Revista Digital de Postgrado最新文献_第3页

Criterios para la selección del tipo de tratamiento quirúrgico en cáncer de tiroides 甲状腺癌手术治疗类型的选择标准

Revista Digital de Postgrado Pub Date : 2021-08-24 DOI: 10.37910/rdp.2022.11.1.e337

J. Valls, A. Blanco, Salvador Tabacco, Francisco Tabacco, O. Cabrera, Yeri De Jesus, Yernilex Yareth

{"title":"Criterios para la selección del tipo de tratamiento quirúrgico en cáncer de tiroides","authors":"J. Valls, A. Blanco, Salvador Tabacco, Francisco Tabacco, O. Cabrera, Yeri De Jesus, Yernilex Yareth","doi":"10.37910/rdp.2022.11.1.e337","DOIUrl":"https://doi.org/10.37910/rdp.2022.11.1.e337","url":null,"abstract":"Objective: to evaluate the procedure for the surgical management of the thyroid cancer and the criteria for the selection Patients and method: eighteen patients with cancer of thyroid programmed to surgical procedures. Results: the 83, 3% of the series was 45 years or more. No exist T1. Twelve patients were intermediate risk. Radiologic studies and the fine needle aspiration were the methods of evaluation preoperative. Total thyroidectomy was the most common surgery and the histology more frequent was papilar carcinoma. The neoplasies of 4cms or more, the frozen section and the findings in the operating room were be used to adapt the surgical plan in the 66,6% of the serie. Neck dissection was indicated in the clinics lymph nodes. Conclusions: the surgical extension depends of the tumoral size, the presence of cervical metastasis, the infiltration of adjacent structures and frozen sections. The thyroidectomy total with or without lymphadenectomy were the procedures more frequent, other intervention of salvage and palliative intention represents surgical options. The sanitary crisis determinates some problems in the therapeutic process","PeriodicalId":375439,"journal":{"name":"Revista Digital de Postgrado","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134643141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Análisis de la curva ROC en la evaluación de indicadores antropométricos 人体测量指标评价中的ROC曲线分析

Revista Digital de Postgrado Pub Date : 2021-08-22 DOI: 10.37910/rdp.2022.11.1.e333

G. Bauce, M. Moya-Sifontes

引用次数: 0

Dos fórmulas para calcular el IMC, y su relación con otros indicadores antropométricos en adultos 计算成人bmi的两个公式及其与其他人体测量指标的关系

Revista Digital de Postgrado Pub Date : 2021-08-22 DOI: 10.37910/rdp.2022.11.1.e334

G. Bauce

{"title":"Dos fórmulas para calcular el IMC, y su relación con otros indicadores antropométricos en adultos","authors":"G. Bauce","doi":"10.37910/rdp.2022.11.1.e334","DOIUrl":"https://doi.org/10.37910/rdp.2022.11.1.e334","url":null,"abstract":"Descriptive, prospective, transversal and correlational study, whose objective is to relate two formulas for calculating BMI, with other indicators, in a group of adults. METHODS: The sample is of 137 adult patients who attended consultation at the University Hospital of Caracas. The variables are: age, weight, size, BMI-Q, BMI-O, WC, WSI, WCWP and BFP. Averages, deviations, percentages and z-tests and Mann Whitney were obtained to compare averages and Median. RESULTS: Similar BMI-Q averages in both sexes, and older BMI-O in female sex. The two formulas for calculating BMI result in the highest percentage with BMI-O, higher overweight percentage with BMI-Q and significant (p<0.000) and percentages of Healthy Weight and Obesity equal. Equal averages, per group, of BFP for the two BMI formulas, and increase from Healthy Weight to Obesity. The Coefficient of Variation reveals more homogeneity in BMI-O (18.41% vs 25.21%). BMI-Q correlates with weight (0.91), WC (0.92) and WSI (0.93); IMC-O with weight (0.97), WC (0.83) and WCWI (0.90). Whitney's test reveals that averages by sex are significant (p<0,000), as are IPCC averages per sex (p<0.000). In addition, the BMI Oxford, WC, WSI and WCWI indicators have sensitivity of 92,3%, 92.3% and 92.3%, respectively. CONCLUSION: The BMI Oxford for its somewhat complicated calculation formula is not recommended to evaluate overweight and obesity, in adults.","PeriodicalId":375439,"journal":{"name":"Revista Digital de Postgrado","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115252734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Correlación clínico patológica de los ganglios cervicales en pacientes con cáncer de cabeza y cuello 头颈部癌症患者颈部淋巴结的临床病理相关性

