The sensitive points of bilateral Shenmen (TF4),Zigong (TF2),Wei (CO4),Dachang (CO7) and so on were selected in all three groups one night before the surgery.The sticking with magnetic beads was applied in the group A.The magnetic beads were in-pair stuck at front-back corresponding location of both ears in the group B.The same-appearance plaster was put at the corresponding acupoints in the group C.The intubation anesthesia was applied in all three groups and postoperative recovery of gynecological laparoscopic surgery was observed.Results The postoperative visual analogue scale (VAS) was (1.77+1.65) in the group A and (1.80+1.96) in the group B,which was both lower than (2.62+1.46) in the group C (both P<0.01).The occurrence rate of nausea and vomiting was 25.0% (9/36) in the group A and 20.0% (8/40) in the group B,which was both lower than 50.0% (19/38) in the group C (both P<0.01).The recovery of borborygmus on postoperative 1st and 3rd day in the group A and B was faster than that in the group C (both P<0.05),while time of fart and defecation in the group A and B was earlier than that in the group C (both P<0.05).The score of state-trait anxiety inventory in the group A and B was lower than that in the group C (both P<0.05),but the differences of each item between the group A and B were not obvious (both P>0.05).Conclusion The auricular point sticking could support analgesia of general-anesthesia gynecological laparoscopic surgery,which could relieve anxiety mood,reduce occurrence of nausea and vomiting and improve function of stomach and intestine to benefit postoperative recovery.However,the effect of in-pair sticking of auricular point with magnetic beads at front-back acupoints was not

  20. Dermatoses provocadas por plantas (fitodermatoses Dermatosis due to plants (phytodermatosis

    Directory of Open Access Journals (Sweden)

    Vitor Manoel Silva dos Reis

    2010-08-01

    Full Text Available As dermatoses causadas por plantas são relativamente comuns no nosso meio e podem ocorrer por diversos mecanismos patogênicos. São descritas dermatoses por trauma físico, por ação farmacológica, mediadas por IgE, por irritação, por ação conjunta da luz e por sensibilização. Também são descritas na introdução desta revisão as pseudofitodermatoses causadas por elementos veiculados pelas plantas e, por isso, aparentemente causadas pelas plantas.Dermatosis caused by plants is relatively common and may occur by various pathogenic mechanisms. Dermatitis due to physical trauma, pharmacological action, irritation, sensitization, mediated by IgE and induced by light are described. Pseudophytodermatosis caused by plant-delivered elements is also described in the introduction to this work.

  1. Clinical Observation on Insomnia with the Treatment of Auricular-plaster Therapy with Magnetic Beads and Shendao with Coarse Needle%磁珠耳穴贴压结合粗针神道穴治疗失眠症的临床观察

    Institute of Scientific and Technical Information of China (English)

    刘鹏; 王强

    2013-01-01

    Objective:To observe the clinical efficacy of auricular-plaster therapy with magnetic beads and Shendao with coarse needle treating in-somnia. Methods:96 cases of insomnia were randomly divided into treatment group, acupuncture group and otopoint group, treatment group adopted auricular-plaster therapy with magnetic beads and Shendao with coarse needle, acupuncture group was treated with routine acupuncture, otopoint group were given auricular-plaster therapy with magnetic beads, to compare the clinical efficacy of three groups. Results:The total efficiency, recur-rence rate and PSQI score of treatment group were all better than those of acupuncture group and otopoint group (P<0.05). Conclusion:Auricu-lar-plaster therapy with magnetic beads and Shendao with coarse needle treating insomnia, with satisfactory effects and low recurrence rate, which is working fast and convenient, is worthy of promotion.%  目的:观察磁珠耳穴贴压结合粗针神道穴治疗失眠症的临床疗效。方法:将96例失眠症患者随机分为磁珠治疗组、常规针刺组和磁石耳压组,磁珠治疗组予磁珠耳穴贴压及粗针神道穴,常规针刺组予毫针针刺,磁石耳压组给予磁珠耳穴贴压,比较三组临床疗效。结果:磁珠治疗组的总有效率、复发率及PSQI评分优于常规针刺组及磁石耳压组(P<0.05)。结论:磁珠耳穴贴压结合粗针神道穴治疗失眠症效果满意、复发率低,方便快捷,值得推广。

  2. The effect of diode laser treatment for hair removal of post-auricular reconstruction with autologous costal cartilage grafts and delaying postauricular skin flap%半导体激光治疗耳后延迟皮瓣加自体肋软骨立体支架法耳再造术后耳廓多毛疗效观察

    Institute of Scientific and Technical Information of China (English)

    吴子涵; 李高峰; 谭军; 丁卫; 张帆

    2015-01-01

    目的:观察半导体激光对耳后延迟皮瓣加自体肋软骨立体支架法耳再造术后耳廓多毛的治疗效果。方法:使用美国科医人(Lumenis)公司Lightsheer 800 nm半导体激光进行治疗。耳后延迟皮瓣加自体肋软骨立体支架法耳再造术III期手术后1~3个月开始行激光脱毛治疗。结果:19例患者通过1~7次的脱毛治疗,均取得了良好的效果,治疗期间无严重的不良反应。结论:Lightsheer 800 nm半导体激光对耳后延迟皮瓣加自体肋软骨立体支架法耳再造术后耳廓多毛的治疗效果良好,使再造耳的形态更美观。%Objective To observe the effect of diode laser treatment for hair removal of post-auricular reconstruction with autologous costal cartilage grafts and delaying postauricular skin flap. Methods To use Lightsheer,800nm diode laser to perform the treatment.Hair removal treatment was performed after the third phase operation of auricular reconstruction with autologous costal cartilage grafts and delaying postauricular skin flap. Results All of 19 patients got good result after hair removal treatment after 1 to 7 times.No serious complications occur during treatment. Conclusion Lightsheer,800nm diode laser is a safe and effective treatment of hair removal after auricular reconstruction with autologous costal cartilage grafts and delaying postauricular skin flap. That makes the shape of reconstructive ear preferable.

  3. 耳穴贴压联合强阿片类药物治疗中、重度癌痛50例疗效观察%Clinical Observation on Auricular Acupressure Therapy Combined with Strong Opioids for Moderate to Severe Cancer Pain

    Institute of Scientific and Technical Information of China (English)

    钟敏钰; 胡作为; 黄琳; 但丹; 成薇婷

    2012-01-01

    目的 观察耳穴压豆在中、重度癌痛治疗中的减毒增效作用.方法 将100例中、重度癌痛患者随机分为两组,每组50例,对照组予奥施康定口服治疗,治疗组在对照组基础上给予耳穴压豆,7天后观察两组镇痛缓解率、用药剂量及恶心、呕吐、便秘的发生率和程度.结果 两组各程度疼痛镇痛率比较,差异均无统计学意义(P>0.05);两组各程度疼痛镇痛药用量比较,治疗组少于对照组(P<0.05);治疗组恶心、呕吐及便秘总发生率低于对照组,差异有统计学意义(P<0.05).结论 耳穴压豆联合强阿片类药物治疗中、重度癌痛临床确切,并能减少阿片类药物用量,有效降低消化系统毒副反应.%Objective To observe the attenuation and synergy effects of auricular acupressure therapy for moderate to severe cancer pain. Methods One hundred cases of moderate to severe cancer pain were randomized into treatment group and control group, with 50 in each. The control group was given Oxycontin orally and the treatment group was combined with the auricular acupressure therapy. The analgesic response rate, dosage and the incidence and extent of nausea, vomiting and constipation of both groups were observed 7 days later. Results There was no significant difference in the analgesic response rate between groups (P>0. 05). The dosage of Oxycontin in the treatment group was significantly lower than that in the control group (P< 0. 05). The incidence of nausea, vomiting and constipation in the treatment group was significantly lower than that in the control group (P<0.05). Conclusion The auricular acupressure therapy combined with strong opioids is effective for moderate to severe cancer pain, especially in reducing the dosage of strong opioids and digestive toxicity.

  4. Effect of Auricular Point Sticking plus Pressing Zusanli (ST36) on Blood Pressure and Lipid in Patients with Hypertension%耳穴贴压联合足三里按压对高血压患者血压、血脂的影响

    Institute of Scientific and Technical Information of China (English)

    郭华芳; 王翔

    2015-01-01

    ObjectiveTo observe the effect of auricular point sticking plus acupressure on blood pressure and lipid in hypertension patients with a dampness-phlegm constitution.MethodThe eligible subjects were randomized into antreatment group of 38 cases and a control group of 40 cases. The control group was intervened by conventional medication, while thetreatment group was additionally intervened by auricular point sticking plus acupressure. Before and after intervention, the blood pressure and lipid levels [total cholesterol (TC), triglyceride (TG), high density lipoprotein (HDL), low density lipoprotein (LDL)] were detected. ResultAfter intervention, the blood pressure, TC and TG levels were decreased in thetreatmentgroup (P0.05).ConclusionAuricular point sticking plus acupressure can somehow improve the blood pressure, TC and TG of hypertension patients with a dampness-phlegm constitution.%目的:观察耳穴贴压联合穴位按压对高血压痰湿体质患者血压、血脂的影响。方法采取随机分组的方法,将符合诊断标准的患者分为治疗组38例和对照组40例,对照组采用常规药物治疗,治疗组在对照组治疗的基础上予耳穴贴压及穴位按压。干预前后对所有患者进行血压及血脂(总胆固醇、甘油三酯、高密度脂蛋白、低密度脂蛋白)的测定。结果治疗组治疗后血压及总胆固醇、甘油三酯均有下降(P<0.05,P<0.01),而治疗前后高密度脂蛋白、低密度脂蛋白无明显差异(P>0.05)。结论耳穴贴压联合穴位按压能不同程度地改善高血压痰湿体质患者的血压及总胆固醇、甘油三酯。

  5. Analysis of the effect of auricular-point-pressing of the traditional Chinese medicine in the treatment of the poor vision of the children%中医耳穴治疗儿童视力不良效果分析

    Institute of Scientific and Technical Information of China (English)

    傅弦琴; 邵洁

    2014-01-01

    目的:观察中医耳穴贴压治疗儿童视力不良的效果。方法:对511名(848只眼)裸眼视力在4.6~4.9的儿童应用耳穴磁疗贴压进行治疗,以裸眼远视力及眼疲劳症状改善作为观测指标,观察疗效。结果:治疗总有效率为60.5%(513/848)。治疗效果与儿童年龄、近视程度有关,年龄越小、程度越轻,治疗效果越好。12周的随访结果显示,69.2%的干预对象眼疲劳状况得到改善。结论:中医耳穴贴压是治疗儿童视力不良的有效方法,有利于儿童视力恢复,能有效控制近视的发展。%Objective: To observe the effect of auricular-point-pressing of the traditional Chinese medicine in the treatment of the poor vision of the children. Methods: The uncorrected visual acuity of 511 children (848 eyes) with 4.6-4.9 was treated with auricular-point-pressing. The uncorrected distance visual acuity and eye fatigue symptom were used as the indicators for observation of the treatment effect. Results: The total effective rate of the treatment was 60.5% (513/848). The treatment effect was related to the age and degree of myopia. The younger the age was the better the result was achieved. After three-months following up, 69.2% of the eye fatigue symptom of the intervention objects was improved. Conclusion: Auricular-point-pressing of the traditional Chinese medicine is an effective treatment method for the poor vision of the children, which is of benefit to not only restoring the eyesight, but also effectively controlling the myopia development.

  6. Responsabilidad penal del empleador por delitos cometidos en la empresa por sus subordinados

    Directory of Open Access Journals (Sweden)

    Walter Jose Saavedra Troncoso

    2013-07-01

    Full Text Available En este trabajo se realiza un estudio sobre la responsabilidad penal del empresario por los actos al margen de la ley que cometen sus subordinados. Se busca aclarar si el empresario debe responder penalmente cuando el delito es cometido por un subordinado en ejercicio de sus funciones o cuando este actúa a nombre de la empresa ya sea valiéndose de la información que manejan, del grado de responsabilidad o de la confianza. Por esta razón concentraremos nuestra atención en analizar la responsabilidad penal por la omisión de controles del empresario hacia el subordinado, exponiendo la problemática que se deriva de la posición de garante del primero en las operaciones empresariales.

  7. Responsabilidad por violación de la buena fe en la sociedad por acciones simplificada

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    Nicolás Polanía Tello

    2012-12-01

    Full Text Available La sociedad por acciones simplificada –SAS–, como los demás esquemas societarios, se funda en y está informada por el principio de la buena fe. Pero a diferencia de los otros modelos, la SAS tiene concreciones particulares de la buena fe que permiten un amparo más efectivo y eficiente de los derechos de los socios y de los terceros, en la medida en que instituciones como el fraude a la ley, el perjuicio injusto a terceros, el abuso del derecho y el administrador de hecho, todos estructurados a partir de violaciones a la buena fe, permiten tramitar los eventos de responsabilidad por ilícitos atípicos y llegar incluso a desestimar por ello el atributo de la limitación de responsabilidad.

  8. DIATERMIA POR ONDAS CURTAS: ANÁLISE DA TEMPERATURA CORPORAL SUPERFICIAL POR TERMOGRAFIA

    OpenAIRE

    Sergio Fernando Zavarize; Anderson Martelli; Samara Aparecida Machado; Estela Maria Correia Sant’Ana

    2014-01-01

    Introdução: Poucos estudos relacionam os efeitos da diatermia por ondas curtas (DOC) e a área de aquecimento promovido por sua aplicação. Objetivo: O objetivo do trabalho foi avaliar o comportamento da temperatura superficial corporal antes e após a aplicação de DOC por meio da termografia cutânea. Materiais e métodos: A análise da temperatura corporal no local da aplicação foi realizada através da captura da imagem por meio de câmera termográfica após quinze minutos de repouso do...

  9. Mastite por Paracoccidioidomicose: Relato de Caso

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    Chambô Filho Antônio

    2000-01-01

    Full Text Available A paracoccidioidomicose é uma importante micose sistêmica, endêmica na América Latina. A infecção é usualmente adquirida por inalação das partículas do micélio. Na sua maioria são infecções assintomáticas e estão associadas a vários fatores do hospedeiro, como sexo, idade, fatores genéticos, bem como às características do agente infeccioso e sua virulência. Apresentamos um caso de mastite por paracoccidioidomicose, com o objetivo de demonstrar que pacientes idosas e com abcessos na mama devem ser submetidas à biópsia.

