bluuebunny/crossref_metadata_2025 huggingface dataset:
The Performance Evaluation Mechanism Based on Information Construction for Large Stand-Alone Medical Equipment and Its Support for Decision-Making of Purchasing
Authors: LU Qing
Published: June 2020

Background: Continuously deeper reform of public hospitals has put forward the need to innovate the philosophy and system of large medical equipment operation and management, and the phenomenon featuring “more attention to purchasing and less attention to management” need to be turned around. Methods: This research took use of information management to set up ID fields (unique number) for target stand-alone equipment; integrated statistics functions of HIS, PACS, LIS, RIS and equipment management system to get the basic operation data; informationized the work flow and reform technology to set up a post evaluation indictor system for the performance of stand-alone equipment; compared the service condition of newly purchased equipment with the feasibility application of relative department from various dimensions; designed objective post-evaluation indicators from various angles to scientifically manage existing medical equipment and support decision-making of new application for purchasing medical equipment. Results: Application performance of stand-alone equipment and clinical departments were ranked in a standardized manner. Decision-making mode based on data case of stand-alone equipment was set up. Net present value was evaluated. However, re-purchasing the instrument did not continuously increase the contribution of each instrument. The laboratory can purchase new instruments again, while the imaging department is not recommended to purchase. Conclusion: The performance evaluation mechanism based on information construction for large stand-alone medical equipment and its support for decision-making of purchasing is of great significance to improve the service life of equipment, exert the maximum effect and reduce economic waste.
Changes in Eating-Out Frequency According to Sociodemographic Characteristics and Nutrient Intakes among Korean Adults
Authors: JU Se-Young
Published: June 2020

Background: The quality of out-of-home foods is an increasingly important issue due to increasing popularity of eating out. The objective of this study was to analyze the relationship of eating-out frequency with general characteristics, dietary habits, and nutrient intakes among Korean adults. Methods: This study collected data from 2010- 2015 KNHANES. The total number of participants was 33,427 Korean adults aged 19 years and older. All statistical analyses were conducted using SAS software version 9.3. Results: Eating-out more frequently was associated with younger, unmarried, employed, urban resident, higher income, higher education, and being male. Regarding dietary behavior, subjects with skipping breakfast and taking snack behavior showed a tendency to eat out more frequently. Meanwhile, energy, carbohydrate, protein, fat, and sodium intake were higher in subjects with ≥ 5/week eating-out frequency than those in subjects with < 5/week eating-out frequency. Conclusion: This study provides important insights into the effect of targeted public health education and policies.
Development of Evaluation System for Iranian Health Research Networks: Challenges and Lessons Learned
Authors: DJALALINIA Shirin , TALEI Mohammad Bagher , NAJJARI Abbas , BAGHERI Mohammad Reza , AKHONDZADEH Shahin , MALEKZADEH Reza , EBADIFAR Asghar
Published: June 2020

Background: Health research networks (HRNs) are critical components of large-scale systems of production and validation of scientific evidence. As evaluation of research systems is a reliable process to measure efficiency and effectiveness of their activities, we aimed to report the processes of development of evaluation indicators’ for Iranian health research networks and the results of conducted assessment. Methods: In 2017, for the first time, aim to develop the evaluation framework for national HRNs, following the qualitative approach to assess the quality of research we designed the peer review method as one of the most important tools. This qualitative method was conducted according to experts’ views in specific fields. Key policy makers and stakeholders collaboratively developed a number of criteria for evaluation of research performance of Iranian HRNs. Following the review of conducted studies, benefitting from published guide line, these indicators were defined under 4 main axes of governance and leadership; infrastructures; research products and research impact. Results: Based on requirements of developed protocol for evaluation of HRNs in Iran, 18 HRNs completed the processes of evaluation. Results show a progressive need for more attention to precise planning of HRNs for achieving to goals. Another point to consider is the attention to documenting processes. The observational system for researches for detection of latest research priority was the most important issues that need to be more addressed by all of networks. Conclusion: Research evaluation of Iranian HRNs more over creating of constructive positive competition provide an overview of the shortcomings and research challenges could be used for better planning and promotion of the health research system.
Modeling and Analyzing Stem-Cell Therapy toward Cancer: Evolutionary Game Theory Perspective
Authors: VEISI Zahra , KHADEM Heydar , RAVANSHADI Samin
Published: June 2020

Background: Immunotherapy is a recently developed method of cancer therapy, aiming to strengthen a patient’s immune system in different ways to fight cancer. One of these ways is to add stem cells into the patient’s body. Methods: The study was conducted in Kermanshah, western Iran, 2016-2017. We first modeled the interaction between cancerous and healthy cells using the concept of evolutionary game theory. System dynamics were analyzed employing replicator equations and control theory notions. We categorized the system into separate cases based on the value of the parameters. For cases in which the system converged to undesired equilibrium points, “stem-cell injection” was employed as a therapeutic suggestion. The effect of stem cells on the model was considered by reforming the replicator equations as well as adding some new parameters to the system. Results: By adjusting stem cell-related parameters, the system converged to desired equilibrium points, i.e., points with no or a scanty level of cancerous cells. In addition to the theoretical analysis, our simulation results suggested solutions were effective in eliminating cancerous cells. Conclusion: This model could be applicable to different types of cancer, so we did not restrict it to a specific type of cancer. In fact, we were seeking a flexible mathematical framework that could cover different types of cancer by adjusting the system parameters.
Cryopreservation of Echinococcus granulosus Protoscoleces
Authors: BADIRZADEH Alireza , RAEGHI Saber , FALLAH-OMRANI Vahid , ROUHANI Soheila
Published: June 2020

