3,253 research outputs found
Caracterización de la hipertensión arterial en pacientes adultos de la ciudad de Manta
No full textDurante los últimos tiempos ha aumentado el interés por el tema de la tensión arterial, numerosos estudios han proporcionado información valiosa sobre sus valores, tendencia, variabilidad y capacidad predictiva, para la edad adulta. Se realizo un estudio descriptivo y transversal de 200 pacientes que acudieron al consultorio médico Xavier Basurto Zambrano, con cifras tensiónales elevadas, a fin de caracterizarles clínica y epidemiológicamente. Entre las variables analizadas figuraron: edad, sexo, actividad que desarrollaban, tipo de hipertensión (moderada, severa), de donde se derivó predominio del sexo femenino (56.5 %), con respecto al masculino y el grupo de edad mayoritario fue de 40-59 años. El número de hipertensos fue entre 40-59 años, con predominio del sexo femenino, y tipo moderada
Environmental Leadership in Developing Countries. Transnational Relations and Biodiversity Policy in Costa Rica and Boliva by Steinberg, P.F. (2001), Cambridge: MIT Press. Reviewed by Xavier Basurto
No full textA saga de um clã Xavier
No full textThe book brings together historical memories of the Xavier family, of which the author is a member, and includes everything from the heroic episode between members of the Xavier family and Lampião's gang, to a Xavier family tree and tributes to the members of this family, as well as photographic records of known members. The author rescues and preserves important memories of the family, reconstructing facts that, if told orally, could gradually be erased. The story told by Maria do Socorro Cardoso Xavier is also a way of preserving the memory of Ipueira, reporting on the social life and historical setting of the place, using family narrative.O livro reúne registros de memórias históricas da família Xavier, da qual a autora é membro,
e traz desde o episódio heróico entre membros da família Xavier e o bando de Lampião, à
uma árvore genealógica dos Xavier e homenagens aos membros dessa famílias, além de
registros fotográficos dos membros conhecidos. A autora resgata e preserva memórias
importantes da família, reconstituindo fatos que, contados oralmente, poderiam se apagar aos
poucos. A história narrada por Maria do Socorro Cardoso Xavier também é uma forma de
preservar a memória de Ipueira, relatando sobre a vida social e cenário histórico do lugar,
utilizando da narrativa familiar
Variations on the Author
No full text“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Sir William Collins and Xavier Herbert
No full textSir William Collins, publisher and Xavier Herbert, author. Hand written comment about the photograph by Xavier Herbert on verso. [Gift of David Rowbotham
San Xavier District pedestrian access and safety study : final report
No full textabstract: The San Xavier District of the Tohono O’odham Nation is home to approximately 2,000 people. Numerous others come to the District to visit the San Xavier del Bac Mission Church. The San Xavier District Pedestrian Access and Safety Study is being prepared to improve the walking and bicycling environment on the San Xavier District for Community members and visitors alike. The study is being funded by the Arizona Department of Transportation Multimodal Planning Division’s Planning Assistance for Rural Areas program.Includes bibliographical references
Interview with Xavier Aldana Reyes
No full textXavier Aldana Reyes is Reader in English Literature and Film in Manchester, a founding member of the Manchester Centre for Gothic Studies, and the author of Spanish Gothic: National Identity, Collaboration and Cultural Adaptation (2017) and Gothic Cinema (2019). His publications in Gothic and horror studies include Twenty-First-Century Gothic: An Edinburgh Companion (with Maisha Wester; 2019), Horror: A Literary History (2016) and Digital Horror: Haunted Technologies, Network Panic and the Found Footage Phenomenon (with Linnie Blake; 2015). Aldana Reyes also edited fiction anthologies for the British Library series, Tales of the Weird, including the following titles: The Gothic Tales of H.P. Lovecraft (2018), The Weird Tales of William Hope Hodgson (2019), Promethean Horrors: Classic Tales of Mad Science (2019) and Roarings from Further Out: Four Weird Novellas, by Algernon Blackwood (2019)