Revista Digital de Postgrado Pub Date : 2021-08-22 DOI: 10.37910/rdp.2022.11.1.e335

Kim Sánchez, Juan Valls

{"title":"Correlación clínico patológica de los ganglios cervicales en pacientes con cáncer de cabeza y cuello","authors":"Kim Sánchez, Juan Valls","doi":"10.37910/rdp.2022.11.1.e335","DOIUrl":"https://doi.org/10.37910/rdp.2022.11.1.e335","url":null,"abstract":"Objective: To correlate the clinical lymph node classification with the pathological result of neck dissections performed in patients with head and neck cancer at the Otorhinolaryngology Department of the Hospital Universitario de Caracas from January 1, 2011 to December 31, 2016. Method: Descriptive, quantitative and retrospective study, which evaluated 27 patients, who underwent classical radical, modified radical and selective neck dissection. Results: average age 56 years, 77.8% male. The most frequent histological type was squamous carcinoma 81.5%. The most used type of dissection was selective 53.3%, followed by the classical radical 26.7% and the modified radical 20.0%, of these 36% presented local or cervical recurrence. Of the 16 patients with positive lymph nodes, 13 had patology confirmation, and all the negative nodes also had negative patology confirmation; regarding cervical recurrence, of the 7 cases where it was present, all positive nodes, and in the 11 patients negative nodes, all negative cervical recurrence. Conclusion: The relationship between the pathological and clinical classification, as well as the presence of positive lymph nodes in cervical recurrences are statistically significant and are related to the decrease in survival. Neck palpation continues to be a useful tool in therapeutic decision making, which has shown higher than average sensitivity and specificity.","PeriodicalId":375439,"journal":{"name":"Revista Digital de Postgrado","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126836887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Índice de masa corporal, peso ideal y porcentaje de grasa corporal en personas de diferentes grupos etarios 不同年龄组人群的身体质量指数、理想体重和体脂百分比

Revista Digital de Postgrado Pub Date : 2021-08-17 DOI: 10.37910/rdp.2022.11.1.e331

G. Bauce

{"title":"Índice de masa corporal, peso ideal y porcentaje de grasa corporal en personas de diferentes grupos etarios","authors":"G. Bauce","doi":"10.37910/rdp.2022.11.1.e331","DOIUrl":"https://doi.org/10.37910/rdp.2022.11.1.e331","url":null,"abstract":"The objective is to compare BMI with the percentage of body fat and ideal weight, to supplement BMI in the diagnosis of obesity, from a group of adults. METHODS: descriptive, cross-cutting, prospective and correlational study, in a sample of 797 adults between 17 and 96 years old, attended in different clinical centers of Caracas, between 2015 and 2018. The variables are: age, weight, size and BMI was calculated, percentage of body fat (BFP) and ideal weight (IW). They were classified by sex, age group and BMI in normality and obesity. Two formulas were used for BFP: Deurenberg and Regression; and three formulas for IW: Lorenz, Ramirez-Lopez et al and Broca. Descriptive measures, association, correlation, average comparison and normality test were obtained, using Excel software, Epidat.2. RESULT: BMI and BFP averages increase to 40 years and decrease to age 79, the variables Size – IW Broca, and BMI- BFPR correlate well (r>0.75). The average BMI, BFPD, BFPR, IW Broca and IW Lorenz, depending on gender, are significant (p<0.000); for BMI, in Normality and Obesity, the weight averages, BMI, BFPD and BFPR are higher in the Obesity group, and significant (p<0,000). The Shapiro-France normality test found that the distribution of BMI, BFPD, BFPR and IW Lorenz, comes from a normally distributed population (p< 0.000). CONCLUSIONS: BMI even though it is most commonly used to diagnose obesity, it classifies normally, those with a high percentage of body fat.","PeriodicalId":375439,"journal":{"name":"Revista Digital de Postgrado","volume":"113 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124340712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Aplasia medular congénita de serie roja: Anemia de Diamond Blackfan. A propósito de un caso 先天性红血球发育不全:钻石黑凡贫血。关于一个案例

