Guía de práctica clínica para la prevención, diagnóstico, tratamiento y rehabilitación de la falla cardiaca en población mayor de 18 años, clasificación B, C y D

La falla cardíaca es un síndrome clínico caracterizado por síntomas y signos típicos de insuficiencia cardíaca, adicional a la evidencia objetiva de una anomalía estructural o funcional del corazón. Guía completa 2016. Guía No. 53Población mayor de 18 añosN/

Optimización de la etapa de arranque de reactores anaerobios mediante el mejoramiento de la calidad de diferentes semillas en condiciones dinámicas de operación

IP 1106-12-031-96Incluye anexos.PONENCIA(S) EN CONGRESO: Evaluacion de potenciales semillas parala inoculacion de reactores anaerobios /;Luis Francisco Ramirez ... [et al.] -- p. 34-44 -- En: Seminario'-Taller Latinoamericano sobre tratamiento;anaerobio de aguas residuales. (4 : 1996 : Bucaramanga) --[s.l: s.n], 1996 -- p. ; 28 cm. -- Influencia de;la variacion de la carga organica en la etapa de arranquede unreactor UASB / Jenny A. Rodriguez V. ... [et;de la Digestion Anaerobia y Caracterizacion de Lodos Anaerobios.(1997 jun. 4-6 : Medellin) / Francisco;Molina, Didier Alazard ; Organiza: Grupo de higiene AmbientaleIndustrialde la Facultad de Ingenieria de la;Universidad de Antioquia. -- Medellin : Universidad de Antioquia, 1997. --p. ; 28 cm.;al.] -- En: Seminario Internacional sobre tratamiento de aguasresidualesy biosolidos. (oct. 12-13 : Tunja); [s.l : s.n], -- p. ; 28 cm. -- El tratamiento de aguasresiduales una labor interdisciplinaria de;ingenieros y microbiologos / Fransisco Jose Molina Perez -'- en:Congreso Internacional El Laboratorio y la;Salud Integral: Una Persectiva (1998 nov. 13-15 : Medellin) --ARTICULO(S) EN REVISTA: Evaluacion de la;presion selectiva y de la adicion de bacterias liofilizadas comoalte alternativas de mejoramiento de una;semilla de lodo activado crudo espesado para el arranque de reactores UASB/ Jorge Humberto Sierra C., Julio;Cesar Saldarriaga M. -- En: Revista Facultad de Ingenieria. --No. 22 (jun. 2001); p. 7-21. -- Evaluacion;microbiologica de un lodo crudo proveniente de la planta de tratamiento deaguas residuales del municipio de;El Retiro y del mismo lodo a condiciones anaerobias / FernandoNaranjo P.,Maria Elena Gonzalez D., Francisco;Molina P. -- En: Revista Facultad de Ingenieria. -- No. 22(jun. 2001); p. 22-28 -- CURSO(S): Microbiologi

Patients with Crohn's disease have longer post-operative in-hospital stay than patients with colon cancer but no difference in complications' rate

BACKGROUNDRight hemicolectomy or ileocecal resection are used to treat benign conditions like Crohn's disease (CD) and malignant ones like colon cancer (CC).AIMTo investigate differences in pre- and peri-operative factors and their impact on post-operative outcome in patients with CC and CD.METHODSThis is a sub-group analysis of the European Society of Coloproctology's prospective, multi-centre snapshot audit. Adult patients with CC and CD undergoing right hemicolectomy or ileocecal resection were included. Primary outcome measure was 30-d post-operative complications. Secondary outcome measures were post-operative length of stay (LOS) at and readmission.RESULTSThree hundred and seventy-five patients with CD and 2,515 patients with CC were included. Patients with CD were younger (median = 37 years for CD and 71 years for CC (P < 0.01), had lower American Society of Anesthesiology score (ASA) grade (P < 0.01) and less comorbidity (P < 0.01), but were more likely to be current smokers (P < 0.01). Patients with CD were more frequently operated on by colorectal surgeons (P < 0.01) and frequently underwent ileocecal resection (P < 0.01) with higher rate of de-functioning/primary stoma construction (P < 0.01). Thirty-day post-operative mortality occurred exclusively in the CC group (66/2515, 2.3%). In multivariate analyses, the risk of post-operative complications was similar in the two groups (OR 0.80, 95%CI: 0.54-1.17; P = 0.25). Patients with CD had a significantly longer LOS (Geometric mean 0.87, 95%CI: 0.79-0.95; P < 0.01). There was no difference in re-admission rates. The audit did not collect data on post-operative enhanced recovery protocols that are implemented in the different participating centers.CONCLUSIONPatients with CD were younger, with lower ASA grade, less comorbidity, operated on by experienced surgeons and underwent less radical resection but had a longer LOS than patients with CC although complication's rate was not different between the two groups