Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 208
Filtrar
1.
Sci Rep ; 14(1): 4522, 2024 02 24.
Artículo en Inglés | MEDLINE | ID: mdl-38402234

RESUMEN

The goals of this study are to describe machine learning techniques employing computer-vision movement algorithms to automatically evaluate infants' general movements (GMs) in the writhing stage. This is a retrospective study of infants admitted 07/2019 to 11/2021 to a level IV neonatal intensive care unit (NICU). Infant GMs, classified by certified expert, were analyzed in two-steps (1) determination of anatomic key point location using a NICU-trained pose estimation model [accuracy determined using object key point similarity (OKS)]; (2) development of a preliminary movement model to distinguish normal versus cramped-synchronized (CS) GMs using cosine similarity and autocorrelation of major joints. GMs were analyzed using 85 videos from 74 infants; gestational age at birth 28.9 ± 4.1 weeks and postmenstrual age (PMA) at time of video 35.9 ± 4.6 weeks The NICU-trained pose estimation model was more accurate (0.91 ± 0.008 OKS) than a generic model (0.83 ± 0.032 OKS, p < 0.001). Autocorrelation values in the lower limbs were significantly different between normal (5 videos) and CS GMs (5 videos, p < 0.05). These data indicate that automated pose estimation of anatomical key points is feasible in NICU patients and that a NICU-trained model can distinguish between normal and CS GMs. These preliminary data indicate that machine learning techniques may represent a promising tool for earlier CP risk assessment in the writhing stage and prior to hospital discharge.


Asunto(s)
Algoritmos , Movimiento , Recién Nacido , Lactante , Humanos , Proyectos Piloto , Estudios Retrospectivos , Edad Gestacional
3.
Rev. int. med. cienc. act. fis. deporte ; 23(91): 45-59, jul. 2023. ilus, tab
Artículo en Inglés | IBECS | ID: ibc-226918

RESUMEN

The aim of the study was to adapt and validate the Sport Team Socialization Tactics Questionnaire (STSTQ) with amateur and semi-professional Spanish players. The participants were 437 male and female players aged 15 to 39 (M = 21.90; SD = 5.67). Confirmatory factor analysis was applied to test the three-factor structure: coach-initiated role communication tactics, serial socialization tactics and social inclusionary tactics. According to the results, the Spanish version of the STSTQ presented adequate index values in its original factor structure and acceptable internal consistency values. Moreover, the instrument presented adequate discriminating and concurrent validity and proved to be invariant regardless of the competitive level. These results suggest that the Spanish version of the STSTQ is a valid and reliable tool to assess socialization tactics in amateur and semi-professional team sports. (AU)


El objetivo del estudio era adaptar y validar el Cuestionario de Tácticas de Socialización para Equipos Deportivos (en inglés Sport Team Socialization Tactics Questionnarie, STSTQ) con jugadores españoles amateurs y semi-profesionales. Participaron 437 jugadores de fútbol de género masculino y femenino con edades comprendidas entre los 15-39 años (M = 21,90; DT = 5,67). Se realizó un análisis factorial confirmatorio para testar la estructura factorial compuesta por tres factores: tácticas de comunicación del rol del entrenador, tácticas de socialización en serie y tácticas sociales de inclusión. Los resultados mostraron que la versión española del STSTQ demuestra índices adecuados en su estructura factorial original y valores aceptables de consistencia interna. Además, el instrumento presentó una adecuada validez discriminante y concurrente y se mostró invariante en función del nivel competitivo. Estos resultados sugieren que la versión española del STSTQ es una herramienta válida y fiable para medir las tácticas de socialización en deportes colectivos amateurs y semi-profesionales. (AU)


Asunto(s)
Humanos , Masculino , Femenino , Adolescente , Adulto Joven , Adulto , Socialización , Encuestas y Cuestionarios , España
4.
Res Q Exerc Sport ; 94(4): 931-939, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-35576142