  10. Intoxicación por Superwarfarinas

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    Patricia Crecente Otero

    2012-09-01

    Full Text Available Las denominadas superwarfarinas se desarrollaron a partir de la década de 1970 como solución a las resistencias que habían desarrollado los roedores a los raticidas hasta entonces existentes1. Sus principales ventajas son su mayor potencia (hasta 100 veces más potentes que la warfarina2 y el disponer de una semivida más larga (hasta 6-8 semanas. Presentamos el caso de un paciente varón que ingresa en nuestro servicio de Medicina Interna por otorragia y hematuria para estudio. Como único antecedente es consumidor ocasional de cocaína inhalada. Se confirma la intoxicación por un potente raticida, la bromadiolona.

  11. Celulitis por cuerpo extraño

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    Miguel B. Carrasco Guzmán

    2016-01-01

    Full Text Available Las infecciones de la piel y el tejido celular subcutáneo surgen como un grupo importante de afecciones con una alta morbilidad en edades pediátricas, generalmente relacionada con traumatismo y cuerpos extraños. Se presenta el caso de una escolar femenina de 6 años de edad, con síntomas y signos clínicos que sugieren celulitis en el muslo derecho,  por su evolución tórpida se le realizó el estudio ultrasonográfico que confirmó el diagnóstico etiológico de una celulitis secundaria a un traumatismo, provocada por la introducción de un gran cuerpo extraño, que pasó inadvertido para a familia de la menor.

  12. Conservación por calor

    OpenAIRE

    Cobos García, Angel; Díaz Rubio, Olga

    2011-01-01

    Esta unidade didáctica denominada Conservación por calor forma parte da materia «Tecnoloxía do procesado de alimentos» que se impartirá no primeiro semestre do 2º curso do Grao en Nutrición Humana e Dietética. A materia estrutúrase en diferentes unidades didácticas, tratando cada unha delas as diferentes tecnoloxías de procesado dos alimentos, tanto de conservación coma de transformación. A presente unidade didáctica aborda a conservación dos alimentos por calor. Este método permite destruír ...

  13. Muestreo por conglomerados en encuestas poblacionales

    OpenAIRE

    Zapata-Ossa, Helmer de Jesús; Cubides-Munévar, Angela M.; López, María C.; Pinzón-Gómez, Elisa M.; Filigrana-Villegas, Paola A.; Cassiani-Miranda, Carlos A.

    2012-01-01

    Objetivo Describir la técnica estadística del muestreo por conglomerados en encuestas de salud poblacionales. Métodos Se describen los aspectos más importantes de cada uno de los pasos metodológicos   haciendo énfasis en los fundamentos del Muestreo por Conglomerados. Éste se aplicó sobre una población  de aproximadamente 100 000 habitantes de la comuna 18 de Cali. La muestra abarcó 30 manzanas y se encuestaron 3 026 personas. La información se recolectó usando el Sistema de Información de ba...

  14. Evolution of NADPH-cytochrome P450 oxidoreductases (POR) in Apiales - POR 1 is missing

    DEFF Research Database (Denmark)

    Andersen, Trine Bundgaard; Hansen, Niels Bjørn; Laursen, Tomas;

    2016-01-01

    . These were subjected to a phylogenetic analysis along with 237 other publicly available (NCBI and oneKP) POR sequences found within the clade Asterids. Here, we show that the order Apiales only harbor members of the POR 2 clade, which are further divided into two distinct subclades. This is in contrast...... (available from the SRA at NCBI). All three genes were shown to be functional upon reconstitution into nanodiscs, confirming that none of the isoforms are pseudogenes....

  15. Muerte por Ahorcadura Death by Hanging

    OpenAIRE

    A. Sibón Olano; P. Martínez-García; RJ. Palacios Granero; JL. Romero Palanco

    2005-01-01

    La muerte por ahorcadura, suspensión o colgamiento, es generalmente suicida y con menos frecuencia accidental. El ahorcamiento homicida es inusual, estando descrito como mecanismo para disimular la verdadera causa de la muerte. La presencia de signos vitales van a permitir distinguir entre una suspension vital y otra postmortal. En este número, vamos a mostrar imágenes de algunos signos de ahorcadura discutiendo su origen vital. La autopsia reglada del cuello, en ocasiones, no muestra signos ...

  16. Claude Lefort: Democracia e Luta por Direitos

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    Silvana de Souza Ramos

    2016-06-01

    Full Text Available RESUMO: Tendo como eixo organizador o debate acerca da noção de direitos do homem e do cidadão e a eficácia destes no que se refere à luta política por novos direitos, o artigo investiga o caráter inovador da democracia moderna. Em sua abordagem do tema, C. Lefort combate três teses: a de que a defesa de direitos humanos universais representaria um perigo à política vigorosa, instituída em Estados benevolentes; a de que esses direitos seriam a expressão mais acabada da ideologia do individualismo burguês e corresponderiam a formalidades vazias, cujo sentido seria apenas o de escamotear a violência social e sacralizar privilégios; e, por fim, a tese segundo a qual as instituições democráticas visariam somente a reproduzir as relações de propriedade e força vigentes no capitalismo e não permitiriam que as contradições sociais fossem expressas ou mesmo resolvidas no campo da política. Trata-se de retomar a filosofia política proposta por C. Lefort, a qual enfatiza o caráter inédito da democracia moderna, para então explicitar, contrariando tais críticas, a perspectiva histórica de luta por direitos aberta pela invenção democrática.

  17. sobrevida de ratas intoxicadas por paraquat

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    Y. Aular

    2005-01-01

    Full Text Available La vitamina C (VC y la trimetazidina (TMZ como antioxidantes y la posible acción intiinflamatoria de esta última podrían ser de utilidad en la intoxicación por paraquat. Por tal razón se decidió evaluar el efecto de esta asociación en los niveles de VC, peso y sobrevida de ratas intoxicadas por paraquat, para ello se diseñó un estudio con 56 ratas divididas en 8 grupos: A (control negativo; B (control positivo, recibieron 11 mg/Kg. de paraquat IP; C (pre tratadas con 28.5mg/Kg. VC oral; D (tratadas con 28.5mg/Kg. VC post intoxicación; E (pre tratadas con 5mg/Kg. TMZ oral; F (tratadas con 5mg/Kg. TMZ post intoxicación; G (pre tratadas con VC- TMZ; H (tratadas con VC- TMZ post intoxicación. Se determinaron niveles de VC, cambios de peso y sobrevida en los grupos experimentales durante 31 días. Los resultados mostraron el día 24 de experimentación: disminución de los niveles de VC en el grupo E (p<0.05 y aumento en el grupo G (p< 0.001, sobrevida de 62.5% (grupo G, 50% (grupos E y H y 25% (grupos C y D. Se concluye que la asociación VC- TMZ aumentó la sobrevida de ratas intoxicadas por paraquat

  18. Intoxicación aguda por plaguicidas

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    Durán-Nah Jaime Jesús

    2000-01-01

    Full Text Available OBJETIVO: Describir la epidemiología de la intoxicación aguda por plaguicidas (IAP en el Hospital General O'Horán de Mérida, Yucatán, México. MATERIAL Y MÉTODOS: Se revisaron los expedientes de 33 pacientes superscript three 13 años, tratados en una unidad de cuidados intensivos (UCI, entre 1994 y 1998. Se recopilaron variables demográficas y clínicas relevantes, y se aplicó estadística descriptiva. RESULTADOS: En la población estudiada predominó el sexo masculino (82% del medio rural (70%, y la edad media fue de 34 ± 15.8 años. El intento de suicidio fue causa frecuente de IAP (79%, y en 33% de los casos la intoxicación se produjo por la utilización de organofosforados. La mortalidad fue de 12%. CONCLUSIONES: La IAP fue baja entre los sujetos del medio rural, por lo que los resultados de este estudio parecen no reflejar la realidad del problema. Es importante añadir que los plaguicidas son utilizados con relativa frecuencia para el intento de suicidio.

  19. Leibniz damnificado por el terremoto de Lisboa

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    Evaristo ÁLVAREZ MUÑOZ

    2009-11-01

    Full Text Available RESUMEN: En las páginas que siguen se argumenta que al filósofo alemán Gottfried Wilhelm Leibniz —fallecido en Hannover en 1716— o, al menos, a su obra Teodicea, cabría contarlos, echadas las cuentas de la manera que se verá, entre las víctimas del terremoto de Lisboa de 1755. Asimismo se subraya la persistencia del pensamiento de Leibniz en las respuestas dadas por los filósofos del siglo XVIII al trágico suceso. Se estudian las reacciones de Voltaire, de Rousseau y de Kant ante los estragos provocados por el seísmo y se concluye que las manifestaciones de los dos primeros ya habían sido previstas en Teodicea e, incluso, la vía científica pretendida por Kant había sido abierta en Protogaea.ABSTRACT: It is argued here that German philosopher Gottfried Wilhelm Leibniz, passed away in 1716, and, specially, that his work Teodicea, could be considered amongst the victims of the Lisbon earthquake of 1755. The persistence of the Leibniz’s thought in the answers given by the philosophers of the 18th Century to the tragic event is also emphasized. Voltaire and Rousseau’s reactions to the damage caused by the earthquake had been anticipated in Teodicea and the scientific way followed by Kant had been initiated in Protogaea.

  20. Intoxicación por drogas

    Directory of Open Access Journals (Sweden)

    I. Gainza

    Full Text Available El consumo de drogas ilegales en nuestro país ha experimentado un notable cambio en los últimos años, relegando a la heroína e incorporando la cocaína, los derivados anfetamínicos como el "éxtasis" (MDMA, el "éxtasis líquido" (GHB y, en menor medida, la ketamina. Se lleva a cabo una revisión de la intoxicación aguda por opiáceos y de su tratamiento en los servicios de urgencias, teniendo en cuenta el descenso progresivo de los casos que se presentan con el advenimiento de nuevas formas de administración, así como la presencia de nuevas drogas adictivas que han dado lugar a un desplazamiento en los hábitos de consumo. Se expone la intoxicación por cocaína haciendo referencia a la clínica, el diagnóstico y el tratamiento. Se realiza una revisión sobre el cannabis y sus derivados, la historia de su consumo y preparaciones utilizadas, los efectos que producen en los distintos sistemas del organismo y sus principales mecanismos de acción. Por último se comentan los efectos del LSD y de las setas alucinógenas.

  1. Dos genios unidos por un alfabeto

    Directory of Open Access Journals (Sweden)

    Andrés Arias

    2016-12-01

    Full Text Available En 1953 el artista Sergio Trujillo Magnenat le pidió al arquitecto Victor Schmid que le hiciera una casa dónde vivir con su familia. La única condición que le puso fue que el diseño de la construcción nada tuviera que ver con el estilo suizo que ya identificaba las obras de Schmid. Le dijo que quería una casa de corte moderno, de líneas parecidas a las impuestas por el famoso Le Corbusier. Schmid ni lo pensó: de inmediato aceptó el reto y un año después entregó la obra (y toda su vida diría, medio en serio, medio en broma, que aquella casa le había quedado aun mejor y más bella que las hechas por el propio Le Corbusier, por cierto compatriota suyo. Allí vivieron durante décadas los Trujillo: el maestro, Sara (su esposa y sus hijos. La casa aún se mantiene en pie: ocupa una amplia esquina, en la calle 58 con carrera tercera, en el muy bogotano barrio de Chapinero. Es más, fue restaurada y bajo el nombre de Casa Trujillo es hoy un conjunto de apartamentos.

  2. The Influence of Auricular Seed-Embedding Therapy over the Psychological Health of Family Members with MR Children%耳穴埋籽对精神发育迟缓患儿家属心理健康水平的影响

    Institute of Scientific and Technical Information of China (English)

    石娜

    2015-01-01

    目的:探讨耳穴埋籽对精神发育迟缓患儿家长的心理健康水平的影响。方法:将精神发育迟缓患儿家长105名随机分为2组,分别采用症状自评量表测量其心理健康水平,并与国内外常模比较,同时对家长进行辨证分型,根据证型采用耳穴埋籽的方法进行干预,治疗2个月后再次使用症状自评量表进行评分。结果:患儿家长的躯体化、抑郁、焦虑3个因子分与常模比较有显著性差异(P<0.05);经耳穴埋籽治疗后治疗组在抑郁、焦虑方面较前有了一定改善(P<0.05),对照组则无明显改善。结论:精神发育迟缓患儿家长的心理健康水平普遍较低,耳穴埋籽可在一定程度上改善家长的心理健康水平。%Objective: To investigate the therapeutic effect of seed-embedding method in the auricular points on family members psychological health of parents of children with mental retardation (MR). Methods: Overall 105 family members of MR children were randomly divided into two groups, both of which were measured by symptom checklist (SCL-90) and compared with norm at home and abroad. Furthermore, after intervened with auricular seed-embedding therapy for two months according to the types classified by syndrome differentiation, the parents were scored by SCL-90 again. Results: There was significant difference in the comparison of the scores of somatiza-tion, depression, anxiety between the treatment group and the norm group (P<0.05); family members depression and anxiety in the treatment group were greatly improved after administered the auricular seed-embedding therapy (P<0.05), while the norm group had no obvious improvement. Conclusion: Although the lower healthy levels are commonly encountered in the family members of MR children, the auricular seed-embedding therapy can ameliorate the mental conditions of family members with MR children to a certain extent.

