Search | SciELO

ABSTRACT Purposes: This study aimed to determine the association of the long-term refractive outcomes of cataract surgery with self-reported visual function obtained using Catquest-9SF. Methods: Patients recruited from the cataract outpatient clinic of VER MAIS Oftalmologia underwent a complete ophthalmologic examination. Patients who were diagnosed with cataract with indications for phacoemulsification and intraocular lens implantation received the Catquest-9SF questionnaire before and after surgery at 30 days and 1 year. Results: A total of 133 patients were recruited, but 32 patients were lost to follow-up; finally, data from 101 patients (48 men, 53 women) were analyzed. The crude variance explained by the data was 69.9%, and the unexplained variance in the first contrast was 2.39 eigenvalues (>2); thus, these results are different from those expected from random data. The people separation index was 2.95 (>2), and the people trust value was 0.9 (>0.8). These indices were evaluated in the assessment of skill levels. Visual acuity was the main variable that correlated with the Catquest score. Conclusions: The Catquest-9SF translated into Portuguese proved to be a one-dimensional and psychometrically valid tool to assess visual dysfunction in patients with cataract, and it is successful in objectively quantifying improvements after surgery. The results of this tool could be predictive and concordant of visual acuity improvement.

RESUMO Objetivo: Associar os resultados refrativos a longo prazo da cirurgia de catarata e a função visual autorreferida pelo questionário Catquest-9SF. Métodos: Paciente recrutados no ambulatório de catarata da VER MAIS Oftalmologia, foram submetidos a exame oftalmológico completo. Após diagnóstico de catarata com indicação de tratamento cirúrgico com facoemulsificação e implante de lente intraocular, o questionário foi aplicado antes da intervenção, 30 dias após cirurgia e 1 ano após, novamente. Resultados: Foram recrutados 133 pacientes. No decorrer do seguimento, 32 pacientes foram perdidos e ao final foram analisados os dados de 101 pacientes, dos quais 48 foram homens e 53 foram mulheres. A variância bruta explicada por dados foi de 69,9% e a inexplicada em primeiro contraste por 2,39 eigenvalores, sendo maior que 2, o que nos mostra que são resultados differentes dos esperados de dados aleatórios. O índice de separação de pessoas foi de 2.95 (>2) e o valor de confiança de pessoas foi de 0,9 (>0,8). Estes índices são os valores mínimos aceitáveis na diferenciação de níveis de habilidade. Acuidade visual foi a principal variável correlacionada com o score do Catquest. Conclusões: O Catquest-9SF traduzido para o português se demonstrou unidimensional e uma ferramenta psicometricamente válida para avaliar disfunção visual em pacientes com catarata, além de ter tido sucesso para quantificar objetivamente melhoras após a intervenção cirúrgica. Essa ferramenta pode ser utilizada como preditiva e concordante da melhora da acuidade visual.

https://doi.org/10.5935/0004-2749.2022-0198

Alternating right bundle branch block or intermittent preexcitation?
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Cueva-Parra, Angel

; Soto-Gamarra, Michael

; Iturralde-Torres, Pedro

; Nava, Santiago

Archivos de cardiología de México

Journal Metrics
- Sobre o periódico
- SciELO Analytics

dec 2023, Volume 93 N. 4 Pages 493 - 495

Abstract: En | Text: En | PDF: En

https://doi.org/10.24875/acm.21000279

Corrected sinus node recovery time as a screening test in patients with typical atrial flutter post-ablation to predict pacemaker implantation
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Reinoso-Gonell, Reynie L.

; Céspedes-Batista, Yasmín

; Batlle-Núñez, Nicolle M.

; Madera-Ferreira, Irvianny

; Gutiérrez-Martínez, Anthony

; Morales-Velázquez, José L.

; Nava-Townsend, Santiago

; Márquez-Murillo, Manlio

; Tejera-Jurado, Luis C.

; Gómez-Flores, Jorge R.

; Colín-Lizalde, Luis

; Iturralde-Torres, Pedro

Archivos de cardiología de México

Journal Metrics
- Sobre o periódico
- SciELO Analytics

dec 2023, Volume 93 N. 4 Pages 398 - 404

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

Resumen Objetivo: Establecer el valor pronóstico del TRNSC basado en la necesidad de marcapasos en pacientes diagnosticados con aleteo atrial, pos-ablación. Métodos: Este cohorte prospectivo, realizado en el Instituto Nacional de Cardiología "Ignacio Chávez" en la Ciudad de México, evaluó pacientes sometidos a ablación para corregir el aleteo atrial; se midió el TRNSC post bloqueo autonómico. Resultados: La muestra de 40 pacientes se subdividió en 2 grupos según su requerimiento de marcapasos posterior a la ablación (P y NP). Se diagnosticó disfunción del nodo sinusal en 13 participantes (32.5%), de los cuales 10 (71.43%) requirieron marcapasos en comparación a 4 (28.57%) con función normal. En el grupo P la pausa del nodo sinusal post-ablación tuvo una media de 1.86 ± 0.96 s versus el grupo NP con 1.196 ± 0.52 s. En relación con el TRNSC, el grupo NP tuvo una media de 383.54 ± 67.96 ms vs. 1972.57 ± 3423.56 ms en el grupo P. 10 pacientes (25%) obtuvieron un TRNSC > 500 ms, de los cuales 100% requirieron marcapasos; de los 14 pacientes que requirieron marcapasos 10 (71.43%) tenían un TRNSC elevado (p ≤ 0.01). Conclusiones: El TRNSC tiene el potencial de ser una herramienta de pronóstico cuantitativo para la necesidad de futuros implantes de marcapasos en pacientes con disfunción del nodo sinusal, resultado de aleteo atrial pos-ablación. Esto podría ayudar a diagnosticar más temprano una disfunción del nodo sinusal, resultando en la reducción de la pérdida a largo plazo de la función cardíaca como efecto de la remodelación.

