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1.
Chemistry ; 26(68): 16129-16137, 2020 Dec 04.
Artículo en Inglés | MEDLINE | ID: mdl-32677719

RESUMEN

The methoxycarbonylation of anilines stands as an attractive method for the phosgene-free production of carbamates. Despite the high yields obtained for ceria catalysts, the reduction of the amount of side products and the prevention of catalyst deactivation still represent major hurdles in this chemistry. One advantage of ceria is the possibility of tuning its reactivity by doping its lattice with other metals. In the present work, a series of doped ceria-based materials, prepared by substitution with metals, are evaluated in the methoxycarbonylation of 2,4-diaminotoluene with dimethyl carbonate. Among all catalysts, containing Eu, Hf, La, Pr, Sm, Tb, Y or Zr, ceria promoted with 2 mol % Zr exhibited 96 % selectivity towards the desired carbamates, improving the pure CeO2 catalyst. Density functional theory demonstrates that two descriptors are needed: 1) a geometric factor that governs the reduction of energy barriers for carbamate formation through ureas; 2) catalyst basicity as N-H bonds need to be activated. Assessment in subsequent reaction cycles revealed that the CeO2 -ZrO2 catalyst is more stable than bulk CeO2 , along with the reduction of fouling processes.

2.
J Am Chem Soc ; 141(36): 14306-14316, 2019 09 11.
Artículo en Inglés | MEDLINE | ID: mdl-31426632

RESUMEN

Selective separation of enantiomers is a substantial challenge for the pharmaceutical industry. Chromatography on chiral stationary phases is the standard method, but at a very high cost for industrial-scale purification due to the high cost of the chiral stationary phases. Typically, these materials are poorly robust, expensive to manufacture, and often too specific for a single desired substrate, lacking desirable versatility across different chiral analytes. Here, we disclose a porous, robust homochiral metal-organic framework (MOF), TAMOF-1, built from copper(II) and an affordable linker prepared from natural l-histidine. TAMOF-1 has shown to be able to separate a variety of model racemic mixtures, including drugs, in a wide range of solvents of different polarity, outperforming several commercial chiral columns for HPLC separations. Although not exploited in the present article, it is worthy to mention that the preparation of this new material is scalable to the multikilogram scale, opening unprecedented possibilities for low-energy chiral separation at the industrial scale.


Asunto(s)
Estructuras Metalorgánicas/aislamiento & purificación , Cromatografía Líquida de Alta Presión , Cobre/química , Estructuras Metalorgánicas/química , Estructura Molecular , Estereoisomerismo , Agua/química
3.
Gac Med Mex ; 151(6): 788-97, 2015.
Artículo en Español | MEDLINE | ID: mdl-26581537

RESUMEN

Since the early 1990s we noted that family dysfunction was more common in children with severe primary malnutrition than in children admitted to the hospital without malnutrition. Defects on feeding habits during the first year of life, especially early weaning and inadequate complementary feeding were more common in dysfunctional families. We also observed that chronic malnutrition in preschool children, and overweight and obesity in schoolchildren were more common in children from dysfunctional families. Once the association between dysfunctional family dynamics and obesity in schoolchildren was demonstrated, it was observed that low education of fathers and mothers increased twofold the possibility of family dysfunction: OR: 2.06; 95% CI: 1.37-3.10 and OR: 2.47; 95% CI: 1.57-3.89, respectively. In addition, the low-income and the lower purchasing power of foods were associated to family dysfunction (p<0.05). A remaining task is to explore how to assess family dysfunction in composite, extended, single-parent families where there exist other persons vulnerable to the different entities of malnutrition syndrome and indeed depend on adults for their care, food and nutrition.


Asunto(s)
Trastornos de la Nutrición del Niño/epidemiología , Relaciones Familiares , Conducta Alimentaria , Niño , Preescolar , Escolaridad , Humanos , Lactante , México/epidemiología , Obesidad/epidemiología , Sobrepeso/epidemiología
4.
ACS Appl Mater Interfaces ; 15(33): 39594-39605, 2023 Aug 23.
Artículo en Inglés | MEDLINE | ID: mdl-37579193