  3. Clinical Study on Acupuncture plus Auricular Point Sticking in Improving Tobacco Withdrawal Symptoms After Smoke Cessation%针刺配合耳穴贴压改善戒烟后烟草依赖症状的临床研究

    Institute of Scientific and Technical Information of China (English)

    刘丹; 邵滢如; 刘芳

    2015-01-01

    Objective To observe the clinical efficacy of acupuncture plus auricular point sticking in improving tobacco withdrawal symptoms after smoke cessation. Method Forty-eight patients with tobacco withdrawal symptoms were randomized into a treatment group and a control group, 24 in each group. The treatment group was intervened by acupuncture plus auricular point sticking, while the control group was by auricular point sticking. The daily consumption of tobacco, Fagerstrom Test of Nicotine Dependence (FTND), and Self-rating Scale of Tobacco Dependence (SSTD) were observed before and after intervention, and the smoke cessation rate was also compared. Result The smoke cessation rate was 83.3%in the treatment group versus 54.2%in the control group, and the difference was statistically significant (P<0.05). After intervention, the daily consumption of tobacco and SSTD score in the treatment group were significantly changed and markedly different from that in the control group (P<0.05). The FTND scores were significantly changed after intervention in both groups (P<0.05). There was a significant difference in comparing the FTND score between the two groups after intervention (P<0.05). Conclusion Acupuncture plus auricular point sticking can improve the tobacco withdrawal symptoms.%目的:观察针刺配合耳穴贴压改善戒烟后烟草依赖症状的临床疗效。方法将48例具有烟草依赖症状的患者随机分为治疗组和对照组,每组24例。治疗组采用针刺配合耳穴贴压治疗,对照组采用单纯耳穴贴压治疗。观察两组治疗前后每日吸烟量、Fagerstrom尼古丁依赖检验量表(FTND)评分及烟草依赖自评表评分,并比较两组戒烟率。结果治疗组戒烟率为83.3%,对照组为54.2%,两组比较差异具有统计学意义(P<0.05)。治疗组治疗后每日吸烟量和烟草依赖自评表评分与同组治疗前及对照组比较,差异均具有统计学意义(P<0.05)。两组治疗后 FTND 评

  4. Structural Insights into the PorK and PorN Components of the Porphyromonas gingivalis Type IX Secretion System.

    Science.gov (United States)

    Gorasia, Dhana G; Veith, Paul D; Hanssen, Eric G; Glew, Michelle D; Sato, Keiko; Yukitake, Hideharu; Nakayama, Koji; Reynolds, Eric C

    2016-08-01

    The type IX secretion system (T9SS) has been recently discovered and is specific to Bacteroidetes species. Porphyromonas gingivalis, a keystone pathogen for periodontitis, utilizes the T9SS to transport many proteins including the gingipain virulence factors across the outer membrane and attach them to the cell surface via a sortase-like mechanism. At least 11 proteins have been identified as components of the T9SS including PorK, PorL, PorM, PorN and PorP, however the precise roles of most of these proteins have not been elucidated and the structural organization of these components is unknown. In this study, we purified PorK and PorN complexes from P. gingivalis and using electron microscopy we have shown that PorN and the PorK lipoprotein interact to form a 50 nm diameter ring-shaped structure containing approximately 32-36 subunits of each protein. The formation of these rings was dependent on both PorK and PorN, but was independent of PorL, PorM and PorP. PorL and PorM were found to form a separate stable complex. PorK and PorN were protected from proteinase K cleavage when present in undisrupted cells, but were rapidly degraded when the cells were lysed, which together with bioinformatic analyses suggests that these proteins are exposed in the periplasm and anchored to the outer membrane via the PorK lipid. Chemical cross-linking and mass spectrometry analyses confirmed the interaction between PorK and PorN and further revealed that they interact with the PG0189 outer membrane protein. Furthermore, we established that PorN was required for the stable expression of PorK, PorL and PorM. Collectively, these results suggest that the ring-shaped PorK/N complex may form part of the secretion channel of the T9SS. This is the first report showing the structural organization of any T9SS component.

  5. 耳甲腔软骨皮瓣旋转联合耳后舌形皮瓣矫正杯状耳%Correction of cup ear by rotation of auricular concha cartilage skin flap and postauricular tongue-shaped flap

    Institute of Scientific and Technical Information of China (English)

    刘闪; 谭谦; 吴杰; 郑东风; 周宏礽; 许澎; 王淑琴; 葛华强

    2011-01-01

    Objective To discuss a new method to correct the moderate and severe congenital cup ear deformities. Methods From May 2005 to August 2009, totally 13 patients ( moderate in 10 cases and severe in 3 cases) with congenital cup ear deformity were corrected by rotation of auricular concha cartilage flap and postauricular tongue-shaped skin flap. Results After 3 to 24 months follow-up, 10 patients were all satisfied with expanded helix , enlarged cavum conchae and nearly normal auricle. Conclusion The application of rotation of auricular concha cartilage flap and postauricular tongue-shaped skin flap can obtain the satisfactory results in correcting moderate and severe congenital cup ear deformities.%目的 探讨一种简明有效的手术方法,矫正中重度杯状耳畸形.方法 自2005年5月至2009年8月,应用耳甲腔软骨皮瓣旋转联合耳后舌形皮瓣,修复中重度杯状耳畸形13例,其中中度者10例,重度者3例.结果 对10例患者术后随访3~24个月,术后耳轮舒展,耳甲腔扩大,耳郭接近正常大小,效果满意.结论 采用耳甲腔软骨皮瓣旋转加耳后舌形皮瓣矫正中重度杯状耳畸形,可取得较满意的效果.

  6. Brain response to transcutaneous electronical stimulation on auricular concha of the healthy subjects using fMRI%经皮电针刺激正常人耳甲迷走神经的功能MRI脑效应研究

    Institute of Scientific and Technical Information of China (English)

    方继良; 刘志顺; 朱兵; 孔健; 荣培晶; 洪洋; 范洋洋; 刘军; 马云遥; 徐春华; 王鸿红; 马迎歌; 王小玲

    2014-01-01

    Objectives: To investigate the BOLD fMRI response to transcutaneous vagus nerve electronical stimulation (tVNS) at auricular concha region (ACR) on the healthy. It is hypothesized that tVNS modulates the network of nucleus of tract solitary-limbic system. Materials and Methods: Sixteen healthy subjects (18-27 y) were enrolled in the fMRI study. The fMRI was conducted during tVNS on ACR controlled with sham-tVNS on the superior scapha respectively. Subjects’ sensations were recorded after every fMRI scan. Each functional scan lasted 6 minutes. SPM8 was employed for the fMRI data processing.Results: The current, and the sensations’ frequency and strength of electronical stimulation were similar between two groups. The tVNS induced the predominant deactivation in the left nucleus of tract solitary and brain regions involving in limbic function, and the activation was limited in left SII, left anterior insula, etc. However, the sham tVNS showed the deactivation in the areas of right nucleus of trigeminal nerve, the obvious activation in the somato-sensory areas. Conclusions: tVNS modulated the network of nucleus of tract solitary-limbic system. It would provide the basis of therapeutic mechanism of tVNS treating Depression.%目的:探讨耳甲迷走神经刺激术的脑通路,为耳迷走神经刺激调制孤束核-边缘叶脑网络假说提供证据。材料与方法随机录用16名健康志愿者,参加经皮电刺激右耳甲部迷走神经分布区(tVNS),以同侧上耳舟部刺激为对照,记录刺激的耳部感觉,观察全脑6 min扫描的Bold-fMRI信号变化,分析脑功能激活特点,应用SPM8处理fMRI数据。结果两组电流、感觉频率及强度未见明显区别。经皮电刺激耳甲部tVNS正常人激发了左侧孤束核及边缘叶脑区广泛而较强的负激活效应,局限性激活位于体感区及岛叶等,而对照部产生了右侧三叉神经核等脑干核团负激活及脑部体感区明显的激活现

  7. Diarrea recurrente por Cystoisopora belli en pacientes con infección por VIH con TARGA

    Directory of Open Access Journals (Sweden)

    Raúl Montalvo

    Full Text Available La Cystoisospora belli, antes denominada Isospora belli, es el agente etiológico de la cystoisosporiasis, una infección oportunista que afecta a pacientes inmunodeprimidos, caracterizada por diarrea crónica y pérdida ponderal. La incidencia de diarrea crónica por este agente, en pacientes infectados por el VIH, ha disminuido considerablemente. Ello gracias al advenimiento de la terapia antirretroviral de gran actividad (TARGA, con la que se ha logrado mejorar la respuesta inmunológica del paciente y disminuir su carga viral. Se presentan seis casos de cystoisosporiasis recurrente y refractaria en pacientes con infección por VIH, en quienes se diagnosticó cystoisosporiasis pese a que previamente se encontraban recibiendo profilaxis con trimetropin/sulfametoxazol (TMP/SMX. Cinco de ellos evolucionaron de manera tórpida y fallecieron, a pesar de una buena respuesta al TARGA (adecuado incremento de CD4 y disminución de la carga viral hasta rangos indetectables, y de tratamiento con TMP/SMX por vía oral y otros medicamentos de segunda línea.

  8. Cefaleia por uso excessivo de medicamentos

    Directory of Open Access Journals (Sweden)

    Ariane Maria Fonseca MIRANDA

    2015-01-01

    Full Text Available Uma variante da cefaleia crônica diária, a cefaleia por uso excessivo de medicamentos é uma manifestação clínica de frequência ≥ 15 dias por mês, durante 3 meses. Possui um diagnóstico deficiente e um tratamento dividido em etapas, sendo a desintoxicação, a etapa de fundamental importância. Este artigo apresenta uma revisão sobre o tema, contribuindo para o esclarecimento das principais manifestações clínicas, principais teorias envolvendo sua fisiopatologia e a terapêutica farmacológica empregada. A metodologia utilizada foi uma revisão de publicações europeias e americanas, no período de 2001 a 2013, nos idiomas português, inglês e espanhol. Todos os medicamentos utilizados no tratamento sintomático das cefaleias são capazes de cronificar uma cefaleia preexistente, desde que sejam utilizados excessivamente, de forma regular e continuada. A suspensão de tais agentes terapêuticos resultará em melhoria na maioria dos pacientes, porém pode ser necessária a introdução de uma terapia de suporte de transição e/ou terapia profilática. Os tratamentos nao farmacológicos, quando associados ao farmacológico, ampliam a possibilidade de resultados satisfatórios, evitando recaídas.

  9. CONTABILIDAD POR ÁREAS DE RESPONSABILIDAD

    OpenAIRE

    García, Natalia

    2014-01-01

    La notable evolución del mundo actual de los negocios ha obligado a las empresas a revisar constantemente sus técnicas de administración y de contabilidad. para que éstas aporten a sus directivos, elementos suficientes y oportunos para tomar decisiones. En México, desde hace un tiempo atrás, el Instituto Mexicano de Contadores Públicos A.C., recomienda a los contadores públicos y a los hombres de empres,as, el uso del sistema de Contabilidad por Áreas de Responsabilidad, que tiene como prop...

  10. RUPTURA UTERINA ESPONTANEA POR PLACENTA PERCRETA

    OpenAIRE

    2003-01-01

    La rotura uterina en un útero sin cicatriz previa, y temprano en el tercer trimestre, es un evento raro. Se expone el caso clínico de una paciente que se presenta con abdomen agudo, cursando embarazo de aproximadamente 25 semanas, se realiza laparotomía exploradora encontrando hemoperitoneo, feto y placenta libres en la cavidad peritoneal y útero roto en el fondo invadido por la placenta, que compromete epiplón mayor. Se realiza histerectomía y se confirma el diagnóstico con biopsia

  11. Principo de micromanipulacion inmersa por hielo.

    OpenAIRE

    C. Lopez Walle, Beatriz; Gauthier, Michaël; Chaillet, Nicolas

    2007-01-01

    International audience; Uno de los mayores problemas en la manipulación y ensamble de micro-objetos cuyo tamaño está comprendido entre un micrómetro y un milímetro es el desarrollo de estrategias de prensión altamente fiables y precisas, particularmente durante la fase de liberación del micro-objeto [1], [2]. Además, cuando las dimensiones del objeto son inferiores a 100 µm, la fase de liberación está fuertemente perturbada por el ambiente [3], [4]. Un análisis comparativo en [5] muestra que ...

  12. Intoxicación aguda por plaguicidas

    OpenAIRE

    Durán-Nah Jaime Jesús; Collí-Quintal Julián

    2000-01-01

    OBJETIVO: Describir la epidemiología de la intoxicación aguda por plaguicidas (IAP) en el Hospital General O'Horán de Mérida, Yucatán, México. MATERIAL Y MÉTODOS: Se revisaron los expedientes de 33 pacientes superscript three 13 años, tratados en una unidad de cuidados intensivos (UCI), entre 1994 y 1998. Se recopilaron variables demográficas y clínicas relevantes, y se aplicó estadística descriptiva. RESULTADOS: En la población estudiada predominó el sexo masculino (82%) del medio rural (70%...

  13. Uso de suplementos alimentares por adolescentes

    OpenAIRE

    Alves,Crésio; Lima,Renata Villas Boas

    2009-01-01

    OBJETIVO: Revisar crititcamente o uso, benefícios e efeitos adversos dos principais suplementos alimentares utilizados por adolescentes. FONTES DOS DADOS: A pesquisa bibliográfica, realizada nos últimos 10 anos, utilizou os bancos de dados MEDLINE e LILACS. Foram examinados 377 artigos, sendo selecionados 52. SÍNTESE DOS DADOS: O consumo de suplementos dietéticos é amplamente difundido entre adolescentes. Tal fato é constatado, com frequência, nos consultórios de pediatria e hebeatria. Na mai...

  14. Toxicidad por óxido de etileno

    OpenAIRE

    Téllez M. Jairo A.

    2010-01-01

    El óxido de etileno, es un compuesto epóxido gaseoso, ampliamente utilizado en nuestro medio como agente esterilizante y de desinfección en instituciones hospitalarias. Los estudios realizados en varios países han demostrado efectos sobre la salud humana, caracterizados por  hipersensibilidad dérmica, irritación del tracto respiratorio, irritación ocular, excitación del S.N.C. y se asocia con presencia de abortos expontáneos, aberraciones cromosómicas e irritación crónica de laringe ...

  15. Bacteremias por bacilos gram-negativos

    Directory of Open Access Journals (Sweden)

    Adrelírio J. R. Gonçalves

    1969-01-01

    Full Text Available São apresentados 31 casos de bacteremia por gram-negativos, assunto que vem merecendo muita atenção dos pesquisadores nos últimos anos. Os organismos etiológicos mais importantes que apareceram em igualdade de freqüência foram Escherichia coli e Klebsiella-Aerobacter, sendo responsáveis por 58% do total das infecções, seguidos por Pseudomonas. A porta de entrada mais freqüente foi o trato urinário em 61,3% dos casos. A infecção foi mais comum no sexo masculino e a faixa etária de 50 a 60 anos predominou. O uso prévio de antibióticos foi um fator predisponente muito importante, seguido pelo uso de esteróides e citostáticos. As principais doenças predisponentes foram diabetes mellitus e neoplasias malignas. Os principais fatores precipitantes foram a manipulação do aparelho urinário, com infecção prévia ou desencadeada, cirurgia do aparelho digestivo, uronatia obstrutiva e obstrução biliar. As principais manifestações clínicas foram a presença de febre, calafrios e hipotensão arterial. A complicação mais freqüente foi o choque bacteriano que incidiu em 58% dos casos, aproximadamente três vêzes aquela relatada na literatura. As outras foram a insuficiência renal aguda, superinfecção e infecção pulmonar metastática. Considerações terapêuticas gerais e esquemas de antibióticos são propostos para estes casos. A mortalidade da bacteremia simples foi de 30,7% e quando associada ao choque elevou-se para 72,2% . As infecções por Pseudomonas foram 100% fatais.