Abstract Objective: The objective of the study was to establish the prognostic value of CSNRT regarding the necessity for pacemaker implantation in patients with atrial flutter (AFL) post-ablation. Methods: This prospective cohort study, conducted at the National Institute of Cardiology "Ignacio Chavez" in Mexico City, assessed patients who had undergone ablation procedures to correct AFL, posterior to which an autonomic blockade was performed, and CSNRT was measured. Results: The sample for this investigation was 40 patients. These were subdivided into two study groups depending on their requirement of pacemaker implant post-ablation (Pacemaker P, No Pacemaker NP). Sinus node (SN) dysfunction was diagnosed in 13 (32.5%) of the 40 participants, 10 (71.43%) of which required a pacemaker implant, while only 4 participants (28.57%) with normal SN function required pacemakers. Ten out of the 14 patients (71.43%) who required a pacemaker had an elevated CSNRT > 500 ms (p ≤ 0.01). Post-ablation CSNRT mean was 383.54 ms ± 67.96 ms in the NP group versus 1972.57 ms ± 3423.56 ms in the P group. Furthermore, SN pause in the P group had a mean of 1.86 s ± 0.96 s versus the NP group with 1.196 s ± 0.52 s. Conclusion: CSNRT has the potential to be a quantitative prognostic tool for the assessment of future pacemaker implants in patients with AFL post-ablation. This could aid in the timely diagnosis of sinus node dysfunction, which could, in the long run, result in the reduction of cardiac functional capacity loss due to cardiac remodeling.

https://doi.org/10.24875/acm.22000031

Costos directos en el tratamiento del pie diabético Unidad de Pie Diabético. Hospital de Clínicas. Universidad de la República
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Orellano, Pablo

; Sánchez, Luciana

; Introini, Lucía

; Torre, Wendy

; Negreira, Matías Torres

; Cabrera, Marta

; Bisensang, Pedro

; Vucovich, Lilián

Revista Médica del Uruguay

Journal Metrics
- Sobre o periódico
- SciELO Analytics

dec 2023, Volume 39 N. 4 elocation e202

Abstract: Es En Pt | Text: Es En Pt | PDF: Es | PDF: En | PDF: Pt

Resumen: En el mundo un paciente diabético gasta entre dos y tres veces más que el no diabético. El pie diabético disminuye la calidad de vida, aumenta la morbimortalidad y la carga económica del sistema de salud. Objetivo: comunicar la investigación realizada sobre costos directos en el tratamiento de la úlcera del pie diabético. Material y método: estudio observacional, descriptivo, retrospectivo de pacientes asistidos en la Unidad de Pie del Hospital de Clínicas, Universidad de la República, entre octubre de 2014 y septiembre de 2016. Se estimaron gastos directos del tratamiento ambulatorio e internación a través de información de la historia clínica. El horizonte de tratamiento fue de tres meses. Se calcularon los gastos en unidades reajustables (UR), pesos y dólares. Los gastos se actualizaron a octubre del 2022 utilizando el índice de precios al consumo (IPC), ajustado a la tasa de inflación acumulada. Resultados: incluimos 49 pacientes, 11 mujeres y 38 hombres, edad promedio 61,5 años. El gasto general fue mayor a 400.000 dólares, con el mayor costo en gastos de internación. El gasto total promedio por paciente fue de 8.799 dólares. El tratamiento convencional fue 3.707,93 dólares, la amputación mayor 32.003,61 dólares y amputación menor 12.385,34 dólares. El gasto en internación fue muy superior al del paciente ambulatorio. En emergencia, 28 pacientes gastaron 4.396 dólares. El incremento de costos al año 2022 fue de 37,45%, suponiendo un gasto general de 16.682.993,4 pesos o 410.830,2 dólares. Conclusión: primera evaluación en nuestro país de estimación de gastos en pie diabético. El costo de la úlcera genera una carga económica notoria y en aumento. La gravedad inicial de la úlcera determina ingresos con elevados costes. Los gastos de internación y amputaciones representan la mayor erogación económica.

Abstract: On a global scale, a diabetic patient incurs healthcare expenses that are 2 to 3 times higher than those of a non-diabetic individual. Diabetic foot syndrome reduces the quality of life, increases morbidity and mortality, and places an economic burden on the healthcare system. Objective: Communicating the research conducted on direct costs in the treatment of diabetic foot ulcers. Method: Observational, descriptive, retrospective study of patients treated at the Foot Unit of the Hospital de Clínicas (UDELAR) between October 2014 and September 2016. Direct treatment costs for outpatient care and hospitalization were estimated using information from the medical records. The treatment horizon extended over a period of 3 months. Expenses were calculated in readjustable units, Uruguayan pesos (UYU), and United States dollars (USD). Expenses were updated to October 2022 using the Consumer Price Index (IPC) adjusted for the cumulative inflation rate. Results: 49 patients were included in the study: 11 women and 38 men, average age was 61.5 years old. The overall expenditure exceeded 400,000 USD, with the highest cost attributed to hospitalization expenses. The average total expenditure per patient amounted to 8,799 USD. The cost of conventional treatment was 3,707.93 USD, major amputation represented USD 32,003.61, and minor amputation USD 12,385.34. Hospitalization expenses significantly exceeded those of outpatient care. In the emergency department, 28 patients spent USD 4,396. The increase in costs by the year 2022 amounted to 37.45%, resulting in a total expenditure of UYU 16,682,993.4 (Uruguayan pesos) or USD 410,830.2. Conclusions: It was the first assessment in our country to estimate diabetic foot costs. The cost of ulcer management imposes a significant and increasing economic burden. The initial severity of the ulcer results in hospitalization which implies high associated costs. Hospitalization and amputation costs constitute the most substantial economic expenditure.

