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Characterization of gynecological patients undergoing diagnostic laparoscopy due to chronic pelvic pain at the San Rafael Clinical University Hospital.
No full textIntroducción: El dolor pélvico crónico es un problema de salud a nivel mundial que afecta a la mujer tanto a nivel social, psicológico y laboral. Es una patología multifactorial, con una alta prevalencia, convirtiéndose en un motivo frecuente en la consulta ginecológica y que por su complejo manejo y entendimiento se ha visto descuidada por los profesionales de la salud, afectando así la calidad de vida de las pacientes y por ende generando importantes implicaciones financieras.
Objetivo: Caracterizar las principales causas del dolor pélvico crónico en pacientes ginecológicas intervenidas de laparoscopia diagnostica en el Hospital Universitario Clínica San Rafael en el periodo de Enero 2008 a Diciembre de 2020
Metodología: Esta investigación es de tipo observacional descriptivo de corte transversal, mediante la revisión retrospectiva de los registros de historias clínicas de las pacientes llevadas sometidas a la laparoscopia diagnóstica
Resultados: Se revisaron 163 historias clínicas, encontrando que las principales causas de dolor pélvico crónico eran de origen ginecológico en un 87.7%, entre las más frecuentes se encontró la endometriosis leve en un 33.9%, en el 29% endometriosis severa con igual porcentaje de adherencias laxas, en el 18,7 % adherencias densas, 27,8% se evidenciaron masas anexiales en las que se incluyeron los quistes de ovario y el hidrosalpinx. En el 11.5 % se encontraron varices pélvicas y en el 8.4% miomas. Solamente en un 1,8% no se evidencio ningún hallazgo. En el 2,4 % de las pacientes no se pudo determinar la etiología del dolor pélvico crónico por la cirugía laparoscópica
Conclusiones: El dolor pélvico crónico es una condición clínica importante en la consulta del ginecólogo, se debe abordar de una manera integral y multidisciplinaria para obtener una mejor aproximación diagnóstica aumentado las posibilidades de determinar la etiología del dolor pélvico crónico y por lo tanto brindar un adecuado tratamiento.Introduction: Chronic pelvic pain is a global health problem that affects women socially, psychologically and professionally. It is a multifactorial pathology, with a high prevalence, becoming a frequent reason in gynecological consultation and that due to its complex management and understanding has been neglected by health professionals, thus affecting the quality of life of patients and therefore generating important financial implications.
Objective: To characterize the main causes of chronic pelvic pain in gynecological patients undergoing diagnostic laparoscopy at the Hospital Universitario Clínica San Rafael in the period from January 2008 to December 2020
Methodology: This research is of a cross-sectional descriptive observational type, through the retrospective review of the medical records of the patients who undergoing diagnostic laparoscopy
Results: 163 medical records were reviewed, finding that the main causes of chronic pelvic pain were of gynecological origin in 87.7%, among the most frequent was mild endometriosis in 33.9%, in 29% severe endometriosis with the same percentage of Lax adhesions, in 18.7% dense adhesions, 27.8% showed adnexal masses in which ovarian cysts and hydrosalpinx were included. Pelvic varicose veins were found in 11.5% and fibroids in 8.4%. Only 1.8% did not show any finding. In 2.4% of the patients, the etiology of chronic pelvic pain could not be determined by laparoscopic surgery.
Conclusions: Chronic pelvic pain is an important clinical condition in the gynecologist's practice, it must be approached in a comprehensive and multidisciplinary way to obtain a better diagnostic approach, increasing the possibilities of determining the etiology of chronic pelvic pain and therefore providing an adequate treatment.TABLA DE CONTENIDO
RESUMEN 9
1. FORMULACIÓN DEL PROBLEMA 13
1.1 PLANTEAMIENTO DEL PROBLEMA 13
1.2 JUSTIFICACIÓN 14
1.3 PREGUNTA DE INVESTIGACIÓN 15
2. MARCO TEÓRICO 15
2.1 ETIOLOGÍA 16
2.1.1 Causas ginecológicas 17
2.1.2 Causas gastrointestinales 21
2.1.3 Causas urológicas 22
2.1.4 Causas musculoesqueléticas 23
2.1.5 Causas neurológicas 24
2.1.6 Causas psicosociales 25
2.2 ABORDAJE DIAGNÓSTICO 26
172.3 PAPEL DE LA LAPAROSCOPIA 28
2.4 ABORDAJE TERAPÉUTICO 30
3. OBJETIVOS 31
3.1. Objetivo general 31
3.2 Objetivos específicos 31
4. METODOLOGÍA 32
4.1 Tipo de estudio 32
4.2 Población blanco 32
4.3 Criterios de elegibilidad 32
4.3.1. Criterios de inclusión 32
4.3.2. Criterios de exclusión: 33
4.4 Diseño muestral y cálculo del tamaño de la muestra 33
4.5. Definición de variables 33
4.6. Técnicas de recolección de la Información 36
4.6.1. Fuentes de Información 36
4.6.2. Instrumento de recolección de los datos 36
4.6.3. Proceso de Obtención de la Información 36
4.7. Control de Sesgos y Errores 37
4.8. Análisis Estadístico 37
5. CONSIDERACIONES ÉTICAS, DISPOSICIONES LEGALES VIGENTES Y PROPIEDAD INTELECTUAL 38
6. RESULTADOS 39
6.1 CARACTERÍSTICAS CLÍNICAS 40
6.1.1 EDAD 40
6.1.2 PARIDAD 41
6.1.3 INFERTILIDAD 42
6.2 ANTECEDENTES 42
6.2.1 ANTECEDENTES MÉDICOS. 42