Background: The main objective of the current study was to investigate on the cryopreservation of protoscoleces of Echinococcus granulosus, a causative agent of cystic hydatidosis in man. Methods: This study was conducted on isolated protoscoleces from hydatid cysts infected livers collected from slaughterhouse of Tehran, Iran in 2016. Viability of protoscoleces was evaluated by dye test. Cryopreservation of isolated protoscoleces in the presence of Dimethylsulfoxide (DMSO) and glycerol using a three-step cooling protocol involving an initial period at -20 °C, -80 °C and liquid nitrogen was performed. Results: The mean viability rate of 10% DMSO and 15% glycerol were 9% and 8% respectively. The protoscoleces of Echinococcus granulosus have been successfully thawed and recovered after 6 months storage in liquid nitrogen. Conclusion: Cryopreservation method needs to be improved for each species of helminthes and can be useful for other immunological and laboratorial studies.
Persian Orthopedic Trauma Association: History and Activities
Authors: Alizadeh Khalil , Tavakoli Mohsen
Published: June 2020

This article is an Editorial and does not include an Abstract.
Fracture of the Wrist and Incidence of the Complex Regional Pain Syndrome Type 1: A Case Series Study
Authors: Vezvaei Payam , Alizadeh Soroosh , Mehrpour Saeed Reza , Oryadi-Zanjani Leila
Published: June 2020

Background: Complex regional pain syndrome (CRPS) is a painful syndrome with signs such as swelling, restriction of motion, and discoloration of the skin and bone. CRPS is divided into two types based on neurological injuries. Type 1 CRPS (CRPS-I), which is more common, has no nerve damage. In this study, we used the Budapest Criteria to investigate the incidence of CRPS. We also evaluated the risk factors for the incidence of CRPS.
Methods: This single-center case series study was performed at Shariati Hospital of Tehran University of Medical Sciences, Tehran, Iran, during 2018-2019. We evaluated CRPS-I, two and six weeks after treatment based on Budapest Criteria. The inclusion criteria included distal radius fracture confirmed by clinical and radiographic investigations. The exclusion criteria were patients with fractures in another part of the body, associated nerve damage, vascular injury, and an open fracture.
Results: Sixty-two patients with distal radius fracture who underwent casting or surgical treatment enrolled in the study. A total of 9 (14.5%) patients had CRPS-I after distal radius fracture. In 5 (8.1%) patients, CRPS-I occurred within two weeks after fracture. Also, 4 (6.5%) patients had CRPS-I after six weeks from fracture. There was no significant difference between the two sex groups in terms of CRPS (P = 0.345). This complication was significantly higher in the surgical group than in the casting group (P = 0.004).
Conclusions: Given the significant incidence of CRPS and its impact on patient's quality of life, further studies are recommended to explore solutions to reduce this complication.
The First Case of Multifocal Osteonecrosis in Behcet’s Disease
Authors: Faezi Seyedeh Tahereh , Nejadhosseinian Mohammad , Shahram Farhad , Sadighi Nahid , Banihashemian Masoumeh , Paragomi Pedram , Davatchi Fereydoun
Published: June 2020

Background: Osteonecrosis is death of bone tissue due to interruption of the blood supply. It can occur in autoimmune disease due to multiple mechanisms. It occurs rarely in some kind of multisystem disease such as Behcet’s disease (BD). The aim of this article is to present a case of BD with multifocal osteonecrosis.
Case Presentation: A 26-year-old woman with oral aphthosis, panuveitis, and retinal vasculitis was diagnosed to have BD, and oral treatment of prednisolone (0.5 mg/kg/day) together with azathioprine (2 mg/kg/day) and intravenous (IV) cyclophosphamide (CYC) (0.75 g/m2) was administered for her. Prednisolone was tapered to 15 mg/day after 3 months. Because of unresponsiveness of eye involvement to traditional immunosuppressive therapy, infliximab (5 mg/kg) was started for her and IV CYC was discontinued. 4 months after initial therapy, she complained of her right shoulder pain. Regarding to shoulder pain, magnetic resonance imaging (MRI) showed osteonecrosis of right shoulder. After diagnosis of osteonecrosis, prednisolone was discontinued by herself. 3 months later, she complained of both knees, both hips, and right ankle pain. According to previous diagnosis of osteonecrosis of her right shoulder, MRI was done for all involved joints, which revealed osteonecrosis of all of them. After diagnosis of multifocal osteonecrosis, the following tests were done that all results were normal: anticardiolipin antibody (ACA) [immunoglobulin G (IgG), immunoglobulin M (IgM)], lupus anticoagulant (LA), anti-beta-2 glycoprotein 1 (antiB2GP1) (IgG, IgM), coagulation tests, and lipid profiles.
Conclusions: Bone infarction should be considered in differential diagnosis of patients with joint pain and without the evidence of arthritis; however, it rarely occurs in patients with BD.
Traumatic, Old, and Unreduced Bilateral Knee Dislocation: A Case Study and Literature Review
Authors: Mortazavi Seyed Mohammad Javad , Bagheri Nima , Vahedian-Ardakani Mohammad , Askari Hojjat
Published: June 2020