Resumo: Em todo o mundo, um paciente diabético gasta entre 2 e 3 vezes mais do que um paciente não diabético. O pé diabético reduz a qualidade de vida, aumenta a morbimortalidade e a carga económica no sistema de saúde. Objetivos: Comunicar os resultados da pesquisa realizada sobre os custos diretos no tratamento das úlceras do pé diabético. Materiais e métodos: Estudo observacional, descritivo e retrospectivo de pacientes atendidos na Unidade de Pie do Hospital de Clínicas (UDELAR), entre outubro de 2014 e setembro de 2016. Foram estimados gastos diretos com tratamento ambulatorial e internação, por meio de informações do prontuário do paciente. O período de tratamento estudado foi de 3 meses. As despesas foram calculadas em Unidades Ajustáveis, em pesos uruguaios (UYU) e em dólares norte-americanos (USD). As despesas foram atualizadas para outubro de 2022 pelo Índice de Preços ao Consumidor (IPC) ajustado à inflação acumulada. Resultados: Foram incluídos 49 pacientes: 11 mulheres e 38 homens com idade média de 61,5 anos. A despesa global foi superior a US$ 400.000, com o maior custo em despesas de hospitalização. A despesa total média por paciente foi de US$ 8.799. Os custos por tratamento foram: Tratamento convencional US$ 3.707,93 USD, amputação maior US$ 32.003,61 e amputação menor US$ 12.385,34. O gasto com internação foi muito superior ao do ambulatório. No atendimento de emergência 28 pacientes gastaram US$ 4.396. O aumento dos custos até 2022 foi de 37,45%, assumindo uma despesa geral de UY$ 16.682.993,4 ou US$ 410.830,2 USD. Conclusão: Esta é a primeira avaliação de estimativa de gastos com pé diabético realizada no Uruguai. O custo das úlceras gera uma carga económica notável e crescente. A gravidade inicial da úlcera determina internações com custos elevados. As despesas com hospitalização e amputação representam o maior gasto financeiro.

https://doi.org/10.29193/rmu.39.4.2

Brazilian Research Consortium on Obsessive-Compulsive Spectrum Disorders guidelines for the treatment of adult obsessive-compulsive disorder. Part II: cognitive-behavioral therapy
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Mathis, Maria Alice de

; Chacon, Priscila

; Boavista, Rodrigo

; de Oliveira, Marcos Vinícius Sousa

; de Barros, Pedro Macul Ferreira

; Echevarria, Marco Antonio Nocito

; Ferrão, Ygor Arzeno

; Vattimo, Edoardo Filippo de Queiroz

; Lopes, Antônio Carlos

; Torres, Albina Rodrigues

; Diniz, Juliana Belo

; Fontenelle, Leonardo

; do Rosário, Maria Conceição

; Shavitt, Roseli Gedanke

; da Silva, Renata de Melo Felipe

; Miguel, Eurípedes Constantino

; Costa, Daniel Lucas da Conceição

Brazilian Journal of Psychiatry

Journal Metrics
- Sobre o periódico
- SciELO Analytics

oct 2023, Volume 45 N. 5 Pages 431 - 447

Abstract: En | Text: En | PDF: En

Objectives: To summarize evidence-based cognitive-behavioral therapy (CBT) treatment and propose clinical interventions for adult patients with obsessive-compulsive disorder (OCD). Methods: The literature on CBT interventions for adult OCD, including BT and exposure and response prevention, was systematically reviewed to develop updated clinical guidelines for clinicians, providing comprehensive details about the necessary procedures for the CBT protocol. We searched the literature from 2013-2020 in five databases (PubMed, Cochrane, Embase, PsycINFO, and Lilacs) regarding study design, primary outcome measures, publication type, and language. Selected articles were assessed for quality with validated tools. Treatment recommendations were classified according to levels of evidence developed by the American College of Cardiology and the American Heart Association. Results: We examined 44 new studies used to update the 2013 American Psychiatric Association guidelines. High-quality evidence supports CBT with exposure and response prevention techniques as a first-line treatment for OCD. Protocols for Internet-delivered CBT have also proven efficacious for adults with OCD. Conclusion: High-quality scientific evidence supports the use of CBT with exposure and response prevention to treat adults with OCD.

https://doi.org/10.47626/1516-4446-2023-3081

Factores claves de un destino turístico competitivo: Caso San Carlos, Antioquia, Colombia
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Marín-Idárraga, Diego Armando

; Cuartas-Marín, Juan Carlos

; Sanabria-Rangel, Pedro Emilio

; Sánchez-Torres, Juan de Jesús

Tec Empresarial

Journal Metrics
- Sobre o periódico
- SciELO Analytics

aug 2023, Volume 17 N. 2 Pages 65 - 77

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

Resumen La presente investigación tuvo como objetivo principal identificar los factores considerados claves en la competitividad de un destino turístico, llevada a cabo en el municipio de San Carlos, Antioquia, Colombia. Mediante un análisis factorial exploratorio y confirmatorio, los resultados muestran que esta región será más competitiva en materia de turismo, si desarrolla los recursos inherentes, los recursos creados, y los factores de apoyo, y si promueve una mejor gestión del destino. Estos resultados tienen implicaciones importantes para el diseño de la política pública turística, tanto en la región como en otras afines.