RESUMEN

Metal-organic frameworks (MOFs) have become promising materials for multiple applications due to their controlled dimensionality and tunable properties. The incorporation of chirality into their frameworks opens new strategies for chiral separation, a key technology in the pharmaceutical industry as each enantiomer of a racemic drug must be isolated. Here, we describe the use of a combination of computational modeling and experiments to demonstrate that high-performance liquid chromatography (HPLC) columns packed with TAMOF-1 as the chiral stationary phase are efficient, versatile, robust, and reusable with a wide array of mobile phases (polar and non-polar). As proof of concept, in this article, we report the resolution with TAMOF-1 HPLC columns of nine racemic mixtures with different molecular sizes, geometries, and functional groups. Initial in silico studies allowed us to predict plausible separations in chiral compounds from different families, including terpenes, calcium channel blockers, or P-stereogenic compounds. The experimental data confirmed the validity of the models and the robust performance of TAMOF-1 columns. The added value of in silico screening is an unprecedented achievement in chiral chromatography.

5.
Rev Med Inst Mex Seguro Soc ; 50(2): 127-34, 2012.
Artículo en Español | MEDLINE | ID: mdl-22882979

RESUMEN

BACKGROUND: it has been demonstrated that children obesity is a multifactorial disease and probably, the alteration of the family dynamic is another potential risk factor. The objective was to identify the association between obesity and family dysfunction in school children who attend to a family medicine unit. METHODS: case and control study at Mexican Social Security Institute in Guadalajara, Jalisco, Mexico. Sociodemographic factors and family dynamic of obese and non-obese subjects (n = 452) of six to nine years old from nuclear families were achieved. RESULTS: the association between family dysfunction and obesity was [OR = 1.63 (1.08-2.46), p = 0.01]. Area II, Identity formation, and area VI, Discipline and methods, showed a lower score in cases of children with obesity (p < 0.001 and p = 0.005, respectively). In a logistic regression model family dysfunction [RM 1.79 (1.19, 2.71), p = 0.005] and low literacy of mothers [RM 1.61 (1.06, 2.45), p = 0.02)] were risk factors for obesity in school children. CONCLUSIONS: the results showed an association between family dysfunction and obesity in school children. We suggest to consider it in the prevention of obesity in Mexican school children.


Asunto(s)
Relaciones Familiares , Obesidad/epidemiología , Estudios de Casos y Controles , Niño , Femenino , Humanos , Masculino , México/epidemiología , Factores de Riesgo
6.
Mini Rev Med Chem ; 21(14): 1798-1812, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33535949

RESUMEN

Diabetes mellitus is a disease that presents great challenges for healthcare systems worldwide, and the identification of alternative therapies for the treatment of this disease is of vital importance. Metallic nanoparticles (gold, silver, and selenium) and metallic oxide (ZnO) have been studied in different areas such as medicine, biotechnology, the environment, and the food industry with promising results. In medicine, current research has revealed these nanoparticles' anti-diabetic properties thanks to the implementation of animal models. This review will address the existing antecedents and the effects of gold, silver, selenium, and zinc oxide nanoparticles in diabetes administered alone, functionalized with other molecules, or combined with drugs that have shown promising therapeutic effects. The anti-diabetic effects of these nanoparticles are related to the regulation of glucose, insulin, and lipid profiles. In addition, oxidative stress markers, liver and kidney markers, the reduction of inflammation, apoptosis of the pancreas, and the restoration of normal liver and kidney histology are also reported in the literature after using these nanoparticles. However, the therapeutic effects that these nanoparticles provide are limited due to the lack of specific protocols dictated by international organizations to evaluate the risks of using these nanoparticles.


Asunto(s)
Diabetes Mellitus Experimental/tratamiento farmacológico , Oro/química , Hipoglucemiantes/uso terapéutico , Nanopartículas del Metal/química , Selenio/química , Plata/química , Zinc/química , Animales , Diabetes Mellitus Experimental/inducido químicamente , Modelos Animales de Enfermedad , Hipoglucemiantes/química , Nanopartículas del Metal/uso terapéutico , Especies Reactivas de Oxígeno/metabolismo
7.
Rev Med Inst Mex Seguro Soc ; 48(5): 485-90, 2010.
Artículo en Español | MEDLINE | ID: mdl-21205497

RESUMEN

OBJECTIVE: To identify the association between family dysfunction and obesity in children six to nine year-old. METHODS: A case-control study that included children with obesity (cases, n = 64) with body mass index (BMI) > 95th percentile and triceps skinfold (TSF) > 90th percentile; and a control group (n = 120) with BMI < 85th percentile and TSF < 90th percentile was performed. Anthropometric measurements were made and a questionnaire assessing eight areas of family dynamics was applied. We compared the frequency of family dysfunction among cases and controls with the χ² test and its association with obesity through the odds ratio. RESULTS: The average score of the questionnaire was 80.8 ± 11.3 with no differences between groups. The categories "probably dysfunctional" and "dysfunctional" were more common in the obese group but the differences were not significant. The score of the areas "dynamics of parents as a couple" (p = 0.053) and "structure of authority in the family" (p = 0.061) was higher in the control group. CONCLUSIONS: Although no association was seen between family dysfunction and obesity, we found a tendency toward obesity in dysfunctional families.