Background: Old unreduced knee dislocation is rare, which means the experience is still lacking about the best treatment options. Moreover, several surgical options for this condition are still lacking in peer-reviewed research. This is a case report of the treatment of a patient who had bilateral traumatic knee dislocations that were unreduced two months after injury.
Case Presentation: A 45-year-old man with bilateral traumatic unreduced knee dislocation came 2 months after injury. He had no active knee extension and was unable to walk. He underwent open reduction and external fixation. He had good range of motion (ROM) and painless walking in short term. After 5 years, he had acceptable ROM and painless walking, but x-rays showed persistent posterior subluxation of the left knee and some bone loss of the right tibia.
Conclusions: Open reduction, repair of torn ligaments, and external fixation was an effective treatment in regaining ROM and stability in a patient who had bilateral unreduced knee dislocations of two months duration. After five years, the patient had a satisfactory function, but radiographs showed persistent posterior subluxation of one knee and some bone loss of the tibia in the other.
Empleo de Espironolactona-Isobutilhidroclorotiazida en toxemia gravídica y enfermedades afines
Authors: Goméz Palacino Jesús Alberto , Rodríguez T. Jaime , Guzmán A. Armando , Guevara J. Hugo
Published: June 2020

Dentro de los fenómenos fisiopatológicos peculiares de la toxemia gravídica, el desequilibrio hidroelectrolítico juega un papel muy importante a tal punto que según Martin y Milis (24), la gestosis o disgravidia es debida, entre otras causas, a la perdida del equilibrio entre las substancias sodioretenedoras y las sodioexcretoras incluyendo entre las primeras a las hormonas corticoadrenales, y particularmente a la Aldosterona, y entre las segundas a la progesterona.
Hiperplasia suprarrenal fetal: Su relación con la toxemia
Authors: Guevara Jaramillo Hugo
Published: June 2020

Numerosos estudios se han hecho para dilucidar la causa de la Toxemia. Parece que las Glándulas suprarrenales juegan un factor importante y por ello se ha intensificado el estudio de la Corteza Suprarrenal y sus hormonas.
Resúmen de la Literatura actual
Authors: De Obstetricia y Ginecología Federación Colombiana
Published: June 2020

Histerectomía vaginal y cambios en el tratamiento del prolapso uterino.Terapéutica en la enfermedad fibroquistica del seno.Diazepan en la eclampsia.Pielonefritis aguda y embarazo.Progresos en el manejo de la paciente diabética embarazada.Esterilización por laparoscopia. procedimiento ambulatorio.
Las Espátulas de Velasco. - II Evaluación Clínica.
Authors: Ramírez Merchán Rafael , Velasco Ch. Alvaro , Ariza Alfredo , Aarón Enrique , Cabal Edgar
Published: June 2020

Se analizan los resultados de 756 aplicaciones de Espátulas de Velasco. Con fines profilácticos 479 casos, con fines terapéuticos 277 casos. Se revisó la morbilidad y mortalidad fetal no encontrándose ningún caso derivado del uso del instrumento. La mortalidad en toda la muestra fué de 3.9º/oo.No se encontró patología materna, salvo pequeños desgarros sin importancia en un reducido número de casos.Su aplicación se demostró inocua y eficaz siguiendo las normas de técnica de aplicación correspondiente.
Comparación del BACTRIM, Roche y la ampicilina: Nuevos estudios
Authors: De Obstetricia y Ginecología Federacíon Colombiana
Published: June 2020

El BACTRIM Roche (trimetoprim/sulfametoxazol) introdujo un nuevo concepto en el tratamiento de las infecciones bacterianas, pero esto no significó que debiera ser preferido a los agentes terapéuticos ya establecidos, puesto que se requirieron cuidadosos estudios clínicos y de laboratorio para establecer el lugar del BACTRIM Roche en relación con otras drogas, especialmente con los antibióticos.
Primeras intervenciones Ginecológicas en Colombia. - (Primera parte)
Authors: Sánchez Torres Fernando
Published: June 2020

En articulo anterior reseñamos que el doctor Antonio Vargas Vega publicó en el primer número de "La Lanceta" haber extirpado en Bogotá un pólipo uterino "a una señora mui distinguida de la ciudad".
Esterilización femenina voluntaria por el método de laparoscopia. 1000 casos
Authors: Pulido Miguel
Published: June 2020

Hasta hace muy pocos años la esterilización femenina era casi exclusivamente practicada por medio de laparotomía y en algunas ocasiones por vía vaginal, procedimientos estos que requerían la hospitalización de la paciente por varios días, con un costo elevado no solo para la paciente sino también para la entidad hospitalaria.
Colaboradores extranjeros. Posición actual de los métodos auxiliares de diagnostico en las cervicopatías
Authors: Bedoya H. Mariano , Nagahata S. John
Published: June 2020

En los últimos años se ha venido observando notables cambios en la secuencia de los métodos auxiliares de diagnóstico en las Cervicopatías. Esto motivo estudios por los distintos Centros Especializados y aún sigue siendo objeto de discusión por los diversos resultados encontrados.
Editorial
Authors: De Obstetricia y Ginecología Federación Colombiana
Published: June 2020

El curso de Endoscopia Ginecológica desarrollado en la ciudad de Cali, a finales de Septiembre, llenó las expectativas de los asistentes.
Nuestro criterio acerca de la indicación de cirugía tubaria
Authors: González Gutiérrez J. T.
Published: June 2020