  16. Pênfigo vegetante induzido por uso de enalapril

    OpenAIRE

    Adriano,André Ricardo; Gomes Neto, Antonio; Gustavo R Hamester; Nunes, Daniel H; Di Giunta,Gabriella

    2011-01-01

    Pênfigo Vegetante foi primeiramente descrito como uma variante do pênfigo vulgar, em 1876, por Neumann. Em 1889, Hallopeau descreveu um paciente com pústulas e placas vegetantes, e sugeriu ser uma variante do Pênfigo Vegetante de Neumann. Ambos os tipos de pênfigo vegetante são caracterizados pelo desenvolvimento de placas vegetantes, especialmente, em dobras (axila, inguinal, perianal). Os autores apresentam e discutem um caso de Pênfigo Vegetante com uma clínica incomum, com ausência de aco...

  17. Regulación por precios tope

    Directory of Open Access Journals (Sweden)

    Gerardo Soto Carrillo

    2009-06-01

    Full Text Available El presente trabajo describe las principales características del mecanismo de regulación por precios tope, incluyendo su ubicación dentro de las posibilidades de acción regulatoria, las críticas que se han planteado al mismo, así como los mecanismos complementarios utilizados y los riesgos involucrados en su desarrollo.---This article describes the main characteristics of the price cap regime of price regulation, including its location among other regulatory possibilities, critics received, complementary mechanisms and risks involved in its development.

  18. Herida antebraquial infectada por Aeromonas hydrophila

    OpenAIRE

    1995-01-01

    Se presenta un caso de celulitis por Aeromonas hydrophila, en un paciente de 23 años, tras una herida antebraquial producida en el medio acuático. La celulitis se resolvió mediante desbridamiento agresivo y quimioterapia. En los controles posteriores no se han apreciado déficits funcionales tras la infección. A case of Aeromonas hidrophila cellulitis developped in a 23-year-old patient, after aquatic environment forearm wound is presented. His cellulitis was effectively resolve...

  19. Neumonía por Stenotrophomonas maltophilia

    Directory of Open Access Journals (Sweden)

    Verny Huertas-Franco

    2014-03-01

    Full Text Available La Stenotrophomonas maltophilia es un bacilo gram negativo ambiental emergente que ha venido posicionándose entre el grupo de microorganismos multirresistentes como causa de infección en diversos órganos en ambiente hospitalario y en la comunidad. Se reporta este caso de insuficiencia respiratoria con neumonía severa por S. maltophilia adquirida en la comunidad en una paciente inmunocompetente que tuvo una rápida respuesta a tratamiento con trimetoprim sulfametoxazol cuando se logró identificar la bacteria.

  20. Estrategias de crecimiento empresarial aplicadas por hipermercados

    OpenAIRE

    Miraidy Leal Morantes; Yilian Cefalá Chirinos

    2003-01-01

    El presente estudio tiene como objetivo caracterizar las estrategias de crecimiento empresarial, representadas por alianzas y adquisiciones, que han sido aplicadas en el sector de distribución de bienes de consumo masivo, específicamente en los hipermercados ubicados en Maracaibo, Estado Zulia, como manera de responder al entorno competitivo y cambiante en el cual se desenvuelven. La investigación se desarrolló a través de un estudio de carácter descriptivo; para la recolección ...

  1. Hiperplasia gengival induzida por ciclosporina A

    OpenAIRE

    Ramalho Vera Lúcia Costa; Ramalho Horácio José; Cipullo José Paulo; Burdmann Emmanuel A.

    2003-01-01

    O crescente uso da ciclosporina A (CSA) em transplantes de órgãos e no tratamento de doenças auto-imunes aumentou a incidência de seus efeitos adversos, entre eles a hiperplasia gengival (HG). Esta acarreta problemas estéticos, de fala, mastigação e de erupção dentária nos pacientes afetados. A prevalência de hiperplasia gengival induzida por ciclosporina varia nos diversos estudos, podendo chegar a 85%, dependendo do critério utilizado para seu diagnóstico. Esta revisão aborda aspectos etiol...

  2. Auricular Acupressure Can Modulate Pain Threshold

    Directory of Open Access Journals (Sweden)

    Antonietta Santoro

    2015-01-01

    Full Text Available The objective of our study was to investigate if auriculotherapy (AT can modulate pain threshold. In our experiments, AT consisted of placing Vaccaria seeds over the “fingers point” of one ear. Two groups of healthy volunteers were enrolled for the study. Each subject was asked to perform an autoalgometric test developed by our group on three occasions: before, 1 hour after, AT and 24 hours after AT. Participants of the first group received a 2-minute long session of AT, while participants of the second group received a 2-minute long session of sham treatment, consisting of a puncture/massage above the skin of the neck. The autoalgometric test consisted of applying an increasing pressure with the finger-tips and finger-backs of four fingers by the subjects themselves (i.e., eight sites were evaluated against a round-shaped needle for two times: until a minimum pain sensation (first time, minimal test or a maximally tolerable pain sensation (second time, maximal test. Our results showed a significant higher pain threshold in the maximal test at 24 hours after AT compared to sham treatment. This result indicates for the first time that AT can increase pain tolerability, rather than affecting the minimal pain threshold.

  3. Synchronous Fibrolamellar Hepatocellular Carcinoma and Auricular Myxoma

    Directory of Open Access Journals (Sweden)

    Yessica M. González-Cantú

    2015-01-01

    Full Text Available Synchronic occurrence of benign and malignant tumors is extremely rare. Fibrolamellar hepatocellular carcinoma represents 1% to 2% of all hepatocarcinomas, while myxomas represent about half of all the cases of primary tumors of the heart. We present the case of a 53-year-old woman with a left atrial myxoma that was surgically removed. Several weeks later, the patient returned to the hospital with abdominal pain. CT scan showed a mass in the left lobe of the liver that was resected and diagnosed as fibrolamellar hepatocellular carcinoma. As of this writing, the patient is healthy.

  4. Nodulose por Metotrexato Methotrexate Induced Nodulosis

    Directory of Open Access Journals (Sweden)

    Fernanda Guidolin

    2005-08-01

    Full Text Available A nodulose por metotrexato (MTX é um dos efeitos colaterais pouco conhecidos do uso desse medicamento em doses baixas. Embora classicamente descrita em casos de artrite reumatóide, tem aparecido, também, em outras doenças reumáticas. Descreve-se aqui um caso de nodulose por MTX em uma paciente com artrite reumatóide soropositiva, que utilizava esse medicamento há um ano, com bom controle do processo articular. Segue-se uma breve revisão sobre o assunto.Methotrexate-induced nodulosis is a rare side effect of this drug when it is used in low doses. Although classically described in rheumatoid arthritis patients, it may also appear in other rheumatic disorders. We describe a seropositive rheumatoid arthritis patient who developed methotrexate-induced nodulosis after using this drug for a year, with good control of articular symptoms. This case presentation is followed by a brief revision on the subject.

  5. Choque séptico por ehrliquiosis

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    Viviana Hernández-de Mezerville

    2007-04-01

    Full Text Available La ehrliquiosis humana es una infección zoonótica transmitida por "garrapatas duras" causada por Anaplasma sp y Ehrlichia sp. Puede presentarse como un cuadro pseudogripal con fiebre, malestar general, mialgias y cefalea o hasta un choque séptico con falla multiorgánica y muerte. La mitad de los pacientes requieren atención hospitalaria en algún momento y se reporta una mortalidad de hasta el 5% secundaria a enfermedades oportunistas o a hemorragias. El diagnóstico se puede sospechar visualizando las mórulas intracitoplasmáticas en las células afectadas en frotis de sangre periférica, y se confirma con serología, con cultivos o con detección molecular. El tratamiento de elección es la doxiciclina con buena respuesta clínica. Se reporta un caso probable de ehrliquiosis humana asociado a choque séptico y falla multiorgánica tratado exitosamente en el Hospital Dr. Rafael Angel Calderón Guardia.

  6. Hemomediastino por rotura de aneurisma bronquial

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    E. Martínez

    2013-04-01

    Full Text Available El hemomediastino por rotura de aneurisma bronquial es una patología muy poco frecuente. La presentación clínica puede ser variable, pudiendo simular patología aórtica y ser diagnosticado en situaciones de emergencia. La tomografía computarizada (TC de tórax es la prueba de imagen inicial para el diagnóstico. Se presenta el caso clínico de un varón de 70 años con clínica inicial de dolor torácico transfixivo que simulaba patología aórtica aguda. Se realiza TC con diagnóstico de sospecha de neoplasia mediastínica (Unidades Hounsfield/UH 38 - tejidos blandos realizándose toma de biopsia por gastroscopia y broncoscopia con citología hemorrágica, presentando leve anemización al ingreso y permaneciendo hemodinámicamente estable y asintomático. Ante alta sospecha clínica de patología arterial se repite TC donde se describe hemomediastino en resolución confirmándose posteriormente la existencia de rotura de aneurisma bronquial mediante angiografía y procediendo a su embolización terapéutica.

  7. (Mol. Stuntz por arrastre de vapor

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    Ximena Araneda

    2014-01-01

    Full Text Available El objetivo del presente estudio fue elaborar y evaluar jugo de maqui (Aristotelia chilensis(Mol. Stuntz, paraser considerado potencialmente como una bebida funcional de origen natural, sin aditivos químicos y mínimoprocesamiento, mediante la técnica de arrastre por vapor de tipo artesanal. Se utilizó fruto recolectado deforma manual en la Región de La Araucanía (Chile. Se elaboraron dos jugos concentrados, con azúcar y sinazúcar. Se realizaron análisis tales como: contenido de sólidos solubles, pH, acidez, contenido de humedad,materia seca (MS, cenizas totales, azúcares totales (AT, proteína cruda (PC, polifenoles totales (PFT ycarbohidratos totales (CHT, destacando el contenido de polifenoles para el jugo sin azúcar con 993,2 mg 100mL-1EAG y para el jugo con azúcar con 829,208 mg 100 mL-1EAG. Por lo tanto, la técnica permite extraerjugo de maqui con un mínimo procesamiento, presentando éste una alta concentración de polifenoles.

  8. Luchas por el control territorial en Colombia

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    Darío I. Restrepo

    2002-01-01

    Full Text Available La tesis central del artículo es que la concurrencia entre los impactos de la globalización, el proceso de descentralización y la crisis política debilitan gravemente el Estado-Nación, y particularmente tienden a romperse las bases mismas del centralismo polÌtico, administrativo y económico. Por otra parte, se exacerban las luchas locales por la apropiación de las riquezas materiales y el control de las instituciones. De esta manera, se acrecienta el poder de negociación política de las fuerzas locales frente al gobierno central, tanto respecto de las funciones descentralizadas como de aquellas que mantiene el Estado de manera centralizada. Neoliberales, reformadores políticos, clases políticas territoriales, nuevos movimientos sociales, narcotraficantes, guerrilleros y paramilitares se disputan abiertamente el poder local. Todos tienen una estrategia, o al menos un conjunto de intereses y prácticas respecto del proceso de descentralización, el cual en última instancia no puede ser entendido sino como el resultado de la complejidad de fuerzas que intervienen en él.

  9. Avaliação da alteração auditiva provocada pelo uso do walkman, por meio da audiometria tonal e das emissões otoacústicas (produtos de distorção: estudo de 40 orelhas

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    Silveira José A. Médicis da

    2001-01-01

    Full Text Available Introdução: A lesão coclear transitória ou permanente induzida por exposição à música de alta intensidade tem sido preocupação de diversos autores e motivo de vários estudos. Nesses trabalhos foram considerados de forma isolada os achados da audiometria tonal e as alterações às emissões otoacústicas (EOA, não tendo sido comparados os resultados dos dois exames. Forma de estudo: Prospectivo clínico não randomizado. Objetivo e Método: O objetivo do presente estudo é utilizar a audiometria associada às EOA para avaliação das alterações auditivas em 20 voluntários (40 orelhas, após exposição de 60 minutos ao walkman em alta intensidade, além de avaliar a prevalência de sintomas como hipoacusia, plenitude auricular e zumbido, observando-se o tempo que os mesmos perduraram. Conclusão: Os autores confirmam a presença de deslocamento limiar temporário (Temporary Threshold Shift - TTS pós exposição ao walkman em alta intensidade, sendo as freqüências mais atingidas as de 4 KHz e 6 KHz.

  10. Hepatitis autoinmune precedida por infección aguda por citomegalovirus en una mujer inmunocompetente

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    María Vares González

    2012-05-01

    Full Text Available El diagnóstico diferencial de las hepatitis es amplio y complejo, y con mucha frecuencia corresponde al médico internista filiar la etiología de la misma. De etiopatogenia no claramente establecida, lo que caracteriza a la hepatitis autoinmune (HAI es la pérdida de tolerancia inmune frente a los antígenos de los hepatocitos, conduciendo a la destrucción del parénquima hepático por linfocitos T autorreactivos. El papel de ciertos virus como factores favorecedores de la disregulación autoinmune ha sido propuesto previamente, en base a lo demostrado por los estudios de investigación y a la evidencia clínica. A continuación se expone un caso de HAI precedido por una infección aguda por CMV, lo que otorga al caso un interés particular, pues su incidencia es excepcional, existiendo sólo tres casos recogidos en la literatura (dos de ellos en pacientes sanos de 17 años, y otro en un varón inmunodeprimido trasplantado de médula ósea.

  11. Conservación por calor

    OpenAIRE

    Cobos García, Angel; Díaz Rubio, Olga

    2011-01-01

    Grao en Nutrición Humana e Dietética Esta unidade didáctica denominada Conservación por calor forma parte da materia «Tecnoloxía do procesado de alimentos» que se impartirá no primeiro semestre do 2º curso do Grao en Nutrición Humana e Dietética. A materia estrutúrase en diferentes unidades didácticas, tratando cada unha delas as diferentes tecnoloxías de procesado dos alimentos, tanto de conservación coma de transformación. A presente unidade didáctica aborda a conservación dos alimentos ...

  12. La Violencia Latinoamericana vista por los Economistas

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    Salama Pierre

    2003-08-01

    Full Text Available

    Salama, Pierre. "La Violencia Lationoamericana vista por los Economistas", Cuadernos de Economía, V. XXII, n. 38, Bogotá, 2003 páginas 179-198.