RESUMEN

Purpose: Using a multilevel approach, this study analyzed the relationship between ball possession and distance covered at different speed sections: total distance (TD), distance covered between 14.1-21 km·h-1 (MIRD), 21.1-24 km·h-1 (HIRD), and > 24.1 km·h-1 (VHIRD). Methods: The sample included 1,520 matches played by 80 Spanish professional soccer teams across four consecutive LaLiga seasons (from 2015/2016 to 2018/2019). Two observations were collected per match, one from each team, resulting in a total of 2,950 records (760 per season). Data were collected using Mediacoach®. Results: At match level (i.e., grand-mean centered), ball possession negatively predicted all distances covered. At team level (i.e., group-mean centered), ball possession negatively predicted total distance covered and distance covered between 14.1-21 km·h-1. Furthermore, cross-level interactions (Match X Team) in ball possession negatively predicted all distances covered at speeds above 14.1 km·h-1. Specifically, in high-possession teams, the negative relationship between match ball possession and distances traveled at all speed ranges above 14.1 km·h-1 was stronger than in teams with medium or low possession. Conversely, match ball possession was positively related todistance covered at low intensities, and negatively related at high intensities in low-possession teams. Conclusion: These findings show practitioners and researchers that the distances covered at different speed ranges depend on technical-tactical parameters such as ball possession.


Asunto(s)
Rendimiento Atlético , Fútbol , Humanos , Estaciones del Año
5.
Nature ; 609(7926): 265-268, 2022 09.
Artículo en Inglés | MEDLINE | ID: mdl-36071186

RESUMEN

Blazars are active galactic nuclei (AGN) with relativistic jets whose non-thermal radiation is extremely variable on various timescales1-3. This variability seems mostly random, although some quasi-periodic oscillations (QPOs), implying systematic processes, have been reported in blazars and other AGN. QPOs with timescales of days or hours are especially rare4 in AGN and their nature is highly debated, explained by emitting plasma moving helically inside the jet5, plasma instabilities6,7 or orbital motion in an accretion disc7,8. Here we report results of intense optical and γ-ray flux monitoring of BL Lacertae (BL Lac) during a dramatic outburst in 2020 (ref. 9). BL Lac, the prototype of a subclass of blazars10, is powered by a 1.7 × 108 MSun (ref. 11) black hole in an elliptical galaxy (distance = 313 megaparsecs (ref. 12)). Our observations show QPOs of optical flux and linear polarization, and γ-ray flux, with cycles as short as approximately 13 h during the highest state of the outburst. The QPO properties match the expectations of current-driven kink instabilities6 near a recollimation shock about 5 parsecs (pc) from the black hole in the wake of an apparent superluminal feature moving down the jet. Such a kink is apparent in a microwave Very Long Baseline Array (VLBA) image.

6.
Cir. Esp. (Ed. impr.) ; 100(7): 404-409, jul. 2022. ilus, tab
Artículo en Español | IBECS | ID: ibc-207729

RESUMEN

Introducción El síndrome de Mirizzi (SM) es una patología infrecuente que es un reto para el cirujano. En el manejo quirúrgico, el abordaje abierto o el laparoscópico es un punto de discusión debido a la distorsión anatómica que se presenta. El objetivo de este estudio es analizar nuestra experiencia en el manejo laparoscópico de esta condición en el tipo Va. Materiales Realizamos un estudio descriptivo retrospectivo de pacientes con diagnóstico de SM tipo Va y tratados por abordaje laparoscópico, entre el 2014 y 2019, en dos centros de alto volumen de Bogotá, Colombia. Resultados Se evaluaron 1.073 pacientes que presentaron complicaciones por cálculos biliares, de los cuales 16 fueron diagnosticados con SM tipo Va. El 75% eran femeninos y el 25% masculinos; el 80% presentó ictericia y el 90% dolor abdominal. Doce pacientes presentaron fístula colecistoduodenal y cuatro fístula colecistocólica. Todos se manejaron de manera laparoscópica, en el 100% se logró realizar colecistectomía total y resección de fístula con cierre primario. La tasa de conversión fue del 0%, no hubo reingresos ni reintervención. El periodo de seguimiento fue de 18 meses. Conclusión El manejo laparoscópico en el SM es posible y seguro, teniendo en cuenta la experiencia del grupo quirúrgico y realizando una adecuada selección de los pacientes (AU)


