1,083 research outputs found
Estación depuradora aguas residuales
No full textCódigo de proyecto: ICA 12206F. Javier Vicente Gomez; director de proyecto: Esther Pérez Arellano.Curso 2012-2013Ingeniería de Caminos, Canales y Puertos (ICA)Escuela Politécnica Superio
Estudio epidemiológico de la osteorporosis en la población española con artritis reumatoide
No full textTesis doctoral inédita leída en la Universidad Autónoma de Madrid, Facultad de Medicina. Departamento de Medicina. Fecha de lectura: 19 de Junio 200
Informe sobre un despacho de una lancha sin orden del gobernador, 1775 marzo 26
No full textFr. Vicente de Mora afirma que envió un barco para llevarse al Fr. Nicolás Muñoz a San Blas sin el permiso del gobernador Felipe Barri porque no sabía que lo necesitaba. Relata el hecho que motivó la denuncia del gobernador en su contra. Al final del documento, el autor describe los desacuerdos que han tenido con el gobernador Barri, argumentando que deberían estar exentos de sus órdenes. —— Fr. Vicente de Mora affirms that he sent a boat to take Fr. Nicolas Muñoz to San Blas without Governor Felipe Barri's permission because he did not know he needed it. He recounts the event that led to the governor's complaint against him. In the end of the document, the author describes the disagreements they have had with Governor Barri, arguing that they should be exempt from his orders. 6 f. (12 p.
Ultrasound evaluation of interstitial lung disease in rheumatoid arthritis and autoimmune diseases
No full textLung ultrasound; Rheumatoid arthritis; Autoimmune diseasesEcografia pulmonar; Artritis reumatoide; Malalties autoimmunesEcografía pulmonar; Artritis reumatoide; Enfermedades autoinmunesThe interpretation of lung ultrasound (US) is the result of the analysis of artifacts, rather than exact representations of anatomical structures, which appear when changes in the physical properties of the lung occur. Its application to the study of interstitial lung disease (ILD) associated with autoimmune diseases has aroused great interest in the last 10 years, as evidenced by a growing number of publications studying its usefulness in the diagnostic process, as a prognostic marker, and as an aid in monitoring of patients. The main elements in lung US interpretation in ILD are the B lines and the changes in the pleural line. B lines are vertical artifacts that are generated when there is
a partial decrease in the air content of the lung parenchyma and/or the volume of the interstitial area expands. Pleural line alterations that can be seen are irregularities, thickening, fragmentation, or subpleural nodules. Both the B lines and the changes in the pleural line have shown a significant positive correlation with the evidence on chest computed tomography (high-resolution computed tomography [HRCT]) of ILD associated with autoimmune diseases, with sensitivity and negative predictive values of up to 100%. These results, together with the safety, accessibility, and low cost of lung US, support this imaging technique as a promising screening method for optimizing the indication for HRCT. The role of lung US regarding sensitivity to change needs further investigation
with multicenter prospective studie
Prólogos del DRAE (1780–2001): cánones formales y de contenido
No full textLos autores analizan críticamente el lugar de la ideología en las obras lexicográficas y la trascendencia que en el caso del español se debe a una koiné culta académica y propia, de raíz fundamentalmente castellana, cuyo valor como modelo se ha impuesto en las obras más actuales tanto por su dimensión descodificadora (fundamentalmente semántica) como por haber fijado su función codificador
Utilisation of primary healthcare services by Sjögren's syndrome patients in the Community of Madrid and associated factors: a population-based cross-sectional study