Asunto(s)
Relaciones Familiares , Obesidad/epidemiología , Adulto , Estudios de Casos y Controles , Niño , Estudios Transversales , Femenino , Humanos , Masculino , Factores Socioeconómicos
8.
Rev Med Inst Mex Seguro Soc ; 45(2): 173-86, 2007.
Artículo en Español | MEDLINE | ID: mdl-17550703

RESUMEN

The prevalence of overweight has significantly increased thorough the world and Mexico is not an exception considering that the National Survey of Nutrition (1999) showed that 19.5% of scholar children in Mexico have overweight and other survey from Mexico City (ENURBAL, 2002) have shown that 17% in the same range of age are obese. Therefore, this clinical guide pretends to be an instrument for supporting the professionals of health for the diagnosis, treatment and prevention of obesity in children using the levels of medical attention. It is known that the treatment is difficult and it requires a full multidisciplinary team of professionals and that the key of prevention is the modification of the sedentary lifestyle and the decrease of energy intake. This guide was elaborated by pediatricians working in nutrition in public and university institutions, family and general physicians and pediatricians with private practice.


Asunto(s)
Obesidad/diagnóstico , Obesidad/terapia , Sobrepeso , Guías de Práctica Clínica como Asunto , Adolescente , Adulto , Algoritmos , Niño , Femenino , Humanos , Masculino , Obesidad/prevención & control
9.
Bioresour Technol ; 238: 147-156, 2017 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-28433902

RESUMEN

Three different types of anaerobic sludge (granular, thickened digestate and anaerobic sewage) were evaluated as seed inoculum sources for the high rate anaerobic digestion of pig slurry in UASB reactors. Granular sludge performance was optimal, allowing a high efficiency process yielding a volumetric methane production rate of 4.1LCH4L-1d-1 at 1.5days HRT (0.248LCH4g-1COD) at an organic loading rate of 16.4gCODL-1d-1. The thickened digestate sludge experimented flotation problems, thus resulting inappropriate for the UASB process. The anaerobic sewage sludge reactor experimented biomass wash-out, but allowed high process efficiency operation at 3days HRT, yielding a volumetric methane production rate of 1.7LCH4L-1d-1 (0.236LCH4g-1COD) at an organic loading rate of 7.2gCODL-1d-1. To guarantee the success of the UASB process, the settleable solids of the slurry must be previously removed.


Asunto(s)
Reactores Biológicos , Metano , Aguas del Alcantarillado , Anaerobiosis , Animales , Digestión , Porcinos
11.
Waste Manag ; 48: 193-198, 2016 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-26598214

RESUMEN

The biochemical methane potential test is the most commonly applied method to determine methane production from organic wastes. One of the parameters measured is the volume of biogas produced which can be determined manometrically by keeping the volume constant and measuring increases in pressure. In the present study, the effect of pressure accumulation in the headspace of the reactors has been studied. Triplicate batch trials employing cocoa shell, waste coffee grounds and dairy manure as substrates have been performed under two headspace pressure conditions. The results obtained in the study showed that headspace overpressures higher than 600mbar affected methane production for waste coffee grounds. On the contrary, headspace overpressures within a range of 600-1000mbar did not affect methane production for cocoa shell and dairy manure. With the analyses performed in the present work it has not been possible to determine the reasons for the lower methane yield value obtained for the waste coffee grounds under high headspace pressures.


