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1.
Rev. cuba. med ; 62(4)dic. 2023.
Artigo em Espanhol | LILACS, CUMED | ID: biblio-1550905

RESUMO

El linfoma se encuentra en el área de los ganglios linfáticos a ambos lados (superior e inferior) del diafragma, así como en el bazo(AU)


Assuntos
Humanos , Masculino , Feminino , Linfadenopatia/diagnóstico por imagem , Linfoma não Hodgkin/diagnóstico
2.
Cancers (Basel) ; 15(17)2023 Aug 26.
Artigo em Inglês | MEDLINE | ID: mdl-37686547

RESUMO

INTRODUCTION: Epithelial ovarian cancer (EOC) is primarily confined to the peritoneal cavity. When primary complete surgery is not possible, neoadjuvant chemotherapy (NACT) is provided; however, the peritoneum-plasma barrier hinders the drug effect. The intraperitoneal administration of chemotherapy could eliminate residual microscopic peritoneal tumor cells and increase this effect by hyperthermia. Intraperitoneal hyperthermic chemotherapy (HIPEC) after interval cytoreductive surgery could improve outcomes in terms of disease-free survival (DFS) and overall survival (OS). MATERIALS AND METHODS: A multicenter, retrospective observational study of advanced EOC patients who underwent interval cytoreductive surgery alone (CRSnoH) or interval cytoreductive surgery plus HIPEC (CRSH) was carried out in Spain between 07/2012 and 12/2021. A total of 515 patients were selected. Progression-free survival (PFS) and OS analyses were performed. The series of patients who underwent CRSH or CRSnoH was balanced regarding the risk factors using a statistical analysis technique called propensity score matching. RESULTS: A total of 170 patients were included in each subgroup. The complete surgery rate was similar in both groups (79.4% vs. 84.7%). The median PFS times were 16 and 13 months in the CRSH and CRSnoH groups, respectively (Hazard ratio (HR) 0.74; 95% CI, 0.58-0.94; p = 0.031). The median OS times were 56 and 50 months in the CRSH and CRSnoH groups, respectively (HR, 0.88; 95% CI, 0.64-1.20; p = 0.44). There was no increase in complications in the CRSH group. CONCLUSION: The addition of HIPEC after interval cytoreductive surgery is safe and increases DFS in advanced EOC patients.

3.
In. Chao Pereira, Caridad. Insuficiencia cardiaca. Conducta terapéutica en escenarios clínicos. La Habana, Editorial Ciencias Médicas, 2023. .
Monografia em Espanhol | CUMED | ID: cum-79504
4.
Rev Panam Salud Publica ; 46: e148, 2022.
Artigo em Espanhol | MEDLINE | ID: mdl-36245902

RESUMO

Objective: This article presents the findings of a review of the literature on public resistance to vaccines and the main factors that have influenced their decisions about immunoprevention, with a focus on the COVID-19 pandemic. Methods: We searched the literature using the terms DeCs/MeSH, anti-vaccination movement, vaccination refusal, epidemics, COVID-19, and impacts on health, using the Boolean operators OR and AND in Google Scholar, Medline, Lilacs, and Ibecs. Documents from official sources were also considered. Results: Throughout history, since vaccination began, people have had controversial perceptions of the procedure: some accept what the health authorities recommend, and others allege hidden intentions behind immunization. The COVID-19 vaccine against SARS-CoV-2 has been no exception. Conclusions: Vaccination has been one of the greatest scientific achievements in public health. However, despite its benefits, it has raised fear, uncertainty, and suspicion in the population. For this reason, it is important to increase health education actions in the population-with clear, concise, understandable information that is based on reliable and truthful sources-in order to reduce resistance to vaccination and address preventable diseases.