    Este articulo sintetiza los estudios económicos publicados recientemente sobre la violencia en América Latina y analiza las causas suceptibles a acrecentarla: pobreza, desigualdad de los ingresos en nivel y variación, impunidad, diferencia entre la probabilidad de ser arrestado y la severidad de la pena impuesta, y narcotrafico. Sin embargo, la explicación de la violencia no se limitará a los factores económicos, puesto que el autor privilegia un enfoque inspirado en la antropología y la sociología.

  13. Hipotiroidismo inducido por Amiodarona. Reporte de caso.

    OpenAIRE

    Salinas Arce, Jorge Luis; Instituto Nacional Cardiovascular (INCOR), EsSALUD. Lima. Servicio de Cardiología, Clínica El Golf. Lima.; Pinto Valdivia, Miguel; Servicio de Endocrinología, Hospital Nacional Cayetano Heredia. Lima, Perú. Facultad de Medicina Alberto Hurtado, Universidad Peruana Cayetano Heredia. Lima.; Solórzano Altamirano, Paula; Servicio de Cardiología, Clínica El Golf. Lima.

    2012-01-01

    Se describe el caso de una mujer de 57 años de edad, con diagnóstico de síndrome de Wolf Parkinson White, en tratamiento con amiodarona 200 mg/día; que acudió por presentar palpitaciones, fatiga y aumento de sueño. Al examen físico no se encontró bocio, pero los reflejos osteotendinosos estaban prolongados. Los exámenes auxiliares mostraron TSH elevado, T4 libre disminuido y anticuerpos antiperoxidasa tiroidea negativos. Se suspendió la amiodarona y se inició levotiroxina. Después de dos mese...

  14. Toxicidad por óxido de etileno

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    Téllez M. Jairo A.

    1993-08-01

    Full Text Available

    El óxido de etileno, es un compuesto epóxido gaseoso, ampliamente utilizado en nuestro medio como agente esterilizante y de desinfección en instituciones hospitalarias. Los estudios realizados en varios países han demostrado efectos sobre la salud humana, caracterizados por  hipersensibilidad dérmica, irritación del tracto respiratorio, irritación ocular, excitación del S.N.C. y se asocia con presencia de abortos expontáneos, aberraciones cromosómicas e irritación crónica de laringe y tráquea en personal expuesto ocupacionalmente.

  15. proposta de terapia assistida por animais

    OpenAIRE

    Ribeiro, Ana Rita Barata do Amaral Peixoto

    2010-01-01

    Dissertação apresentada à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Mestre em Psicologia, especialização em Psicologia Clínica e da Saúde. Foi objectivo analisar os níveis de auto-estima e de resiliência numa amostra de jovens em risco, estudar a relação entre estas variáveis e perceber a opinião desta amostra em relação à aplicação da Terapia Assistida por Animais (TAA). Para a concretização destes objectivos, procedeu-se à administração do p...

  16. fluidizado por proceso autotérmico

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    ZULAMITA ZAPATA BENABITHE

    2005-01-01

    Full Text Available El presente trabajo se basa en el estudio de la producción de carbón activado a partir de carbón mineral subbituminoso en un reactor de lecho fluidizado por proceso autotérmico. El carbón utilizado provino de la región de Amagá (Antioquia - Colombia y fue activado en dos reactores de lecho fluidizado de diferente diámetro interno, 10 cm y 22 cm. Los valores del área superficial específica y el volumen de poro de las muestras activadas fueron determinados a partir de las isotermas de N2 y CO2. Los resultados experimentales mostraron que los valores de áreas superficiales BET y DR y del Índice de Yodo se encontraron alrededor de 460 m2/g (SBET, 490 m2/g (SDR y 460 mg I2/g carbón.

  17. NEFROPATÍAS POR TÓXICOS

    OpenAIRE

    Avellán Boza, Marta

    2011-01-01

    La lesión renal aguda relacionada con tóxicos,   tiene una frecuencia relativamente alta en   pacientes,   tanto ambulatorios   como hospitalizados. Basado en el caso de una paciente femenina de 49 años, que desarrolló insuficiencia renal agudano oligúrica por tóxicos, se hace una revisión bibliográfica de las nefropatías tóxicas, tanto su mecanismo de lesión como factores de riesgo más frecuentes y medidas de prevención. Se determina que el mecanismo más frecuente de daño es la necrosis tubu...

  18. Celulitis por cuerpo extraño

    OpenAIRE

    2016-01-01

    Las infecciones de la piel y el tejido celular subcutáneo surgen como un grupo importante de afecciones con una alta morbilidad en edades pediátricas, generalmente relacionada con traumatismo y cuerpos extraños. Se presenta el caso de una escolar femenina de 6 años de edad, con síntomas y signos clínicos que sugieren celulitis en el muslo derecho,  por su evolución tórpida se le realizó el estudio ultrasonográfico que confirmó el diagnóstico etiológico de una celulitis secundaria a un traumat...

  19. Pneumonia por "Pneumocystis carinii": forma tumoral

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    BARRA LUIZ ALBERTO COSTA

    2000-01-01

    Full Text Available A pneumocistose é uma infecção oportunística freqüente em imunodeprimidos, principalmente naqueles com a síndrome da imunodeficiência adquirida (AIDS. Relata-se o caso de um paciente com quadro insidioso de febre, tosse e emagrecimento. Na radiografia de tórax observou-se imagem tumoral em seio costofrênico direito. Iniciou-se uso de prova terapêutica para tuberculose com rifampicina, isoniazida e pirazinamida (esquema I, sem resolução. Posteriormente, foi realizada biópsia pulmonar "a céu aberto" e o estudo histopatológico revelou pneumonia por Pneumocystis carinii. Houve melhora clínica e radiológica após o início do tratamento específico.

  20. Osteoporosis inducida por glucocorticoides Glucocorticoid induced osteoporosis

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    R. Gutiérrez-Polo

    2003-01-01

    Full Text Available Los glucocorticoides son un grupo de fármacos que se emplean muy frecuentemente en la práctica médica por su indiscutible utilidad. La osteoporosis inducida por éstos supone el principal efecto adverso derivado de su administración sistémica y prolongada, constituyendo la causa más frecuente de osteoporosis secundaria. Comporta además una importante repercusión sanitaria y socioeconómica como consecuencia de las complicaciones que ocasiona, como son las diferentes fracturas óseas por fragilidad, sobre todo vertebrales, y la discapacidad funcional resultante. Se produce de forma temprana, siendo más rápida la pérdida ósea en los meses siguientes a la instauración de dicha terapia, en relación fundamentalmente con la dosis diaria. La patogenia de este tipo de osteoporosis es multifactorial, pero destaca el efecto inhibidor que presentan los glucocorticoides sobre la formación ósea. El manejo adecuado de este serio problema de salud requiere una actitud activa, que sin embargo no es lo suficientemente óptima en la actualidad. Incluye inicialmente las mismas medidas diagnósticas, preventivas y terapéuticas disponibles para otros casos de osteoporosis, pero con ciertas matizaciones y particularidades, especialmente las concernientes al propio manejo de los corticosteroides. Es conveniente un plan multidisciplinar, que se ha mostrado efectivo, principalmente si se realiza de forma temprana desde el inicio de la terapia. No obstante, quedan aún muchas cuestiones por esclarecer tanto en aspectos referentes a la corticoterapia, en general, como a la osteoporosis ocasionada, en particular. Es necesario el estudio y la búsqueda de nuevas terapias que mejoren la efectividad conseguida con las actuales para minimizar las repercusiones adversas que tiene para la salud de estos enfermos la administración de glucocorticoides.Glucocorticoids are a group of drugs widely used in medical practice due to their unquestionable utility

  1. Vayamos por partes... dijo Jack el Destripador

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    Miguel Baños González

    2012-04-01

    Full Text Available En la cada día más compleja actividad de comunicación comercial, la publicidad es solamente una herramienta más con diferentes grados de importancia en función del tipo de anunciante. La tendencia a dividir el proceso creativo hasta definir una estructura de fases sucesivas, y en muchos casos de obligado seguimiento, es una visión que se aleja notablemente de la práctica profesional y de la realidad de un mercado holista y global. Por eso, proponemos un cambio de enfoque, analizando la creatividad publicitaria desde una perspectiva que nos permita un conocimiento más profundo, tanto desde punto de vista académico como desde el profesional. 

  2. Síndrome cerebeloso por amiodarona

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    Neuda S. Garretto

    1994-12-01

    Full Text Available La amiodarona (AMD es una droga antiarritmica cuyos efectos adversos pueden comprometer el sistema nervioso central y periferico. La aparición de un síndrome cerebeloso es infrecuente. Se presenta un paciente masculino de 56 anos de edad que desarolla un síndrome pancerebeloso de 4 meses de evolución, que revierte luego de la suspension de la AMD. El cuadro reaparece meses mas tarde luego de un periodo de automedicacion con la droga. Los mecanismos tóxicos por los cuales la AMD afecta al cerebelo permanecen inciertos. Esta droga de amplia difusión en nuestro medio, como otros antiarritmicos, posee efectos sobre el sistema nervioso que deben ser tenidos en cuenta a fin de poder detectarlos precozmente.

  3. Hiperparatiroidismo primario por adenoma paratiroideo mediastinal

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    Jeffry Solís-Torres

    2015-06-01

    Full Text Available El hiperparatiroidismo primario cursa con un aumento de la secreción de hormona paratiroidea, generalmente debido a un adenoma, e hipercalcemia. Su presentación clásica se diagnostica con la determinación de calcio sérico y de hormona paratiroidea, asociada con estudios de imágenes. Su tratamiento es quirúrgico y tiene altas tasas de éxito. Se analiza el caso de una paciente hipertensa, de 63 años, con historia de pérdida de apetito y debilidad de un año y medio de evolución, por lo que se le realizaron exámenes de laboratorio que revelaron hipercalcemia y elevación de la hormona paratiroidea. Se le indicó entonces una gamagrafía con Tecnecio 99, que evidenció un nódulo de 18mm de diámetro, ubicado 2 centímetros caudal al lóbulo tiroideo derecho. Se le efectuó una exploración cervical sin encontrarse la lesión, por lo que requirió una esternotomía media superior, que permitió encontrar un adenoma en el mediastino superior, detrás de la vena braquiocefálica derecha, de manera que se procedió a su extracción. Los controles de calcio y de hormona paratiroidea a las 24 horas estaban entre los límites normales, y se egresó.

  4. Intoxicación por alcoholes

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    J. Roldán

    Full Text Available La intoxicación etílica es la primera toxicomanía en muchos países del mundo. Afecta a todos los tramos de edad, en los dos sexos y en casi todos los grupos sociales. La mortalidad asociada sólo a la intoxicación etílica aguda es excepcional, pero puede ser un importante factor si coexiste con ingesta de otras drogas de abuso. Es responsable directo de más de la mitad de los accidentes de tráfico. El diagnóstico es fácil por la anamnesis y la clínica y se puede confirmar determinando el nivel de etanol en sangre. El tratamiento es de sostén, intentando proteger al paciente de complicaciones secundarias. El metanol o alcohol de quemar se utiliza como disolvente, encontrándose también como adulterante de bebidas alcohólicas. La intoxicación vía oral es la más frecuente. Oxidado en el hígado a través de la enzima alcohol deshidrogenasa, la toxicidad se debe a sus metabolitos, formaldehído y ácido fórmico. La clínica consiste fundamentalmente en cefalea, náuseas, vómitos, hipotensión y depresión del SNC. El nervio óptico es especialmente sensible pudiendo producirse una ceguera total e irreversible. El etilenglicol se utiliza como disolvente y anticongelante; la toxicidad se debe a la acumulación de sus metabolitos. La clínica incluye síntomas comunes con la intoxicación metílica. Puede ocurrir fallo renal por necrosis tubular y depósito de cristales de oxalato.

  5. Un paseo por la Alhambra restaurada

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    Gallego Roca, Francisco Javier

    1993-10-01

    Full Text Available In this article, the author analyzes the impact which the restoration work undertaken in the Alhambra had on its present look. The idea of recomposing, without falsifying, the architectural elements and, that was most important, the capacity which restoration has to maintain the evocation power of the monument, guided the work done on this monument by various restoration architects. The replacement of the materials, permanent action through small repair works, as well as the consolidation of structures, both justified and necessary given the extreme fragility of the Alhambra architecture, have been, above all other considerations, the constant references in its preservation.

    El autor analiza en este artículo la incidencia que han tenido las restauraciones acometidas en la Alhambra en su imagen actual. La idea de recomponer, sin falsificaciones, los elementos arquitectónicos y, lo que es más significativo, la capacidad que tiene la restauración para mantener el poder de evocación del monumento, han presidido la labor desarrollada en el mismo por distintos arquitectos conservadores. La sustitución de ¡os materiales, la permanente actuación mediante pequeñas obras de reparación, así como las de consolidación de sus estructuras, justificadas y necesarias dado el carácter extremadamente frágil de su arquitectura, han sido, por encima de otras consideraciones, las referencias constantes en la conservación del monumento.

  6. Choque séptico por ehrliquiosis

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    Viviana Hernández-de Mezerville

    2007-04-01

    Full Text Available La ehrliquiosis humana es una infección zoonótica transmitida por "garrapatas duras" causada por Anaplasma sp y Ehrlichia sp. Puede presentarse como un cuadro pseudogripal con fiebre, malestar general, mialgias y cefalea o hasta un choque séptico con falla multiorgánica y muerte. La mitad de los pacientes requieren atención hospitalaria en algún momento y se reporta una mortalidad de hasta el 5% secundaria a enfermedades oportunistas o a hemorragias. El diagnóstico se puede sospechar visualizando las mórulas intracitoplasmáticas en las células afectadas en frotis de sangre periférica, y se confirma con serología, con cultivos o con detección molecular. El tratamiento de elección es la doxiciclina con buena respuesta clínica. Se reporta un caso probable de ehrliquiosis humana asociado a choque séptico y falla multiorgánica tratado exitosamente en el Hospital Dr. Rafael Angel Calderón Guardia.Human ehrlichiosis is a tick-borne infectious disease caused by Anaplasma sp and Ehrlichia sp. The presentation can range from a flu-like syndrome with fever, malaise, myalgia and headache to a septic shock state with multiorganic dysfunction. Half the patients require in- hospital care and the mortality rate is 5% as a result of opportunistic infections or hemorrhage. The diagnosis can be made by the visualization of intracytoplasmatic morulae in the blood smear, serology, cultives or polymerase chain reaction. The treatment of choice is doxycicline and generally carries a good response. We report a case of human ehrlichiosis associated with septic shock and multiorganic dysfunction successfully treated at the Calderon Guardia Hospital.

