Treatment of maxillary transverse deficiency with rapid expansion of the palate with mini-implant: a review

One of the most prevalent malocclusions is maxillary constriction, which is a narrowing of the upper arch; its etiology is multifactorial, including mainly genetic factors and parafunctional habits. It is characterized by a posterior crossbite that can be unilateral or bilateral, total or partial, and may even not occur in cases with simultaneous constriction of the mandibular arch. Transverse deficiency or maxillary hypoplasia affects facial growth and the integrity of the dentoalveolar structures. Therefore, it must be corrected as soon as it is diagnosed. As the maxilla widens, the midpalatal suture and the intermaxillary suture expand. When they are not fused, it is connective tissue and behaves viscoelastically in response to externally applied forces. In order to effectively treat any dentofacial deformation, an early diagnostic and therapeutic approach is required

Intentional replantation: case report

Intentional reimplantation is a procedure in which an intentional tooth extraction is performed followed by reinsertion of the extracted tooth. We present the case of a 50-year-old male patient who came to the consultation due to incrustation detachment in tooth #37, when performing the radiographic study an extensive apical lesion was observed in tooth #36 with a sinuous path and the presence of purulent exudate. The tooth #36 was extracted, apicoectomy, retro preparation and retrograde filling were carried out for later reimplantation, showing bone regeneration after one year of evolution

Complications and treatment of dens in dente: case report

Dens in dente is an anomaly of dental development characterized by focal or multifocal invaginations of the enamel in the dental papilla before its mineralization, it can result in additional layers of enamel, cementum, dentin or pulp tissue, it is also known as invaginated tooth or invaginated odontoma. The clinical case of an 18-year-old female patient is presented, she comes to the clinic for referring halitosis and purulent exudate for 1 month, a clinical and radiographic examination of tooth 22 was performed, a radiopaque invagination line was observed that penetrates the portion radicular in the cervical third, wide radiolucent area in the apical third, sinuous course and purulent exudate. Root canal treatment was performed with a flexible rotary system and canal obturation with a lateral technique and vertical compaction, restored with resin

Endodontic regenerative treatment for internal radicular resorption using bio-ceramic material, case report

The internal resorption of the internal radicular conduct is a process than can be both physiological or pathological, being the osteoclasts, odontoclasts and dentinoclast responsible for said process. 49-year-old female patient, refers orthodontic treatment at age 20, attends a dental check-up due to pain when chewing. Dental organ (DO) #11 was diagnosed with internal root resorption and symptomatic, suppurative apical periodontitis. Treatment started performing an endodontic access and taking a conductometry reading with an apical foramen locator, using a precision hybrid instrumentation technique and applying hypochlorite irrigation, the intra-canal was medicated with chemically pure calcium hydroxide for 7 days. The canal obturation was repaired infiltrating a bio-ceramic material (BIO-C Sealer) followed by the placement of the single cone using a vertical condensation technique

Volteando la tortilla. Género y maíz en la alimentación actual de México.

Ante escenarios complejos, patriarcales y desoladores que dejan ver el neoliberalismo, la globalización agroalimentaria, el calentamiento global y las contaminaciones de granos nativos por la imposición de transgénicos, nos cuestionamos si existen algunas alternativas para preservar el maíz nativo como un recurso multiestratégico (alimentario, económico, cultural, ecológico y tecnológico) tomando en cuenta las condiciones actuales de desigualdades sociales de género, etnia, clases y edad que predominan en el campo mexicano. Para responder a algunos cuestionamientos, este libro presenta algunas alternativas a través de diversas experiencias femeninas y de relaciones de género en torno al maíz y la alimentación. Todas ellas muestran que es posible construir una masa crítica para salvaguardar el maíz nativo bajo esas condiciones desoladoras, pero siempre y cuando se “voltee la tortilla”, metáfora que da pie al inicio de otra realidad humanizada y en sincronía con la naturaleza.Proyecto realizado con financiamiento Conacy

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

COVID-19 symptoms at hospital admission vary with age and sex: results from the ISARIC prospective multinational observational study

Background: The ISARIC prospective multinational observational study is the largest cohort of hospitalized patients with COVID-19. We present relationships of age, sex, and nationality to presenting symptoms. Methods: International, prospective observational study of 60 109 hospitalized symptomatic patients with laboratory-confirmed COVID-19 recruited from 43 countries between 30 January and 3 August 2020. Logistic regression was performed to evaluate relationships of age and sex to published COVID-19 case definitions and the most commonly reported symptoms. Results: ‘Typical’ symptoms of fever (69%), cough (68%) and shortness of breath (66%) were the most commonly reported. 92% of patients experienced at least one of these. Prevalence of typical symptoms was greatest in 30- to 60-year-olds (respectively 80, 79, 69%; at least one 95%). They were reported less frequently in children (≤ 18 years: 69, 48, 23; 85%), older adults (≥ 70 years: 61, 62, 65; 90%), and women (66, 66, 64; 90%; vs. men 71, 70, 67; 93%, each P &lt; 0.001). The most common atypical presentations under 60 years of age were nausea and vomiting and abdominal pain, and over 60 years was confusion. Regression models showed significant differences in symptoms with sex, age and country. Interpretation: This international collaboration has allowed us to report reliable symptom data from the largest cohort of patients admitted to hospital with COVID-19. Adults over 60 and children admitted to hospital with COVID-19 are less likely to present with typical symptoms. Nausea and vomiting are common atypical presentations under 30 years. Confusion is a frequent atypical presentation of COVID-19 in adults over 60 years. Women are less likely to experience typical symptoms than men

Física-MA456-201800

Física es un curso general que corresponde a la línea de Física para la carrera de Arquitectura de carácter teórico-práctico y se dicta en la modalidad semipresencial (blended).Está dirigido a estudiantes del segundo ciclo que busca desarrollar las competencias generales de razonamiento cuantitativo en el nivel 1. El curso brinda el soporte de conceptos físicos necesarios para que el estudiante de arquitectura analice cuantifique magnitudes físicas desarrolle estrategias y habilidades básicas para resolver problemas de equilibrio ondas acústica fluidos calor y electricidad usando leyes físicas

Física-MA456-201800

Física es un curso general que corresponde a la línea de Física para la carrera de Arquitectura de carácter teórico-práctico y se dicta en la modalidad semipresencial (blended).Está dirigido a estudiantes del segundo ciclo que busca desarrollar las competencias generales de razonamiento cuantitativo en el nivel 1. El curso brinda el soporte de conceptos físicos necesarios para que el estudiante de arquitectura analice cuantifique magnitudes físicas desarrolle estrategias y habilidades básicas para resolver problemas de equilibrio ondas acústica fluidos calor y electricidad usando leyes físicas

Física 2-CE90-201701

El curso Física 2 es un curso general y es el último curso que corresponde a la línea de Física para las carreras de ingeniería de carácter teórico-práctico y se dicta en la modalidad semipresencial (blended).Está dirigido a estudiantes del quinto ciclo que busca desarrollar la competencia general de razonamiento cuantitativo.El curso brinda el soporte de conceptos físicos que requiere el estudiante de ingeniería necesarios para las asignaturas posteriores propias de cada especialidad. El curso tiene por finalidad que el estudiante analice cuantifique magnitudes físicas desarrolle estrategias y habilidades básicas asociadas con el funcionamiento de sistemas termodinámicos y eléctricos utilizando las leyes de la Física