Introduction Mirizzi's Syndrome (MS) is a rare pathology, known to be a challenge for the surgeon. In the surgical management, open approach vs laparoscopic is a topic of discussion due to anatomic variations. The aim of this study is to analyze our experience in the laparoscopic management of this condition in Type Va. Methods We made a descriptive retrospective study of patients diagnosed with MS type Va and treated by laparoscopic approach from 2014 to 2019, in two high volume centers of Bogotá, Colombia. Results 1073 patients who presented complications from gallstones were evaluated, of which 16 were diagnosed with MS type Va. 75% were females and 25% males; 80% presented jaundice and 90% abdominal pain; 12 patients showed cholecystoduodenal fistula and 4 cholecystocolic fistula. All patients underwent laparoscopic management, total cholecystectomy and fistula resection with primary closure was possible on a 100% of the patients. Conversion rate was 0%. The follow up was 18 months. Conclusion Laparoscopic management of MS is feasible and safe; the experience of the surgery group and selection of the patients is the key to a successful outcome (AU)


Asunto(s)
Humanos , Masculino , Femenino , Persona de Mediana Edad , Anciano , Anciano de 80 o más Años , Colecistectomía Laparoscópica , Cálculos Biliares/complicaciones , Síndrome de Mirizzi/etiología , Síndrome de Mirizzi/cirugía , Estudios Retrospectivos
7.
Sci Rep ; 12(1): 1454, 2022 01 27.
Artículo en Inglés | MEDLINE | ID: mdl-35087144

RESUMEN

This study analyzed how the physical movement profile of soccer matches evolved throughout a season by assessing the variability of different metrics depending on the season phase. In addition, the evolution of running distances was investigated in the relation to the team performance based on the coaches' perception. Games from four consecutives Spanish LaLiga seasons (n = 1520) were recorded using an optical tracking system (i.e., ChyronHego). Total distance (TD), distance covered between 14 and 21 km h-1 (MIRD), 21-24 km h-1 (HIRD), and > 24 km h-1 (VHIRD) were analyzed, as well as the number of efforts between 21 and 24 km h-1 (Sp21) and > 24 km h-1 (Sp24). Seasons were divided into four phases (P): P1 (matches 1-10), P2 (11-19), P3 (20-29), and P4 (30-38). Linear mixed models revealed that soccer players covered significantly greater distances and completed a higher number of sprints in P2 and P3. Also, team performance evaluated by soccer coaches was positively related to TD, HIRD, VHIRD and Sp21 in P1. A negative relationship was observed between team performance and distance covered at speeds below 21 km h-1 in P2 and P3. Team performance was negatively related to TD, MIRD, and HIRD, and Sp21 in P4. As conclusion, the team performance perceived by coaches is related to the movement profile throughout a season, and it significantly influences the evolution of soccer players' movement profiles. Specifically, it seems that the players of the best teams have the best physical performance at the beginning of the season with respect to the rest of the phases.

8.
Health Place ; 71: 102666, 2021 09.
Artículo en Inglés | MEDLINE | ID: mdl-34507036

RESUMEN

We aimed to assess the effect of the 2008 crisis on road traffic collision (RTC) mortality in Spain, by socioeconomic position (SEP) and type of road use. This prospective, country-wide study covered all adults living in Spain and aged ≥30 years in November 2001. The long-term effect of the crisis was assessed by measuring the monthly percentage change (MPC) in RTC mortality between the pre-crisis (2002-2007) and crisis period (2008-2011). During the recession, RTC mortality fell more in people with low compared to high SEP, so MPCs difference between periods were of a higher magnitude in the low compared to high SEP groups, especially among men motorcyclists. RTC mortality trends were favorable following the 2008 crisis, particularly among low-SEP groups. In men motorcyclists, the upward trend of the pre-crisis period reversed course.


Asunto(s)
Accidentes de Tránsito , Recesión Económica , Adulto , Humanos , Masculino , Mortalidad , Estudios Prospectivos , Factores Socioeconómicos , España/epidemiología
9.
Accid Anal Prev ; 156: 106154, 2021 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-33933718