1º El problema de la cura de esterilidad por métodos quirúrgicos sigue siendo de actualidad no obstan te estar en la época de mayor auge en la terapia anticonceptiva.2º Situación aún no resuelta pues hasta el momento el porcentaje de éxitos oscila entre 21 y 31%.3º La permeabilidad que es el motivo fundamental de la cirugía, se ha logrado obtener en el 90% de los casos; no obstante esta alta cifra alcanzada quedan todavía un 70 a 80% de mujeres estériles que no han logrado beneficios con los métodos cruentos.4º Esto obliga a pensar que existen otras causas responsables de esterilidad diferentes a las que pueden recibir utilidad con la cirugía y que son motivadas por otras circunstancias como:a) Salpingiosis. b) Problemas mecánicos a nivel de las fimbrias y de la musculatura general del oviducto. c) Alteraciones bioquímicas del medio endosalpingiano. d) Procesos evolutivos como la T.B. e) Colonización, endometriosis, adenomiosis extensas, etc.Lesiones éstas de las cuales no se puede obtener evidencia a no ser por el estudio histopatológico del oviducto ya extirpado o de algunas de sus porciones. 5º Se especifica que debe hacerse tratamiento médico prolongado (previo a la cirugía) el cual puede llegar a proporcionarnos el 16% de éxitos.6º La terapia anti-inflamatoria deberá ser instituida por un período suficiente y se hará a base de medicamentos anti-infecciosos, anti-inflamatorios, corticoides, así como por métodos mecánicos y físicos como Insuflaciones, Hidrotubaciones, Diatermia e Inductotermia, Masaje ginecológico, Hidroterapia, etc. de acuerdo con la intensidad, extensión y duración del proceso.7º Se aconseja la selección de casos para no practicar innecesarias intervenciones quirúrgicas.8º Y realizar tratamiento anti-inflamatorio más intenso en el pre, trans  y post-operatorio.
Bactrim 'Roche' en infecciones de las vías urinarias
Authors: Meléndez Libardo , Salas Gustavo , Acevedo Antonio
Published: June 2020

El efecto antimicrobiano de la asociación de sulfametoxazol y trimetoprim (BACTRIM 'Roche') fue estudiado en 17 pacientes con infecciones de vías urinarias. Se encontró que la asociación en la proporción presentada en el producto BACTRIM 'Roche', fue de resultados excelentes en ocho de los casos, buenos en seis e insatisfactorios en tres. Dos de los tres casos con respuesta insatisfactoria fueron pacientes con uropatía obstructiva crónica. No se encontraron reacciones alérgicas ni efectos colaterales importantes, diferentes de molestia gástrica. Nuestro estudio permite concluir que el preparado BACTRIM 'Roche', con 80 mg. de Trimetoprim y 400 mg. de Sulfametoxazol por comprimido, en dosis de dos comprimidos cada doce horas y por un mínimo de cinco días es una forma eficaz de tratamiento de infecciones de vías urinarias. Los autores recomiendan sin embargo constatar la mejoría o curación del estado infeccioso mediante estudios bacteriológicos apropiados. En casos crónicos o recidivantes estos estudios deberán repetirse periódicamente.
Bactrim 'Roche' en infecciones de las vías urinarias
Authors: Meléndez Libardo , Salas Gustavo , Acevedo Antonio
Published: June 2020

El efecto antimicrobiano de la asociación de sulfametoxazol y trimetoprim (BACTRIM 'Roche') fue estudiado en 17 pacientes con infecciones de vías urinarias. Se encontró que la asociación en la proporción presentada en el producto BACTRIM 'Roche', fue de resultados excelentes en ocho de los casos, buenos en seis e insatisfactorios en tres. Dos de los tres casos con respuesta insatisfactoria fueron paciente con uropatía obstructiva crónica. No se encontraron reacciones alérgicas ni efectos colaterales importantes, diferentes de molestia gástrica. Nuestro estudio permite concluir que el preparado BACTRIM 'Roche', con 80 mg. de Trimetoprim y 400 mg. de Sulfametoxazol por comprimido, en dosis de dos comprimidos cada doce horas y por un mínimo de cinco días es una forma eficaz de tratamiento de infecciones de vías urinarias. Los autores recomiendan sin embargo constatar la mejoría o curación del estado infeccioso mediante estudios bacteriológicos apropiados. En casos crónicos o recidivantes estos estudios deberán repetirse periódicamente.
Insatisfacción sexual femenina de causa músculo-ligamentaria
Authors: Muñoz Delgado Saul
Published: June 2020

Como caso paragógico, viviendo en la era en que la prensa, la literatura, las artes nos inundan y aplastan con los temas del sexo, explotados aún en forma comercial, política y religiosamente y en que el público se cree con una información apropiada, las personas que debiéramos tener conocimiento adecuado, posiblemente como rechazo a la vulgarización de estos temas, hemos permanecido marginados y a veces ignorantes sobre la fisiología y aspectos médicos del acto sexual
Signo de Chili-Tere. - Homenaje a Gerardo Chadid
Authors: Muñoz Delgado Saul
Published: June 2020

Se describe un signo para el diagnóstico del embarazo ectópico. Se hace un breve homenaje al Dr. Gerardo Chadid, quien hizo la observación clínica para reconocer empírica y rápidamente el embarazo ectópico.Se presenta la observación de 50 casos de diagnóstico presuntivo del embarazo ectópico. Se analiza el signo y se sacan las conclusiones del caso.Dentro de lo polimorfo de los signos del embarazo ectópico, se plantea una diferencia diagnóstica entre los embarazos Istmicos, Intersticiales y Ampulares.
Mortalidad perinatal - Aspectos generales
Authors: Rodríguez Soto Arturo , Muñoz González Luis Armando
Published: June 2020

El concepto de Mortalidad Perinatal se ha modificado en el curso de los años; Nesbitt (10) en 1956 designaba con este término las muertes de fetos y recién nacidos de un peso igual o superior a 1.000 gramos ocurridas desde la semana 28, hasta los 28 días de vida extrauterina.
Frigidez. - Encuesta de opinión en usuarios de consulta ginecológica
Authors: Erazo José Vicente , Lara Alvarez Braulio
Published: June 2020