Revista Digital de Postgrado Pub Date : 2021-08-16 DOI: 10.37910/rdp.2022.11.1.e327

Jenny Planchet, M. Tovar, Abril Espinoza, A. Díaz

{"title":"Aplasia medular congénita de serie roja: Anemia de Diamond Blackfan. A propósito de un caso","authors":"Jenny Planchet, M. Tovar, Abril Espinoza, A. Díaz","doi":"10.37910/rdp.2022.11.1.e327","DOIUrl":"https://doi.org/10.37910/rdp.2022.11.1.e327","url":null,"abstract":"Pure red cell aplasia medullary is a disorder characterized by anemia with almost complete absence of red cell precursors in the bone marrow, with leukocyte count and platelets. The Diamond-Blackfan anemia is a failure syndrome characterized by bone marrow anemia, reticulocytopenia and decreased erythroid precursors in the bone marrow. the case of an infant under 2 months of age presented no family or perinatal history major, whose mother progressive skin pallor evidence mucosa associated with hyporexia; go to health center where they perform paraclinical reporting hemoglobin 1.7 g / dL. peripheral blood smear where erythroid frankly affected with normal megakaryocytic granulocytic count shown is made; It biopsied and bone marrow aspirate concluding marrow red cell aplasia; possible anemia Diamond-Blackfan in light of other clinical findings arises. It stays with glucocorticoid treatment, however insufficient response, begins erythropoietin dose progressively increasing, despite it, warrants blood transfusions on a regular basis; compatibility studies performed with first-degree resulting positive, currently a candidate for allogeneic bone marrow transplantation. It is concluded that despite being a rare syndrome should be suspected in severe anemia where there is acute blood loss, ruling out other etiologies; also timely initiation of treatment is critical to the survival of these patients.","PeriodicalId":375439,"journal":{"name":"Revista Digital de Postgrado","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131299097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Virus de papiloma humano y lesión intraepitelial cervical en adolescentes embarazadas 人乳头瘤病毒与怀孕青少年宫颈上皮内病变

Revista Digital de Postgrado Pub Date : 2021-08-16 DOI: 10.37910/rdp.2022.11.1.e329

Lissette Mendoza, José Urdaneta, Chiquinquira Silva, I. Maggiolo, N. Baabel, Richard Mejía

{"title":"Virus de papiloma humano y lesión intraepitelial cervical en adolescentes embarazadas","authors":"Lissette Mendoza, José Urdaneta, Chiquinquira Silva, I. Maggiolo, N. Baabel, Richard Mejía","doi":"10.37910/rdp.2022.11.1.e329","DOIUrl":"https://doi.org/10.37910/rdp.2022.11.1.e329","url":null,"abstract":"Aim: To compare the presence of Human Papilloma Virus (HPV) and Squamous Intraepithelial Lesion (SIL) in pregnant and non-pregnant adolescents treated at the “Maternidad Dr. Armando Castillo Plaza” in Maracaibo, Venezuela. Patients and Methods: A comparative research with non-experimental transectional and field design was performed; where 46 pregnant adolescents (cases) and 46 non-pregnant adolescents (controls) was included, chosen by random probability sampling, who underwent identification of factors associated with the pathology, evaluation by pap-smear and HPV genotyping by chain reaction of polymerase (PCR). Results: It was found that 32.6% of pregnant women had low grade SIL ( HPV or CIN 1) compared to 21.7% in non-pregnant women, with a risk twice higher (OR [95% CI] = 2.44 [1.05 -5.65]). The molecular diagnosis was positive in half of the total sample, being higher in pregnant women (52.1 vs. 47.9p <0.05); infections with high-risk genotypes predominated 47.8 vs 30.5; p <0.05). HPV 16 was the most prevalent among pregnant women (21.7%) and co-infection by low-risk genotypes (6-11) in non-pregnant women (17.4%). Conclusions: adolescent pregnant women have a higher prevalence of LIE and genital HPV infection, associated with a significant risk of twice the probability of presenting an LIE compared to non-pregnant adolescents.","PeriodicalId":375439,"journal":{"name":"Revista Digital de Postgrado","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124267258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Presentación atípica de celulitis orbitaria en recién nacido 新生儿眼眶脂肪团的非典型表现

