CARDIAC ARREST IN A POSTOPERATIVE CARE UNIT. LITERATURE REVIEW OF PULMONARY PERIOPERATIVE CRITICAL SITUATIONS
Cardiac arrest secondary to postoperative pulmonary complications is the second most frequent cause of mortality, and they are often underestimated. A review of the literature was made. We describe the main risk factors for postoperative pulmonary complications, the diagnosis and initial management of the main pulmonary complications such as hypoxemia, hypercapnia, laryn-gospasm, bronchospasm, bronchoaspiration and residual neuromuscular relaxation. El paro cardiaco perioperatorio secundario a complicaciones pulmonares transoperatorias es la segunda causa de mortalidad, y con frecuencia son subestimada.
CASE REPORT: ORALLY TRANSMITTED ACUTE CHAGAS’ DISEASE FROM A CASE IN A PUBLIC HOSPITAL IN BUCARAMANGA CITY, COLOMBIA.
CONCEPTS Chagas’ disease, a zoonosis caused by Trypanosoma cruzi, is present in South America. Can be vectorborne, bloodborne and congenital infection. It shows tropism through smooth cardiac and gastrointestinal muscle, as well as nerve and reticuloendothelial tissue. Inoculation site evidence, prolonged fever syndrome, and general malaise lasting between 2 and 8 weeks characterize its acute phase. Direct parasitaemia detection study or indirect serology make diagnosis. Detection of acute infections is infrequent and confirmation of oral transmission is difficult. We report one case of acute Chagas associated with oral transmission. CASE PRESENTATION Previously healthy schoolchild, with fever lasting 15 days, and facial edema. Antecedents along immediately preceding month: father, mother and pregnant sister showing acute fever syndrome associated with dyspnea with thick-drop testing positive for Chagas. Rural area dwellers of a cane and mud house.
Search for synthetic and natural substances with in vitro bioactivity against Mycobacterium tuberculosis. Part I
INTRODUCTION: tuberculosis (TB) is still considered as an important worldwide health problem. For this reason, national and international health agencies encourage the researchers to improve and strengthen the control strategies and disease treatment. Currently, there have been important advances in the discovery and development of drugs that probably will be included in the standard scheme of anti-TB treatment, however for many of the current treatments, there have been resistant strains reported and even worst for most of the new treatments resistance is expected, making it necessary to maintain a continuous search for treatment alternatives. OBJECTIVE: determine the in vitro antimycobacterial activity of 15 synthetic molecules, 14 essential oils and 6 extracts from endemic plants growing in the department of Santander, Colombia.
Urinary Tract Infection As A Predictor Of Poor Prognosis In Pediatric Patients With Severe Febrile Neutropenia Related To Chemotherapy
The diminished inflammatory response in patients with febrile neutropenia secondary to chemotherapy makes it hard to discard a urinary tract infection based solely on the physical evaluation of the patient and basic urine laboratory tests. This could lead to false negative results with serious consequences to the patients. Objective: To define if the urinary tract infection is a high-risk predictor of severe complications in the pediatric patient with febrile neutropenia-related with chemotherapy and to establish the diagnostic significance of normal urine sediment in the initial study. Methods: A Cross-sectional study of diagnostic technology. We included children with ages from 2 to 18 years old, with severe febrile neutropenia related to chemotherapy, we compared patients with and without urinary tract infection and evaluated poor prognosis outcomes and analyzed the diagnostic efficiency of urinalysis.