Xavier Albó: Memoria, Crónica, Perfil
No full textAuthor historicizes the monumental contribution to the study of Quechua of linguist and anthropologist Xavier Albó. Author recalls Albó's early linguistic and anthropological influence during the late 1960s as a clear inspiration to study Quechua linguistics, the largest indigenous language spoken today in the Americas
Digital Gothic : an interview with Xavier Aldana Reyes
No full textXavier Aldana Reyes is Reader/Associate Professor in English Literature and Film at Manchester Metropolitan University and a founder member of the Manchester Centre for Gothic Studies. He is author of Gothic Cinema (2020), Spanish Gothic (2017), Horror Film and Affect (2016) and Body Gothic (2014), and editor of Twenty-First-Century Gothic: An Edinburgh Companion (with Maisha Wester, 2019), Horror: A Literary History (2016) and Digital Horror (with Linnie Blake, 2015). Xavier is chief editor of the Horror Studies book series at the University of Wales Press, and has edited anthologies of Gothic and horror fiction for the British Library. One of Xavier's research interests is the optical dynamics of found footage horror films. On this topic, he has published an article on narrative framing for Gothic Studies, and chapters on affective immersion in the film [REC] (2007) and viewer involvement and guilt in The Last Horror Movie (2003). More recently, he wrote a chapter on 'Online Gothic' that considers social media found footage horror for the collection The Edinburgh Companion to Globalgothic (2022)
Maneig farmacològic del dolor agut a urgències. Compendi d’evidències
No full textAntecedents
La cefalàlgia per punció dural i el dolor abdominal de la pancreatitis aguda són dues de les entitats que cursen amb dolor agut presents als serveis d’urgències. Amb excessiva freqüència el maneig del dolor a urgències no és prou satisfactori per al pacient i una de les possibles raons és la manca de coneixement científic existent a mans dels actors implicats.
Mètodes
S'han portat a terme tres revisions sistemàtiques seguint la metodologia Cochrane amb l'objectiu d'identificar i avaluar els beneficis i riscs dels fàrmacs emprats en la prevenció i tractament el dolor agut. 1) Fàrmacs per a la prevenció de la cefalàlgia per punció dural, 2) Fàrmacs per al tractament de la cefalàlgia per punció dural i 3) Opioides per a la pancreatitis aguda.
Resultats
1) En la prevenció de la cefalàlgia per punció dural, la morfina epidural, la cosintropina intravenosa i l’aminofil·lina intravenosa, redueixen el risc de cefalàlgia amb un NNT de 2,8 (IC95% 1,7-7,9), 3,1 (IC95% 1,9-7,3) i 5,5 (IC95% 3,3-15,9) respectivament, especialment en aquells pacients d’alt risc.
2) En el tractament de la cefalàlgia per punció dural, la cafeïna intravenosa redueix la persistència de cefalàlgia i la necessitat d’altres intervencions complementàries; NNT de 1,6 (IC95% 1,2-2,7). La gabapentina oral, la teofil·lina oral i la hidrocortisona intravenosa redueixen la intensitat del dolor agut en 2-3 punts sobre 10.
3) En el tractament amb opioides del dolor abdominal de la pancreatitis aguda, la morfina subcutània i la pentazocina intravenosa, disminueixen la necessitat d’altres mesures analgèsiques complementàries; NNT de 2,4 (IC95% 1,7-3,7).
Discussió
Les revisions sistemàtiques presentades en aquesta tesi han intentat, seguint una metodologia rigorosa i sistemàtica, identificar les investigacions disponibles sobre el tema que s’està estudiant i sintetitzar els resultats dels estudis inclosos.
Una de les principals limitacions identificades en aquestes revisions sistemàtiques són l’escàs número d’estudis inclosos en cada revisió; un total de 22 assajos clínics en les 3 revisions. L’escàs nombre de participants en els assajos és una altre limitació; un total de 2043 persones en les 3 revisions amb una mediana de 55 participants. Una pobre qualitat en la publicació dels assajos en limita l’avaluació del risc de biaix. L’heterogeneïtat clínica entre estudis dificulta el procés de síntesi de resultats.
Conclusions
En relació al tractament farmacològic del dolor a urgències, s’incorpora nou coneixement científic disponible per al personal sanitari sobre el benefici i risc de diferents estratègies farmacològiques per a dues entitats que cursen amb dolor agut; la cefalàlgia per punció dural i la pancreatitis aguda.