Abstract The purpose of this research is to identify the key factors explaining the competitiveness of a tourist destination, namely San Carlos in Antioquia, Colombia. The main results of the exploratory and confirmatory factor analysis show that this Colombian region will fully materialize its tourism competitive potential if it develops more integrated support action plans, supports the effective exploitation of inherent resources, and promotes a better management of the destination. These results have important implications for the design of public tourism policy, both in the region and in other territories.

https://doi.org/10.18845/te.v17i2.6702

Is Shoulder Imbalance a Useful Parameter in the Screening of Idiopathic Scoliosis? A Preliminary Study
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Torres, Pedro Augusto Rocha

; Castilho, Andre Moreira

; Lopes, Kamila Rayane Campos

; Pellizzoni, Leonardo

; Righesso, Orlando

; Falavigna, Asdrubal

Revista Brasileira de Ortopedia

Journal Metrics
- Sobre o periódico
- SciELO Analytics

aug 2023, Volume 58 N. 4 Pages 625 - 631

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

Abstract Objective The present study aims to analyze the use of shoulder imbalance as a parameter for scoliosis screening as well as its relationship with other parameters of physical examination. Methods This study assesses a smartphone application that analyzes several parameters of the physical examination in adolescent idiopathic scoliosis. Medical and non-medical examiners applied the screening tool in students in a public school and in a private sports club. After data collection, interobserver correlation was done to verify shoulder imbalance and to compare shoulder imbalance with Adam's bending test and with trunk rotation. Results Eighty-nine participants were examined, 18 of whom were women and 71 of whom were men. Two subjects were excluded from the analysis. The mean age of subjects from the public school was 11.30 years and, for those from the sports club, it was 11.92 years. The examiners had poor-to-slight interobserver concordance on shoulder asymmetry in the anterior and posterior view. No significant statistical correlation was found between shoulder asymmetry and positive Adam's forward bending test. Conclusion Our preliminary study shows that the shoulder asymmetry has a poor correlation with the Adam's forward bending test and measuring trunk rotation using a scoliometer. Therefore, the use of shoulder imbalance might not be useful for idiopathic scoliosis screening. Level of Evidence III; Diagnostic Study

Resumo Objetivo O objetivo deste estudo é analisar o uso da assimetria de ombros como parâmetro para a triagem de escoliose e sua relação a outros parâmetros do exame físico. Métodos Este estudo avalia um aplicativo para smartphone que analisa diversos parâmetros do exame físico de adolescentes com escoliose idiopática. Examinadores médicos e não médicos utilizaram o instrumento de triagem em alunos de uma escola pública e de um clube esportivo privado. Após a coleta de dados, a correlação interobservador foi determinada para verificar a assimetria de ombros e compará-la ao teste de inclinação de Adam e à medição da rotação do tronco. Resultados Oitenta e nove participantes foram examinados, sendo 18 do sexo feminino e 71 do sexo masculino. Dois indivíduos foram excluídos da análise. A média de idade dos participantes da escola pública foi de 11,30 anos e do clube esportivo, 11,92 anos. Os examinadores apresentaram concordância interobservador baixa a branda quanto à assimetria de ombros em incidência anterior e posterior. Não houve correlação estatística significativa entre a assimetria de ombros e o resultado positivo no teste de inclinação do tronco de Adam. Conclusão Nosso estudo preliminar mostra que a assimetria de ombros tem baixa correlação com o teste de inclinação de Adam e assim como com a medição de rotação do tronco com escoliômetro. Portanto, o uso da assimetria de ombros pode não ser útil na triagem da escoliose idiopática. Nível de Evidência III; Estudo Diagnóstico

https://doi.org/10.1055/s-0042-1749462

¿Es esto un bitti? Evaluación química de los pigmentos presentes en “El señor de la caída”
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Arízaga Torres, Jhonatan

; Gonzales Gil, Patricia

; Junchaya Rojas, Nancy

Revista de la Sociedad Química del Perú

Journal Metrics
- Sobre o periódico
- SciELO Analytics

jul 2023, Volume 89 N. 3 Pages 249 - 265

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

RESUMEN Bernardo Bitti es una de las figuras más resaltantes en la historia de la pintura virreinal peruana; sin embargo, se cuenta con escasos estudios centrados en la caracterización técnica de su obra. En la iglesia de San Pedro de Lima se encuentran tres lienzos atribuidos a Bitti, además de una tabla policromada titulada “El Señor de la Caída”, que podría pertenecer al mismo autor y que es el objeto de esta investigación. El estudio se centró en el análisis químico de los pigmentos que fueron utilizados en la policromía, mediante espectroscopía de fluorescencia de rayos X portátil, microscopía óptica, microespectroscopía Raman y microscopía electrónica de barrido, con el fin de evaluar si pudiera pertenecer a la época de Bitti. Si bien se detectaron algunos pigmentos modernos, estos parecen provenir de intervenciones posteriores. Los pigmentos identificados como propios de la pintura en el curso de esta investigación fueron blanco de plomo, azurita (en algunos tonos azules), bermellón (rojos y encarnaciones), amarillo de plomo y estaño, y yeso (capa de preparación). Además, sobre la base de los resultados obtenidos se postula el posible uso de ocres y tierras en los tonos marrones, así como de una laca orgánica en los tonos rosa, aunque esto debe ser confirmado mediante análisis adicionales. Dado que todos estos pigmentos concuerdan con la época de Bitti, no se descarta la posibilidad de que la obra sea también de este artista. Con esta investigación se busca contribuir a la difusión de la técnica material empleada en la pintura virreinal peruana, así como a la construcción de una base de datos para los estudios relacionados a Bitti y a otros artistas de la época.

