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259.525  Articles
1 of 25.953 pages  |  10  records  |  more records»
La metodología de Aprendizaje-Servicio (APS) hace posible combinar los procesos de enseñanza universitario con el apoyo y servicio a las necesidades de la comunidad. En este trabajo se plantea una propuesta educativa que prentende impulsar la gestión efic... see more

Background: Aortic dissection is a severe and life-threatening disease that is usually linked with numerous possible complications. Stanford type B aortic dissection patients often choose endovascular repair due to its mini-invasiveness and quick recovery... see more

Cambarus veteranus Faxon, 1914 (Guyandotte River Crayfish), is an endangered, narrow endemic, residing in just two streams in the southern coalfields of West Virginia. A life history study was initiated for C. veteranus in Clear Fork of the Guyandotte Riv... see more

Continuity of care is a fundamental principle in primary care. It responds to the integration and collaboration principle between different health-care services. At the organizational level, continuity of care is the provision of services included in a ma... see more

Purpose of the article: In the article we have focused on the trends determining the development of reverse logistics of end-of-life vehicles in selected European countries. The analysis concentrates on quantity of end-of-life vehicles which are especiall... see more

In the context of making roads more sustainable, this study compares two asphalt mixes: one conventional, and one with end-of-life tyres (ELT), using a multi-criteria decision-making method focused on the advantages among the different alternatives called... see more

Microcirugía transanal endoscópica. Modalidad de tratamiento del cáncer de recto Microcirugía transanal endoscópica. Modalidad de tratamiento del cáncer de rectoIntroducción: la resección radical de recto era, hasta hace pocas décadas, el tratamiento quirúrgico estandarizado para el cáncer rectal, surgiendo en 1983 la microcirugía transanal endoscópica como nueva modalidad. Objetivo: ofrecer una actualización sobre microcirugía transanal endoscópica y describir su estado actual en el tratamiento del cáncer rectal. Material y métodos: se realizó una revisión en las bases de datos bibliográficas accesibles por Infomed, incluyendo artículos que trataran el tema en español e inglés, utilizando los descriptores de DeCS y MeSH. Desarrollo: esta técnica está indicada en tumores de recto bajo en estadio temprano, menores de 3 cm. Su uso en los T2-T3N0M0 con terapia neoadyuvante con intención curativa aún se encuentra en consenso. Ofrece mejor calidad de vida a los pacientes y mantiene buenos resultados oncológicos, con menor tiempo quirúrgico, riesgo de complicaciones y estadía hospitalaria. Conclusiones: la microcirugía transanal endoscópica es una técnica eficaz y segura para tratamiento del cáncer rectal bajo en etapas tempranas.Palabras clave: microcirugía, cirugía endoscópica, orificios naturales, neoplasias, cirugía colorrectal, enfermedades del recto.ABSTRACTIntroduction: radical resection was the gold standard in treatment of rectal cancer until few decades, when rise trans anal endoscopic microsurgery like new modality in 1983. Objective: to offer an update about trans anal endoscopy microsurgery and describe the current status of technique in treatment of rectal cancer. Material and Methods: databases reviewed using Infomed portal  was done, including articles of TEM in Spanish and English, using DeCS and MeSH’s descriptors. Development: TEM is indicated in low early rectal tumors, less than 3 centimeters. Actually there is no consensus in its use in T2-T3N0M0 with neoadyuvant therapy, like curative intent.  It offers better life quality for patients, with goods oncologic results, and fewer rates of complications, operating range and short hospital stay. Conclusions: TEM is safety and effective technique in treatment of low early rectal cancer.Keywords: Microsurgery, natural orifice, endoscopic surgery, rectal neoplasm, colorectal surgery, rectal diseases.

Objetivo: ofrecer una actualización sobre microcirugía transanal endoscópica y describir su estado actual en el tratamiento del cáncer rectal. Material y métodos: se realizó una revisión en las bases de datos bibliográficas accesibles por Infomed, incluy... see more

In the context of making roads more sustainable, this study compares two asphalt mixes: one conventional, and one with end-of-life tyres (ELT), using a multi-criteria decision-making method focused on the advantages among the different alternatives called... see more

AbstractThis article endeavours to contribute to the study of the influence and effect of Deuteronomy in the book of Hebrews. It investigates the possible influence of one of Deuteronomy’s key concepts on Hebrews, namely, the concept of ‘life’. The articl... see more

1 of 25.953 pages  |  10  records  |  more records»