  7. Intoxicações natural e experimental por amitraz em eqüídeos: aspectos clínicos Natural and experimental poisoning by amitraz in horses and donkey: clinical aspects

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    Marcos Dutra Duarte

    2003-09-01

    Full Text Available A administração oral e a aspersão com amitraz reproduziram experimentalmente em 17eqüinos e um asinino um quadro de intoxicação muito similar a outro que vinha ocorrendo em cavalos no Estado do Rio de Janeiro. O início dos sintomas após a administração oral variou entre 15min. e 2h05min., na aplicação por aspersão variou entre 6h28min. e 8h38min. A evolução nos casos de administração oral foi de 4 a 9 dias, nos de aspersão de 5 a 6 dias. Somente morreram animais que receberam a administração oral. Um animal aspergido com o amitraz foi sacrificado. Por via oral foram usadas dosagens de 5,5 mg/kg (uma administração, 5,8 mg/kg (duas administrações e num terceiro animal, doses que variaram entre 7,2 e 36,4 mg/kg (cinco administrações. Nas aplicações por aspersão, a intoxicação foi reproduzida com soluções nas concentrações de 0,1 e 0,2%. Com relação ao sistema nervoso, os principais sinais observados foram apatia, sonolência, ptoses palpebral e auricular, dificuldade de apreensão, mastigação e deglutição do alimento, arrastar das pinças dos cascos no solo, exposição do pênis, sensibilidade cutânea diminuída/ausente, instabilidade em estação, abdução dos membros, cabeça baixa, incoordenação, bocejos, flacidez labial, exposição da língua, cruzamento dos membros ao caminhar, resposta postural diminuída após cruzar e abduzir os membros, reflexos do lábio superior, palatal, lingual, de deglutição e flexor diminuídos/ausentes, reflexos auricular, palpebral e de ameaça diminuídos e resposta ambulatória diminuída ao teste de girar em círculo de pequeno raio. No que se refere ao sistema digestivo, foram evidenciados, principalmente, hipomotilidade/atonia intestinal, edema dos lábios, distensão abdominal, deitar e levantar com freqüência, rolar no solo, olhar para o flanco, gemer e impactação do intestino grosso. Observaram-se ainda taquicardia, aumento do tempo de preenchimento

  8. First Record of Larval Secretions of Cochliomyia macellaria (Fabricius, 1775) (Diptera

    DEFF Research Database (Denmark)

    Masiero, F S; Aquino, M F K; Nassu, M P;

    2016-01-01

    +0.5 μL of bacterial inoculum. Aliquots of each experimental group were plated by spreading onto Petri dishes. Seedings were made at 0, 1, 2, 4, and 12 h after the extraction of ES. In ES+BAC groups, inhibition of S. aureus was verified between times 1 and 2 h and P. aeruginosa was inhibited between...

  9. Valor del BNP y de la proteína C reactiva en el diagnóstico diferencial entre angina primaria y secundaria por hipertensión arterial

    Directory of Open Access Journals (Sweden)

    Enrique P. Gurfinkel

    2006-01-01

    Full Text Available Introducción A los episodios de inestabilidad anginosa precipitados por causas secundarias que, no infrecuentemente, no pueden discernirse de razones primarias se les concede poca atención. El presente trabajo intenta responder si algunos biomarcadores pueden contribuir a identificar a aquellos individuos con angina IIIb de los conocidos como anginosos IIIa de la clasificación de Braunwald. Material y métodos En total, participaron del ensayo 64 pacientes seleccionados. De éstos, 33 tuvieron diagnóstico final de angina inestable secundaria a hipertensión arterial y 21 de angina primaria, en tanto que 10 enfermos anginosos estables, referidos para la práctica de un estudio angiográfico diagnóstico, sirvieron de control. En todos ellos, en el momento de la admisión se obtuvieron alícuotas de sangre venosa para la determinación del péptido natriurético auricular tipo B (BNP y de proteína C reactiva ultrasensible (hs-CRP, y luego se realizó un estudio angiográfico invasivo a fin de analizar la carga aterosclerótica con puntajes (scores angiográficos. Resultados Los pacientes con angina primaria tuvieron una extensión aterosclerótica mayor en la angiografía (p < 0,025, más vasos comprometidos (p = 0,029 y un porcentaje mayor de estenosis (p < 0,001 que los anginosos secundarios. Los pacientes controles presentaron valores de BNP de 133 pg/mL (41; 224 [mediana (percentiles 25 y 75] y de 1,6 mg/L (0,4; 3,6 de hs-CRP. Los anginosos primarios no difirieron de los controles: 129 (95; 231 y 4,0 (2,0; 5,6 para BNP y hs-CRP, respectivamente. Los anginosos secundarios tuvieron valores de 73 (19; 325 y de 4,5 (2,2; 9,0, respectivamente. No hubo diferencias significativas entre ambos cuadros anginosos: p = 0,458 para BNP y p = 0,552 para hs-CRP. Conclusiones Independientemente de la carga aterosclerótica elevada en los anginosos primarios, el BNP y la hs-CRP no reconocieron con precisión la inestabilidad clínica inducida por un

  10. 低能量激光照射加耳穴贴压治疗中重度突发性耳聋%Moderate and severe sudden deafness treated with low-energy laser irradiation combined with auricular acupoint sticking

    Institute of Scientific and Technical Information of China (English)

    周国赢

    2012-01-01

    Objective To test the therapeutic effect on moderate and severe sudden deafness treated with lo-wenergy laser irradiation on acupoint and external auditory canal combined with auricular point sticking (APS) and as compared with electroacupuncture. Methods Two hundred and fifty-eight cases of moderate and severe sudden hearing loss were randomly divided into an observation group 1, an observation group 2 and a control group, 86 cases in each group. In three groups, 10% low molecular Dextran 500 mL were used for intravenous infusion. Based on the above treatment, the observation group 1 was treated with low-energy laser irradiation on acupoinr and external auditory canal (such as ErmenCTE 21). Tinggong(SI 19) and TinghuiCGB 2)), combined with APS at Gan (liver) , Shen(kidney) and Neifenmi (endorine) ,etc. The observation group 2 was treated with electroacupuncture at the same acupoints as those point irradiation in observation group 1. Fifteen days made one session. The therapeutic effects were evaluated after one and two sessions. Results After two sessions, The cured rate was 40. 7% (35/86) in observation group 1 and 38. 4%(33/86) in observation group 2,which were superior to 25. 6%(22/86) in control group(both P<0. 05). Compared with one session, the therapeutic effects after two sessions were better in two observation groups(both P<0.05), but there was no significant difference between two groups(both P> 0.05). In comparison of the improvements of frequency audiometry and auditory function, the two observation groups were better than those in control group(P<0. 05 ,P<0. 01), and the improvements after two sessions were better in two observation groups(both P<0. 01). Conclusion Both of low-energy laser irradiation on acupoint and external auditory canal combined with APS and electroacupuncture are able to decrease frequency audiometry, improve auditory function, and the therapeutic effects are better with prolongation of treatment time. The clinical

  11. Influence of auricular point sticking combined with traditional Chinese medicine calisthenics on postoperative anxiety and immune function of patients with breast cancer%耳穴压贴联合中医健身操对乳腺癌患者术后焦虑和免疫功能的影响

    Institute of Scientific and Technical Information of China (English)

    叶茵; 罗雪琴; 王浩强; 余伙群; 罗美文; 叶桂兰; 黄文彬

    2016-01-01

    目的 探讨耳穴贴压联合中医健身操对乳腺癌患者术后焦虑及免疫功能的影响.方法 将80例乳腺癌患者随机分为对照组和观察组,各40例.对照组实施乳腺癌根治术常规围手术期护理,观察组在对照组的基础上加用耳穴贴压联合中医健身操训练,10天为1个疗程,共6个疗程.观察两组焦虑得分改善情况和免疫功能指标的变化.结果 观察组焦虑得分明显低于对照组,T淋巴细胞亚群(CD4、CD4/CD8)和免疫球蛋白(IgA、IgM、IgG)数值明显优于对照组,CD8显著降低,两组比较差异有统计学意义(P<0.05).结论 耳穴贴压联合中医健身操干预可以减轻乳腺癌患者术后焦虑情绪,提高免疫功能,促进身心健康.%Objective To explore the influence of auricular point sticking combined with traditional Chinese medicine (TCM) calisthenics on the postoperative anxiety and immune function of patients with breast cancer.Methods 80 patients with breast cancer were randomly divided into a control group and an observation group,40 cases for each group.The control group received routine perioperative nursing care for breast cancer radical surgery;in addition,the observation group undertook auricular point sticking and did TCM calisthenics,10 days as a treatment course and treated 6 courses.The anxiety score and the changes of immune function indicators were observed in both groups.Results The anxiety score and CD8 were obviously lower and the T lymphocyte subsets (CD4,CD4 / CD8) and immunoglobulin (IgA,IgM and IgG) values were better in the observation group than in the control group,with statistical differences (P<0.05).Conclusions Auricular point sticking combined with traditional Chinese medicine calisthenics can alleviate anxiety postoperatively in patients with breast cancer,improve immune function,and promote physiological and psychological health.

  12. Effect of auricular acupressure on stress reaction in conscious patients during emergency rescue in ICU%耳穴贴压对ICU患者紧急抢救时邻床清醒患者应激反应的影响

    Institute of Scientific and Technical Information of China (English)

    陈媛媛; 沈锐; 陈静; 杨雪莲

    2013-01-01

    Objective To investigate the effect of auricular acupressure on the stress reaction of conscious patients during emergency rescue in the intensive care unit(ICU).Methods Fifty conscious patients admitted to ICU were randomly divided into experiment group and control group,25 cases in each group.The two groups received conventional interventions,all separated by curtains during the rescue for psychological nursing by full-time nurses.Besides,the experiment group received auricular acupressure. The two groups were compared in terms of heart rates,systolic blood pressure,blood glucose,plasma catecholamines(epinephrine and norepinephrine)and cortisol index.Results All the items of stress reaction at minutes 30 and 60 in the experiment group were significantly lower than those in the control group.The rescue times of 30min,1H in experiment group,the stress index of experiment group at 30 mins and 60 mins were lower than those in the control group,the differences were statistically significant(all P<0�05)Conclusions Auricular acupressure is of good effects on physiological stress reaction in conscious patients during emergency rescue in ICU�%目的探讨耳穴贴压对重症监护病房(intensive care unit,ICU)患者紧急抢救时邻床清醒患者应激反应的影响。方法采用随机数字表法,将50例入住ICU的清醒患者分为试验组和对照组,每组各25例。抢救时两组患者均常规给予干预措施(所有邻床清醒患者用围帘隔开、专职护士进行心理护理),试验组在此基础上采用耳穴贴压。观察两组患者在抢救时即刻(0 min)、30 min、1 h心率、收缩压、血糖、血浆儿茶酚胺(肾上腺素、去甲肾上腺素)、皮质醇指标情况的差异。结果抢救时30 min、1 h试验组患者各项应激指标均低于对照组,两组比较,差异具有统计学意义(均P﹤0�05)。结论耳穴贴压对降低ICU患者紧急抢救时邻床清醒患者应激反应具有较好的效果。

  13. Clinical observation of Shanzhajiangzhi decoction combined with auricular acupressure treatment on non-alcoholic fatty liver disease%山楂降脂方配合耳穴贴压治疗非酒精性脂肪性肝病40例临床观察

    Institute of Scientific and Technical Information of China (English)

    黄俊敏; 王彦人; 康霞; 蒋小艳

    2012-01-01

    目的 观察山楂降脂方配合耳穴贴压治疗非酒精性脂肪性肝病(NAFL)的临床疗效.方法 将84例NAFL患者随机分为2组,治疗组40例子山楂降脂方配合耳穴贴压治疗,对照组44例子水飞蓟宾葡甲胺片治疗,2组均治疗16周后比较临床疗效,观察肝功能、血脂及肝脏超声变化.结果 治疗组总有效率100%,对照组总有效率40.9%,治疗组总有效率高于对照组(P<0.05),治疗组临床疗效优于对照组.治疗组治疗后肝功能丙氨酸氨基转移酶(ALT)、天冬氨酸氨基转移酶(AST)、γ-谷氨酰转肽酶(γ-GT)及总胆红素(TBiL),血脂甘油三酯(TG)、总胆固醇(TC)及低密度脂蛋白胆固醇(LDL-C)均较对照组降低(P<0.05,P<0.01).2组治疗后超声表现分度比较差异均有统计学意义(P<0.05),治疗组肝脏超声监测优于对照组.结论 山楂降脂方配合耳穴贴压可以进一步改善NAFL患者的临床症状、血脂、肝功能及影像学指标.%Objective To investigate clinical effect of Shanzhajiangzhi decoction combined with auricular acupressure treatment on non - alcoholic fatty liver disease ( NAFL). Methods 84 cases of NAFL were randomly divided into two groups. 40 patients in treatment group received Shanzhajiangzhi decoction combined with auricular acupressure treatment. 44 cases in control group were given Silybin Meglumine treatment. The clinical efficacy, liver function, blood lipids and liver ultrasound changes were observed after treatment for 16 weeks in two groups. Results The total effective rate in treatment group (100% ) was higher than that in control group (40. 9% ,P < 0. 05). ALT, AST, γ — GT, TBiL, TG, TC and LDL — C in treatment group were decreased as compared with those in control group after treatment (P < 0.05, P < 0. 01). There was significant difference between two groups on ultrasonography indexing after treatment (P < 0. 05 ). Liver ultrasound monitoring of the treatment group was better than the

  14. Infulence of Body Acupunctuer a nd Auricular Acupressure on Plasma AVP in Patients with Menstrual Headache of Hyperactivity of Liver Fire%体针与耳穴贴压并用对肝火旺盛型经行头痛患者经期血浆 AVP含量的影响

    Institute of Scientific and Technical Information of China (English)