Por el sistema de encuesta anónima se evaluaron los siguientes aspectos sobre frigidez en personal de usuarias de consulta ginecológica del Hospital Universitario, Centro de Salud Universitario e Instituto Colombiano del Seguro Social, se analizaron 260 formularios con los siguientes resultados: el 16.9% del grupo total se consideró normal, el 33.1% con frigidez relativa y el 50.0% con frigidez absoluta. Hechas las correlaciones con diferentes parámetros se encontró:1 ) Que del grupo total, la edad de 25-34 años correspondió al mayor porcentaje de frigidez (25.4%).2) El grado de escolaridad estaba en relación inversa con la frigidez 34.6% con educación primaria, contra 8.1% con educación secundaria.Si el cónyuge es analfabeta la proporción de frigidez decrece de 7.5 a 7.7% cuando el cónyuge tiene educación secundaria.3) La frigidez fue más común en las casadas (27.3%); sin menospreciarse el alto porcentaje de frígidas en unión libre (14.2%).4) El 48.8% de las frígidas llevan más de 10 años de matrimonio.5) El 84.2% tienen ingresos mentuales inferiores a $ 1.500,00.6) La infidelidad del cónyuge dobla como causal los porcentajes de frigidez.7) El 29.2% de las frígidas casadas se masturban, la libido fue ocasional en el 57.6% y nunca hubo orgasmo.8) Las principales causas mencionadas fueron: Temor al embarazo, condiciones ambientales desfavorables, repulsión al marido.9) En su comportamiento sexual el 29.2% tienen repulsión al acto sexual y 21.5% desean la separación marital.10) Como causas de repulsión manifiestan el cansancio, la infidelidad, la falta de deseo sexual.
Obituario
Authors: Sánchez Torres Fernando
Published: June 2020

Con la muerte del Profesor Serafín V. Pose, ocurrida el pasado 8 de abril, pierde la perinatología mundial, y en especial la latinoamericana, a uno de sus más brillantes exponentes.
Esquema para la docencia de la exfoliación funcional.
Authors: Cardona Fernando
Published: June 2020

Se comenta como la vagina posee un epitelio que es efector a los esteroides sexuales y se analiza su mecanismo de acción a nivel del "complejo unitivo" demostrado por el microscopio electrónico. Se presenta esquemáticamente para ser empleado con fines docentes la acción de los estrógenos, de los progestágenos y de los andrógenos.
Embarazo en asta uterina ciega (informe de un caso)
Authors: Hernández R. Marco Antonio
Published: June 2020

Se revisa la frecuencia en el I.M.I. "Concepción Villaveces de Acosta", de Bogotá́, de embarazos angulares. Durante 10 años se registraron cinco casos. Se comparan los aspectos de evolución, diagnóstico, tratamiento y pronóstico, con un caso de embarazo en "asta uterina ciega", cuya descripción se presenta.
Doce años de cirugía radical por CA. de cérvix en el Hospital de San Juan de Dios de Cali
Authors: Henao Arango Fabio , Restrepo Ramírez Hernán
Published: June 2020

1º Hemos presentado a ustedes la experiencia del Grupo del Servicio de Ginecología del Hospital de San Juan de Dios de Cali, durante los años comprendidos entre 1958 y 1959 inclusive.2º Se trataron 112 casos de Carcinoma de Cervix a los cuales se les practicó cirugía radical. Previo al acto quirúrgico 40 de estos 35.71% recibieron radioterapia.3º Se analizan diferentes aspectos epidemiológicos de edad y paridad.4º Se encontró predominio del Carcinoma epidermoide 95.5%. El adenocarcinoma solo se encontró en el 2.69 % de los casos.5º Un total de 17 casos presentaron metástasis ganglionares, de los cuales 8 pertenecen al grupo que recibió radioterapia previa, esto equivale al 20.51% sobre el total de las pacientes irradiadas.6º Solo hubo 3 casos de muerte durante el post-operatorio, esto equivale al 2.68%.7º El porcentaje de fístulas del arbol urinario fue del 16.07% y corresponden a 18 casos.8º El control ambulatorio de las pacientes continúa siendo el problema primordial para poder concluir sobre la bondad de cualquier tratamiento en nuestro medio. Sin embargo, presentamos un buen número de casos con un seguimiento largo.Hemos podido determinar 6 casos de reproducción del Carcinoma en la cúpula, uno de ellos tiene actualmente más de 6 años de evolución. Así́ mismo hemos logrado encontrar 3 casos de muerte antes de los 6 años y 2 después de este tiempo.Solo 10 pacientes no fueron controladas después del acto quirúrgico.
Perfil Lipídico en liquido Amniótico de embarazadas a término
Authors: Cortés Caballero Carlos , Arenas Buenahora Isaias , Caballero Rueda Arnulfo
Published: June 2020

Se estudia el líquido amniótico, obtenido por punción vía vaginal en 100 mujeres con embarazo a término, en trabajo de parto. 

Se determina colesterol, fosfolípidos, triglicéridos y lípidos totales.
Sección de Información
Authors: De Obstetricia y Ginecología Federación Colombiana
Published: June 2020

IX Congreso Latinoamericano de Obstetricia y Ginecología.

IV Congeso Peruano de Obstetricia y Ginecología. 15 - 20 de octubre de 1978. Lima - Perú.

I Congreso Peruano de reproducción humana.

