Rol del terapista físico en el diagnóstico y tratamiento de la hernia discal lumbar

La humanidad ha explorado el funcionamiento de su cuerpo desde tiempos inmemoriales, pero la irritación de una raíz nerviosa como causa de lumbociatalgia no fue conocida hasta los comienzos del siglo XX y tratamientos adecuados solo se ha comenzado a realizar desde hace aproximadamente 50 años atrás.1 “Este trastorno es motivo de incapacidad en un gran número de personas y representa la segunda causa de consulta médica en atención primaria” La hernia discal lumbar es un padecimiento de alta prevalencia mundial, es muy común a partir de la segunda mitad del Siglo XX y se presenta en cualquier edad. 2, “ya que afecta al 70-80% de la población adulta en algún momento de su vida”3 1 Savitz MH. Lumbar disc disease: controversies in Neurosurgery. M Sinai J Med 1991 2 Datos tomados de la OMS. 3 Ídem 6. . El dolor lumbar es también la primera causa de ausentismo laboral e incapacidad permanente en los países industrializados

Self-care in functionally independent older adults attending the "Priorato" Health Center

Introducción: el envejecimiento que sufren las poblaciones mundiales conlleva la necesidad de estrategias que favorezcan los autocuidados y la independencia funcional de los adultos mayores.Objetivo: determinar la valoración sobre autocuidado en adultos mayores con independencia funcional, que acuden al Centro de Salud “Priorato”Métodos: se realizó una investigación observacional, descriptiva y transversal en adultos mayores que acudieron al Centro de Salud “Priorato” durante el año 2022. La muestra quedó conformada por 170 adultos mayores. El instrumento utilizado fue un cuestionario con la formación de preguntas pertenecientes su mayoría a la escala de CYPAC-AMResultados:  predominaron los pacientes en edades entre los 65 y 70 años (44,11 %), el 31,17 % presentó hipertensión arterial y el 72,94 % viven solos. Solo el 11,18 % de los adultos mayores conoce los beneficios de la práctica de un adecuado autocuidado. El 48,82 % nunca realiza ejercicios físicos, el 84,12 % no puede mantener limpio el ambiente donde vive, y el 70,59 no puede mantener su higiene y confort por sí solo.Conclusiones: en los adultos mayores con independencia funcional que acuden al centro de salud “Priorato” existió desconocimiento sobre un adecuado autocuidado, higiene personal, estilos de vida, lo cual conlleva a un inadecuado autocuidado. Introduction: the aging of the world's population brings with it the need for strategies that favor self-care and functional independence of older adults.Objective: to determine the assessment of self-care in functionally independent older adults attending the "Priorato" Health Center.Methods: an observational, descriptive and cross-sectional research was carried out in older adults who attended the "Priorato" Health Center during the year 2022. The sample consisted of 170 older adults. The instrument used was a questionnaire with questions pertaining mostly to the CYPAC-AM scale.Results: patients between 65 and 70 years of age predominated (44,11 %), 31,17 % had arterial hypertension and 72,94 % lived alone. Only 11,18 % of the older adults know the benefits of practicing adequate self-care. 48,82 % never exercise, 84,12 % cannot keep their living environment clean, and 70,59 % cannot maintain their hygiene and comfort on their own.Conclusions: among older adults with functional independence who attend the "Priorato" health center, there was a lack of knowledge about adequate self-care, personal hygiene, and lifestyles, which leads to inadequate self-care. Introduction: the aging of the world's population brings with it the need for strategies that favor self-care and functional independence of older adults.Objective: to determine the assessment of self-care in functionally independent older adults attending the "Priorato" Health Center.Methods: an observational, descriptive and cross-sectional research was carried out in older adults who attended the "Priorato" Health Center during the year 2022. The sample consisted of 170 older adults. The instrument used was a questionnaire with questions pertaining mostly to the CYPAC-AM scale.Results: patients between 65 and 70 years of age predominated (44,11 %), 31,17 % had arterial hypertension and 72,94 % lived alone. Only 11,18 % of the older adults know the benefits of practicing adequate self-care. 48,82 % never exercise, 84,12 % cannot keep their living environment clean, and 70,59 % cannot maintain their hygiene and comfort on their own.Conclusions: among older adults with functional independence who attend the "Priorato" health center, there was a lack of knowledge about adequate self-care, personal hygiene, and lifestyles, which leads to inadequate self-care

Bases and foundations of the treatment of peritoneal carcinomatosis: Review article