ABSTRACT Bernardo Bitti is one of the most important figures in the history of Peruvian viceregal painting. However, there are few studies focused on the technical characterization of his work. In the church of San Pedro de Lima, there are three canvas paintings attributed to Bitti, as well as a panel painting, with the title “El Señor de la Caída”, which could also belong to this author, and which is the object of this investigation. This study was focused on the chemical analysis of the pigments that were used in this painting through portable X-ray fluorescence spectroscopy, optical microscopy, Raman microspectroscopy, and scanning electron microscopy to evaluate if it could belong to Bitti’s time. Even though some modern pigments were detected, they seem to come from later interventions. The pigments that were identified as belonging to the painting during this investigation were lead white, azurite (in some blue tones), vermilion (reds and flesh tones), lead-tin yellow and gypsum (ground layer). Additionally, based on the obtained results, it is proposed that ochres and earths may have been used in the brown tones and a red lake in the pink ones, but this must be confirmed by further analyses. Since all these pigments are in agreement with what was used in Bitti’s time, we cannot rule out the possibility that “El Señor de la Caída” may have also been painted by this artist. With this investigation we seek to contribute to the dissemination of the material technique used in Peruvian viceregal painting, as well as to the construction of a database for studies related to Bitti and other artists of his time.

https://doi.org/10.37761/rsqp.v89i3.441

Guía de práctica clínica para el manejo del cáncer de pulmón de células pequeñas: enfermedad extensa
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Cabrera-Miranda, Luis A.

; Díaz-García, Diego A.

; Corona-Cruz, José F.

; Lozano-Ruiz, Francisco J.

; Sánchez-Reyes, Roberto

; Álvarez-Bojórquez, Mario E.

; Blake-Cerda, Mónika

; Rivera-Márquez, Raúl

; López-Saucedo, Raúl A.

; Pérez-Álvarez, Sandra I.

; Bolaño-Guerra, Laura M.

; Alatorre-Alexander, Jorge A.

; Alexander-Meza, Francisco

; Barrón-Barrón, Feliciano

; Blanco-Vázquez, Yazmín C.

; Campos-Gómez, Saúl

; Mata-Moya, Dolores de la

; Figueroa-Martínez, Pedro

; González-Cisneros, Paulina E.

; Íñiguez-García, Marco A.

; Lázaro-León, Jesús M.

; Loyola-García, Ulises

; Morales-Rivera, Marcelino

; Olivares-Torres, Carlos

; Ramos-Ramírez, Maritza

; Sáenz-Frías, Julia A.

; Silva-Bravo, Fernando

; Trejo-Rosales, Rogelio

; Souto-del Bosque, Miguel

; Arrieta, Óscar

Gaceta mexicana de oncología

Journal Metrics
- Sobre o periódico
- SciELO Analytics

jun 2023, Volume 22 N. 2 Pages 55 - 73

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

Resumen Antecedentes: El cáncer de células pequeñas (CPCP) representa el 13-15% del total de neoplasias primarias de pulmón. Se caracteriza por su rapidez en la tasa de crecimiento y en el desarrollo de metástasis a distancia. Objetivos: Orientar y estandarizar el tratamiento del CPCP enfermedad extensa en México basado en evidencia clínica nacional e internacional. Material y métodos: Este documento se desarrolló como una colaboración del Instituto Nacional de Cancerología y la Sociedad Mexicana de Oncología en cumplimiento con estándares internacionales. Se integró un grupo conformado por oncólogos médicos, cirujanos oncólogos, cirujanos de tórax, radio-oncólogos y metodólogos con experiencia en revisiones sistemáticas de la literatura y guías de práctica clínica. Resultados: Se consensaron, por el método Delphi y en reuniones a distancia, las recomendaciones en CPCP enfermedad extensa, producto de preguntas de trabajo. Se identificó y evaluó la evidencia científica que responde a cada una de dichas preguntas clínicas antes de incorporarla al cuerpo de la guía. Conclusión: Esta guía proporciona recomendaciones clínicas para el manejo de la enfermedad extensa del CPCP y durante el proceso de toma de decisiones de los clínicos involucrados con su manejo en nuestro país para mejorar la calidad de la atención clínica para estos pacientes.