Gustavo Adolfo Becquer - February 17, 1836 - December 22, 1870 - is today considered one of the most important figures in Spanish literature. The Rima IX belongs to one of many of his masterpieces and has been translated from Spanish into Romanian by Dra. Laura Carasevici who has a Ph.D. in Psychology (University of Porto, Portugal) and a Ph.D. in Philology („Alexandru Ioan Cuza” University from Iaşi, Romania). She teaches Psychology at the Faculty of Psychology and Education Sciences of „Alexandru Ioan Cuza” University from Iaşi and she is also a literary translator (Re-edited 16.05.18)
PREVALENCE ALTERATION OF DOPPLER UTERINE ARTERIES BETWEEN WEEK 20 – 24 OF GESTATION IN LOW RISK POPULATION
Abstract: In Colombia, patients classified as obstetric low risk have maternal or fetal adverse outcomes like pathologies associated with the alteration in placentation and Doppler of uterine arteries (DUA) is a useful method to predict complications derived from inadequate placentation. We decided to evaluate the prevalence alteration of DUA between week 20 and 24 of gestation in low-risk obstetric patients in Bucaramanga and its metropolitan area. We did a prospective cross-sectional study on this population and we report the result in 120 patients that were between 18 and 35 years old. There was an abnormality IP in 15.0% (18) of the patients (95% CI from 9.1% to 22.7%), of the IR in 25.0% (30) (95% CI from 17.3% to 33.7%) and presence of Notch in 10.8% (13) (95% CI from 5.9% to 17.8%). Of 18 (15.0%) patients who had impaired PI 2 had normal RI and the Notch was absent in 6. The three parameters were altered in 11 (9.2%) patients.
Destiny is that force which guides the will of the men, however, they want in many cases to go against that delineated force. The classic conception of tragedy glimpses the prevailing contradiction between happiness and misfortune. The tragic stories emerge as a living and very intense lesson about the decisions which men adopt freely without considering those extreme laws ruled by fate and by the gods. This work is oriented towards the philosophical and aesthetic study of the Oedipus Rex Tragedy by Sophocles. Likewise said writing is sustained under the philosophical and aesthetic foundations of Nietzsche and Aristotle.
Search for synthetic and natural substances with in vitro bioactivity against Mycobacterium tuberculosis.
tuberculosis (TB) is still considered as an important worldwide health problem. For this reason, national and international health agencies encourage the researchers to improve and strengthen the control strategies and disease treatment. Currently, there have been important advances in the discovery and development of drugs that probably will be included in the standard scheme of anti-TB treatment, however for many of the current treatments, there have been resistant strains reported and even worst for most of the new treatments resistance is expected, making it necessary to maintain a continuous search for treatment alternatives.
Music and its influence on the art of writing poetry - La música y su influencia sobre el arte de poetizar
Fine arts is a product of the genius search to wake up all the sensitive capacity in the spectator enabling an aesthetic reflection, which can either be intellectual or sensory character. This work is oriented towards the aesthetic and metaphysical study of the Fine Arts, specifically of music and poetry. The study particularly focusses on Kant, Nietzsche and Schiller's esthetics argumentations. These German philosophers attended with their philosophical ideas to the particular essence of the poetry and music. The general objective of this work consists of the philosophical analysis of a possible metaphysic hierarchy between the music and the art of poetizing; thereby, it proceeds to interpret three ground works for the justification of the problem raised. The following are the titles: The Critique of Judgment, The Born of the Tragedy, Naive Poetry and Sentimental Poetry.
International Academy of Science, Humanities and Arts, IASHA e.V. Freiburg, Deutschland The JOSHA Demetrios Project With the July 2017 issue, JOSHA is starting the Demetrios Project. We chose Demetrios of Phaleron, a student of Theophrastus and most probably of Aristotle, as the name patron of our project. Demetrios was instrumental in establishing the ancient Library of Alexandria, probably the largest and most significant library of the ancient world covering all aspects of Science, Humanities and the Arts in many different languages. It is our objective to open up JOSHA as a universally accessible, open access library to all languages and countries. We encourage authors and readers to submit their textbooks for publication in JOSHA free of charge and to alert us to specific areas of need. The non-profit International Academy of Science, Humanities, and Arts (IASHA e.V.) in Freiburg, the publisher of JOSHA, and all its members will make a special effort to support this project.