Medidas de autocuidado en el paciente con epilepsia

ResumenEl autocuidado en epilepsia se define como el comportamiento que debe tener un paciente para optimizar el control de crisis y manejar los efectos de vivir con la enfermedad.Consta de tres áreas: la adherencia al tratamiento, el manejo de las crisis y el manejo psicosocial.Los pacientes que no logran comprender su enfermedad y manejo presentan malos resultados en salud. En cambio, un mayor conocimiento influye positivamente en la autoeficacia, capacidad para controlar su condición, mejorando su bienestar y pronóstico.Los aspectos en los cuales se debe educar a los pacientes con epilepsia son la importancia de la adecuada adherencia al tratamiento, siendo la estrategia más efectiva la simplificación del régimen posológico; primeros auxilios en crisis epilépticas y en el manejo de aspectos de la vida diaria tal como la privación de sueño, consumo de alcohol, la importancia de llevar un diario de crisis y la conducción de vehículos motorizados.SummarySelf-managment in epilepsy is defined as the behavior that a patient should have to optimize seizure control and manage the effects of living with the disease.It consists of three areas: adherence to treatment, seizures management and psychosocial management.Patients who fail to understand their disease and management perform poorly on health, however, a greater knowledge positively influences self-efficacy, ability to control their condition, improving their wellbeing and prognosis.The aspects which should educate patients with epilepsy, are the importance of adherence to treatment, and the most effective estrataegia simplifying the dosing regimen; seizure first aid and handling aspects of daily life such as sleep deprivation, alcohol consumption and the importance, keeping a seizures diaries and driving

Bone Morphogenetic Protein and its Option as an Alveolar Cleft Treatment

Indexación: Scopus; Scielo.Bone morphogenetic protein (BMP) is an endogenous protein that has shown significant effects in the promotion of bone formation. BMP also has been described in the reconstruction of traumatic and pathological bone defects, including alveolar cleft, alveolar ridge augmentation, maxillary sinus elevation, and applications in post-extraction alveolus graft, and peri-implant surgery among others. Despite the advantages associated with the use of BMP, currently is applied in combination with collagen matrices, which has certain properties such as low mechanical resistance and a high burst initial release that diminish its effectiveness in bone formation. In this context, the development of novel systems with greater mechanical resistance and prolonged release of BMP, that lead to chemotaxis of mesenchymal cells, following by its differentiation to osteoblasts represents a major challenge that holds outstanding clinical potential for the stimulation of bone formation. In this paper, we describe the use of BMP for the reconstruction of alveolar clefts, and its advantages being administrated in polymeric microparticles as sustain release system with promising applications in the stimulation of bone formation.http://ref.scielo.org/ps5w6

Immunoexpression of E-cadherin and Vimentin in Normal Oral Mucosa, Oral Epithelial Displasia and Oral Squamous Cell Carcinoma

Indexación: Web of Science; Scopus; Scielo.El objetivo fue evaluar la inmunoexpresión de E-cadherina y Vimentina en mucosa oral normal (MON), displasia epitelial oral (DEO) y carcinoma oral de células escamosas (COCE). Se realizó un estudio descriptivo de una serie de casos analizandolos mediante técnica de inmunohistoquímica contra E-cadherina y Vimentina 16 muestras de MON, 16 de DEO y 19 de COCE. La inmunotinción fue evaluada cualitativamente considerando extensión e intensidad para E-cadherina e intensidad para Vimentina. El análisis de la extensión e intensidad de la inmunotinción de E-cadherina y Vimentina según diagnóstico reveló una asociación estadísticamente significativa (p<0,001). Siendo la expresión de E-cadherina más alta en MON, seguido por DEO y más baja en COCE, inversamente a lo que se observó con Vimentina. El presente estudio reveló la subregulación del marcador molecular E-cadherina junto con la expresión aberrante por parte de células epiteliales del marcador mesenquimal Vimentina en muestras de MON, DEO y COCE.The aim was to evaluate the expression of E-cadherin and Vimentin in oral epithelial dysplasia (OED) and oral squamous cell carcinoma (OSCC), in comparison with normal oral mucosa (NOM) in a descriptive case study using immunohistochemistry. A total of fifty-one (N=51) histological samples were included; as follows: n = 16 (NOM), n = 16 (OED) and n = 19 (OSCC). All samples were analyzed using immunohistochemistry against the expression of E-cadherin and Vimentin. Immunostaining was qualitatively evaluated by extent and intensity of its expression for E-cadherin and intensity for Vimentin. Extension and intensity analysis of E-cadherin and Vimentin immunostaining according to group revealed a statistically significant association (r<0.001). E-cadherin expression was found to be highest in NOM followed by OED and lowest in OSCC, inverse to what was observed with Vimentin. The present study revealed the down regulation of the molecular marker E-cadherin, suggestive of reduction in dysplastic cells on comparison to NOM cells, and aberrant expression of the mesenchymal marker Vimentin by epithelial cells in samples of NOM, OED and OSCC; questioning their value as a prognostic marker.http://ref.scielo.org/pk8s6

Estimulación eléctrica en la reparación ósea de defectos creados en cráneos de conejos

Electrical stimulation has been used in different conditions for tissue regeneration. The aim of this study was to analyze the tissue response of defects created in rabbit skulls to electrical stimulation. Two groups were formed, each with 9 New Zealand rabbits; two 5 mm defects were made, one in each parietal, with one being randomly filled with autogenous bone extracted as particles and the other maintained only with blood clotting. The rabbits were euthanized at 8 weeks and 15 weeks to then study the samples collected histologically. In the 8-week analysis bone formation was observed in the defects in the test and control filled with bone graft, whereas the defects with clotting presented a very early stage of bone formation with abundant connective tissue. At 15 weeks an advanced stage of bone regeneration was identified in the defects with bone graft, whereas no significant differences were found in the electrically stimulated defects. In conclusion, electrical stimulus does not alter the sequence of bone formation; new studies could help establish patterns and influences of the stimulus on bone regeneration.Electrical stimulation has been used in different conditions for tissue regeneration. The aim of this study was to analyze the tissue response of defects created in rabbit skulls to electrical stimulation. Two groups were formed, each with 9 New Zealand r33311461150sem informaçãosem informaçãoLa estimulación eléctrica ha sido empleada en diferentes condiciones para la regeneración de tejidos. El objetivo de esta investigación es analizar la respuesta tisular de defectos creados en cráneo de conejos a la estimulación eléctrica. Se formaron 2 g

Factors associated with youth gang membership in low and middle-income countries: a systematic review.

Youth gang membership is associated with delinquency, violent crime and trafficking – and gang members are themselves frequently the victims of these offences. Yet youth gangs can also provide a form of social capital, a sense of belonging and purpose to disenfranchised youth. This review identifies the factors associated with young people joining gangs, and the differences between gang-involved and non-gang-involved youth. Understanding these associations is essential to reduce the levels of gang membership and the incidence of related violence

La fertilisation en pépinière affecte la tolérance au froid et la qualité des plants bouturés d’Eucalyptus globulus Labill

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