RESUMEN

The purpose of this study was to assess the effect of the Penalty Point System (PPS) on road traffic accident mortality by gender and socioeconomic status. We conducted a nationwide prospective study covering adult people living in Spain on November 2001. They were followed up until 30 Nov 2007 to determine vital status and cause of death. An interrupted time-series analysis was used to assess whether PPS (explanatory variable) had both immediate and long-term effect on the rates of road traffic accident mortality (RTAMs) separately by gender. Subjects were classified by socioeconomic status (low and high) using two indicators: educational attainment (up to lower secondary education; upper secondary education or more) and occupation (manual and non-manual workers). We performed several segmented Poisson regression models, controlling for trend, seasonality, 2004 road safety measures and fuel consumption as proxy for traffic exposure. Among men, we found a decrease on the RTAMs immediately after PPS in those with low educational level (16.2 %, IC95 %: 6.1 %-25.2 %) and manual workers (16.3 %, IC95 %: 2.8 %-27.8 %), and a non-significant increase among those with high education level and non-manual workers (6.2 % and 1.8 %). Among women, there were no significant differences in the immediate effect of PPS by socioeconomic status. We did not identify significant trend changes between pre-PPS and post-PPS periods in any socioeconomic group. In a context of downward trend of traffic mortality, the PPS implementation led to an immediate reduction on death rates only among men with a low socioeconomic status.


Asunto(s)
Accidentes de Tránsito , Clase Social , Adulto , Femenino , Humanos , Renta , Masculino , Estudios Prospectivos , España/epidemiología
10.
Sci Rep ; 11(1): 5086, 2021 03 03.
Artículo en Inglés | MEDLINE | ID: mdl-33658592

RESUMEN

Probe-based confocal laser endomicroscopy (pCLE) allows for real-time diagnosis of dysplasia and cancer in Barrett's esophagus (BE) but is limited by low sensitivity. Even the gold standard of histopathology is hindered by poor agreement between pathologists. We deployed deep-learning-based image and video analysis in order to improve diagnostic accuracy of pCLE videos and biopsy images. Blinded experts categorized biopsies and pCLE videos as squamous, non-dysplastic BE, or dysplasia/cancer, and deep learning models were trained to classify the data into these three categories. Biopsy classification was conducted using two distinct approaches-a patch-level model and a whole-slide-image-level model. Gradient-weighted class activation maps (Grad-CAMs) were extracted from pCLE and biopsy models in order to determine tissue structures deemed relevant by the models. 1970 pCLE videos, 897,931 biopsy patches, and 387 whole-slide images were used to train, test, and validate the models. In pCLE analysis, models achieved a high sensitivity for dysplasia (71%) and an overall accuracy of 90% for all classes. For biopsies at the patch level, the model achieved a sensitivity of 72% for dysplasia and an overall accuracy of 90%. The whole-slide-image-level model achieved a sensitivity of 90% for dysplasia and 94% overall accuracy. Grad-CAMs for all models showed activation in medically relevant tissue regions. Our deep learning models achieved high diagnostic accuracy for both pCLE-based and histopathologic diagnosis of esophageal dysplasia and its precursors, similar to human accuracy in prior studies. These machine learning approaches may improve accuracy and efficiency of current screening protocols.


Asunto(s)
Esófago de Barrett/diagnóstico por imagen , Esófago de Barrett/patología , Exactitud de los Datos , Aprendizaje Profundo , Neoplasias Esofágicas/diagnóstico por imagen , Neoplasias Esofágicas/patología , Anciano , Biopsia , Esófago/diagnóstico por imagen , Esófago/patología , Femenino , Humanos , Procesamiento de Imagen Asistido por Computador/métodos , Masculino , Microscopía Confocal/métodos , Persona de Mediana Edad , Estudios Prospectivos , Sensibilidad y Especificidad
12.
BMC Public Health ; 20(1): 1865, 2020 Dec 04.
Artículo en Inglés | MEDLINE | ID: mdl-33276743