IX Congreso mundial de Ginecología y Obstetricia.
Wiedza w ręku. Wiedza niedyskursywna i czucie ciała pacjenta w zawodzie terapeuty manualnego
Authors: Modrzyk Ariel
Published: June 2020

Czucie ciała pacjenta jako część profesji terapeutów manualnych to tematyka powiązana z pojęciem wiedzy niedyskursywnej. Podstawowym celem artykułu jest przybliżenie czytelnikowi tych zagadnień jako swoistego pomostu, który pozwala interdyscyplinarnie łączyć nauki społeczne z naukami o zdrowiu. Cel ten zakłada przede wszystkim uświadomienie istnienia pewnego elementu wiedzy fizjoterapeutycznej, który – wbrew temu, czego wymaga dominująca w naukach medycznych zobiektywizowana forma prezentacji wiedzy i badań – łatwo nie poddaje się językowemu wyjaśnie­niu i kwantyfikacji. Wraz z tym założeniem najważniejszymi kwestiami, na których koncentruje się artykuł, są: uwrażliwienie na bariery, na jakie napotykają badacze próbujący badać zjawisko czucia ciała pacjenta przy użyciu metod jakościowych; przedstawienie tego, czym jest kompetencja czucia ciała pacjenta; w jaki sposób się jej naucza i ją nabywa oraz w jaki sposób problematyzuje ona domi­nujące standardy naukowości w naukach medycznych.
El mal de la pereza y sus repercusiones ideológicas en el Poema de Alfonso Onceno
Authors: Janin Erica
Published: June 2020

This study seeks to prove that the characterisation of the Muslim foe’s laziness portrayed in the Poema de Alfonso Onceno’s should not be conceived as a part of a neutral descriptive procedure. On the contrary, it should be understood as a political and ideological tool that seeks to delimit the field of foes and allys —even within the christian faction—, in order to justify a series of actions of promotion or reprobation towards each of the social groups that coexist in the poem.
“Ynclinando la oreja del mi entendimiento”. Simbología mística en Arboleda de los enfermos de Teresa de Cartagena
Authors: Díaz Márquez Ilse
Published: June 2020

Arboleda de los enfermos is a religious treaty written in the middle of 15th century by Teresa de Cartagena, a nun from Burgos, after her hearing loss. In her treaty, Teresa de Cartagena attemps to show to those who also suffer from an illnes a way to heal their souls. The text presents some characteristics of mystic Spanish literature, as it exposes the comprehension process of an inner reality in wich the soul needs to follow a crucial path of suffering. This paper analizes the symbolism in the treaty, from the Scholem and Lotman’s perspectives about the symbol as a vehicle of tradition and mystical experience, to later explain the relationship between symbols of the Christian and Jewish traditions presented on the text. Teresa de Cartagena could have known this second tradition due to the Jewish converso origins of her family, in wich her grandfather, the ex rabine Pablo de Santa María, and her uncle Alfonso de Cartagena were counted, both prominet humanist and educated in Hebrew tradition.
La Ley Sálica: la forja de un mito nacional
Authors: Maeda Miguel Ángel
Published: June 2020

It is a purpose of the article to analyze the origin and evolution of the Males Law, known incorrectly as Salic Law. This law was an important succession principle of the French monarchy that appeared during the Middle Age and continued existing during the Modernity. The goal of the article is to identify the reasons why the term Salic Law is used wrongly. Furthermore, it is studied the transcendence and importance of that successional principle to the birth of the French national state.
Yehudah Ben Samuel Halevi: el exilio como redención
Authors: López Castro Armando
Published: June 2020

In medieval poetry of the Spanish Jews, both sacred and profane, late nostalgia for a lost and saved by the tongue homeland. She is his firmer ground, which can restore from the wreck of a hostile situation the fullness of collective memory. In the case of tudelano poet Judah Halevi, whose wanderings took him to visit different courts, Zaragoza, Toledo, Cordoba, Sevilla, Granada, but without settling permanently in any, the exile experience led him to feel like axis of history among the nations, live with the hope of returning to a land identified with paradise. Because poetry involved herself in this double movement of expulsion and return out put than usual and back source, the only point that awakens the to the meaning of live.
Especialización en Terapia Ocupacional: una oportunidad para el Perú
Authors: Escobar-Galindo Carlos Manuel , Trinidad-López Jesús Martin , Céspedes-Chauca Milagros de Jesús , Reyes-Morales Walter Miguel , Cárdenas-Astete Edgar
Published: June 2020

Objetivo: caracterizar la demanda actual de Especialización en Terapia ocupacional (TO) en el Perú a través de las preferencias de los Terapeutas ocupacionales y las posibles áreas de interés. Material y Métodos: El estudio fue descriptivo transversal. Se aplicó una encuesta virtual a 177 Terapeutas ocupacionales del Perú, respondiendo un total de 11 preguntas y completando un consentimiento informado. Se utilizó el programa estadístico SPSS para el análisis de datos como herramienta estadística. Resultados: Los Terapeutas ocupacionales prefirieron las especialidades de Pediatría (22,2%) y Neurorrehabilitación (15,8%). La especialidad de salud mental y Rehabilitación de manos alcanzaron el 13,5%, mientras que Educación el 8,8%. La de menor preferencia fue geriatría alcanzando el 2,9%. Conclusiones: Las primeras especialidades de TO en ser creadas deberían ser Pediatría y neurorrehabilitación. Las temáticas en cada una de las especialidades merecen un análisis especifico. Sin embargo, es necesario aún crear un ámbito de debate puesto que las especialidades no deben enfocadas únicamente a aspectos biomédicos si no también a ámbitos sociales.
Characterization and release profile of sodium diclofenac halal hard shell capsules made from k-carrageenan and xanthan gum with sorbitol plasticizer
Authors: Susanti Tri , Wafiroh Siti , Hendradi Esti , Pudjiastuti Pratiwi
Published: June 2020

