Sample records for ORO 178 (gold 178)
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Sample records 1 - 2 shown.



1

Precisión diagnóstica de diferentes técnicas para hallar la vena yugular interna en niños de 6 meses a 16 años

Gómez Danies, Hernando; Reyes Patiño, Darío; Sánchez Herrera, Paola
2007-03-01

Resumen en español Objetivo. Describir la técnica transmuscular modificada por Reyes (TMMR) y realizar una comparación de la efectividad y seguridad de esta y de las técnicas anterior, media y palpatoria. Métodos. Estudio observacional prospectivo de cohorte. En 32 pacientes pediátricos, sin patología cervical que asistieron al servicio de radiología u hospitalizados en los servicios de pediatría o cuidados intensivos de la Fundación Hospital de la Misericordia, se comparó la efec (mas) tividad de las técnicas mencionadas para ubicar anatómicamente la vena yugular interna (VYI) usando como estándar de oro la ecografía. Adicionalmente se evaluó la seguridad estudiando la distancia del sitio hipotético de punción predicho por cada técnica al borde de la carótida (distancia pcb). Resultados. Las tasas de efectividad para las diferentes técnicas fueron 96,9%, 90,3%, 93,8% y 93,8% para la anterior, media, palpatoria y TMMR respectivamente. La distancia de la punción hipotética al centro de la yugular, fue menor para la palpatoria y la TMMR con promedios de 1,78 y 1,98 mm respectivamente (IC95% 1,2 - 2,35 y 1,32 - 2,64), comparado con las técnicas anterior y media, con 2,65 y 2,78 mm respectivamente (IC95% 2,01 - 3,29 y 1,91 - 3,65). La comparación de la distancia pbc y de la piel a la VYI no mostraron diferencias significativas. Conclusiones. En la población pediátrica, las técnicas TMMR y la palpatoria son tan seguras como las demás evaluadas y tan o más efectiva que las técnicas anterior y media. Las 4 técnicas mostraron ser igual de seguras en cuanto la probabilidad de punción carotídea. Resumen en inglés Objective. To describe the transmuscular approach modified by Reyes (TMMR) and compare the effectiveness and safety of four techniques including anterior, medium, palpatory and TMMR. Methods. Observational prospective cohort study. In 32 pediatric patients, with no cervical pathology that went to the radiology department or where hospitalized in the pediatric ward or ICU at Fundación Hospital de la Misericordia (HOMI) a comparison of the effectiveness to locate the IJV, (mas) between the techniques described was made using ultrasound as the gold standard. Safety was also compared by studying the distance between the point of puncture each technique predicted and the border of the carotid artery (distance pbc). Results. The effectiveness rates for the 4 techniques where 96,9%, 90,3%, 93,8% y 93,8% for anterior, medium, palpatory and TMMR respectively. The distance between the predicted puncture site and the center or the IJV was shorter for the palpatory and transmuscular approaches with mean distance of 1,78 y 1,98 mm respectively (95%CI 1,2 - 2,35 y 1,32 - 2,64), compared with anterior and medium approaches, with 2,65 y 2,78 mm respectively (95%CI 2,01 - 3,29 y 1,91 - 3,65). The comparison of pbc distance and the distance between the skin and the IJV yielded no significant differences. Conclusions. In pediatric population, TMMR and palpatory techniques are as safe as the other approaches,and as or even more effective than the anterior and medium approach. These results suggest that the 4 techniques are equally safe concerning the most frequent complication, which is arterial puncture.

Scientific Electronic Library Online (Spanish)

2

Enfermedad celíaca en el adolescente y adulto joven.: Un desafío para gastroenterólogos de niños y adultos/ Celiac disease in adolescents and young adults.: A follow-up study

Roessler B, José Luis; Ríos M, Gloria; Alarcón O, Teresa; Bergenfreid O, Carmen; Mondragón O, Alexandra; Araya Q, Magdalena
2001-07-01

Resumen en inglés Background: Follow-up of celiac patients in Chile is often interrupted when adolescents are referred to adult gastroenterologists. Aim: To study the evolution of patients with celiac disease when they reach adolescence or young adulthood. Patients and methods: Current adherence to gluten-free diet and its relation to symptoms and circulating antiendomysial antibodies were evaluated in the 58 confirmed celiac patients older than 12 years of age controlled at 3 hospitals in (mas) Santiago. Results: Mean age at the moment of this assessment was 17.8 ± 5 years, 65.5% were women, 12.5% were at nutritional risk (-IDS) while 20% were overweight/obese. Although all patients declared themselves asymptomatic, a focused questionnaire revealed that 26% suffered some symptoms. Only 24.1% followed a strict gluten-free diet. Eight of 20 patients who ate gluten-containing diets had negative antiendomysial antibodies (EMA), three of whom turned positive within 6 to 9 months. In three of four (asymptomatic) cases that accepted a new jejunal biopsy, histology was abnormal. One patient who followed a strict diet had EMA (+) and normal histology. Conclusions: These results confirm that after childhood, symptoms abate significantly in celiac patients. The observed sensitivity and specificity of EMA makes necessary to maintain small intestinal biopsies as the gold standard for diagnosis and confirmation of the disease. (Rev Méd Chile 2001; 743-8)

Scientific Electronic Library Online (Spanish)