RESUMEN

BACKGROUND: We assessed to what extent HIV self-testing would be incorporated by men who have sex with men (MSM) with previous testing history as their exclusive testing option and describe what actions they would take in the case of obtaining a reactive self-test. METHODS: We conducted an online survey among Spanish resident MSM recruited mainly in gay dating apps and analyze 6171 ever tested individuals. We used Poisson regression to estimate factors associated with the incorporation of self-testing as the exclusive testing option. Among those who would incorporate self-testing as their exclusive option, we described actions taken if obtaining a reactive self-test by number of tests in the past. RESULTS: Nearly half of the participants (48.3%) were > =35 years old, 84.6% were born in Spain, 57.9% had attained a university degree, 55.1% lived in a municipality of ≤500.000 and 86.4% self-identified as homosexual. For 37.2%, self-testing would become their exclusive testing option. The incorporation of self-testing as the exclusive option increased with age 25-34 (PR:1.1, 95%CI:1.0-1.3), 35-44 (PR:1.3, 95%CI:1.2-1.5), 45-49 (PR:1.5, 95%CI:1.3-1.7) and > 50 (PR:1.5, 95%CI:1.3-1.8) and in those who reported unprotected anal intercourse (PR:1.1, 95%CI:1.0-1.2) or having paid for sex (PR:1.2, 95%CI:1.0-1.3) in the last 12 months. It was also associated with having had < 10 HIV test in the past (2-9 tests (PR:1.3, 95%CI:1.1-1.4); 1 test (PR:1.5, 95%CI:1.3-1.7)), and having been tested ≥2 years (PR:1.4, 95%CI:1.3-1.5) or between 1 and 2 years ago (PR:1.1, 95%CI:1.0-1.2). Of participants who would use self-testing exclusively 76.6% would confirm their result in case of obtaining a reactive self-test and only 6.1% wouldn't know how to react. Only one individual expressed that he would do nothing at all. CONCLUSION: HIV self-testing could become the exclusive testing option for more than a third of our participants. It was chosen as the exclusive option especially by older, at risk and under-tested MSM. Self-testing strategies need to especially consider the linkage to care process. In this sense, only a small fraction would not know how to react and virtually nobody reported taking no action if obtaining a reactive result.


Asunto(s)
Infecciones por VIH , Minorías Sexuales y de Género , Adulto , Estudios Transversales , Infecciones por VIH/diagnóstico , Homosexualidad Masculina , Humanos , Masculino , Asunción de Riesgos , Autoevaluación , Conducta Sexual , España , Encuestas y Cuestionarios
13.
PeerJ ; 8: e8824, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32551189

RESUMEN

Active commuting to and from school (ACS) has been recognized as a potential tool to improve physical fitness. Thus, this study aims to test the relationships between the average slope in the ACS and physical fitness, as well as to verify the mediator role of fatness in the relationship between average slope and physical fitness. A total of 257 participants, 137 boys and 120 girls, from 22 schools belonged to first and second High School grades participated in this study. Based on self-reported measure and Google Earth, participants were grouped into the active commuter (number of trips was ≥5, and the time of the trip was ≥15 min), mixed commuter (number of weekly trips was <5, and the time spent on the trip was <15 min) and passive commuter groups (those who reported traveling regularly by car, motorcycle, or bus). Specifically, in the active commuter group, a positive association between the average slope in the ACS with fatness was found, which in turn was positively related to strength lower limbs and cardiorrespiratory fitness. The average slope was not significantly associated with physical fitness indicators. Furtheremore, fatness did not mediate the relathionship between average slope and physical fitness. This research concluded positive associations between average slope and the body fat in the ACS. The tendency of findings signal that the average slope should be taken into account along with the distance, time and frequency of the active commuting.

14.
Proc IEEE Int Symp Biomed Imaging ; 2020: 1659-1663, 2020 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-34040694

RESUMEN

Histologic diagnosis of Barrett's esophagus and esophageal malignancy via probe-based confocal laser endomicroscopy (pCLE) allows for real-time examination of epithelial architecture and targeted biopsy sampling. Although pCLE demonstrates high specificity, sensitivity remains low. This study employs deep learning architectures in order to improve the accuracy of pCLE in diagnosing esophageal cancer and its precursors. pCLE videos are curated and annotated as belonging to one of the three classes: squamous, Barrett's (intestinal metaplasia without dysplasia), or dysplasia. We introduce two novel video architectures, AttentionPooling and Multi-Module AttentionPooling deep networks, that outperform other models and demonstrate a high degree of explainability.

15.
Artículo en Inglés | MEDLINE | ID: mdl-34046246

RESUMEN

One of the greatest obstacles in the adoption of deep neural networks for new medical applications is that training these models typically require a large amount of manually labeled training samples. In this body of work, we investigate the semi-supervised scenario where one has access to large amounts of unlabeled data and only a few labeled samples. We study the performance of MixMatch and FixMatch-two popular semi-supervised learning methods-on a histology dataset. More specifically, we study these models' impact under a highly noisy and imbalanced setting. The findings here motivate the development of semi-supervised methods to ameliorate problems commonly encountered in medical data applications.

16.
Intensive Care Med ; 45(6): 911, 2019 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-30989263

RESUMEN

The original version of this article unfortunately contained a mistake.