Abstract Background: Small cell lung cancer (SCLC) represents 13-15% of all primary lung neoplasms and is characterized by its rapid growth rate and the rapid development of distant metastases. Objectives: To guide and standardize the treatment of extensive disease small cell lung cancer in Mexico based on national and international clinical evidence. Material and methods: This document was developed as a collaboration between the National Cancer Institute and the Mexican Society of Oncology in compliance with international standards. An interdisciplinary group was formed, including medical oncologists, oncological surgeons, thoracic surgeons, radiation oncologists, and methodologists with experience in systematic reviews of the literature and clinical practice guidelines. Results: A consensus was reached, both by the Delphi method and in remote meetings, of extensive disease recommendations resulting from work questions. The scientific evidence that answers each of these clinical questions was identified and critically evaluated, before being incorporated into the body of evidence of the Guide. Conclusions: This Clinical Practice Guide provides clinical recommendations for the management of extensive disease of SCLC to contribute to the decision-making process of the clinicians involved with its management in our country, hoping that this will contribute to improving the quality of clinical care in these patients.

https://doi.org/10.24875/j.gamo.22000122

10.

Validation of qrs-polarity algorithm with special emphasis in parahisian pathways
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Gómez-Flores, Jorge

; Cueva-Parra, Ángel

; Gallegos-Cortéz, Antonio

; Nava, Santiago

; Márquez, Manlio F.

; Iturralde-Torres, Pedro

Archivos de cardiología de México

Journal Metrics
- Sobre o periódico
- SciELO Analytics

jun 2023, Volume 93 N. 2 Pages 164 - 171

Abstract: Es En | Text: Es En | PDF: Es | PDF: En

Resumen Antecedentes: En 1996 Iturralde y colaboradores publicaron un algoritmo basado en la polaridad del QRS para determinar la ubicación de las vías accesorias (VA), este algoritmo fue desarrollado antes de la práctica masiva de la electrofisiología invasiva. Objetivo: Validar el algoritmo de la polaridad del QRS en una cohorte moderna de sujetos sometidos a ablación con catéter por radiofrecuencia (ACRF). Nuestro objetivo fue determinar su precisión global y su precisión para las VA parahisianas. Métodos: Realizamos un análisis retrospectivo de pacientes con síndrome de Wolff-Parkinson-White (WPW) a los que se les realizó estudio electrofisiológico (EEF) y ACRF. Empleamos el algoritmo de la polaridad del QRS para predecir la ubicación anatómica de la VA y comparamos este resultado con la ubicación anatómica real determinada en el EEF. Para determinar la precisión se utilizaron el coeficiente kappa de Cohen (k) y el coeficiente de correlación de Pearson. Resultados: Se incluyeron un total de 364 pacientes (edad media 30 años, 57 % varones). La puntuación k global fue de 0,78 y el coeficiente de Pearson de 0,90. También se evaluó la precisión para cada zona, la mejor correlación fue para las VA laterales izquierdas (k de 0.97). Hubo 26 pacientes con VA parahisianas, que mostraron una gran variabilidad en las características del ECG. Empleando el algoritmo de la polaridad del QRS, el 34,6 % de los pacientes tenía una ubicación anatómica correcta, el 42,3 % tenía una ubicación adyacente y solo el 23 % una ubicación incorrecta. Conclusión: El algoritmo de la polaridad del QRS tiene una buena precisión global; su precisión es alta, especialmente para VA lateral izquierdo. Este algoritmo también es útil para la VA parahisiana.

Abstract Background: In 1996 Iturralde et al. published an algorithm based on the QRS polarity to determine the location of the accessory pathways (AP), this algorithm was developed before the massive practice of invasive electrophysiology. Purpose: To validate the QRS-Polarity algorithm in a modern cohort of subjects submitted to radiofrequency catheter ablation (RFCA). Our objective was to determinate its global accuracy and its accuracy for parahisian AP. Methods: We conducted a retrospective analysis of patients with Wolff-Parkinson-White (WPW) syndrome who underwent an electrophysiological study (EPS) and RFCA. We employed the QRS-Polarity algorithm to predict the AP anatomical location and we compared this result with the real anatomic location determined in the EPS. To determine accuracy, the Cohen's kappa coefficient (k) and the Pearson correlation coefficient were used. Results: A total of 364 patients were included (mean age 30 years, 57% male). The global k score was 0.78 and the Pearson's coefficient was 0.90. The accuracy for each zone was also evaluated, the best correlation was for the left lateral AP (k of 0.97). There were 26 patients with a parahisian AP, who showed a great variability in the ECG features. Employing the QRS-Polarity algorithm, 34.6% patients had a correct anatomical location, 42.3% had an adjacent location and only 23% an incorrect location. Conclusion: The QRS-Polarity algorithm has a good global accuracy; its precision is high, especially for left lateral AP. This algorithm is also useful for the parahisian AP.

https://doi.org/10.24875/acm.22000090

11.

Alternating right bundle branch block or intermittent preexcitation?
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Cueva-Parra, Angel

; Soto-Gamarra, Michael

; Iturralde-Torres, Pedro

; Nava, Santiago

Archivos de cardiología de México

Journal Metrics
- Sobre o periódico
- SciELO Analytics

jun 2023, Volume 93 N. 2 Pages 240 - 242

Abstract: En | Text: En | PDF: En

https://doi.org/10.24875/acm.21000279

12.

Brazilian Research Consortium on Obsessive-Compulsive Spectrum Disorders guidelines for the treatment of adult obsessive-compulsive disorder. Part I: pharmacological treatment
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

de Oliveira, Marcos Vinícius Sousa

; de Barros, Pedro Macul Ferreira

; de Mathis, Maria Alice

; Boavista, Rodrigo

; Chacon, Priscila

; Echevarria, Marco Antonio Nocito

; Ferrão, Ygor Arzeno

; Vattimo, Edoardo Felippo de Queiroz

; Lopes, Antônio Carlos

; Torres, Albina Rodrigues

; Diniz, Juliana Belo

; Fontenelle, Leonardo F.