    孙立明; 李新华; 梁玉磊; 李文丽; 马红利; 孙立虹

    2014-01-01

    Objective:To expolore the therapeutic mechanism of body acupuncture and auricular acupressure on menstrual headache of hyperactivity of liver fire .Methods:85 patients of menstrual headache were randomly di-vided into treatment group ( n=43 ) that was treated with body acupuncture and auricular acupressure treatment , control group ( n=42 ) that was asked to take Sibelium ( oral medicine Flunarizine Hydrochloride Capsules ) . Comparison of two groups ’ clinical efficacy and headache symptom scores .30 patients in both groups were ran-domly chosen to determine the contents of plasma AVP before and after treatment in two groups .Results:The to-tal effective rate in treatment group was 95 .35%, and the control group was 80 .95%.The curative effect of treatment group was significantly better than that of the control group ( P <0 .01 ) .Two groups ’ headache symptom scores were significantly lower than those of pre -treatment (P<0.01), and the treatment group was significantly lower ( P<0 .01 ) .After treatment , the plasma AVP contents in treatment group and control group were significantly lower than those of pre -treatment (P<0.05).Conclusion:Body acupuncture with auricular acupressure treatment is effective in relieving patients ’ abdominal pain , which may be closely associated with its actions in adjusting abnormal contents of plasma AVP .%目的:初步探讨体针与耳穴贴压并用治疗肝火旺盛型经行头痛的作用机制。方法:将85例患者随机分为两组,治疗组43例以体针与耳穴贴压并用的方法治疗,并设口服盐酸氟桂利嗪胶囊(西比灵)患者42例为对照组。观察头痛症状积分变化,以判定临床疗效,同时从两组中各随机抽取30例进行治疗前后经期血浆血管加压素( AVP )含量变化的检测。结果:治疗组总有效率为95.35%,对照组为80.95%,治疗组总有效率优于对照组(P<0.05);两组头痛症状积分较

  15. Estrategias de crecimiento empresarial aplicadas por hipermercados

    Directory of Open Access Journals (Sweden)

    Miraidy Leal Morantes

    2003-01-01

    Full Text Available El presente estudio tiene como objetivo caracterizar las estrategias de crecimiento empresarial, representadas por alianzas y adquisiciones, que han sido aplicadas en el sector de distribución de bienes de consumo masivo, específicamente en los hipermercados ubicados en Maracaibo, Estado Zulia, como manera de responder al entorno competitivo y cambiante en el cual se desenvuelven. La investigación se desarrolló a través de un estudio de carácter descriptivo; para la recolección de datos se aplicó un cuestionario estructurado, bajo la modalidad de entrevista, a gerentes generales y financieros. Los resultados evidencian que las estrategias de crecimiento empresarial utilizadas son la apertura de nuevos establecimientos comerciales, adquisición de empresas y participación accionaria en grandes cadenas, las cuales propician la concentración del mercado de distribución comercial, afectando a algunas empresas venezolanas del sector cuya oferta no puede competir; asimismo, los proveedores se enfrentan a cadenas con gran poder de negociación.

  16. Identidad e interculturalidad: un horizonte por visitar

    Directory of Open Access Journals (Sweden)

    Marian Pérez Bernal

    2016-01-01

    Full Text Available En el presente trabajo mantenemos que el concepto de identidad defendido por Amin Maalouf puede ser una interesante vía para conseguir una aproximación entre las distintas culturas capaz de conducirnos a un diálogo fructífero que nos permitan gestionar la multiculturalidad actual. Defendemos que las culturas sean vistas como escenas de debate y contestación en constante proceso de construcción y reconstrucción y en las que siempre primen unos valores que nos conciernen a todos y que han de ser irrenunciables.In this paper, it is stated that the concept of identity defended by Amin Maalouf could be an interesting way to achieve a rapprochement amongst different cultures. This could lead to a fruitful dialog allowing to manage today’s multiculturalism. It is also defended that cultures should be considered as instruments of debate and reply on a continuous process of construction and reconstruction. However, cultures should not prevail over a series of values that concern to all of us and that should be inalienable.

  17. Estudio electrofisiologico en la neuropatia por Vincristina

    Directory of Open Access Journals (Sweden)

    Olga P. Sanz

    1975-12-01

    Full Text Available Diez pacientes afectados por diversas patologías que requerían tratamiento crónico con Vincristina, fueron sometidos a estudios electrofisiológicos en los que se valoró: el número de unidades motoras (UM funcionantes en los músculos de la eminencia tenar, los valores de los incrementos medios de UM, velocidad de conducción motora y su latencia residual en el nervio mediano, la velocidad de conducción sensitiva del mismo nervio y el estado de la transmisión neuromuscular. Los valores obtenidos fueron comparados con grupos controles. Los resultados mostraron disminución del número de UM; las UM remanentes presentaron amplitud reducida junto a otras cuyo tamaño no superaba el del grupo control, hecho que sugiere la incapacidad de lograr una reinervación adecuada. Las velocidades de conducción motora y sensitiva mostraron valores diminuídos, con mayor compromiso en los segmentos distales. Junto a estos datos se halló respuesta miasteniforme al estímulo repetitivo. Todos estos resultados permiten postular la existencia de un compromiso de la unidad motora, abarcando todos sus segmentos, en pacientes intoxicados con Vincristina.

  18. Libertad, igualdad, sostenibilidad. Por un ecofeminismo ilustrado

    Directory of Open Access Journals (Sweden)

    Puleo, Alicia H.

    2008-06-01

    Full Text Available This article presents the proposal of an enlightened Ecofeminism and defines it as an ethic-political thinking about human relations to Nature. It aims at ecojustice and sustainability, which are characterized through the criticism of prejudice, through the principles of equality and autonomy, and through the nominalist conceptualization of gender, intercultural dialogue and the sensible acceptance of science and technique. The enlightened Ecofeminism universalizes virtues such as caring for the human and non-human Nature, and defends a compassionate moral towards the radical finitude of the world.

    En este artículo se presenta la propuesta de un ecofeminismo ilustrado entendido como reflexión ético-política sobre las relaciones de los humanos con la Naturaleza. Orientado a la ecojusticia y la sostenibilidad, el ecofeminismo ilustrado se caracterizaría por la crítica al prejuicio, la defensa de los principios de igualdad y autonomía, la conceptualización nominalista del género, el diálogo intercultural, la aceptación prudente de la ciencia y la técnica, la universalización de las virtudes del cuidado aplicadas a los humanos y al resto de la Naturaleza, y una moral de la compasión frente a la radical finitud del mundo.

  19. ¿Inconstitucionalidad por omisión?

    Directory of Open Access Journals (Sweden)

    Alfredo Quispe Correa

    2006-01-01

    Full Text Available El autor realiza un análisis del sistema peruano de control de constitucionalidad desarrollado en control abstracto por el Tribunal Constitucional y en control concreto por los tribunales de justicia, para luego centrar su análisis sobre la inconstitucionalidad por omisión, considerando la doctrina desarrollada en la materia, planteando sus reservas en la materia, especialmente cuando el tribunal constitucional se convierte en legislador positivo.

  20. 扩张耳后皮瓣联合自体肋软骨移植矫正耳甲腔型小耳畸形%Expanded post-auricular skin flap combined with autologous rib cartilage framework for correction of concha-type microtia

    Institute of Scientific and Technical Information of China (English)

    于晓波; 蒋海越; 潘博; 赵延勇; 林琳

    2014-01-01

    Objective To explore the clinical effect of the method by using an expanded postauricular skin flap combined with autologous rib cartilage framework for correction of concha-type microtia.Methods The operation were performed in three stages.The expander was implanted under post-auricular skin at the first stage and expanded skin flap was formed.At the second stage,the expander was taken out and the expanded skin flap was transferred with autologous rib cartilage framework and skin graft for correction of microtia.At the third stage,the reconstructed ear was revised and new concha was formed.Results From August 2008 to August 2011,108 cases with 113 concha-type microtia were corrected by this method.All patients healed primarily and were followed up for 6 months to 3 years.The reconstructed ears had a good appearance and position,and were symmetric to ear on the healthy sides.Conclusions Using expanded post-auricular skin flap combined with autologous rib cartilage framework is a reliable method for concha-type microtia.%目的 探讨应用耳后扩张皮瓣联合自体肋软骨支架移植矫正先天性耳甲腔型小耳畸形的临床效果.方法 手术分3期:一期制备耳后扩张皮瓣,二期扩张器取出、扩张皮瓣转移、自体肋软骨支架移植、中厚皮片移植术,三期再造耳修整,耳甲腔成形术.结果 2008年8月至2011年8月,应用上述方法修复先天性耳甲腔型小耳畸形108例113只耳,术后患者伤口均一期愈合,均获随访6个月至3年,平均12个月.患者术后再造耳廓形态良好,外耳解剖结构清晰,颅耳角位置、大小、形态与健侧基本一致.结论 扩张耳后皮瓣法联合肋软骨支架移植是修复耳甲腔型小耳畸形的一种较理想可靠的方法.

  1. The Anxiety Impact of Auricular Acupressure Therapy Combined Pentameter in Treatment of Patients with ;Acute Myocardial Infarction%耳穴贴压联合五音疗法对急性心肌梗死患者焦虑的影响

    Institute of Scientific and Technical Information of China (English)

    罗美文; 罗雪琴; 谭志雄; 龙细妹; 吴玉环; 周小红; 王旭

    2014-01-01

    Objective:To investigate anxiety effects of the joint pentameter auricular acupressure therapy in patients with acute myocardial infarction.Method:80 cases of acute myocardial infarction who were assess anxiety symptoms by self-rating anxiety scale(SAS)were selected,and randomly divided into the control group and the observation group,each group had 40 cases. Both groups were given the conventional treatment and health education, based on this,the observation group was intervened by taken god door,heart,sympathetic,and subcortical pressure, at the same time joint pentameter. The effect was evaluated after two period of treatment.Result:After intervention,SAS scores of the observation group were significantly lower than that of the control group,the difference was statistically significant(P<0.01).Conclusion:Auricular acupressure therapy joint pentameter can significantly relieve patients anxiety,conducive to the smooth conduct of treatment and improve the quality of life of patients.%目的:探讨耳穴贴压联合五音疗法对急性心肌梗死患者焦虑的影响。方法:选取经焦虑自评量表(SAS)评估有焦虑症状的急性心肌梗死患者80例,按随机数字表法分为对照组和观察组,每组各40例。两组均予常规治疗和健康教育,观察组在此基础上,取神门、心、交感、皮质下贴压进行干预,同时辅以五音疗法,2个疗程后评价效果。结果:干预后观察组的SAS评分明显低于对照组,两组比较差异有统计学意义(P<0.01)。结论:耳穴贴压联合五音疗法可明显缓解患者焦虑情绪,有利于治疗的顺利进行,提高患者的生活质量。

  2. El impacto familiar de la dependencia por ictus cerebral

    OpenAIRE

    Laparte Pérez, Nerea

    2014-01-01

    El objetivo de este proyecto es analizar el impacto familiar que produce la dependencia por ictus cerebral. Para ello se ha realizado un estudio de caso basado en la experiencia de mi propia familia, uno de cuyos miembros es una persona dependiente por las secuelas de esta enfermedad, a la que mi familia presta cuidados. El estudio se ha basado en entrevistas semiestructuradas realizadas a cada miembro de la unidad familiar, y en una narrativa plasmada por escrito en primera persona por mí. L...

  3. MORTALIDAD POR ABORTO EN CHILE: ANALISIS EPIDEMIOLOGICO 1985-2000

    OpenAIRE

    Szot M,Jorge; Moreno W,Cristina

    2003-01-01

    El aborto, por su contribución a la mortalidad materna, ha sido tradicionalmente un problema de salud pública en América Latina y en Chile. En la actualidad, si bien es cierto la mortalidad por esta causa ha disminuido, la cantidad de abortos realizados permanece alta. Por este motivo, se ha querido efectuar una caracterización desde la perspectiva epidemiológica de la mortalidad por aborto ocurrido en Chile entre 1985 y 2000. Los resultados confirman la baja en la mortalidad durante el perío...

  4. Intoxicación por gases Gas poisoning

    OpenAIRE

    2003-01-01

    La intoxicación por gases en nuestro medio es un problema importante debido a su alta incidencia. En el caso concreto de la intoxicación por monóxido de carbono, es la principal causa de muerte por intoxicación involuntaria en nuestro medio, muchas veces coexistiendo con una intoxicación por cianuro. Ambas intoxicaciones pueden ser de carácter grave, basándose su diagnóstico en la mera sospecha del médico. Además, su importancia radica en que ambas intoxicaciones tienen un tratamiento concret...

  5. Intoxicación por metales Metal poisoning

    OpenAIRE

    Ferrer, A.

    2003-01-01

    Los metales están entre los tóxicos más antiguos conocidos por el hombre. En el industrializado mundo actual las fuentes de exposición a metales son ubicuas tanto en el campo laboral como a partir de agua, los alimentos o el ambiente contaminados. Su toxicidad está caracterizada por el elemento metálico en cuestión pero se ve modificada por el tipo de compuesto, orgánico o inorgánico y sus características de hidro o liposolubilidad, que determina su toxicocinética y por tanto sus posibilidad ...

  6. Motivado por cirujanos Motivated by Surgeons

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    Carlos Salazar-Vargas

    2010-12-01

    Full Text Available Comenzaba la década de los 60 y nuestro grupo nerviosamente iniciaba lecciones en los hospitales de San José. En aquellos años, el estudiante de medicina empezaba su contacto con pacientes, por lo menos 1 ó 2 años después de iniciada la carrera. El estudio del ser humano normal que ya habíamos concluido, continuaba con el del enfermo, y más adelante aprenderíamos el tratamiento. La enfermedad descrita en el libro, de pronto se convertía en un enfermo, y es a este quien hoy veíamos, cohibido pero inquisidor, en la cama de un hospital. Los profesores nos enseñaban a interrogar y a examinar a los pacientes, y cada gesto suyo, cada pregunta, cada maniobra, eran celosamente guardados en la memoria de los educandos. Con claridad percibíamos, aun a temprana edad, las diferencias entre los especialistas, y casi de manera involuntaria, cada quien iba tomando partido y escogía su futuro camino. Fue durante esos tempranos años, cuando mi vida se cruzó con la de 7 maravillosas personas y excelentes cirujanos, que marcaron para siempre mi destino y, sin quererlo ellos, me hicieron inclinarme por la cirugía. Dos eran serios y profundamente académicos: el Dr. Manuel Aguilar Bonilla y el Dr. Vesalio Guzmán Calleja; 3, decididos, incansables y muy hábiles: el Dr. Longino Soto Pacheco, el Dr. Claudio Orlich Carranza y el Dr. Carlos Prada Díaz, y 2, abordables, prácticos, joviales y amistosos: el Dr. Fernando Valverde Soley y el Dr. Randall Ferris Iglesias….During the early 60´s our class just started clinical lessons in different hospitals of San Jose. In those years the medical student became in contact with patients 1 or 2 years after initiating his or her career. The study of the normal human being continued with that of the diseased and later on we would learn how to treat our patients. The disease described in our textbooks, suddenly was a reality, a person lying in a hospital bed, shy but inquisitive. Our teachers taught us how to

  7. EL TRABAJO POR AMOR A DIOS Y POR UN LUGAR EN EL CIELO

    OpenAIRE

    Virginia Ávila-García

    2014-01-01

    Este artículo trata de cómo las numerarias auxiliares, cientos de mujeres que trabajan para el Opus Dei en México, dedican sus vidas y esfuerzos a esta organización religiosa bajo la promesa de conseguir un lugar en el cielo, ...y un ingreso básico e insufici ente . Las numerarias son un grupo vulnerable, integrado por mujeres que proviene del campo y de los barrios marginales de las ciudades, o de las comunidades indígenas . En la Obra 2 son instruidas para amar a Dios a través del carisma, ...