17.
Intensive Care Med ; 45(6): 770-788, 2019 06.
Artículo en Inglés | MEDLINE | ID: mdl-30911808

RESUMEN

INTRODUCTION: This narrative review focusing on critical care echocardiography (CCE) has been written by a group of experts in the field, with the aim of outlining the state of the art in CCE in the 10 years after its official recognition and definition. RESULTS: In the last 10 years, CCE has become an essential branch of critical care ultrasonography and has gained general acceptance. Its use, both as a diagnostic tool and for hemodynamic monitoring, has increased markedly, influencing contemporary cardiorespiratory management. Recent studies suggest that the use of CCE may have a positive impact on outcomes. CCE may be used in critically ill patients in many different clinical situations, both in their early evaluation of in the emergency department and during intensive care unit (ICU) admission and stay. CCE has also proven its utility in perioperative settings, as well as in the management of mechanical circulatory support. CCE may be performed with very simple diagnostic objectives. This application, referred to as basic CCE, does not require a high level of training. Advanced CCE, on the other hand, uses ultrasonography for full evaluation of cardiac function and hemodynamics, and requires extensive training, with formal certification now available. Indeed, recent years have seen the creation of worldwide certification in advanced CCE. While transthoracic CCE remains the most commonly used method, the transesophageal route has gained importance, particularly for intubated and ventilated patients. CONCLUSION: CCE is now widely accepted by the critical care community as a valuable tool in the ICU and emergency department, and in perioperative settings.


Asunto(s)
Cuidados Críticos/tendencias , Ecocardiografía/tendencias , Cuidados Críticos/métodos , Ecocardiografía/métodos , Hemodinámica/fisiología , Humanos , Unidades de Cuidados Intensivos/organización & administración , Unidades de Cuidados Intensivos/tendencias
18.
Clín. investig. ginecol. obstet. (Ed. impr.) ; 45(4): 151-156, oct.-dic. 2018. tab, graf
Artículo en Español | IBECS | ID: ibc-180046

RESUMEN

Introducción y objetivos: La endometriosis es una enfermedad con una incidencia que puede llegar al 50% en mujeres en edad fértil. La endometriosis apendicular se presenta en el 1% de estas pacientes, con una clínica variable: su presentación más frecuente es la propia de una apendicitis. El objetivo del estudio es describir y analizar las características clínicas y anatomopatológicas de los casos de endometriosis apendicular de los últimos 10años en el Hospital 12 de Octubre. Pacientes y métodos: Presentamos el estudio retrospectivo de los casos de endometriosis apendicular de nuestro centro en los últimos 10 años. Resultados: Encontramos 22 casos de endometriosis apendicular de un total de 7.051 piezas. La mediana de edad de las pacientes fue de 38,5 años, con 3 pacientes fuera de edad fértil. El inicio fue un abdomen agudo en 16 pacientes; hasta en 10 casos se requirió la realización de 2pruebas de imagen. La endometriosis apendicular fue sospechada en tan solo 2 pacientes. El abordaje laparoscópico fue la técnica de preferencia en los casos crónicos o dudosos. En 6 de las piezas apareció una apendicitis concomitante. Conclusiones: La endometriosis apendicular presenta un difícil diagnóstico preoperatorio y debe ser tenida en cuenta en el diagnóstico diferencial de la apendicitis aguda y considerar que puede ocurrir fuera de la edad fértil


Introduction and objectives: Endometriosis is a disease with an incidence that may reach 50% in women of childbearing age. Appendiceal endometriosis occurs in 1% of these patients. Although symptoms vary, it typically manifests with the same symptoms as appendicitis. The aim of this study was to describe and analyse the clinical, anatomical and pathological characteristics of the appendiceal endometriosis cases treated over the last decade at 12 de Octubre Hospital. Patients and methods: We present a retrospective study of the cases of appendiceal endometriosis treated at our centre over the last 10 years. Results: We found 22 cases of appendiceal endometriosis from a total of 7051 cases. Median patient age was 38.5 years, with 3 patients not of childbearing age. Acute abdomen was the initial manifestation in 16 patients, requiring the performance of 2imaging tests in 10 cases. Appendiceal endometriosis was suspected in only 2 patients. The laparoscopic approach was the preferred technique in chronic or doubtful cases. Concomitant appendicitis was found in 6cases. Conclusions: Appendiceal endometriosis presents a preoperative diagnostic challenge and should be considered in the differential diagnosis of acute appendicitis, bearing in mind that it can arise in women not of childbearing age