; Rosário, Maria Conceição do

; Shavitt, Roseli Gedanke

; Miguel, Eurípedes Constantino

; da Silva, Renata de Melo Felipe

; Costa, Daniel Lucas da Conceição

Brazilian Journal of Psychiatry

Journal Metrics
- Sobre o periódico
- SciELO Analytics

apr 2023, Volume 45 N. 2 Pages 146 - 161

Abstract: En | Text: En | PDF: En

Objectives: To summarize evidence-based pharmacological treatments and provide guidance on clinical interventions for adult patients with obsessive-compulsive disorder (OCD). Methods: The American Psychiatric Association (APA) guidelines for the treatment of OCD (2013) were updated with a systematic review assessing the efficacy of pharmacological treatments for adult OCD, comprising monotherapy with selective serotonin reuptake inhibitors (SSRIs), clomipramine, serotonin and norepinephrine reuptake inhibitors (SNRIs), and augmentation strategies with clomipramine, antipsychotics, and glutamate-modulating agents. We searched for the literature published from 2013-2020 in five databases, considering the design of the study, primary outcome measures, types of publication, and language. Selected articles had their quality assessed with validated tools. Treatment recommendations were classified according to levels of evidence developed by the American College of Cardiology and the American Heart Association (ACC/AHA). Results: We examined 57 new studies to update the 2013 APA guidelines. High-quality evidence supports SSRIs for first-line pharmacological treatment of OCD. Moreover, augmentation of SSRIs with antipsychotics (risperidone, aripiprazole) is the most evidence-based pharmacological intervention for SSRI-resistant OCD. Conclusion: SSRIs, in the highest recommended or tolerable doses for 8-12 weeks, remain the first-line treatment for adult OCD. Optimal augmentation strategies for SSRI-resistant OCD include low doses of risperidone or aripiprazole. Pharmacological treatments considered ineffective or potentially harmful, such as monotherapy with antipsychotics or augmentation with ketamine, lamotrigine, or N-acetylcysteine, have also been detailed.

https://doi.org/10.47626/1516-4446-2022-2891

13.

Preferencia de ocho plantas por Odocoileus virginianus en cautiverio
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Cueyactle-Cano, Hannia Yaret

; Serna-Lagunes, Ricardo

; Mora-Collado, Norma

; Zetina-Córdoba, Pedro

; Torres-Cantú, Gerardo Benjamín

Revista mexicana de ciencias pecuarias

Journal Metrics
- Sobre o periódico
- SciELO Analytics

mar 2023, Volume 14 N. 1 Pages 228 - 236

Abstract: En Es | Text: En Es | PDF: En | PDF: Es

Abstract Wild white-tailed deer Odocoileus virginianus consume a diversity of high energy plants. Captive deer, however, do not have access to this diversity, which may affect their productive capacity. A cafeteria test was used to evaluate intake of and preference for eight plant species among captive deer in Veracruz, Mexico. Three replicates were done of five consecutive days of feeding with the selected plants followed by a 15-d evaluation period. One kilogram of material from each plant species was offered each day and intake recorded. Physicochemical analyses were done of all eight species. Intake results were evaluated with an analysis of variance and a Tukey test, and a partial least squares regression analysis was applied to relate intake to plant characteristics. Intake was highest for four plants: Zapoteca acuelata, Bidens pilosa, Pennisetum purpureum and Parthenium hysterophorus. Preference for these species was determined by their fiber and protein contents, and °Brix and pH levels. Diversifying the diet of captive deer could provide additional feed options for producers and increase animal productivity parameters.

Resumen En vida libre, Odocoileus virginianus consume plantas con alto beneficio energético, pero en cautiverio, no se cuenta con una alimentación diversa que aumente su capacitad productiva. El objetivo fue evaluar el consumo y preferencia de ocho plantas por un grupo de venados en cautiverio con base en una prueba de cafetería. El experimento se desarrolló durante cinco días consecutivos con tres repeticiones, con un descanso de 15 días entre repetición, y consistió en ofrecer 1 kg de material vegetal de cada planta, se registró su consumo y se evaluó con un análisis de varianza y una prueba de Tukey; además, de cada planta, se estimaron sus características fisicoquímicas y bromatológicas y se relacionaron con el consumo mediante un análisis de regresión por mínimos cuadrados parciales. El consumo fue significativamente mayor en cuatro plantas: Zapoteca acuelata, Bidens pilosa, Pennisetum purpureum y Parthenium hysterophorus y su preferencia estuvo determinada por el contenido de fibra, proteína, °Brix y pH. Diversificar la alimentación de los venados en Unidades de Manejo para la Conservación de la Vida Silvestre (UMA) podría incrementar su productividad.

https://doi.org/10.22319/rmcp.v14i1.5123

14.

Subsolid nodules, adenocarcinomas, and COVID-19: looking for needles in a haystack
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Torres, Pedro Paulo Teixeira e Silva

; Marchiori, Edson

Jornal Brasileiro de Pneumologia

Journal Metrics
- Sobre o periódico
- SciELO Analytics

2023, Volume 49 N. 6 elocation e20230392

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

https://doi.org/10.36416/1806-3756/e20230392

15.

