958 research outputs found

    Láser y luz pulsada intensa en el tratamiento de hemangiomas infantiles y malformaciones vasculares

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    The use of the indications of the laser in treating vascular malformations and infantile haemangiomas is based on the theory of selective photothermolysis, in which the oxyhaemoglobin is the target chromophore on which the light of the laser acts, thus avoiding damage to neighbouring tissues. The pulsed dye laser is the most employed and at present is the treatment of choice in capillary malformations (port-wine stains). A variable response is obtained, with a substantial clearing of the colour of the lesion after several sessions. Application at early ages seems to improve the results. Venous malformations, especially those localised in the mucosa, respond better to the Nd:YAG laser; lymphatic malformations to the CO2 laser. Arteriovenous malformations rarely respond. Use of the pulsed dye laser in the phase of proliferation of the haemangiomas is subject to controversy, except where there is ulceration. A rapid re-epithelialization is obtained in these cases following its use. In the involution phase, patients with residual vascular lesions can benefit from other lasers such as KTP or Nd:YAG. If they show an atrophic surface and scars these complications improve with the CO2 laser or Er:YAG. New treatment modalities are emerging, such as photodynamic therapy, whose efficacy and safety, both in the treatment of haemangiomas and vascular malformations, have yet to be confirmed

    Learning Based on Problems (ABP), Impact of RAEE: A Case Study

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    Using a case of research as a methodological tool, applied in the research lab with students of the ninth semester of the academic program of chemical engineering (IQ) of the Faculty of chemical sciences and engineering (FCQeI) of the Autonomous University of the State of Morelos (UAEM), analyzed competition to students include scientific concepts acquired, where education is a human process more than verify that cognitive skills according to the approach [1], are developed during the resolution of the case. The results showed that students managed to explain the concepts involved, reflected on his own work and realized what had to be improved. For that, students employed higher order cognitive skills, such as explain, investigate, conclude, argue, make decisions and cognitive skills of low order, such as describing, enunciating, memorize and reproduce

    Hallazgos electromiográficos y electroneurográficos en el pie cavo esencial

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    La etiología del pie cavo cuando ésta es conocida, suele ser debida a un trastorno de tipo neurológico o miopático, aunque en determinados casos nos encontramos con pacientes que padecen esta deformidad en el pie, en los cuales no podemos descubrir ningún antecedente de este tipo, por lo que lo calificamos de pie cavo «esencial». A un grupo de estos pacientes con pie cavo «esencial», en los que no hemos encontrado ningún tipo de antecedente neurológico, lo hemos sometido a una exploración electroneurográfica, encontrando que la mitad de ellos padecían algún trastorno neuropático/miopático, que no había sido detectado en la exploración clínica inicial.Neurological or myopathic diseases are frequently involved in the etiology of flat foot. In some cases, no antecedents of disease can be found and therefore these flat foots are classified as «essential». We have undertaken an electrophysiologic study in a series of patients with «essential» flat food in order to explore unsuspected neurological disorders. In half of the patients, neuropathic and myopathic electroneurographic patterns of different severity were detected

    Sinovitis villonodular pigmentada difusa: Revisión de 13 casos

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    Se hace un estudio retrospectivo de trece pacientes con Sinovitis Villonodular pigmentada, seis localizadas en la rodilla, dos en la muñeca y pie, y uno en tobillo, cadera y codo respectivamente. En cinco de los casos existía una afectación del hueso. Se hace una revisión bibliográfica sobre la etiopatogenia, radiología, métodos diagnósticos y tratamientoA retrospective study of thirteen patients with pigmented villonodular synovitis was made. Six cases were localized in the knee, two in the wrist and feet, and one in ankle, hip and elbow. Five case showed bone invasion, the pathogenesis, radiographical appearance, diagnosis and treatment are discussed

