Taponamiento cardiaco posterior a trauma penetrante de tórax Reporte de caso

Cardiac tamponade is defined as abnormal fluid accumulation in the pericardial sacwhich causes compression of the heart and decreased cardiac output.Although cardiac tamponade can occur whit penetrating chest injury is relativelyrare (<i%) (1,3,5), when it occurs usually due to the weapon or sharp object piercesthe pericardium and lacerations of the cavities heart causing bleeding which accumulates in the pericardial cavity. The ventricles are the most frequently involved,with a slight predominance of the right ventricle(43%) due to its anatomical positionin the chest. Cardiactamponade is a condition that causes high mortality (70 - 80%).The diagnosis and treatment are the oniy measures to ensure the survival of thesepatients.A case of a patient with penetrating chest trauma by short sharp weapon (knife)which develops post-traumatic cardiac tamponade.El taponamiento cardiaco se define como la acumulación anormal de líquido en el saco pericárdico, lo cual causa compresión del corazón y disminución del gasto cardíaco.(^''-®'5)Aunque el taponamiento cardiaco puede producirse a una herida penetrante de tórax es relativamente raro(<i%y''''5), cuando ocurre, suele deberse a que el arma u objeto corto punzante traspasa el pericardio y lacera una de las cavidades cardiacas, produciendo sangrado el cual se acumula en la cavidad pericárdica. Los ventrículos son los más frecuentemente implicados, con un ligero predominio del ventrículo derecho (43%) debido a su posición anatómica en el tórax.El taponamiento cardiaco es una patología que causa gran mortalidad (70 - 80%) 0,3,5.8,9), El diagnóstico y tratamiento oportuno son las únicas medidas para asegurar la sobrevida de estos pacientes. Se presenta el caso de un paciente con trauma penetrante de tórax por arma corto punzante (puñal) que desarrolla taponamiento cardiaco postraumático

Tiroidectomía video asistida mínimamente invasiva: a propósito del primer procedimiento realizado en Ecuador. Reporte de caso

The Minimally Invasive Video-Assisted Thyroidectomy (TVAMI) is a procedure that reduces morbidity incompared to the conventional approach and is aiso an aesthetically satisfying procedure. We report the case of a female patient diagnosed with NodularGoiter affecting the left lobe of thyroid gland, surgicalsubmitted for resolution by the method of Minimally InvasiveThyroidectomy, and review the literature describing the method as safe and explains the technique used inour experienceLa Tiroidectonnía VideoAsistida Mínimamente Invasiva (TVAMI) es un procedimiento que reduce la morbilidad en relación al abordaje convencional y además es un procedimiento estéticamente satisfactorio. Se reporta el caso de un paciente femenina con diagnostico de Bocio Nodular que afecta al Lóbulo Izquierdo de Glándula Tiroi des, sometida a resolución quirúrgica por el método de Tiroidectomía Mínimamente Invasiva, yse realiza una revisión de la literatura que describe al método como seguro y se explica la técnica utilizada en nuestra experiencia

Subjects At-Risk for Genetic Diseases in Portugal: Illness Representations

http://sherpa.ac.uk/romeo/issn/1059-7700/This study investigates illness representations of subjects at-risk for 3 autosomal dominant late-onset disorders: Familial Amyloid Polyneuropathy (FAP) TTR V30M, Huntington's disease (HD) and Machado-Joseph disease (MJD), comparing them with the illness representations of subjects at-risk for Hemochromatosis (HH). The present study included a clinical group that consisted of 213 subjects at genetic risk (FAP, HD and MJD), comprising 174 subjects at-risk for FAP, 34 subjects at-risk for HD and only 5 subjects at-risk for MJD; and the control group consisting of 31 subjects at genetic risk for HH. All subjects at-risk were undergoing the process of genetic counseling to learn their genetic status (carrier or non-carrier). Subjects were assessed through a semi-structured single interview, in order to obtain sociodemographic data and the answer to an open-ended question relating to the illness representation issue: "What does this illness mean to you?/ What is this disease to you?" It was in the subjects' metaphors that subjects best expressed what they felt regarding the disease and the situation of being at-risk for this disease. Family is their mirror and their source of learning and, therefore, it is inevitable that family is related to the meaning of the disease itself.info:eu-repo/semantics/publishedVersio