Objetivo: Este artigo busca apresentar os achados de uma revisão da literatura sobre a resistência da população às vacinas e os principais motivos que influenciaram suas decisões em relação à imunoprevenção, com foco na pandemia de COVID-19. Métodos: Foi realizada uma busca na literatura utilizando os termos DeCs/MeSH anti-vaccination movement, vaccination refusal, epidemics, COVID-19 e impacts on health, relacionados entre si pelos operadores booleanos OR e AND, no Google Scholar, MEDLINE, LILACS e IBECS. Documentos de fontes oficiais também foram levados em consideração. Resultados: Ao longo da história, desde o início da vacinação, a percepção das pessoas em relação a esse procedimento foi controversa. Há quem aceite o que as autoridades de saúde recomendam e quem alegue intenções ocultas por trás da imunização. A vacina contra o SARS-CoV-2, que causa a COVID-19, não foi exceção. Conclusões: A vacinação tem sido uma das maiores conquistas científicas em termos de saúde pública ­ um avanço que, apesar de seus benefícios, tem causado medo, incerteza e desconfiança na população. Por isso, é importante aumentar as ações de educação em saúde para a população, com informações claras, concisas e compreensíveis, baseadas em fontes confiáveis e verídicas, a fim de diminuir a resistência à vacinação e evitar doenças preveníveis.

5.
Artigo em Espanhol | PAHO-IRIS | ID: phr-56478

RESUMO

[RESUMEN]. Objetivo. El presente artículo busca exponer los hallazgos de una revisión de la literatura sobre la resistencia de la población frente a las vacunas y las principales razones que han influido en sus decisiones hacia a la inmunoprevención, con foco en la pandemia de la COVID-19. Métodos. Se realizó una búsqueda en la literatura utilizando los términos DeCs/MeSH, Anti-Vaccination Movement, Vaccination refusal, Epidemics, COVID-19, Impacts on health, relacionados entre ellos por los operadores booleanos OR y AND en Google Scholar, Medline, Lilacs e Ibecs; también se tuvieron en cuenta documentos de fuentes oficiales. Resultados. A lo largo de la historia, desde el inicio de la vacunación, la percepción de las personas hacia este procedimiento ha sido controversial, hay quienes aceptan lo que las autoridades sanitarias recomiendan y quienes alegan intenciones ocultas detrás de la inmunización; la vacuna contra el SARS-CoV-2 causante de la COVID-19 no ha sido la excepción. Conclusiones. La vacunación ha sido uno de los mayores logros científicos en términos de salud pública, un avance que, a pesar de sus beneficios, ha causado miedo, incertidumbre y suspicacias en la población. Por esta razón, resulta importante incrementar las acciones de educación para la salud en la población, con infor- mación clara, concisa y comprensible, y sustentada en fuentes confiables y verídicas, con el fin de disminuir la resistencia a la vacunación y evitar las enfermedades prevenibles.


[ABSTRACT]. Objective. This article presents the findings of a review of the literature on public resistance to vaccines and the main factors that have influenced their decisions about immunoprevention, with a focus on the COVID-19 pandemic. Methods. We searched the literature using the terms DeCs/MeSH, anti-vaccination movement, vaccination refusal, epidemics, COVID-19, and impacts on health, using the Boolean operators OR and AND in Google Scholar, Medline, Lilacs, and Ibecs. Documents from official sources were also considered. Results. Throughout history, since vaccination began, people have had controversial perceptions of the pro- cedure: some accept what the health authorities recommend, and others allege hidden intentions behind immunization. The COVID-19 vaccine against SARS-CoV-2 has been no exception. Conclusions. Vaccination has been one of the greatest scientific achievements in public health. However, despite its benefits, it has raised fear, uncertainty, and suspicion in the population. For this reason, it is import- ant to increase health education actions in the population—with clear, concise, understandable information that is based on reliable and truthful sources—in order to reduce resistance to vaccination and address pre- ventable diseases.


[RESUMO]. Objetivo. Este artigo busca apresentar os achados de uma revisão da literatura sobre a resistência da popu- lação às vacinas e os principais motivos que influenciaram suas decisões em relação à imunoprevenção, com foco na pandemia de COVID-19. Métodos. Foi realizada uma busca na literatura utilizando os termos DeCs/MeSH anti-vaccination movement, vaccination refusal, epidemics, COVID-19 e impacts on health, relacionados entre si pelos operadores bool- eanos OR e AND, no Google Scholar, MEDLINE, LILACS e IBECS. Documentos de fontes oficiais também foram levados em consideração. Resultados. Ao longo da história, desde o início da vacinação, a percepção das pessoas em relação a esse procedimento foi controversa. Há quem aceite o que as autoridades de saúde recomendam e quem alegue intenções ocultas por trás da imunização. A vacina contra o SARS-CoV-2, que causa a COVID-19, não foi exceção. Conclusões. A vacinação tem sido uma das maiores conquistas científicas em termos de saúde pública um avanço que, apesar de seus benefícios, tem causado medo, incerteza e desconfiança na população. Por isso, é importante aumentar as ações de educação em saúde para a população, com informações claras, concisas e compreensíveis, baseadas em fontes confiáveis e verídicas, a fim de diminuir a resistência à vacinação e evitar doenças preveníveis.