Halal hard shell capsules are importantly needed by Indonesian consumers, who are predominantly Muslim, to substitute mostly used and commercially available products made from non-halal ingredients such as gelatin. The objective of this study is to prepare, characterize, and evaluate halal hard shell capsules made from k-carrageenan-xanthan gum with sorbitol as the plasticizer with diclofenac sodium as the model drug. Hardshell capsules were prepared with combinations of κ-carrageenan-xanthan gum at a weight ratio of 4:2 with the addition of 70% sorbitol, which added at a varied volume of 0.25; 0.50; 0.75; and 1.00 mL. Characterization of halal hard shell capsules includes swelling degree, tensile strength, Fourier Transformed Infrared (FTIR) and Scanning Electron Microscope (SEM), as well as disintegration test. The diclofenac sodium profile release was evaluated through the dissolution test at pH 6.8. The best physical characteristics were obtained by preparing capsule shells with a mixture of carrageenan-xanthan gum at a weight ratio of 4:2 with the addition of 0.25 mL sorbitol. The evaluation of Halal hard shell capsules showed that it had a swelling rate of 3.46% in water media, stress modulus of 28.6 MPa, strain modulus of 4.3 MPa, and modulus young of 362,3%, as well as disintegration time of capsules, was 51.8 minutes at pH 6.8. The dissolution test showed that diclofenac sodium was released at a level of 2.7% for 16 minutes. Based on this data, it can be concluded that the Halal hard shell capsule of κ-carrageenan-xanthan gum with the addition of sorbitol can be used as an alternative for the gelatin capsule with more controlled release.
Clinical approach to assessment of the life quality in type 2 diabetes patients
Authors: Yadmaa O. , Samoilova Yu. G. , Koshevets T. Yu.
Published: June 2020

Seventy seven type 2 diabetes patients undergoing medical treatment in day hospital and specialized department have been examined. To assess the life quality, the SF-36 general questionnaire was used. One year later, the life quality of the patients was assessed repeatedly. The data obtained indicate that the life quality of type 2 diabetes patients is decreased in all indices compared to the common population. In hospital patients, the PF, PR, and RE indices were reliably decreased compared to day patients. It was found that the PF and RE indices reliably decrease with the years of disease. It was noticed that the compensation of carbohydrate metabolism influences positively the life quality of type 2 diabetes patients, and the reliable improvement was revealed in the PF index. Type 2 diabetes negatively affects the self-assessment of the life-quality of patients, significantly restricts the everyday physical activity, and weakens the vitality. As the term of the disease increases, such indices as physical activity amd emotional state worsen.
Efficacy of nonfinancial incentives application for job motivation in pharmacy workers
Authors: Grishin A. N. , Luzyanina Ye. S.
Published: June 2020

In the paper organization of nonfinancial incentives for pharmacists were analyzed and improvement references in staff management were designed. Through the comparative investigation of pharmaceutical specialists’ encouragements it was found that pharmaceutical enterprises practise some of and not always regular nonfinancial incentives where limited list of encouragements is included. Integration of factor and cluster analyses and further two-dimentional data analysis found no correlation between applied encouragements system and pharmacists needs that resulted in essential job motivation weakening. Nonfinancial methods preference is in lesser financial load that is why their application area much wider than in financial methods. In the event that complex application of pecuniary and non-pecuniary job stimulation methods a synergetic effect producing sizable working efficiency rise has been found.
Physical training alters the reactions of haemostasis system to hypoxia
Authors: Shakhmatov I. I. , Alekseyeva O. V. , Kiselyov V. I.
Published: June 2020

Physical pretraining of 102 Wistar rats during 30 days altered the reactions of haemostasis system to one-day hypobaric hypoxia. Decreased level of thrombinemia, ameliorated platelete, and plasma hаemostasis, increased anticoagulation, and fibrinolytic activity were observed. These changes were more pronounced in the experimental group of animals having experienced intensive physical training.
The role of cytokines in the pathogenesis of autoimmune diabetes, immune intervention issues
Authors: Kravets Ye. B. , Saprina T. V. , Lazarenko F. E. , Prokhorenko T. S. , Ryazantseva N. V.
Published: June 2020

The review devotes to studying the role of cytokines in development of autoimmune diabetes mellitus, latent autoimmune diabetes in adults included. Therapeutic approaches to prevent the loss of endogenous insulin secretion are discussed. There is review of clinical trials of immunosuppressive agents and modulators of immune tolerance in autoimmune diabetes mellitus.
The vegetative status and bioelectric activity of the brain in different terms of the remote period of a fighting craniocereberal trauma
Authors: Osintseva Ye. V. , Nadezhdina M. V. , Zhezher M. N. , Kurus O. S. , Skulskaya N. I.
Published: June 2020

2 groups on 35 patients from 32 till 52 years which have transferred an easy fighting craniocerebral trauma. It is spent electroencephalographic (EEG) research, the computer analysis with definition of indexes of the basic rhythms, the vegetative status under the program of variability of a rhythm of heart is studied, functional classes (FC) on D.I. Zhemajtite are defined. At all patients changed types EEG prevailed. It is noted low FC at patients with I, II, V types ЭЭГ. Correlation of type EEG with level FC is revealed: at patients with V type EEG prevailed IV and V, with I and II types EEG — higher (II, III) FC. The high index of an alpha rhythm correlates with high II FC, and a beta rhythm with III FC. Decrease in adaptable mechanisms of vegetative regulation defines necessity of medicament correction.
The role of alpha-2-macroglobulin in pathogenesis of rheumatoid arthritis and system lupus erythematosus
Authors: Zorina V. N. , Kozlov I. G. , Zorina R. M. , Trofimenko N. A. , Chirikova T. S. , Zorin N. A.
Published: June 2020

