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414.152  Articles
1 of 41.416 pages  |  10  records  |  more records»
Effective entrepreneurship education can not only cultivate students’ entrepreneurship awareness and inspire entrepreneurial potential, but also set up an entrepreneurial foundation and form entrepreneurial practice, but the current teaching system doesn’... see more

OBJECTIVE To evaluate the effects of low-level laser therapy isolated and associated with Calendula officinalis oil in treating diabetic foot ulcers. METHOD An experimental, randomized, controlled, prospective, interventional clinical case study using a ... see more

Context. Knowledge bases are the main element of artificial intelligence systems. They are formed on the basis of two generally accepted approaches: the object-oriented approach and object-structural approach. Knowledge structuring through its orderi... see more

The Constitution of the Republic of Kosovo determines that the right of property is guaranteed and arbitrary deprivation of property is prohibited. Crime against property includes the acts of misappropriation of another's property by violence, acts of dam... see more

This study evaluated the BIM Maturity Levels of architecture offices in Porto Alegre (Brazil) by adapting the method developed by Succar [1]. Capacity maturity models, such as the one proposed by Succar [4] identify a set of improvements, of processes tha... see more

In this commentary we discuss the two examples of systematic case study research in this issue: Miller et al., (2021), who continue the development of the quasi-judicial Panels of Psychological Inquiry method by applying it to a child client with an autis... see more

Caracterización clínico epidemiológico de la COVID-19 en pacientes de Gibara, Holguín, abril 2020 / Epidemic and clinical characterization of COVID-19 patients from Gibara, Holguin, April, 2020 Caracterización clínico epidemiológico de la COVID-19 en pacientes de Gibara, Holguín, abril 2020 / Epidemic and clinical characterization of COVID-19 patients from Gibara, Holguin, April, 2020Objetivo: caracterizar el comportamiento clínico epidemiológico enpacientes portadores de la COVID-19 de Gibara, Holguín, duranteel período comprendido desde 1 hasta el 30 de abril de 2020.Materiales y métodos: se realizó una investigación de serie decasos, para caracterizar el comportamiento de la COVID-19 enpacientes del municipio de Gibara, Holguín, durante el períodocomprendido desde 1 hasta el 30 de abril de 2020. El universoestuvo constituido por todos los casos confirmados con el virusSARS-CoV2. Los datos fueron tomados de los informes estadísticosde la Unidad Municipal de Higiene y Epidemiología y de la encuestaaplicada a todos los pacientes.Resultados: el estudio incluyó a 30 pacientes. Presentaronevolución clínica estable 28 casos y falleció un paciente para unatasa de letalidad del 3,33%; 14 de ellos resultaron asintomáticos(46,66%). Los síntomas más frecuentes fueron: tos y fiebre,con 11 casos (36,66%), respectivamente; 26 pacientes fueronautóctonos, contacto de caso positivo (86,67%). Los consejospopulares de la ciudad cabecera municipal presentaron el 80% delos casos y una tasa del 31,15 por 105.Conclusiones: la COVID-19 en Gibara tuvo un mayorcomportamiento en el sexo masculino y el grupo etario de 19 a40 años. Más de las tres cuartas partes de los pacientes estánrecuperados, más de la mitad estaban asintomáticos, la tos fue elsíntoma más presentado y los consejos populares de la ciudad deGibara, tuvieron más de las tres cuartas partes de los casos.Palabras clave: COVID-19; epidemiología; sintomatología.ABSTRACTObjective: to characterize the epidemic and clinical behavior inpatients suffering from COVID-19 in Gibara, Holguín, in April 2020.Materials and methods: a research of series of cases was carriedout to characterize the behavior of the COVID-19 in patients of themunicipality of Gibara, Holguín from April 1st to the 30th, 2020.The universe was all the confirmed cases with SARS-CoV2 virus.The data were taken from the statistical reports of the MunicipalUnit of Hygiene and Epidemiology, and from the survey applied toall the patients.Results: the study included 30 patients, 28 cases presented astable clinical evolution and there was a deceased, for a lethal rateof 3,33%; there were 14 asymptomatic patients, which represents46,66%. The most frequent symptoms were: cough and fever in11 cases, 36.66%; 26 patients were autochthonous contacts ofpositive cases (86,67%). The local neighborhoods from the citycenter had 80% of the cases and a rate of 31.15 X 105.Conclusions: the COVID-19 in Gibara had more influence in themales, and the most affected age group was from 19 to 40. Morethan three quarter of the patient are already recovered, morethan half were asymptomatic, the cough was the most commonsymptom and the local neighborhhoods of the city had more thanthree quarters of the cases.Keywords: COVID-19; epidemiology; symptoms.

pacientes portadores de la COVID-19 de Gibara, Holguín, duranteel período comprendido desde 1 hasta el 30 de abril de 2020.Materiales y métodos: se realizó una investigación de serie decasos, para caracterizar el comportamiento de la COVID-19 enpacientes ... see more

