Complicaciones en cirugía oral menor en pacientes bajo medicación anticoagulante

El presente trabajo retrospectivo y descriptivo, tuvo como objetivo determinar las complicaciones en todos los pacientes bajo tratamiento anticoagulante sometidos a cirugía oral menor ambulatoria en el Servicio de Medicina Oral y Cirugía Buco Máxilo Facial del Departamento de Estomatología del HCFAP entre 2006 y 2007. La suspensión del ácido acetil salicílico y el reemplazo de warfarina por Heparinas de bajo peso molecular, fueron las modificaciones de las dosis del fármaco AC más frecuentes. La frecuencia de complicaciones hemorrágicas fue baja (10%), y las infecciosas 3%. 02 casos (0.9%) de hemorragia post-operatoria tuvieron atención por emergencia hospitalaria. No hubo ningún caso de tromboembolia. El género femenino y masculino tuvieron igual número de complicaciones hemorrágicas. El género femenino tuvo más complicaciones infecciosas. La frecuencia de complicaciones según el tipo de medicación fue baja, 2% tomaban warfarina, 9% de pacientes que tomaban AAS, y 2% tomaban warfarina + AAS. Se concluyó que la frecuencia de complicaciones es baja, y se sugiere la elaboración de un protocolo de atención a este tipo de pacientes.-- This retrospective and descriptive research's aim was to find complications in all anticoagulated patients who underwent minor oral surgery at the Oral Surgery Service of Estomathology Department at the Peruvian Air Force Hospital, during 2006 and 2007. It was found that warfarin replacement by Low-Molecular Weight Heparin and AAS withdrawal was frequent. The bleeding complication rate was low (10%), as well as infectious (3%). 02 cases of post-surgical bleeding required hospitalary emergency treatment. No thromboembolic events were found. Female and male patients had the same number of bleeding complications. Female gender had more infectious complicactions. Frequence of complications related to anticoagulant medication was low, 2% had warfarin, 9% had acetil salicylic acid (ASA), and 2% had warfarin + ASA. It was concluded that the complication rate was low, and elaboration of a treatment protocol is suggestedTesi

The roles of mindfulness and spiritual intelligence in transformational leadership and its ethical dimensions

Hypothesis 1: Spiritual intelligence has a direct effect on transformational leadership. Hypothesis 2: Mindfulness has a direct effect on transformational leadership behavior. Hypothesis 3: Mindfulness mediates the effect of spiritual intelligence on transformational leadership behavior. Hypothesis 4: some control variables have a confounding effect on the model. The research proposes that the constructs of mindfulness and spiritual intelligence have important effects on transformational leadership and its ethical dimensions. The data was gathered from a sample of 525 managers, using self-reported instruments (MLQ-5X, FFMQ, and SISRI-24). The study used SEM with a multiple instrumental variable regression approach to evaluate endogeneity and consistency of the effects in the model. The results suggested that mindfulness fully mediated the effect of spiritual intelligence on transformational leadership. The control variables included relevant demographic variables and social desirability, and reported minor effects with no alteration on the pattern of the results; therefore they were considered inconsequential. The main indirect effects of spiritual intelligence were on the ethical dimensions of transformational leadership. Mindfulness presented important effects on transformational leadership, and spiritual intelligence on mindfulness.The results suggested that by developing mindfulness and spiritual intelligence skills as part of the leadership training programs, the organizations could increase the knowledge transfer rate to the workplace of those ethical and values-driven leadership models.THIS DATASET IS ARCHIVED AT DANS/EASY, BUT NOT ACCESSIBLE HERE. TO VIEW A LIST OF FILES AND ACCESS THE FILES IN THIS DATASET CLICK ON THE DOI-LINK ABOV