6.2.2 ANTECEDENTES QUIRÚRGICOS 43
6.3 SÍNTOMAS 44
6.3.1 TIEMPO DE DURACIÓN DEL DOLOR 44
6.3.2 LOCALIZACIÓN DEL DOLOR 45
6.3.3 SÍNTOMAS URINARIOS, GASTROINTESTINALES Y DEL TRACTO GENITAL 46
6.4 HALLAZGOS LAPAROSCÓPICOS 47
6.5 COMPLICACIONES QUIRÚRGICAS 48
6.6 TRATAMIENTOS MEDICOS POSTERIORES 48
6.7 PROCEDIMIENTOS QUIRÚRGICOS POSTERIORES A LAPAROSCOPIA 49
6.8 INTERCONSULTAS POSTERIORES A LAPAROSCOPIA 49
6.9 ETIOLOGÌA DEL DOLOR PÉLVICO CRÓNICO 50
7. DISCUSIÓN 51
8. CONCLUSIÒN 55
9. RECOMENDACIONES 56
10. ANEXO 57
11. BIBLIOGRAFÍA 58Especializació
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Get PDF“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
Appropriate Similarity Measures for Author Cocitation Analysis
Get PDFWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Dispelling the Myths Behind First-author Citation Counts
Get PDFWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
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koamabayili/VECTRON-author-checklist: VECTRON author checklist
No full textWe have done our best to complete the author checklist relating to the use of animals in the hut study. Note that the objective for the hut study was to evaluate the IRS treatment applications for residual efficacy against Anopheles mosquitoes, including the local An. coluzzii mosquito population. Cows were only used to attract mosquitoes into the huts and no tests were carried out directly on the cows. The author checklist is intended for use with studies where experiments are carried out on animals, which is why we have had such difficulty in completing this for the hut study, as many of the questions do not relate to how the cows were used
Author-wise bibliometric analysis based on entropy.
No full textAuthor-wise bibliometric analysis based on entropy.</p
Author Under Sail The Imagination of Jack London, 1893-1902
No full textIn Author Under Sail, Jay Williams offers the first complete literary biography of Jack London as a professional writer engaged in the labor of writing. It examines the authorial imagination in London's work, the use of imagination in both his fiction and nonfiction, and the ways he defined imagination in the creative process in his business dealings with his publishers, editors, and agents. In this first volume of a two-volume biography, Williams traverses the years 1893 to 1902, from London's "Story of a Typhoon" to The People of the Abyss. The Jack London who emerges in the pages of Author Under Sail is a writer whose partnership with publishers, most notably his productive alliance with George Brett of Macmillan, was one of the most formative in American literary history. London pioneered many author models during the heyday of realism and naturalism, blurring the boundaries of these popular genres by focusing on absorption and theatricality and the representation of the seen and unseen. London created an impassioned, sincere, and extremely personal realism unlike that of other American writers of the time. Author Under Sail is a literary tour de force that reveals the full range of London as writer, creative citizen, and entrepreneur at the same time it sheds light on the maverick side of machine-age literature.Intro -- Title Page -- Copyright Page -- Dedication -- Contents -- Acknowledgments -- Introduction -- 1. Spirit Truth -- 2. From Absorption to Theatricality and Back Again -- 3. "I Will Build a New Present" -- 4. Sons as Authors -- 5. Fathers as Publishers -- 6. The Daughter as Author -- 7. Lovers as Authors -- 8. At Sea with the Family -- 9. Yellow News, Yellow Stories -- 10. The Return Home -- Notes -- Bibliography -- Index -- About Jay WilliamsIn Author Under Sail, Jay Williams offers the first complete literary biography of Jack London as a professional writer engaged in the labor of writing. It examines the authorial imagination in London's work, the use of imagination in both his fiction and nonfiction, and the ways he defined imagination in the creative process in his business dealings with his publishers, editors, and agents. In this first volume of a two-volume biography, Williams traverses the years 1893 to 1902, from London's "Story of a Typhoon" to The People of the Abyss. The Jack London who emerges in the pages of Author Under Sail is a writer whose partnership with publishers, most notably his productive alliance with George Brett of Macmillan, was one of the most formative in American literary history. London pioneered many author models during the heyday of realism and naturalism, blurring the boundaries of these popular genres by focusing on absorption and theatricality and the representation of the seen and unseen. London created an impassioned, sincere, and extremely personal realism unlike that of other American writers of the time. Author Under Sail is a literary tour de force that reveals the full range of London as writer, creative citizen, and entrepreneur at the same time it sheds light on the maverick side of machine-age literature.Description based on publisher supplied metadata and other sources.Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, YYYY. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries
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