Peritoneal carcinomatosis refers to a shedding or tumor that spreads to the peritoneal serosa and structures of the abdominal cavity. It is an entity with a poor prognosis. Several conditions can cause this, the most common being colon, rectum, ovary, stomach or appendix cancers, including peritoneal pseudomyxoma, among others. The abdominal cavity invasion is considered a clinical stage IV. For a long time life expectancy of this entity was very short. With the advent of meticulous techniques in cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) the prognosis of patients has changed. In some conditions, these procedures are standard treatments. CRS is a very important prognostic factor; leaving a less residual disease in the patient, the evolution will be better. The HIPEC starts immediately after the surgical event. The hyperthermia increases the cytotoxic effect of antineoplastic drugs. Numerous studies have appeared in medical literature wherein the clear improvement in survival of the affected population is demonstrated. It is essential that a multidisciplinary team participates in the decision for the best treatment option and the maximum clinical benefit of the patients

Uso de la tira reactiva (Urine dipstick) como herramienta diagnóstica en pacientes en diálisis peritoneal con sospecha de peritonitis

La enfermedad renal crónica es una enfermedad prevalente en nuestro medio. La diálisis peritoneal ocupa la principal terapia de remplazo renal que se ofrece en nuestra institución, así como en el país debido a su fácil acceso y que no requiere de equipo. La peritonitis es la principal complicación que se presenta en estos pacientes, lo que condiciona ingresos hospitalarios recurrentes y administración de terapia antibiótica. Este estudio pretende demostrar que la tira reactiva puede ser un método diagnóstico rápido y sencillo, que nos permita iniciar un tratamiento temprano disminuyendo la inflamación, la pérdida del acceso, ingresos intrahospitalarios y costo del tratamient

EFFECT OF Cr AND Pb ON THE ACTIVITY OF ANTIOXIDANT ENZYMES IN A CELL SUSPENSION CULTURE OF Jatropha curcas

Jatropha curcas is a tolerant and accumulator plant of heavy metals (HMs). Little is known about the mechanisms behind this ability. It is suggested that antioxidant enzymes might participate; however, there are no studies reporting the relationship between the activities of antioxidant enzymes and the presence of HMs in an in vitro cell suspension culture of J. curcas. The aim of this study was to determine the effect of chromium (Cr) or lead (Pb) at 0.0 to 3.0 mM on the activity of three antioxidant enzymes superoxide dismutase (SOD), catalase (CAT), and peroxidase (POX) through the growthofcellsuspensioncultures(CSC)ofJ.curcas. Theactivitydisplayedbythoseenzymeswasstatisticallysignificant (P≤0.05) when Cr or Pb was used. The greatest enzymatic activity was noted at the first hour of culture for SOD and at five h for POX and CAT. After 192 h, the activity of these three enzymes decreased, which coincided with the exponential growth phase of the cell culture. The results indicated that there is a close relationship between the presence of Cr and Pb and SOD, CAT, and POX activities in a cell suspension culture of J. curcas, which can explain the plant’s capability for tolerating and accumulating high concentrations of Cr and P

Cervical cancer, human papillomavirus (HPV), and HPV vaccination: Exploring gendered perspectives, knowledge, attitudes, and cultural taboos among Mexican American adults

Background: Gendered perspectives may be particularly important in shaping norms and values around HPV and HPV vaccination, as previous research suggests that sexuality taboos (e.g. promiscuity) may contribute to low perceived risk among adolescent and young adult Hispanic females. However, research to date focuses primarily on Hispanic mothers, adolescent females, and women of HPV vaccine-eligible age. Hispanic father\u27s perspectives are relatively unknown despite father\u27s important role in shaping norms for their female children. Objective: To close this gap, this study examines gendered perspectives in knowledge, beliefs, and attitudes about HPV and HPV vaccination from Hispanic parents (mothers and fathers), women of vaccine-eligible age (18-26 years old), and women eligible for Pap Test screening (\u3e26 years old) living in two counties along the Texas-Mexico border. Design: We conducted eight focus groups. Research staff transcribed audio recordings verbatim and uploaded them into Atlas(ti) 5.0 for analysis. The research team analyzed the data for content, meaning, patterns and themes using the constant comparison approach. Results: Perspectives were highly gendered. Women\u27s (all groups combined) beliefs focused on misconceptions around how the HPV virus is contracted (e.g. toilet surfaces). Women also linked HPV-related sexual risk to adultery and indiscretion of male partners. Fathers (men) were more likely to link risk to female promiscuity. Fathers also worried that HPV vaccination might increase promiscuity. All groups believe that HPV vaccination is a way to protect Hispanic females in the face of beliefs around sexual behavior and risk of contracting HPV. Conclusion: Results suggest gendered differences in risk beliefs concerning HPV among Hispanics living along the Texas-Mexico border. Researchers can use these findings to address barriers to HPV vaccination, as well as to create culturally appropriate prevention messages that may help reduce disparities in HPV among Hispanic women