  8. MODULACION FUNCIONAL DE HEMICANALES FORMADOS POR CONEXINAS POR ESTIMULOS DE DISTINTA NATURALEZA

    OpenAIRE

    SCHALPER CASANOVA, KURT ALEX

    2008-01-01

    Las conexinas (Cxs) son una familia de al menos 21 proteínas integrales de transmembrana que forman los canales intercelulares de las uniones en hendidura o "gap junctions" en vertebrados. Los canales de las uniones en hendidura (CUH) se forman a partir de la unión en serie de dos hemicanales (HCs) provenientes de células adyacentes, cuyas paredes se encuentran a su vez formadas por dominios de 6 subunidades proteicas, que oligomerizan alrededor de un poro central. Los HCs p...

  9. OPINIÓN: PARA TRABAJAR POR CARTAGENA POR DÓNDE COMENZAR?

    Directory of Open Access Journals (Sweden)

    Carmen Cabrales Vargas

    2004-08-01

    Full Text Available Ciertamente son muchos los flancos desde los cuales acercarnos a esta ciudad que se encuentra en permanente y profunda movilidad con respecto a lo que era hace dos décadas. Cartagena ha estallado y seguirá estallando en muchos pedazos, convirtiéndose en una ciudad que por su compleja dinámica no alcanza a recomponerse en su organización social ni en sus espacios físicos; por ello se nos muestra como un lugar donde la confrontación con el orden instituido para su funcionamiento es permanente. En ese sentido, puede anotarse que son pocos los que acogen con rigor las normas de tránsito o respetan el espacio público, o practican el cuidado ambiental o respetan el derecho del otro al uso de los recursos institucionales que se ofrecen. Dicho de otra forma, en los imaginarios de estos habitantes parece no encontrarse el de la ciudad en cuanto organización espacial con reglas y normas que le dan sentido.

  10. 有氧运动结合耳穴贴压法对医学生失眠干预效果研究%The Effect of Aerobic Exercise Comibined with Auricular Point Therapy on Insomnia of Medical College Students in Tangshan

    Institute of Scientific and Technical Information of China (English)

    尹辉

    2011-01-01

    目的 寻求一种简便有效方法,为防治医学生失眠提供有效数据和理论支持.方法 2007年3月-2009年5月,以随机整群抽样的方法,用匹兹堡睡眠质量指数(PSQI)评价华北煤炭医学院985名学生的睡眠状况,从睡眠差的147人中随机抽取120人为干预对象.随机分为4个组,Ⅰ组进行有氧运动练习,注重运动强度的控制;Ⅱ组实施耳穴贴压治疗,坚持按揉次数;Ⅲ组有氧运动练习的同时耳穴贴压治疗;Ⅳ组为对照组不予干预.比较不同方法对医学生失眠的干预效果.结果 干预4周后,对4个组进行PSQI问卷测试,Ⅰ、Ⅱ、Ⅲ、Ⅳ组PSQI总分分别为6.83±1.27、6.52±1.28、6.00±1.25、9.17±1.27,Ⅰ、Ⅱ、Ⅲ组分别与Ⅳ组比较,PSQI总分差异均有统计学意义(P<0.05或P<0.001).Ⅲ组与Ⅰ组或Ⅱ组比较,PSQI总分、入睡时间、日间功能差异均有统计学意义(P<0.05).干预结束3个月后再次对Ⅰ、Ⅱ、Ⅲ组进行PSQI问卷测试,PSQI各成分与干预结束时的结果相比较,无统计学意义.结论 有氧运动结合耳穴贴压的方法,对改善医学生失眠具有较好效果,特别是对入睡时间、日间功能的改善.%Objective To study the effect of aerobic exercise combined with auricular point therapy on insomnia among medical college students in Tangshan. Methods From March 2007 to May 2009 and using random cluster sampling method, 985 students of a medical college in Tangshan were evaluated with the sleep quality index of Pittsburgh (PSQI). Of 147 students suffered with sleep problem, 120 students were randomly selected as intervention objects and randomly divided into four groups:group Ⅰ, taking the aerobic exercise training and paid more attention to the control of their exercise intensity; group Ⅱ, taking auricular point therapy with confirmed times; group Ⅲ, taking aerobic exercise plus auricular point therapy; and group Ⅳ, as control with no intervention. The effects of 4 groups

  11. Mujeres por la utilidad de la virtud

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    Nancy Rodríguez Pupo

    2014-08-01

    Full Text Available La mujer cubana ostenta una vasta tradición combativa y es ejemplo de entereza, abnegación, sacrificio y compromiso social. Quien se acerque a la historia de nuestro proceso nacional-liberador a todo lo largo de su devenir, constatará su presencia como forjadoras de la nación. Integrante fundamental de la sociedad, la mujer hizo suyas las ansias libertadoras y desempeñó un rol importante en aras de crear una patria común. Se trata de entender que en lo más mínimo su papel fue de “retaguardia”, sino todo lo contrario, su trabajo fue necesario y en no pocas ocasiones empuñó las armas y con valentía gritó ¡viva Cuba libre!, incluso a cambio de su vida, como lo protagonizó la tunera Mercedes Varona. El ejemplo de la mujer cubana y particularmente tunera, es imperecedero en su doble función de ser social y generadora de nuevas vidas, con amplias posibilidades de realización personal y profesional luego de 1959. Su actuación se manifiesta en cada actividad del sector de la salud pública como médica, enfermera, técnica, profesora y estomatóloga, así como también en otros puestos de trabajo no menos necesarios. Ellas con altruismo, solidaridad, responsabilidad y humanismo, son continuadoras de las mejores tradiciones científicas, patrióticas y revolucionarias de nuestro pueblo. Esta edición se dedica al 8 de marzo, día internacional de la mujer, las homenajeamos y recordamos la obra de Laura Martínez Carvajal, primera médica cubana, quien desafió los prejuicios de su época o Isabel Rubio que puso sus conocimientos de medicina farmacéutica al servicio del Ejército Libertador, en el que alcanzó los grados de capitana de sanidad; por citar dos entre las grandes. Otras féminas de la localidad ejercieron en la manigua sus dotes de parteras o enfermeras, tal el caso de Anita Cruz, magnífica artillera, quien estuvo al frente de un hospital de campaña durante la guerra. Allí curó heridas, infecciones, disenter

  12. Epidemia de hepatite veiculada por gamaglobulina contaminada

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    Anastácio Ferreira Morgado

    1982-12-01

    gamaglobulina foram testadas, em laboratórios de referência da Organização Mundial de Saúde, encontrando-se o Ag HB em seis (54,5%J. Os autores concluem que houve alguma falha grave no processo de preparo da gamaglobulina em apreço. E por isto deve-se ter reservas quanto á noção difundida de que esse medicamento está isento do risco de transmitir o vírus hepatite.

  13. Miíase por Lucilia eximia (Diptera: Calliphoridae em Didelphis albiventris (Mammalia: Didelphidae no Brasil Central

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    Edison Cansi

    2011-12-01

    Abstract. In May 2009 were collected 18 larvae of Lucilia eximia (Wiedemann, a fly responsible for primary and secondary myiasis in livestock and humans. The larvae were taken from the myiasis on anal and auricular regions of an opossum Didelphis albiventris (Lund, in Brasília Zoo, and later identified in the laboratory. After 15 days, 15 adults emerged from L. eximia. This is the first record of this blowfly causing a primary myiasis in a marsupial species in the Brasília Cerrado.

  14. Impacto do manejo da água na toxidez por ferro no arroz irrigado por alagamento

    Directory of Open Access Journals (Sweden)

    Fabiana Schmidt

    2013-10-01

    Full Text Available A toxidez por ferro é o distúrbio nutricional de maior ocorrência em arroz (Oryza sativa L. cultivado em sistemas alagados, derivada da quantidade excessiva de íons ferrosos (Fe2+ gerados pela redução de óxidos de ferro em solos alagados. Em experimento conduzido em casa de vegetação, foram avaliados os efeitos de manejos da água de irrigação na dinâmica de redução de um Planossolo e na manifestação da toxidez por ferro em arroz. Os tratamentos dispostos em blocos completos ao acaso com quatro repetições constaram de cinco manejos da água: T1- início do alagamento no estádio V2-V3 do arroz; T2- início do alagamento no estádio V6-V7; T3- T1 e drenagem no estádio V10-V11; T4- T2 e drenagem no estádio V10-V11; e T5- T1 e drenagens nos estádios V7-V8 e V10-V11. O atraso do início do alagamento para o estádio V6-V7 do arroz manteve os valores do Eh da solução do solo mais elevados, promovendo menor disponibilidade de Fe2+ na solução do solo e deslocando a máxima liberação de Fe2+ na solução do solo para estádios fenológicos mais avançados do arroz. A realização de drenagens ao longo do ciclo vegetativo do arroz promoveu a reoxidação do solo, que ocasionou o aumento dos valores de Eh e redução da concentração de Fe2+ na solução do solo. O uso de drenagens durante o período vegetativo do arroz foi eficiente no controle da toxidez por excesso de ferro, em arroz cultivado em solo alagado.

  15. Por una Cabeza and Film Music%Por una Cabeza与电影音乐

    Institute of Scientific and Technical Information of China (English)

    张翠

    2013-01-01

    在电影产业高速发展又高度发达的今天,电影从单一的视觉艺术的过去进入到了一个视听均衡的新阶段.电影中的音乐对于推动剧情发展、烘托影片主题,渲染画面情绪,调节气氛等都有着重要作用.音乐Por una Cabeza在影片《闻香识女人》,《辛德勒名单》以及《真实的谎言》中均有出现,与不同影片结合的同一原声,在电影作品中又有着不同的表现.

  16. Ansiedad percibida por los pacientes hospitalizados por quemaduras, en una Unidad de Quemados

    Directory of Open Access Journals (Sweden)

    M. Alcázar-Gabás

    2014-06-01

    Full Text Available El presente trabajo, pretende describir el estado de ansiedad que experimentan los pacientes ingresados en una Unidad de Quemados. Uno de los factores clave en los cuidados del paciente quemado es una buena atención psicológica. La realidad demuestra que es el profesional de enfermería quien observa los síntomas emocionales durante los primeros días de ingreso y trata de responder a esa demanda de cuidado. Pretendemos, a través de la medición del nivel de ansiedad que perciben los pacientes ingresados en la Unidad de Quemados elegida para nuestro estudio durante el primer semestre del año 2009, identificar a aquellos que estén en riesgo de padecer mayores niveles de ansiedad durante su hospitalización, para así poder establecer un plan de cuidados adaptado a las necesidades emocionales de cada uno. Los resultados obtenidos nos permiten concluir que los pacientes quemados ingresados en la Unidad de Quemados presentaron niveles elevados de ansiedad que son superiores entre la población femenina, así como en aquellos pacientes con lesiones de mayor extensión. Determinamos también que los pacientes ingresados por quemaduras en la Unidad de Quemados a estudio fueron mayoritariamente varones, de nacionalidad española, residentes en medio urbano con una media de edad de 50 años, siendo las quemaduras producidas por llama en accidentes domésticos la causa más frecuente.

  17. El tiempo libre y ocio reivindicado por los trabajadores

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    Guillermo Miranda Román

    2006-01-01

    Full Text Available Estas líneas están referidas a la realización de actividades del ocio en el tiempo libre que como derecho ha sido logrado por las luchas de aquellas sociedades cuyo desarrollo industrial y comercial es caracterizado por la designación de tiempos para la producción o distribución de las mercancías. Los trabajadores históricamente han luchado por el derecho a un tiempo libre necesario para el desarrollo de las aptitudes del hombre, asunto que tratamos de discurrir, o en el mejor de los casos, reflexionar.

  18. Topoplastia de Cvintal assistida por laser de femtossegundo

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    Alexandre Takayoshi Ishizaki

    2013-06-01

    Full Text Available Apresentamos um relato de astigmatismo tardio progressivo pós-transplante de córnea para ceratocone, associado à afinamento periférico na junção doador-receptor, o que presumidamente pode ser considerado como recorrência da ectasia. O caso foi tratado por meio de Topoplastia de Cvintal assistida por laser de femtossegundo para a confecção da incisão com geometria "top hat", seguido de sutura com ajuste per-operatório guiado por ceratoscopia.

  19. El aprendizaje por indagación I.

    OpenAIRE

    Gómez Martín, Francisco

    2013-01-01

    Este artículo explora cómo se puede usar el aprendizaje por indagación en la enseñanza de las matemáticas. En las matemáticas hace años que se emplea bajo múltiples formas: aprendizaje por resolución de problemas, el método Moore, aprendizaje por proyectos, aprendizaje orientado al proceso, entre otros. En la música, a la luz de nuestro más leal conocimiento, parece que apenas está implantado.

  20. Fragilización por envejecimiento de aceros inoxidables moldeados

    OpenAIRE

    Mazorra Incera, Luis; Gutiérrez-Solana Salcedo, Federico; González Martínez, Javier Jesús; Varona Ruiz, José María

    1989-01-01

    RESUMEN. En este artículo se presenta, por una parte, la exposición resumida de los modelos teóricos existentes sobre la fragilización de aceros inoxidables moldeados austenoferríticos causada por envejecimiento térmico a 280ºC y, por otra, el análisis-aplicación a un acero real fragilizado, procedente del circuito de recirculación de una central nuclear. Los resultados obtenidos advierten de una importante fragilización al prever una reducción del 50% de la tenacidad a temperatura ambiente e...