No full textObjective To describe the utilisation of primary health care (PHC) services and factors associated with its use by patients diagnosed with Sjögren’s syndrome (SS). Methods Population-based cross-sectional cohort of SS patients in Madrid, Spain (SIERMA). Sociodemographic, diagnostic, clinical and PHC service utilisation variables were studied by bivariate analyses and regression models. Results A total of 4,778 SS patients were included, 65.2% classified as primary SS (pSS), while 34.8% associated with another autoimmune disease (associated SS). Mean age was 64.3 years, and 92.8% of the patients were women. A total of 87.5% used PHC services, with a mean of 19.8 consultations/year. The general practitioner was the most visited health professional, with a mean of 10.9 consultations/year, followed by the nurse, with a mean of 5.7. Characteristics associated with a greater use of PHC services in SS patients were associated SS, higher adjusted morbidity groups (AMG) risk level and older age. Additional factors included symptoms such as dry mouth, fatigue, dry vagina and joint and muscle pain; comorbidities such as atrial fibrillation, diabetes, hypertension, solid malignant neoplasms, coronary heart disease and chronic obstructive pulmonary disease; and treatments such as sterile saline solution, corticosteroids, opioids and biologic disease-modifying anti-rheumatic drugs. Conclusion Most SS patients used PHC services during the study period, and the mean number of consultations was remarkably high. Utilisation was mainly associated with AMG risk level, ageing, glandular and extra-glandular symptoms, substantial comorbidities and various treatments. An optimised design of PHC policies will facilitate early diagnosis, improved management and better quality of life for SS patients
Usefulness of Lung Ultrasound as a Method for Early Diagnosis of Interstitial Lung Disease in Patients with Rheumatoid Arthritis
No full textPedro Santos-Moreno,1 Maria Fernanda Linares-Contreras,1 Gabriel-Santiago Rodríguez-Vargas,2 Pedro Rodríguez-Linares,2 Abdón Mata-Hurtado,3 Linda Ibatá,4 Susan Martínez,4 Adriana Rojas-Villarraga,1,5 Mario Diaz,1 Esther F Vicente-Rabaneda,6 Maritza Quintero,7 Ingrid Möller7 1Rheumatology Department, Biomab IPS, Bogotá, Colombia; 2Research department, Biomab IPS, Bogotá, Colombia; 3Fundación Neumológica Colombiana, Bogotá, Colombia; 4Epidemiology department, Biomab IPS, Bogotá, Colombia; 5Research Institute, Fundación Universitaria de Ciencias de La Salud – FUCS, Bogotá, Colombia; 6Rheumatology, Hospital Universitario La Princesa, Madrid, Spain; 7POAL Rheumatology Institute, Rheumatology, Barcelona, SpainCorrespondence: Pedro Santos-Moreno, Rheumatology department, Biomab IPS, 48th Street #13-86, Bogotá, 110221, Colombia, Tel +57 320 8094232, Email [email protected]: To determine the value of lung ultrasound (LUS) compared to high-resolution computed tomography (HRCT) in the early diagnosis of interstitial lung disease (ILD) in patients with rheumatoid arthritis (RA).Patients and Methods: An observational prospective study was performed. Were included patients with respiratory symptoms or/and, patients with crackles in auscultation during medical consultation. All patients underwent to chest X-rays, LUS, HRCT,and respiratory function tests.Results: A total of 192 patients with RA were included. Mean disease duration was 16.8 ± 11.1 years. 72% were positive for rheumatoid factor or anti-citrullinated antibodies. Of the total number of subjects, 54.7% had respiratory symptoms. The other patients did not have respiratory symptoms, but they did have had crackles on pulmonary auscultation. B lines > 11.5 on the ROC curve predicted ILD (AUC 0.63; CI 95%: 0.55– 0.71; p < 0.003). A DLCO value of < 7.13 significantly predicted the presence of ILD (AUC 0.61; 95% CI: 0.52– 0.70; p < 0.028).Conclusion: The findings of this study suggest that LUS is a valuable tool for the early diagnosis of ILD in patients with RA, and together with DLCO, can adequately predict the presence of ILD in this population. LUS also helps to determine which patients with respiratory symptoms and signs suggestive for ILD are undergo to HRCT.Keywords: rheumatoid arthritis, interstitial lung diseases, respiratory function test
Carta a un superior franciscano sobre el traslado de misiones y ganado en Baja California, 1775 enero
No full textCarta a un superior franciscano no identificado en donde Fray Serra indica que solicitó al gobernador de Baja California el traslado de misiones y ganado anteriormente administrado por el franciscano Fray Vicente de Mora. El autor señala algunas compras de ganado y donaciones por ciertas personas, entre ellas Don Gaspar Pisón. —— Letter to an unidentified Franciscan superior noting that Fray Serra requested from the governor of Baja California the transfer of missions and livestock previously managed by Franciscan Fray Vicente de Mora. The author notes some livestock purchases and donations from certain individuals, including Don Gaspar Pisón. 1 f. (2 p.
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