Assuntos
COVID-19 , Movimento contra Vacinação , Recusa de Vacinação , Epidemias , Avaliação do Impacto na Saúde , História da Medicina , Movimento contra Vacinação , Recusa de Vacinação , Epidemias , Avaliação do Impacto na Saúde , História da Medicina
6.
Rev. panam. salud pública ; 46: e148, 2022. tab, graf
Artigo em Espanhol | LILACS-Express | LILACS | ID: biblio-1450231

RESUMO

RESUMEN Objetivo. El presente artículo busca exponer los hallazgos de una revisión de la literatura sobre la resistencia de la población frente a las vacunas y las principales razones que han influido en sus decisiones hacia a la inmunoprevención, con foco en la pandemia de la COVID-19. Métodos. Se realizó una búsqueda en la literatura utilizando los términos DeCs/MeSH, Anti-Vaccination Movement, Vaccination refusal, Epidemics, COVID-19, Impacts on health, relacionados entre ellos por los operadores booleanos OR y AND en Google Scholar, Medline, Lilacs e Ibecs; también se tuvieron en cuenta documentos de fuentes oficiales. Resultados. A lo largo de la historia, desde el inicio de la vacunación, la percepción de las personas hacia este procedimiento ha sido controversial, hay quienes aceptan lo que las autoridades sanitarias recomiendan y quienes alegan intenciones ocultas detrás de la inmunización; la vacuna contra el SARS-CoV-2 causante de la COVID-19 no ha sido la excepción. Conclusiones. La vacunación ha sido uno de los mayores logros científicos en términos de salud pública, un avance que, a pesar de sus beneficios, ha causado miedo, incertidumbre y suspicacias en la población. Por esta razón, resulta importante incrementar las acciones de educación para la salud en la población, con información clara, concisa y comprensible, y sustentada en fuentes confiables y verídicas, con el fin de disminuir la resistencia a la vacunación y evitar las enfermedades prevenibles.


ABSTRACT Objective. This article presents the findings of a review of the literature on public resistance to vaccines and the main factors that have influenced their decisions about immunoprevention, with a focus on the COVID-19 pandemic. Methods. We searched the literature using the terms DeCs/MeSH, anti-vaccination movement, vaccination refusal, epidemics, COVID-19, and impacts on health, using the Boolean operators OR and AND in Google Scholar, Medline, Lilacs, and Ibecs. Documents from official sources were also considered. Results. Throughout history, since vaccination began, people have had controversial perceptions of the procedure: some accept what the health authorities recommend, and others allege hidden intentions behind immunization. The COVID-19 vaccine against SARS-CoV-2 has been no exception. Conclusions. Vaccination has been one of the greatest scientific achievements in public health. However, despite its benefits, it has raised fear, uncertainty, and suspicion in the population. For this reason, it is important to increase health education actions in the population—with clear, concise, understandable information that is based on reliable and truthful sources—in order to reduce resistance to vaccination and address preventable diseases.