    Afectación tumoral del sistema nervioso periférico

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    Se han estudiado 18 pacientes con afectación del S.N.P. por lesiones tumorales tratados en nuestra unidad en un período de 8 años. La mayoría de estos tumores tenían una localización intraneural (14 casos), eran de naturaleza benigna (13 casos) y afectaban al miembro superior. La prueba diagnóstica más exacta fue la R.M.N. Destacamos la existencia en nuestra seria de algunos tumores de rara presentación en la clínica, como un caso de fibrolipoma, condroma intraneural y neurosarcoma de la variedad "Tritón", respectivamente.Eighteen patients who had tumours of peripheral nerves have been studied retrospectively. They were treated in our department for eight years. Most of these tumours were placed intraneuraly (14 cases), were benignant (13 cases), and located in the upper limb. The most precise test for diagnosis was the MRI. We want to emphasize the existence in our series of some tumours which rarely appears in clinic, for example a Fibrolipoma, a intraneural chondroma and a malignant triton tumour

    Global Waste Management Outlook

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    The Global Waste Management Outlook, a collective effort of the United Nations Environment Programme and the International Waste Management Association, is a pioneering scientific global assessment on the state of waste management and a call for action to the international community. Prepared as a follow up to the Rio+20 Summit and as a response to UNEP Governing Council decision GC 27/12, the document establishes the rationale and the tools for taking a holistic approach towards waste management and recognizing waste and resource management as a significant contributor to sustainable development and climate change mitigation. To complement the Sustainable Development Goals of the Post-2015 Development Agenda, the Outlook sets forth Global Waste Management Goals and a Global Call to Action to achieve those goals

    Numerical integration of variational equations

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    We present and compare different numerical schemes for the integration of the variational equations of autonomous Hamiltonian systems whose kinetic energy is quadratic in the generalized momenta and whose potential is a function of the generalized positions. We apply these techniques to Hamiltonian systems of various degrees of freedom, and investigate their efficiency in accurately reproducing well-known properties of chaos indicators like the Lyapunov Characteristic Exponents (LCEs) and the Generalized Alignment Indices (GALIs). We find that the best numerical performance is exhibited by the \textit{`tangent map (TM) method'}, a scheme based on symplectic integration techniques which proves to be optimal in speed and accuracy. According to this method, a symplectic integrator is used to approximate the solution of the Hamilton's equations of motion by the repeated action of a symplectic map SS, while the corresponding tangent map TSTS, is used for the integration of the variational equations. A simple and systematic technique to construct TSTS is also presented.Comment: 27 pages, 11 figures, to appear in Phys. Rev.

    Triamcinolona intravítrea en el tratamiento de la oclusión de rama venosa retiniana

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    Clinical cases: Five eyes with branch retinal vein occlusion (BRVO) were treated with intravitreal injection of 4 mg of triamcinolone. Four cases showed good visual acuity and macular thickness evolution after one dose. The remaining one case suffered a relapse three months later. Therefore a second injection was performed in that case. Discussion: Several treatments have been suggested to manage macular edema in BRVO. Intravitreal triamcinolone may be a therapeutic option to increase visual acuity and decrease macular thickness in patients with macular edema secondary to BRV

    Building up the Stellar Halo of the Galaxy

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    We study numerical simulations of satellite galaxy disruption in a potential resembling that of the Milky Way. Our goal is to assess whether a merger origin for the stellar halo would leave observable fossil structure in the phase-space distribution of nearby stars. We show how mixing of disrupted satellites can be quantified using a coarse-grained entropy. Although after 10 Gyr few obvious asymmetries remain in the distribution of particles in configuration space, strong correlations are still present in velocity space. We give a simple analytic description of these effects, based on a linearised treatment in action-angle variables, which shows how the kinematic and density structure of the debris stream changes with time. By applying this description we find that a single satellite of current luminosity 10^8 L_\sun disrupted 10 Gyr ago from an orbit circulating in the inner halo (mean apocentre 12\sim 12 kpc) would contribute about 30\sim 30 kinematically cold streams with internal velocity dispersions below 5 km/s to the local stellar halo. If the whole stellar halo were built by disrupted satellites, it should consist locally of 300 - 500 such streams. Clear detection of all these structures would require a sample of a few thousand stars with 3-D velocities accurate to better than 5 km/s. Even with velocity errors several times worse than this, the expected clumpiness should be quite evident. We apply our formalism to a group of stars detected near the North Galactic Pole, and derive an order of magnitude estimate for the initial properties of the progenitor system.Comment: 28 pages, 10 figures, minor changes, matches the version to appear in MNRAS, Vol. 307, p.495-517 (August 1999
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