Asunto(s)
Metano/biosíntesis , Eliminación de Residuos/métodos , Animales , Biocombustibles , Reactores Biológicos , Bovinos , Café , Industria Lechera , Estiércol , Presión , Eliminación de Residuos/instrumentación , Residuos
12.
Cir. plást. ibero-latinoam ; 46(1): 37-44, ene.-mar. 2020.
Artículo en Español | IBECS (España) | ID: ibc-190856

RESUMEN

INTRODUCCIÓN Y OBJETIVO: La mamoplastia de aumento con prótesis es una de las cirugías más realizadas en Cirugía Plástica. El objetivo del presente trabajo es mostrar nuestra técnica anestésica para colocación de prótesis mamarias en plano submuscular, bloqueando de forma intraoperatoria ramos del plexo braquial y recoger nuestra experiencia con ella en una serie de casos. MATERIAL Y MÉTODO: Bajo sedación y anestesia local, realizamos una incisión en el borde periareolar inferior llegando por divulsión y corte transglandular hasta el plano de la aponeurosis del músculo pectoral mayor; apertura de 5 cm de la aponeurosis y divulsión de las fibras musculares siguiendo su dirección; identificamos el plano entre el músculo pectoral mayor y el pectoral menor; introducimos una cánula de Klein en ese plano hasta el punto anatómico donde están las ramas lateral y medial del plexo braquial (2 cm por debajo de la clavícula y en su tercio lateral); inyección en ese punto del preparado de solución anestésica. Analizamos 172 pacientes operadas entre enero de 2014 y abril del 2018 en las que empleamos el procedimiento anestésico descrito. RESULTADOS: En todas las pacientes el acto anestésico fue exitoso, llegando el procedimiento quirúrgico a término sin necesidad de recurrir a la anestesia general. CONCLUSIONES: En nuestra experiencia, la seguridad, facilidad de ejecución y el efecto anestésico conseguido, nos permitieron utilizarla de forma rutinaria en mamoplastias con indicación de inserción de implantes en plano submuscular


BACKGROUND AND OBJECTIVE: Breast augmentation is one of the most performed surgeries in Plastic Surgery. Our aim is to show an anesthetic technique for placement of breast implants in a submuscular plane, using intraoperative blocking of the brachial plexus branches, and to present our experience in a clinical series. METHODS: Technique consists on a lower peri-areolar skin incision under sedation and local anesthesia, reaching by transglandular dissection and cut to the plane of the pectoral muscle aponeurosis; we open a 5 cm incision on the aponeurosis and divide the muscle fibers following their direction; we identify the plane between the pectoralis major and the pectoralis minor and insert a Klein cannula in that plane to the anatomical point where the lateral and medial branches of the brachial plexus are located (2 cm below the clavicle and in its lateral third), where the anesthetic solution preparation is injected. A series of 172 patients undergoing surgery from January 2014 to April 2018 with this anesthetic procedure was analyzed. RESULTS: Anesthetic procedure was successful in all patients, ending surgery without needing general anesthesia. CONCLUSIONS: In our experience, the safety and ease execution of the proposed technique, allowed it to be used routinely in all our submuscular augmentation mamoplasties


Asunto(s)
Humanos , Femenino , Adolescente , Adulto Joven , Adulto , Persona de Mediana Edad , Implantación de Mama/métodos , Bloqueo Nervioso/métodos , Mamoplastia/métodos , Midazolam/administración & dosificación , Fentanilo/administración & dosificación , Analgésicos Opioides/administración & dosificación , Periodo Intraoperatorio , Estudios Retrospectivos , Estudios de Seguimiento
14.
Bioresour Technol ; 189: 327-333, 2015.
Artículo en Inglés | MEDLINE | ID: mdl-25911592

RESUMEN

Mesophilic anaerobic co-digestion of cheese whey and the screened liquid fraction of dairy manure was investigated with the aim of determining the treatment limits in terms of the cheese whey fraction in feed and the organic loading rate. The results of a continuous stirred tank reactor that was operated with a hydraulic retention time of 15.6 days showed that the co-digestion process was possible with a cheese whey fraction as high as 85% in the feed. The efficiency of the process was similar within the range of the 15-85% cheese whey fraction. To study the effect of the increasing loading rate, the HRT was progressively shortened with the 65% cheese whey fraction in the feed. The reactor efficiency dropped as the HRT decreased but enabled a stable operation over 8.7 days of HRT. At these operating conditions, a volumetric methane production rate of 1.37 m(3) CH4 m(-3) d(-1) was achieved.