RESUMO Objetivo. Este artigo busca apresentar os achados de uma revisão da literatura sobre a resistência da população às vacinas e os principais motivos que influenciaram suas decisões em relação à imunoprevenção, com foco na pandemia de COVID-19. Métodos. Foi realizada uma busca na literatura utilizando os termos DeCs/MeSH anti-vaccination movement, vaccination refusal, epidemics, COVID-19 e impacts on health, relacionados entre si pelos operadores booleanos OR e AND, no Google Scholar, MEDLINE, LILACS e IBECS. Documentos de fontes oficiais também foram levados em consideração. Resultados. Ao longo da história, desde o início da vacinação, a percepção das pessoas em relação a esse procedimento foi controversa. Há quem aceite o que as autoridades de saúde recomendam e quem alegue intenções ocultas por trás da imunização. A vacina contra o SARS-CoV-2, que causa a COVID-19, não foi exceção. Conclusões. A vacinação tem sido uma das maiores conquistas científicas em termos de saúde pública - um avanço que, apesar de seus benefícios, tem causado medo, incerteza e desconfiança na população. Por isso, é importante aumentar as ações de educação em saúde para a população, com informações claras, concisas e compreensíveis, baseadas em fontes confiáveis e verídicas, a fim de diminuir a resistência à vacinação e evitar doenças preveníveis.

8.
Langmuir ; 31(27): 7563-71, 2015 Jul 14.
Artigo em Inglês | MEDLINE | ID: mdl-26087312

RESUMO

The interaction of organic molecules with the surface of calcite plays a central role in many geochemical, petrochemical, and industrial processes and in biomineralization. Adsorbed organics, typically fatty acids, can interfere with the evolution of calcite when immersed in aqueous solutions. Here we use atomic force microscopy in liquid to explore in real-time the evolution of the (1014) surface of calcite covered with various densities of stearic acid and exposed to different saline solutions. Our results show that the stearic acid molecules tend to act as "pinning points" on the calcite's surface and slow down the crystal's restructuring kinetics. Depending on the amount of material adsorbed, the organic molecules can form monolayers or bilayer islands that become embedded into the growing crystal. The growth process can also displaces the organic molecules and actively concentrate them into stacked multilayers. Our results provide molecular-level insights into the interplay between the adsorbed fatty acid molecules and the evolving calcite crystal, highlighting mechanisms that could have important implications for several biochemical and geochemical processes and for the oil industry.


Assuntos
Carbonato de Cálcio/química , Ácidos Esteáricos/química , Adsorção , Carbonato de Cálcio/síntese química , Estrutura Molecular , Tamanho da Partícula , Propriedades de Superfície
9.
J Clin Exp Dent ; 7(1): e69-73, 2015 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-25810845

RESUMO

OBJECTIVES: the purpose of this study was to compare debris removal and open tubules effectiveness of sodium hypochlorite (NaOCl) and chlorhexidine (CHX) applied as final irrigation in different protocols Study Design: sixty extracted premolars were divided into six groups according to the final irrigation technique: A and B 3 % NaOCl or 2 % CHX with the Miraject needle and no agitation; C and D, passive ultrasonic irrigation (PUI) with Irrisafe 20 tips and 3 % NaOCl or 2 % CHX; E and F, PUI with Irrisafe 25 tips and 3 % NaOCl or 2% CHX. The remaining dentine debris and opened tubules were evaluated by SEM at three root levels by two blinded investigators. The Kruskal Wallis and the Mann-Whitney U test was used to compare groups and levels, with a significance of p<0.05. RESULTS: Debris elimination was significantly higher in PUI groups (p<0.05). PUI groups showed a higher capability to open tubules, compared to groups A and B. In the coronal third, groups D to F eliminated more debris and opened more tubules than conventional irrigation (p<0.05). In medium third, group E eliminated significantly more debris (1.60) than group A (2.60). No differences were obtained among groups in apical third. Both NaOCl and CHX applied with PUI showed no differences in debris elimination or opened tubules. CONCLUSIONS: Final PUI with Irrisafe tips was the most effective procedure for eliminating the debris and opening up dentinal tubules, independent of the irrigant solution or Irrisafe type size. Key words:Ultrasonic irrigation, PUI, sodium hypochlorite, chlorhexidine.

10.
Adv Mater ; 25(32): 4511-4, 2013 Aug 27.
Artigo em Inglês | MEDLINE | ID: mdl-23788245

RESUMO

Self-assembled monolayer field-effect transistors (SAMFETs) of BTBT functionalized phosphonic acids are fabricated. The molecular design enables device operation with charge carrier mobilities up to 10(-2) cm(2) V(-1) s(-1) and for the first time SAMFETs which operate on rough, flexible PEN substrates even under mechanical substrate bending.