Nefrolitiasis de infección: caso clínico / Nephrolithiasis of infection: clinical caseNefrolitiasis de infección: caso clínico / Nephrolithiasis of infection: clinical caseSe presenta un caso de litiasis de infección, conocida con el nombre de cálculos de estruvita y asociado a una enfermedad metabólica subyacente y diabetes mellitus tipo 2 de reciente debut, el cual se manifestó con oliguria e infección, como resultado de una obstrucción urinaria bilateral parcial. El paciente de 48 años de edad, con antecedentes de cardiopatía isquémica, hipertensión arterial y de expulsar cálculos de riñón, consultó su caso el 21 de enero de 2009. Manejaba cifras de creatinina, glicemia y acido úrico normales anterior al ingreso y estas tuvieron un comportamiento ascendente durante la obstrucción, excepto el ácido úrico. En el diagnóstico aportaron datos de interés la ecografía renal y de próstata, la Uro-TAC y gammagrafía renal con MAG-3. El diagnóstico diferencial incluyó toda causa extrínseca e intrínseca, esta última relacionada con cálculos, coágulos o papila renal necrosada, que provocaran alteración al libre flujo urinario. Se estableció como patrones de buena evolución, la recuperación del volumen urinario, la normalización de la glucemia y creatinina, así como la permanencia del urocultivo  negativo. El manejo terapéutico motivó a la utilización de la nefrolitotomía percútanea como una de las opciones que ofrecen los procederes endorulógicos, además del control de las enfermedadesde base,lo que resultó una favorable evolución del caso.Palabras clave: LITIASIS RENAL, DIAGNÓSTICO, OBSTRUCCIÓN URETRAL / tratamiento.ABSTRACTA clinical case of lithiasis of infection is presented, known as calculi of struvite associated to an underlying metabolic disease and diabetes mellitus type-2 of recent onset, with oliguria and infection as a result of a partial bilateral urinary infection. A 48 years-old patient having medical records of ischemic heart disease, hypertension and expulsion of kidney stones attended to the office in January 21, 2009 presenting normal values of creatinine, glycemia and uric acid before the admission; these values increased during the obstruction, except the uric acid. Renal and prostate imaging, the Uro-Computerized axial tomography and renal scintigraphy with MAG-3 showed data of interest. Differential diagnosis included extrinsic and intrinsic causes, the last one related to calculi, clots or renal necrotic papilla causing disorder of the free urinary flow. Patterns of good progress were established: recovery of the urinary volume, normal levels of glycemia and creatinine and a permanent negative uroculture. Therapeutic management motivated the use of percutaneous nephrolithotomy as one of the choices for endourologic procedures, as well as the control of the underlying diseases, being favorable for a good progress of the case.Key words: NEPHROLITIASIS, DIAGNOSIS, URETHRAL OBSTRUCTION/treatment.

ABSTRACTA clinical case of lithiasis of infection is presented, known as calculi of struvite associated to an underlying metabolic disease and diabetes mellitus type-2 of recent onset, with oliguria and infection as a result of a partial bilateral urinary... see more

Tuberculosis y SIDA pediátrico: a propósito de un caso en Mozambique / Tuberculosis and pediatric AIDS: a case report in MozambiqueTuberculosis y SIDA pediátrico: a propósito de un caso en Mozambique / Tuberculosis and pediatric AIDS: a case report in MozambiqueLa Tuberculosis (TB), es una enfermedad producida por el Mycobacterium tuberculosis hominis, bacilo débilmente Gram positivo, aerobio, ácido-alcohol resistente, de aspecto curvo, inmóvil, no esporulado, constituye una de las enfermedades  re - emergentes en la infancia a nivel mundial, el Síndrome de inmunodeficiencia adquirida (sida) es el factor de riesgo mayor para la progresión de la TB. a pesar de que la incidencia de ambas enfermedades es baja con relación a las estadísticas mundiales según la OMS; los estados y autoridades sanitarias ponen el mayor empeño para un control eficaz y manejo adecuado de los casos registrados. Motivados con la presencia del Internacionalismo médico cubano en diversos países fue considerado de interés transmitir una experiencia, presentando el caso de un niño de 4 años de edad, raza negra, procedente de un área rural en  Nampula, Mozambique (África), donde el cuadro clínico y los complementarios confirmaron una TB pulmonar, constatando además la presencia de sida  (VIH positivo y linfocitos  CD4+ en  < 15 %). Se aplicó la terapéutica adecuada siguiendo los protocolos establecidos en Mozambique para ambas enfermedades, que permitió una mejoría del estado clínico e hizo posible un cambio en la calidad y esperanza de vida de este.Palabras clave: TUBERCULOSIS/diagnóstico, VIH, SÍNDROME DE INMUNODEFICIENCIA ADQUIRIDA/terapia. ABSTRACT Tuberculosis (abbreviated TB for tubercle bacillus or Tuberculosis), is a disease caused by Mycobacterium Tuberculosis Hominis, weakly Gram-positive bacillus, aerobic, acid-alcohol resistance, of curved aspect, motionless and sporeless. TB constitutes one of the re-emergent diseases in the childhood all over the world. Acquired Immunodeficiency Syndrome (AIDS) is the most important risk factor to the TB development. Despite the incidence of both diseases is low in relation to the worldwide statistics; and according to the World Health Organization (WHO), the states and sanitary authorities are making a great effort to carry out an effective control and an adequate management of the cases recorded. Encouraged by the presence of the Cuban Medical Internationalist Missions in several countries the case is presented in order to transmit experience. A 4-year-old, black boy,  coming from a rural region in Mampula City, Mozambique, sub-Saharan Africa; the clinical and laboratory findings confirmed a pulmonary TB, also the presence of AIDS was verified (positive HIV and lymphocytes CD4+ in 15%). An adequate therapeutic taking into account the protocols established in Mozambique for both diseases was followed with the purpose of  improving the clinical conditions of the patient, which  made possible changes  in the quality of life and life expectancy. Key words: Tuberculosis/diagnosis, HIV, ACQUIRED IMMUNODEFICIENCY SYNDROME/therapy.

ABSTRACT Tuberculosis (abbreviated TB for tubercle bacillus or Tuberculosis), is a disease caused by Mycobacterium Tuberculosis Hominis, weakly Gram-positive bacillus, aerobic, acid-alcohol resistance, of curved aspect, motionless and sporeless. T... see more

1 of 41.416 pages  |  10  records  |  more records»