• La morfina epidural, la cosintropina intravenosa i l’administració intravenosa d’aminofil·lina redueixen el risc de cefalàlgia per punció dural, especialment en pacients d’alt risc.
• La cafeïna intravenosa redueix la persistència de cefalàlgia per punció dural i la necessitat d’altres intervencions complementàries. La gabapentina oral, la teofil·lina oral i la hidrocortisona intravenosa disminueixen la intensitat del dolor agut.
• La morfina subcutània i la pentazocina intravenosa, disminueixen la necessitat d’altres mesures analgèsiques complementàries en el tractament del dolor abdominal de la pancreatitis aguda.
• S’aconsella als investigadors que en futurs assajos utilitzin variables de resultat clínicament rellevants i amb definicions estandarditzades que permetin fer síntesi de resultats en futures revisions.
• Es recomana als futurs investigadors d’assajos a utilitzar una grandària de mostra suficient per a donar resposta a les hipòtesis plantejades.
• S’aconsella a tots els investigadors a seguir les directrius de la declaració CONSORT per millorar la qualitat de la publicació d’assajos.
• S’anima als autors de revisions sistemàtiques a utilitzar el sistema GRADE per classificar la qualitat de l’evidencia i poder elaborar les recomanacions amb més rigor.Background
The post-dural puncture headache and the abdominal pain of acute pancreatitis are two entities with acute pain presents to the emergency services. Too often pain management is not satisfactory to the emergency patient and one of the possible reasons is the lack of existing scientific knowledge in the hands of those involved.
Methods
Carried out three systematic reviews using the Cochrane methodology in order to identify and evaluate risks and benefits of drugs used to prevent and treat acute pain. 1) Drugs for preventing post-dural puncture headache, 2) Drugs for treating post-dural puncture headache and 3) Opioids for acute pancreatitis.
Results
1) In the prevention of post-dural puncture headache, epidural morphine, intravenous cosyntropin and the intravenous aminophylline, reduce the risk of headache with a NNT of 2,8 (95%CI 1,7-7,9), 3,1 (95%CI 1,9-7,3) and 5,5 (95%CI 3,3-15,9) respectively, particularly in high-risk patients.
2) In the treatment of post-dural puncture headache, intravenous caffeine reduces the persistence of headache and the need for other complementary interventions; NNT of 1,6 (95%CI 1,2-2,7). Oral gabapentin, oral theophylline and intravenous hydrocortisone reduced the intensity of acute pain in 2-3 out of 10.
3) In the treatment of abdominal pain from acute pancreatitis with opioids, subcutaneous morphine and intravenous pentazocine, reduce the need for other measures complementary analgesic; NNT of 2,4 (95%CI 1,7-3,7).
Discussion
Systematic reviews presented in this thesis have attempted, following a rigorous and systematic methodology, to identify the available research on the topic being discussed and summarize the results of the included studies.
One of the main limitations identified in these systematic reviews are the limited number of studies included in each review; 22 trials in 3 reviews. The small number of participants in trials is another limitation; 2043 people in 3 reviews with a median of 55 participants. Poor quality publishing trials limits the risk assessment bias. Heterogeneity between studies difficults the process of synthesizing the results.
Conclusions
Regarding the pharmacological treatment of pain in the emergency department, new scientific knowledge is available to the medical staff on the benefits and risks of different pharmacological strategies for both entities that present with acute pain; the post-dural puncture headache and acute pancreatitis.
·The epidural morphine, intravenous cosyntropin and intravenous aminophylline reduce the risk of post-dural puncture headache, especially in high-risk patients.
·Intravenous caffeine reduces the persistence of post-dural puncture headache and the need for other complementary interventions. Oral gabapentin, oral theophylline and intravenous hydrocortisone reduced the intensity of acute pain.
·Subcutaneous morphine and intravenous pentazocine, reduce the need for other complementary analgesic in the treatment of abdominal pain from acute pancreatitis.
·It is recommended that researchers in future trials use a clinically relevant outcomes and standardized definitions that allow synthesis of results in future reviews.
·It is recommended that future researchers use a sample size sufficient to respond to the hypotheses.
·It is recommended to all researchers to follow the CONSORT statement to improve the quality of publication of clinical trials
·The review authors are encouraged to use the GRADE system in order to classify the quality of the evidence and to develop recommendations with more rigor
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