Physiological responses of sugar-apple seedlings under saline wastewater irrigation and NPK doses
Facebook Twitter

Other social networks
Google+
LinkedIn
Reddit
StambleUpon
CiteULike
Mendeley
Other networks

Metrics
- SciELO Analytics
- Dimensions
- PlumX
- Altmetric

Souza, Antônia Adailha Torres

; Mendonça, Vander

; Paiva, Emanoela Pereira de

; Pereira, Kleane Targino Oliveira

; Reges, Keivianne da Silva Lima

; Moreira, Rômulo Carantino Lucena

; Fernandes, Pedro Dantas

; Sá, Francisco Vanies da Silva

Revista Ciência Agronômica

Journal Metrics
- Sobre o periódico
- SciELO Analytics

2023, Volume 54 elocation e20218275

Abstract: En Pt | Text: En Pt | PDF: En | PDF: Pt

ABSTRACT Salt stress stands out as one of the main limiting factors in agricultural production in arid and semi-arid regions, due to its osmotic and ionic effects on plants. In this context, the objective was to evaluate the physiological responses of sugar-apple seedlings irrigated with saline wastewater under different doses of NPK. The experiment was carried out in a greenhouse, in a randomized block design, in a 3 x 5 factorial scheme, with four replicates. Three irrigation waters were tested: local-supply water (control), reject brine and fish farming effluent, and five doses of NPK, referring to the proportions of 25, 50, 75, 100, and 125% of the N:P:K fertilizer recommendation of 100:300:150 mg dm-3. Seedlings were cultivated in 2-dm3 containers filled with sandy soil for 90 days after sowing. At the end of this period, gas exchange, chlorophyll fluorescence, and biomass accumulation were evaluated. The use of reject brine and fish farming effluent to irrigate sugar-apple seedlings reduced photosynthetic activity and biomass accumulation. The best physiological responses and biomass accumulation occur at NPK doses of 75% (75:225:112.5 mg dm-3 of N:P:K) for seedlings irrigated with local-supply water, 60% (60:180: 90 mg dm-3 of N:P:K) for seedlings irrigated with reject brine, and 40% (40:120:60 mg dm-3 of N:P:K) for seedlings irrigated with fish farming effluent.

RESUMO O estresse salino destaca-se como um dos principais fatores limitantes na produção agrícola nas regiões áridas e semiáridas, devido os efeitos osmótico e iônico sobre as plantas. Neste contexto, objetivou-se avaliar as respostas fisiológicas de mudas de pinheira irrigadas com águas residuárias salinas sob diferentes doses de NPK. Para isso, o experimento foi conduzido em casa de vegetação, em delineamento de blocos casualizado, em esquema fatorial 3 x 5, com quatro repetições. Foram testadas três águas de irrigação, sendo elas água de abastecimento local (controle), rejeito de dessalinizadores e efluente da piscicultura. E cinco doses de NPK, referentes as proporções de 25, 50, 75, 100 e 125% da recomendação de adubação de 100:300:150 mg dm-3 de N:P:K. As mudas foram conduzidas em recipientes com capacidade de 2 dm3 preenchido com solo de textura arenosa por 90 dias após a semeadura. No final desse período foram avaliadas as trocas gasosas, fluorescência da clorofila e o acúmulo de biomassa. O uso do rejeito salino e efluente da piscicultura na irrigação de mudas de pinha reduziu a atividade fotossintética e o acúmulo de biomassa. As melhores respostas fisiológicas e acúmulo de biomassa ocorrem nas doses de NPK de 75% (75:225:112,5 mg dm-3 de N:P:K) para mudas irrigadas com água de abastecimento, 60% (60:180:90 mg dm-3 de N:P:K) para irrigadas com rejeito salino e 40% (40:120:60 mg dm-3 de NPK), para irrigadas com efluente da piscicultura.

https://doi.org/10.5935/1806-6690.20230029

Showing

itens per page

Page of 46 Next

Select one or more results

All Alphabetic

Results

Comparative chart Download CSV

Statistics of

Send result

To*

Use ; (semicolon) to insert more emails.

Send to email

This page

Selected records

All references (max. 300)

Your email

Subject

Comments

Export format:

RIS (for EndNote, ProCite, Reference Manager, RefWorks, Citavi, etc.)

BibTeX

Citation

CSV (for Excel, etc)

Export:

This page

Selected itens

All references (max. 2000)

Sem resultados

No documents were found for your search

Glossary and search help

You can enrich your search in a very simple way. Use the search indexes combined with the connectors (AND or OR) and specify more your search.

For example, if you want to search for articles about
cases of dengue in Brasil in 2015, use:
ti:dengue and publication_year:2015 and aff_country:Brasil

See below the complete list of search indexes that can be used:

Index code	Element
ti	article title
au	author
kw	article keywords
subject	subject (title words, abstract and keywords)
ab	abstract
ta	journal short title (e.g. Cad. Saúde Pública)
journal_title	journal full title (e.g. Cadernos de Saúde Pública)
la	publication language code (e.g. pt - Portuguese, es - Spanish)
type	document type
pid	publication identifier
publication_year	publication year of publication
sponsor	sponsor
aff_country	country code of the author's affiliation
aff_institution	author affiliation institution
volume	article volume
issue	article issue
elocation	elocation
doi	DOI number
issn	journal ISSN
in	SciELO colection code (e.g. scl - Brasil, col - Colômbia)
use_license	article usage license code

SciELO - Scientific Electronic Library Online
Rua Dr. Diogo de Faria, 1087 – 9º andar – Vila Clementino 04037-003 São Paulo/SP - Brasil
Email: scielo@scielo.org

All the contents of this site www.scielo.br, except where otherwise noted, is licensed under a Creative Commons Attribution License.
more »