Asunto(s)
Reactores Biológicos , Queso/análisis , Industria Lechera , Estiércol/análisis , Compuestos Orgánicos/farmacología , Eliminación de Residuos/métodos , Suero Lácteo/química , Anaerobiosis/efectos de los fármacos , Animales , Bovinos , Metano/biosíntesis , Factores de Tiempo , Eliminación de Residuos Líquidos
15.
Org Lett ; 15(8): 2066-9, 2013 Apr 19.
Artículo en Inglés | MEDLINE | ID: mdl-23573959

RESUMEN

Iridium(I) complexes of enantiomerically pure phosphine-phosphite ligands ([Ir(Cl)(cod)(P-OP)]) efficiently catalyze the enantioselective hydrogenation of diverse C═N-containing heterocyclic compounds (benzoxazines, benzoxazinones, benzothiazinones, and quinoxalinones; 25 examples, up to 99% ee). A substrate-to-catalyst ratio as high as 2000:1 was reached.


Asunto(s)
Compuestos Heterocíclicos con 2 Anillos/química , Compuestos Heterocíclicos con 2 Anillos/síntesis química , Iridio/química , Catálisis , Hidrogenación , Estructura Molecular , Estereoisomerismo
16.
Rev Med Inst Mex Seguro Soc ; 51(3): e6-26, 2013.
Artículo en Español | MEDLINE | ID: mdl-23883470

RESUMEN

Type 2 diabetes mellitus is a complex disease and a global health problem. Therefore, the first level of health care should handle the approaches of medical genetics and genomics to reduce its incidence. The aim is to present perspectives analyzed by our group in two areas of genetics and its clinical application. Emphasis is placed on the coexistence of several genetic forms clinically detectable in patients with diabetes, missing heritability associated with low penetrance, and epigenomics mechanism. It is discussed the effect of genetic variation associated with resistance to insulin, beta-cell dysfunction, shaft incretin, and other points of interest, such as thrifty genotype hypothesis, conformational disease, genetically unknown foods, phenocopies as clinically silent hypercortisolism, molecular phytopharmacology in the clinical management. Finally, the result was displayed in the Mexican population from genetic studies and new findings of clinical importance, such as involvement of melatonin and effect of variations in the number of copies in a genomic region.


La diabetes mellitus tipo 2 es una enfermedad multifactorial y un problema de salud mundial. De ahí que en el primer nivel de atención en salud se deben manejar los abordajes de la genética médica y genómica para disminuir su incidencia. El propósito de este artículo es presentar perspectivas analizadas por nuestro grupo en dos áreas de la genética, así como su aplicación clínica. Se hace hincapié en la coexistencia de varias formas genéticas clínicamente detectables en el paciente diabético, la heredabilidad perdida relacionada con baja penetrancia y fenómenos epigenómicos. Se discute el efecto de la variación genética relacionada con la resistencia a la insulina, la disfunción de las células beta, el eje incretínico, otros puntos de interés como las hipótesis del genotipo ahorrador, la patología conformacional, comidas genéticamente desconocidas, fenocopias como el hipercortisolismo clínicamente silente y la fitofarmacología molecular en el manejo clínico. Finalmente, se muestran resultados de estudios genéticos en población mexicana y nuevos hallazgos de importancia en la clínica, como la participación de la melatonina y el efecto de las variaciones en el número de copias en una región genómica.


Asunto(s)
Diabetes Mellitus Tipo 2/genética , Genética Médica , Genómica , Atención Primaria de Salud , Humanos
17.
Waste Manag ; 31(9-10): 2167-73, 2011.
Artículo en Inglés | MEDLINE | ID: mdl-21612905

RESUMEN

The performance of the only dairy manure biogas plant in Cantabria (Northern coast of Spain) was evaluated in terms of liquid-solid separation and anaerobic digestion of the liquid fraction. Screened liquid fraction was satisfactorily treated in a CSTR digester at HRTs from 20 to 10 days with organic loading rates ranging from 2.0 to 4.5 kg VS/(m(3)d). Stable biogas productions from 0.66 to 1.47 m(3)/(m(3)d) were achieved. Four anaerobic effluents collected from the digester at different HRTs were analyzed to measure their residual methane potentials, which ranged from 12.7 to 102.4 L/gVS. These methane potentials were highly influenced by the feed quality and HRT of the previous CSTR anaerobic digestion process. Biomethanization of the screened liquid fraction of dairy manure from intensive farming has the potential to provide up to 2% of total electrical power in the region of Cantabria.