11.
J Chem Phys ; 138(12): 121101, 2013 Mar 28.
Artigo em Inglês | MEDLINE | ID: mdl-23556701

RESUMO

Water becomes ordered in the form of hexagonal ice at room temperature under controlled humidity conditions upon confinement in the nanometer range between protective graphene sheets and crystalline (111) surfaces with hexagonal symmetry of the alkali earth fluoride BaF2. Interfacial water/substrate pseudoepitaxy turns out to be a critical parameter since ice is only formed when the lattice mismatch is small, an observation based on the absence of ice on (111) surfaces of isostructural CaF2.

12.
Phys Chem Chem Phys ; 15(9): 3320-8, 2013 Mar 07.
Artigo em Inglês | MEDLINE | ID: mdl-23361257

RESUMO

The structure of solid-ionic liquid (IL) interfaces has been characterised with unprecedented clarity by employing a range of atomic force microscopy (AFM) imaging techniques and tip pressures appropriate for the system under study. Soft contact and amplitude-modulation (AM) AFM imaging have been used to elucidate the lateral structure of ILs adsorbed onto mica, and in the near surface ion layers. Data is presented for ethylammonium nitrate (EAN) and 1-ethyl-3-methylimidazolium bis(trifluoro-methylsulfonyl)imide (EMIm TFSI). Whereas EAN is a protic IL that forms a nanostructured sponge phase in the bulk, EMIm TFSI is aprotic and has weak (or absent) bulk association structure. Comparison of results obtained for the two liquids elucidates how the strength of bulk liquid morphology effects lateral organisation at the surface, and any effect of IL class, i.e. protic versus aprotic. Imaging reveals EAN self assembles at the solid surface in a worm-like morphology, whereas EMIm cations adsorb in a more isolated fashion, but still in rows templated by the mica surface. To the authors' knowledge, the wormlike structures present at the EAN-mica interface are the smallest self-assembled aggregates ever imaged on a solid surface.

13.
Int J Surg Pathol ; 20(5): 523-7, 2012 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-22180529

RESUMO

We describe a rare case of malignant teratoma involving the entire right lung. A 28 years old man was admitted to the hospital with severe respiratory failure and general malaise. Chest X-ray showed a dense opacity of the entire right lung, accompanied by pleural effusion. At autopsy, the right lung was completed replaced by a mass of variegated appearance combining cystic spaces and solid areas. Microscopically, the lung tumor exhibited a polymorphous histological picture. Most of the tissue had a malignant mesenchymal appearance, which included areas of chondrosarcoma, chondroblastic osteosarcoma, well differentiated liposarcoma, and undifferentiated pleomorphic sarcoma. Other areas of the tumor showed malignant epithelial components consistent with bronchial and urothelial mucosa with also scattered islands of pigmented epithelium of probable neuronal or retinal nature.


Assuntos
Neoplasias Pulmonares/patologia , Teratoma/patologia , Adulto , Evolução Fatal , Humanos , Neoplasias Pulmonares/diagnóstico por imagem , Masculino , Radiografia Torácica , Teratoma/diagnóstico por imagem
14.
Dentum (Barc.) ; 9(3): 36-42, jul.-sept. 2009. ilus
Artigo em Espanhol | IBECS | ID: ibc-82010

RESUMO

La utilización de los implantes oseointegrados para restaurar a los pacientes edéntulos se ha incrementado en la práctica general. Lasuperficie de los implantes es muy importante para conseguir la oseointegración. Existen muchos tipos de superficies en los implantes dentales. La investigación en superficie de implantes comienza con la superficie mecanizada. La superficie rugosa incrementa la adherencia celular y muestra una mayor área de contacto hueso-implante. El recubrimiento con plasma de titanio e hidroxiapatita fueron métodos comunes para modificar la rugosidad de la superficie. Más recientemente, el chorreado con partículas (ej. alúmina, óxido de titanio) de diferentes diámetros y el grabado ácido (ej. chorhídrico, sulfúrico, nítrico) son otros procesos que pueden incrementar la superficie rugosa de los implantes. El tratamiento de la superficie de los implantes constituye un importante campo en futuras investigaciones de la implantología oral (AU)