Asunto(s)
Humanos , Femenino , Adulto , Persona de Mediana Edad , Anciano , Endometriosis/diagnóstico , Endometriosis/patología , Apendicitis/complicaciones , Apendicitis/diagnóstico , Estudios Retrospectivos , Diagnóstico Diferencial , Laparotomía , Laparoscopía , Tiempo de Internación
19.
Hernia ; 22(6): 1077-1081, 2018 12.
Artículo en Inglés | MEDLINE | ID: mdl-30155571

RESUMEN

INTRODUCTION: Internal hernias (IH) are late complications of bariatric surgery, specifically gastric bypass and manifest with diffuse abdominal pain and/or intestinal obstruction. They have a low incidence, however, are increasingly common in patients undergoing laparoscopic gastric bypass (LGBP). Petersen's internal hernia is one of the most frequent internal hernias following Bariatric surgery. METHODS: We describe our experience at a third-level surgical center using a prophylactic Petersen's space herniorrhaphy immediately following LGBP as a preventative strategy for post-bariatric internal hernias. In addition, we perform a retrospective descriptive study with 667 patients undergoing LGBP under which we divided into two groups. In the first group, the Petersen's space was not closed, and in the second group, the Petersen´s space closure was performed using non-absorbable polypropylene non-interrupted sutures. RESULTS AND CONCLUSIONS: 667 patients were taken to LGBP, and of which 5 presented internal hernias. From the 346 patients who had Petersen´s herniorrhaphy performed, one developed signs of an internal hernia at 22 months follow-up and was subsequently confirmed later with laparoscopy (0.02%). Of the 321 patients not having had Petersen's space closure, 4 developed Petersen's internal hernia at an average of 22-month post-op, incidence of 0.1%. We analyzed and compared our results with those reported in the literature. Petersen's space closure immediately after a LGBP with an alimentary loop in the anterior colic position (prophylactic herniorrhaphy) with non-interrupted non-absorbable suture is a useful, safe, and effective technique to prevent the development of Petersen's IH during the post-operative period following LGBP.


Asunto(s)
Derivación Gástrica/efectos adversos , Derivación Gástrica/métodos , Hernia Abdominal/prevención & control , Herniorrafia/métodos , Cirugía Bariátrica/efectos adversos , Cirugía Bariátrica/métodos , Hernia Abdominal/etiología , Humanos , Incidencia , Laparoscopía/efectos adversos , Mesenterio/cirugía , Estudios Retrospectivos , Técnicas de Sutura
20.
J Environ Manage ; 222: 447-453, 2018 Sep 15.
Artículo en Inglés | MEDLINE | ID: mdl-29894948

RESUMEN

The concentration and recovery of the high-added value phenolic fraction from two-phase olive mill wastewater and the simultaneous effluent treatment by a novel micro/ultra/nanocentrifugation membrane process assessment is addressed, permitting to gather information for a correct and effective screening procedure for the adequate membrane election (MF-UF-loose NF) for the target. Phenolic compounds are the major factor of phytotoxicity of these effluents, but on the other hand they present high antioxidant properties that makes them very relevant for food, cosmetic, pharmaceutical and biotechnological industries. The selection of a membrane MWCO between 100 kDa and 0.45 µm permitted the complete transfer of the phenolic fraction to the permeate, whereas below 3 kDa they would be transferred to the concentrate stream instead, with ∼60% COD reduction and EC lowered to 551-662 µS cm-1 in the final treated stream ensured, sensibly improving the effluent quality. This would provide a purified effluent with good salinity standards according to the indications given by the FAO for irrigation reuse. This procedure could be quick and reliable for the assessment of the adequate membrane needed for a particular purification process, in contrast with long-term, time consuming common bench-scale procedures.


Asunto(s)
Agricultura , Eliminación de Residuos Líquidos , Purificación del Agua , Filtración , Residuos Industriales , Membranas Artificiales , Evaluación de Procesos, Atención de Salud , Aguas Residuales
SELECCIÓN DE REFERENCIAS
DETALLE DE LA BÚSQUEDA