We investigated serum levels of alpha-2-macroglobulin (α2—MG) and some of its complexes, namely α2-MG-plasmin (α2-MG— Pl) and α2-MG—IgG at a rheumatoid arthritis (RA) 2—3 degrees of activity (65 patients), a system lupus erythematosus (SLE) of 2-3 degrees of activity (30 patients) and 55 healthy donors as a control group. It is shown, that at SLE the total level of α2-MG is invariable, and at RA — decreases significantly in comparison with the healthy. The concentration of complexes was raised at pathology, but at RA this rising was expressed much more strongly, than at SLE. At studying of correlations of levels of α2-MG, α2-MG—Pl and α2-MG— IgG among themselves and with some several cytokines and acute phase proteins, it is shown, that there is some significant difference between normal and pathological correlative relations and allows us to suspect that at SLE, the α2-MG and its complexes participate in a pathogenesis, and at RA α2-MG becomes the major immunogenesis factor and the significant reason of disease progression.
Relationship analysis of TNF and IL8 gene polymorphisms with clinical features of chronic obstructive pulmonary disease
Authors: Seitova G. N. , Bukreyeva Ye. B. , Kremis I. S. , Puzyryov V. P.
Published: June 2020

The correlation of the 308G/A polymorphism of α TNF (tumor necrosis factor) gene and 251А/Т polymorphism of 8 IL8 (interleukin 8) gene with clinical peculiarities of the course of chronic obstructive lung disease (COLD) in Siberian Tatars and Russians has been studied. Associations of these genetic markers with quantitative indices pathogenetically significant in the COLD formation (biochemical and immunological indices of blood serum and sputum) have been analyzed.

The analysis of associations of polymorphous versions of TNF and IL8 genes with biochemical and immunological indices of blood serum and sputum has revealed the presence of interethnic peculiarities in the regulation of the level of proinflammatory and protective mechanisms participating in the formation of chronic inflammation at COLD.
Adaptation possibilities of students going to exercise therapy
Authors: Davletiyarova K. V. , Kapilevich L. V. , Soltanova V. L. , Baranova Ye. B. , Andreyev V. I.
Published: June 2020

The cardiointervalography method was used to study adaptation possibilities of students with vascular heart diseases and diseases of musculoskeletal system going to exercise therapy. The physical training organization with use exercise therapy favors the adaptation and functional reserve improvement, and the effect is more in 1st year study students with vascular heart diseases.
Populus tremula L. as a perspective source of preparations antiulcerous and anti-inflammatory activity
Authors: Turetskova V. F. , Lobanova I. Yu. , Rassypnova S. S. , Talykova N. M.
Published: June 2020

The results of these researches indicate the possibility of complex use of different parts of the aspen ordinary (Populus tremula L.), which are waste of wood processing industry and forestry engineering activities, and of the development of medical preparations of antiulcerous and anti-inflammatory activity on their basis.
Actual aspects of standardization of medicinal vegetative raw materials containing flavonoids
Authors: Kurkina A. V.
Published: June 2020

The main purpose of our paper is the studies on the substantiation of the new approaches to the chemical standardization of plant drugs and their medicines containing flavonoids. On the basis of the study of chemical composition of medicinal plants there were developed the methodic and methodological approaches to the standardization of plant drugs and preparations containing flavonoids. We studied such medicinal plants as Helichrysum arenarium (L.) Moench., Tanacetum vulgare L., Artemisia dracunculus L., Mentha piperita L., Agrimonia eupatoria L., Aerva lanata L., Matricaria chamomilla L. We used such methods as spectrophotometry, thin layer chromatography, high performance liquid chromatography. For purpose of standardization were recommended the state standard samples of rutin, cynaroside and isosalipurposide. The developed new approaches to standardization of medicinal plants containing flavonoids and their medicines will be useful in elaboration of new phytopharmaceuticals.
Technological methods of herbs Salsola collina Pall. efficient processing
Authors: Melentiyeva A. N. , Chuchalin V. S. , Burkova V. N.
Published: June 2020

Research is devoted to the problem of efficient use of the herbs of Salsola collina Pall. Studied and analyzed the known technological methods of processing and to obtain standardized extractive complexes. Had developed an effective method of obtaining the liquid extract. The parameters of the extraction process and the proposed complex extractant, allowing a high degree of depletion of plant material for the various groups of biologically active substances, and get the finished product with desired properties.
Anxienty and neurotizm degree correlation with values of the life satisfaction level in vibration disease
Authors: Ganovich Ye. A. , Semenikhin V. A. , Zhestikova M. G.
Published: June 2020

Aim of the study was the determination of the personal and situational anxiety, neurotizm and life satisfaction levels. Study’s materials were 146 patients with vibration disease. All patients underwent the neuropsychologic analysis. Increased anxiety level as the stable personality characteristic was registered in all subgroups of the main group. Described above changes speak for the practicability of the active detection of the affective qualm sphere’s disorders in this cohort of patients with subsequent medicated and non-medicated correction.
ELECTROENCEPHALOGRAPHIC MARKERS OF OPTIMAL PERFORMANCE IN MARKSMEN
Authors: Napalkov D. A. , Ratmanova P. O. , Salykhova R. N. , Kolikoff M. B.
Published: June 2020

The goal of the research was a detailed characterization of the pre-shot EEG alpha activity of marksmen. It was found out that the amplitude of the spectrum of alpha activity is dependent upon the level of the sportsmen. It is discussed that the pre-short alpha is not similar with alpha rhythm in its classical definition.