Revista Digital de Postgrado Pub Date : 2021-08-16 DOI: 10.37910/rdp.2022.11.1.e326

Jenny Planchet, Koana Rojas, P. Blanco

引用次数: 0

Sala de emergencias Bagdad. La evolución en la cirugía de control de daños 巴格达急诊室。损伤控制手术的发展

Revista Digital de Postgrado Pub Date : 2021-05-03 DOI: 10.37910/rdp.2021.10.2.e286

Juan Carlos Valls Puig, E. Urra, A. Blanco

引用次数: 0

Niveles séricos de interleucina-6 en pacientes con diabetes tipo 2 y su correlación con el perfil lipídico 2型糖尿病患者血清白介素-6水平及其与血脂的相关性

Revista Digital de Postgrado Pub Date : 2021-05-03 DOI: 10.37910/rdp.2021.10.2.e309

J. Escalera, L. Pérez, Sara Brito, M. Lares, Luis Flores, Jorge Castro

{"title":"Niveles séricos de interleucina-6 en pacientes con diabetes tipo 2 y su correlación con el perfil lipídico","authors":"J. Escalera, L. Pérez, Sara Brito, M. Lares, Luis Flores, Jorge Castro","doi":"10.37910/rdp.2021.10.2.e309","DOIUrl":"https://doi.org/10.37910/rdp.2021.10.2.e309","url":null,"abstract":"La diabetes mellitus es una enfermedad metabólica caracterizada por hiperglucemia, a consecuencia de defectos en la producción, secreción y/o acción de la insulina, produciendo alteraciones en el metabolismo de los hidratos de carbono, lípidos y proteínas; asociado a un proceso inflamatorio crónica en un plazo variable, que provocara lesiones macro y microvasculares. Objetivo: Evaluar los niveles séricos de interleucina-6 (IL-6) en pacientes diabéticos tipo 2 y su correlación con el perfil lipídico. Métodos: Se realizó estudio descriptivo analítico y transversal, comprendido por 60 adultos de ambos sexos entre 30 a 60 años, con diabetes mellitus tipo 2 que acudieron a consulta de Endocrinología del Hospital Militar Universitario Dr. Carlos Arvelo. Se les determino glucemia basal, interleucina-6, perfil lipídico, resultados relacionados con parámetros antropométricos, composición corporal, la edad y tiempo de evolución de la diabetes. Resultados: La edad promedio de 51,60 años ± 6,51, donde el 71,6% correspondieron al sexo femenino y el 28,3% al masculino, tiempo de evolución de la diabetes entre 1 mes y 37 años, con un promedio de 10,97 años. Se presentó correlación positiva baja y estadísticamente significativa entre interleucina 6 y los parámetros de triglicéridos, VLDL y no-HDL Conclusión: Se encontró valores elevados de IL-6 en todos los pacientes diabéticos tipo 2, así como una correlación positiva entre IL-6 y las lipoproteínas ricas en triglicéridos. Esto respalda la idea de que la hipertrigliceridemia puede causar cambios inflamatorios en pacientes diabéticos y esto elevaría el riesgo cardiovascular de estos pacientes.","PeriodicalId":375439,"journal":{"name":"Revista Digital de Postgrado","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121408773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0