Asunto(s)
Biocombustibles , Reactores Biológicos , Estiércol , Metano/análisis , Anaerobiosis , Animales , Bovinos , Ácidos Grasos Volátiles/análisis , Proyectos Piloto
18.
Bol. méd. Hosp. Infant. Méx ; 62(3): 177-188, may.-jun. 2005. tab
Artículo en Español | LILACS | ID: lil-700759

RESUMEN

Introducción. Objetivo: identificar la correlación entre la calificación de dinámica familiar de papá y mamá de preescolares que acuden a Guarderías del Sistema Nacional del Desarrollo Integral de la Familia Jalisco. Material y métodos. Estudio transversal analítico. Se incluyeron 138 encuestas de dinámica familiar aplicadas a ambos padres. Se utilizó un instrumento de medición con 8 áreas: I. Dinámica de pareja; II. Formación de identidad; III. Comunicación, expresión, solidaridad; IV. Estructura de autoridad; V. Manejo del conflicto y agresividad;VI. Disciplina y método; VII. Sistema de Valores; VIII.Aislamiento e integración sociocultural. Resultados. No hubo diferencia en la calificación entre ambos padres ni entre los promedios de las 8 áreas. Hubo una correlación significativa entre ambos padres (r = 0.759, P <0.001). El área I tuvo mayor correlación con las demás áreas (P <0.005). La correlación entre las diferentes áreas de papá y mamá fue significativo. Destacaron por ausencia de correlación: área III de papá vs área II y VIII de mamá; área IV de papá vs área I, II,VII y VIII de mamá. Conclusión. La elevada correlación de cada díada papá-mamá sobre su dinámica familiar, de sus áreas recíprocas y entre las áreas de cada cónyuge da gran consistencia al instrumento de evaluación.


Introduction. Objective: to test the correlation of the family dynamic score between fathers and mothers of preschool children attending the Integral Development of the Family System (DIF) of Guadalajara City. Material and methods. In a cross sectional study design 140 family dynamic surveys were included. Eight areas of the dynamic of the family of both parents were explored: I. Dynamic of the couple; II. Formation of identity; III. Communication, expression and solidarity; IV. Structure of the authority;V. Management of the conflict and aggressiveness;VI. Discipline and method;VII. System of values;VIII. Socio cultural integration and isolation. Results. There were not differences between fathers and mothers in the eight explored areas.The score of fathers and mothers had a significant correlation (r =0.759). Area I had the higher correlation with the rest of the areas (P <0.005).The correlation among different areas of father and mother were also significant. It was no correlation of area III of fathers vs area II and VIII of mothers; area IV of fathers vs area I, II,VII and VIII of mothers. Conclusion. The strong correlation of the family dynamic score of each couple and among the majority of reciprocal areas gives a high consistency to the instrument of evaluation.

19.
Rev. mex. ortop. traumatol ; 14(1): 88-90, ene.-feb. 2000. CD-ROM
Artículo en Español | LILACS | ID: lil-294908

RESUMEN

Se operaron 20 pacientes de 25 a 55 años con espondilolistesis espondilolítica, mediante fijación con tornillo de compresión de esponjosa 6.5 mm con cuerda de 32 mm y arandela. Se obtuvo reducción de la olistesis grado 1 en 100 por ciento en 9 casos (45 por ciento), 50 por ciento en 4 (20 por ciento) y persistió sin cambio en 7 (35 por ciento).


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Espondilolistesis/cirugía , Fijación Interna de Fracturas/métodos , Tornillos Óseos , Aparatos Ortopédicos
20.
Rev. mex. ortop. traumatol ; 12(5): 425-8, sept.-oct. 1998. tab, ilus
Artículo en Español | LILACS | ID: lil-252125

RESUMEN

El 80 por ciento de los procesos destructivos de la columna vertebral se localizan el cuerpo vertebral, lo que dificulta la toma de biopsia directa, indispensable para el conocimiento de diagnóstico etiológico de la lesión. Se analiza la utilidad de la toma de biopsia percutánea con la trefina ideada en el Servicio de Columna del Hospital de Ortopedia ®Victorio de la Fuente Narváez¼. Se aplicó en 20 pacientes con una efectividad del 95 por ciento, abreviando el tiempo de estudio y la morbimortalidad propia de una biopsia abierta


Asunto(s)
Humanos , Adulto , Persona de Mediana Edad , Neoplasias de la Columna Vertebral/diagnóstico , Neoplasias de la Columna Vertebral/etiología , Biopsia , Biopsia/clasificación , Biopsia/instrumentación , Estudios Transversales , Estudios Prospectivos , Epidemiología Descriptiva
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