Miositis calcificante: estudio antropométrico y paleopatológico de tres casos

X Congreso Nacional de Paleopatología. Univesidad Autónoma de Madrid, septiembre de 200

Tendinopatía de una clavícula: estudio anatómico y paleopatológico

X Congreso Nacional de Paleopatología. Univesidad Autónoma de Madrid, septiembre de 200

Tendinopatía del radio: estudio anatómico y paleopatológico

X Congreso Nacional de Paleopatología. Univesidad Autónoma de Madrid, septiembre de 200

Patología traumática: estudio anatómico y paleopatológico de fracturas de miembros superiores e inferiores de la antigua población de Castielfabid (Rincón de Ademuz, Valencia)

X Congreso Nacional de Paleopatología. Univesidad Autónoma de Madrid, septiembre de 200

Estudio de casos y controles entre anastomosis intra y extracorpórea en pacientes intervenidos de hemicolectomía derecha laparoscópica

Introduction: There is still insufficient scientific evidence on which is the best technique to perform the anastomosis -intracorporeal (IC) or extracorporeal (EC)- in right laparoscopic hemicolectomy. The objective of the present study is to determine whether there are differences to compare in both techniques. Material and methods: A study was performed on a prospective patient series subjected to right laparoscopic hemicolectomy in our Hospital. The preoperative and the postoperative variables associated with complications recorded depending on the type of anastomosis. Results: A total of 60 patients were intervened form June 2004 to June 2010 (35 IC; 25 EC). There were no significant differences between both groups as regards baseline preoperative characteristics or associated comorbidities. The median operation time was 212 minutes (142-305 min), with no significant difference between both techniques. The number of lymph nodes removed was higher in the IC group (21 versus 14; p = 0.03). The beginning of oral tolerance and the first bowel movement were significantly earlier in the IC group. The complications rate was similar for both groups (14% IC; 16% EC; p = 0.89). Three patients in the IC group had anastomosis dehiscence. The mortality rate was 2.8% (one patient in each group). Conclusion: Intracorporeal versus extracorporeal anastomosis in right laparoscopic hemicolectomy can obtain a higher number of resected lymph nodes and an earlier oral tolerance and intestinal transit

Notas sobre las especies de Kalanchoe (Crassulaceae) ocasionales y naturalizadas en Cuba

Many species of the genus Kalanchoe are widely cultivated due to their ornamental value. This, together with the high capacity of many species to be naturalized has caused some of them to grow nowadays in geographical areas distant from their natural ranges. During the last 65 years the number of species of Kalanchoe reported to Cuba has increased from two to five, according to recent publications. Apparently the lack of a current work gathering the naturalized species of this genus in Cuba and providing keys for their identification has led to discrepancies on the names cited in these publications. The present study is aimed to define the number of species of Kalanchoe that have been naturalized in Cuba, and to offer a key for their identification, descriptions and information on the localities where they have been found. It is estimated that six taxa of this genus grow spontaneously in Cuba. Three taxa are new for the flora of Cuba; one of them, K. laetivirens, is reported for the first time out of its native range. Images and maps are shown that allow a better understanding of the results.Muchas especies del género Kalanchoe se cultivan ampliamente por su valor ornamental, hecho que junto a la alta capacidad de muchas de ellas a naturalizarse ha causado que algunas crezcan en zonas geográficas distantes de sus áreas de distribución natural. En los últimos 65 años el número de especies de Kalanchoe reportadas para Cuba ha ascendido de dos a cinco, según publicaciones recientes. La falta de un trabajo actualizado que recoja las especies naturalizadas de este género en Cuba y que aporte unas claves para su correcta identificación ha conducido a la existencia de discrepancias en cuanto a algunos de los nombres citados en estas publicaciones. A la vista de dichos precedentes creímos oportuno realizar la presente investigación que tuvo como objetivos definir el número real de especies de Kalanchoe que crecen de manera silvestre en Cuba, ofrecer una clave para su identificación, así como descripciones e información sobre las localidades donde han sido encontradas. Se estima que en Cuba crecen espontáneamente seis taxones de este género, de los que tres se reportan por primera vez, uno de los cuales, K. laetivirens, también es novedad mundial. Aportamos también imágenes y mapas que permiten una mejor comprensión de los resultados

The inflammatory microenvironment in colorectal neoplasia

Peer reviewedPublisher PD

Public participation and transparency in water management

Public participation is considered broadly to have a positive impact on the quality of governance. Transparency is the first step in the public participation ladder since it implies that people have access to the necessary information to make informed contributions to decision-making. This chapter gives an overview of the main challenges for the Spanish water sector in terms of public participation in the water planning process of the Water Framework Directive (WFD), and presents results of an assessment of the information transparency of the Spanish water authorities. Although the WFD has contributed to improving the situation, in Spain the tradition of public accessibility to data and public participation in water management decisions is still rather poor. In addition to making all relevant information publicly available, the most compelling challenge is possibly ensuring its reliability and consistency. Another key issue is making the information accessible to different target audiences by adapting it to their level of interest and technical capacit

Diagnosis, management, and outcomes of patients with syncope and bundle branch block

Although patients with syncope and bundle branch block (BBB) are at high risk of developing atrio-ventricular block, syncope may be due to other aetiologies. We performed a prospective, observational study of the clinical outcomes of patients with syncope and BBB following a systematic diagnostic approach. Patients with ≥1 syncope in the last 6 months, with QRS duration ≥120 ms, were prospectively studied following a three-phase diagnostic strategy: Phase I, initial evaluation; Phase II, electrophysiological study (EPS); and Phase III, insertion of an implantable loop recorder (ILR). Overall, 323 patients (left ventricular ejection fraction 56 ± 12%) were studied. The aetiological diagnosis was established in 267 (82.7%) patients (102 at initial evaluation, 113 upon EPS, and 52 upon ILR) with the following aetiologies: bradyarrhythmia (202), carotid sinus syndrome (20), ventricular tachycardia (18), neurally mediated (9), orthostatic hypotension (4), drug-induced (3), secondary to cardiopulmonary disease (2), supraventricular tachycardia (1), bradycardia-tachycardia (1), and non-arrhythmic (7). A pacemaker was implanted in 220 (68.1%), an implantable cardioverter defibrillator in 19 (5.8%), and radiofrequency catheter ablation was performed in 3 patients. Twenty patients (6%) had died at an average follow-up of 19.2 ± 8.2 months. In patients with syncope, BBB, and mean left ventricular ejection fraction of 56 ± 12%, a systematic diagnostic approach achieves a high rate of aetiological diagnosis and allows to select specific treatment