Use of osseointegrated implants to restore edentulous patients has increased in the general dentistry. Implant surface is very important for enhance osseointegration. They are many types of dental implant surfaces. Implant surface research begins with machined or turned surface. Roughened surface titanium increase cell adhesion and exhibit stronger bone-implant contact area. Plasma-spray and hydroxyapatite coating were common methods for rough surface modification. Most recently, blasting with particles (i.e. aluminium, titanium oxide) of various diameters and chemical acid-etching(i.e. hydrochloric, sulphuric and nitric acids) are another process by which surface roughness can be increased. The surface modifications of titanium constitute an important field for future research of implant dentistry (AU)


Assuntos
Humanos , Implantação Dentária Endóssea/métodos , Boca Edêntula/cirurgia
15.
Dentum (Barc.) ; 9(3): 108-114, jul.-sept. 2009. ilus
Artigo em Espanhol | IBECS | ID: ibc-82011

RESUMO

Actualmente, la investigación en las superficies de los implantes es un importante campo de la implantología oral. La superficie tratada con láser puede incrementar la adhesión osteoblástica e impulsar la oseointegración. El zirconio es un nuevo material cerámico para los implantes dentales. Las superficies rugosas por chorreado y/o grabado ácido pueden ser bioactivadas con diferentes sustancias (factores de crecimiento, PGRF; fluoruros; proteínas morfogenéticas, BMP-2; melatonina; estatinas) que constituyen otras formas de mejorar la oseointegración. Más recientemente, la tecnología de las nano estructuras ha comenzado en la implantología oral con el desarrollo de superficies nanoporosas que manifiestan una mejor respuesta osteogénica e incrementa la unión mecánica hueso-titanio. La incorporación de nuevos materiales y procesos técnicos en la investigación sobre superficies de implantes ofrecen nuevas posibilidades de mejorar su respuesta tisular y su potencial regenerativo óseo (AU)


Today, implant surface research is a very important field of implant dentistry. Surface treated with laser may increase osteoblast adhesion and enhance osseointegration. Zirconia is a new ceramic material for dental implants. Blasted and acid roughened implant surfaces may be bioactived with different substances (growth factors, PRGF; fluoride; morphogenetic proteins, BMP-2; melatonin, statines) that constitute another ways of improve the osseointegration. Mostrecently, nanostructuring technology begins in implant dentistry with the development of nanoporous surfaces that manifest better osteogenic response and increase bone-titanium mechanical interlocking. The introduction of new materials and new technical process in dental surfaces research offering new possibilities for better tissue response and bone regenerative potential (AU)


Assuntos
Humanos , Implantação Dentária Endóssea/métodos , Boca Edêntula/cirurgia , Materiais Dentários , Cerâmica
16.
J Dent Child (Chic) ; 70(1): 55-7, 2003.
Artigo em Inglês | MEDLINE | ID: mdl-12762610

RESUMO

PURPOSE: The purpose of this study was to determine the prevalence of tooth crown fractures affecting primary incisors of 3-year-old Andalusian children. METHODS: Clinicians examined 337 three-year-old children (mean age=3.6 years) of Seville, Andalusia, southern Spain. They examined the children for several dental and oral conditions, including tooth trauma. RESULTS: Crown fractures were found in 15% of the examined children. The prevalence of tooth crown fractures was significantly higher in males (18%) than in females (10%) (P=.04; odds ratio:0.5). In both genders, the upper central incisors had the most fractures, 77% in males and 71% in females. The most common crown fracture was found in enamel only (82%), followed by fracture into dentin (12%), and fracture involving the dental pulp (7%). CONCLUSIONS: Dentists have a responsibility to examine primary tooth injuries at the initial presentation of children because a dental injury to a primary tooth may include more severe injuries, such as dento-alveolar fractures.


Assuntos
Coroa do Dente/lesões , Fraturas dos Dentes/epidemiologia , Dente Decíduo/lesões , Pré-Escolar , Dente Canino/lesões , Esmalte Dentário/lesões , Polpa Dentária/lesões , Dentina/lesões , Feminino , Humanos , Incisivo/lesões , Masculino , Razão de Chances , Prevalência , Fatores Sexuais , Espanha/epidemiologia
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