Comparación entre las Micro, Pequeñas y Medianas Empresas dirigidas por mujeres y hombres en el Estado de Coahuila: Aspectos Generales, Estrategia, Tecnología, Calidad e Innovación

Los estudios de los factores de competitividad para las PYMES se han desarrollado hace algunos años con el propósito de ofrecer información confiable a los tomadores de decisiones en materia de política pública. La Fundación para el Análisis Estratégico y Desarrollo de las PYMES (FAEDPYMES) ha impulsado y desarrollado estos estudios en Iberoamérica.  En este marco y además, dada la renovada importancia de los estudios de género,  esta investigación pretende realizar una comparación de las empresas dirigidas por mujeres y por hombres  en el Estado de Coahuila. La Metodología empleada toma como base el Cuestionario de FAEDPYMES, que fue aplicada a una muestra probabilística de empresas en el Estado de Coahuila, la información recopilada fue almacenada en una base de datos en SPSS, y de ahí se filtraron los registros por el sexo del directivo, creando dos bases de datos con 601 para empresas dirigidas por hombres y 103 dirigidas por mujeres. El análisis comparativo en esta ponencia se centra en los aspectos generales de las empresas, la estrategia, tecnología, calidad e innovación, y arroja que en general no existen grandes diferencias entre estas empresas

Model predictive control for wave energy converters : a moving window blocking approach

Ocean wave energy is one of the most concentrated sources of renewable energy. However, until now it has not reached the economic feasibility required to be commercialised. To improve the efficiency of wave energy converters, several advanced control strategies have been proposed, including Model Predictive Control (MPC). Nevertheless, the computational burden of the underlying optimisation problem is a drawback of conventional (Full-Degree of Freedom, F-DoF) MPC, which typically limits its application for real-time control of systems. In this paper, a Moving Window Blocking (MWB) approach is proposed to speed-up the time required for each optimisation problem by reducing the number of decision variables using input parameterised solutions. Numerical simulation of a generic single device point absorber wave energy converter controlled by this scheme confirms the potential of this approach

La medicina y la enfermedad en Alfonso Reyes

En este ensayo se analizan los síntomas, las enfermedades y las terapias que sufrió el escritor mexicano Alfonso Reyes, reconocido como uno de los escritores más importantes de habla hispana. Se revisa su biografía, que muestra la evolución de sus síntomas cardiovasculares y se documentan las patologías principales que tuvo a lo largo de su vida. Algunas de las enfermedades que sufrió Alfonso Reyes influyeron en su creación literaria, y su condición de enfermo constante lo llevó a reflexiones nada casuales, siendo un ejemplar paciente. Abstract: In this essay, the symptoms, diseases and therapies that the Mexican writer Alfonso Reyes suffered are analyzed. In addition, his biography is reviewed, which shows the evolution of his cardiovascular symptoms and the main diseases and surgeries that he had throughout his life. The diseases suffered by Alfonso Reyes influenced his literary creation and, because of his constant diseases, he made very non-casual l reflections. He was also an exemplary patient

Efficiency-aware nonlinear model-predictive control with real-time iteration scheme for wave energy converters

Several solutions have been proposed in the literature to maximise the harvested ocean energy, but only a few consider the overall efficiency of the power take-off system. The fundamental problem of incorporating the power take-off system efficiency is that it leads to a nonlinear and non-convex optimal control problem. The main disadvantage of the available solutions is that none solve the optimal control problem in real-time. This paper presents a nonlinear model predictive control (NMPC) approach based on the real-time iteration (RTI) scheme to incorporate the power take-off system's efficiency when solving the optimal control problem at each time step in a control law aimed at maximising the energy extracted. The second contribution of this paper is the derivation of a condensing algorithm O(N2) for ‘output-only’ cost functions required to improve computational efficiency. Finally, the RTI-NMPC approach is tested using a scaled model of the Wavestar design, demonstrating the benefit of this new control formulation