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191.990  Articles
1 of 19.199 pages  |  10  records  |  more records»

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

Alternativas de tratamientos en el cáncer de próstata en Pinar del Río, 2003-2006 / Alternative of treatments in prostate cancer in Pinar del Río, 2003-2006Alternativas de tratamientos en el cáncer de próstata en Pinar del Río, 2003-2006 / Alternative of treatments in prostate cancer in Pinar del Río, 2003-2006Los científicos tienen ideas controvertidas en cuanto a las diferentes formas de tratamiento en el cáncer de próstata y están explorando programas de tratamientos nuevos y formas de combinarlos. Se realizó un estudio observacional, longitudinal, retrospectivo y descriptivo en la Provincia de Pinar del Río, en el  periodo comprendido 1ro. de enero de 2003 al 31 de diciembre de 2006. En la investigación se incluyeron a todos los pacientes que continuaron su seguimiento en consultas de uro-oncología; un total de 265 pacientes para ver la evolución de los mismos a través del antígeno prostático específico. Para precisar el grado de homogeneidad del comportamiento de las variables en una tabla de distribución de frecuencia, se calculó el  intervalo de confianza, encontrando como principales resultados, que existe un número de diagnosticados en el año 2004 y ha existido disminución de los diagnósticos, mientras se ha logrado una mayor asistencia a consultas. Primó el tratamiento bloqueo androgénico total. En  este tipo de tratamiento existe  un  PSA normal en la mayoría de los pacientes a los 6 meses de tratamiento, concluyendo que del total de pacientes que asistieron a consulta y se trataron con bloqueo androgénico total, la mayoría normaliza el PSA a los 6 meses, siendo este más efectivo en el cáncer de la próstata.Palabras Clave: PRÓSTATA, DIAGNÓSTICO, REHABILITACIÓN.ABSTRACTScientists have controversial ideas regarding the different choices of treatment for prostate cancer and are exploring new treatment programs and combining ways. An observation, longitudinal, retrospective and descriptive research was conducted in Pinar del Rio during January 1st, 2003 to December 31st, 2006. All patients following the treatment in the office of urology-oncology were included in the research, the evolution of a total of 265 patients was observed trough the value of Specific Prostatic Antigen. To precise the degree of homogeneity in the behavior of the variables a table to distribute frequency was drawn, calculating confidence interval; main results showed that: a number of patients were diagnosed during 2004, a decrease in diagnosis; however attendance to the offices increased. Total Androgenic Blocking Therapy prevailed. During this type of treatment the SPA presents a normal value; the majority of patients achieve normal SPA at 6 months, being this therapy the most effective in prostate cancer.Key words: PROSTATE, DIAGNOSIS, REHABILITATION.

ABSTRACTScientists have controversial ideas regarding the different choices of treatment for prostate cancer and are exploring new treatment programs and combining ways. An observation, longitudinal, retrospective and descriptive research was conducted in... see more

Maternal effects can result in adaptive phenotypic responses of offspring that increase their fitness. Several recent studies report a positive relationship between maternal choices and offspring fitness. However, few studies have assessed the association... see more

This article investigates how a small number of female speakers from Cardiff pronounce items belonging to the lexical set BATH. The data forms a subsample extracted from a longitudinal study on Cardiff English with recordings from 1977, 1990 and 2011. The... see more

Kajian ini mengkaji pemilihan bahasa oleh kakitangan kerajaan semasa bertugas di kaunter perkhidmatan pelanggan, bilik perbincangan dan tugasan harian di pejabat kerajaan Putrajaya. Sebagai kakitangan kerajaan yang menawarkan perkhidmatan yang pelbagai ke... see more

The right of the arrested and accused persons to remain silent at pre-trial and during their trial are significant to ensuring a fair trial. The purpose of the right to remain silent is to ensure that the state bears the duty to prove the guilt of the acc... see more

The western flower thrips, Frankliniella occidentalis (Pergande) (Thysanoptera: Thripidae), is a key pest of sweet pepper cultivation, where it causes feeding damage, excretes phytotoxic substances, and transmits important viruses. Control with chemical i... see more

Architecture is by definition an act of spatial imagination, this wondrous capacity to envision possible futures for the built environment. Spatial imagination is essential in order to visualize new constructions taking shape, evolving in time, and partak... see more

In the epoch of intercultural communication, professional foreign language proficiency and a high level of communicants’ competence are of great significance. One of the aspects of communicative competence is the possession of skills of speech e... see more

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