Search results for "Terminal"

Análisis clínico y valoración de las alteraciones fonéticas, musculares y deglución atípica en pacientes infantiles

2017

El avance de la odontología y su vinculación con otras disciplinas, como es el caso de la logopedia, ha originado un área de investigación en la infancia que tiene como resultado la prevención de patologías y el adecuado desarrollo del niño/a. Las ciencias odontológicas se encargan del estudio, diagnóstico, tratamiento y prevención de las enfermedades del aparato estomatognático. La logopedia es una ciencia que se dedica al estudio de la comunicación. Como disciplina se ocupa de la prevención, evaluación e intervención de los trastornos de la voz, el habla, el lenguaje, la audición y la deglución. REVISIÓN DE LA LITERATURA Desde mediados del siglo XX numerosos autores estudiaron la importan…

Epidemiology, diagnosis and management of hirsutism: a consensus statement by the Androgen Excess and Polycystic Ovary Syndrome Society.

2012

Background Hirsutism, defined by the presence of excessive terminal hair in androgen-sensitive areas of the female body, is one of the most common disorders in women during reproductive age. Methods We conducted a systematic review and critical assessment of the available evidence pertaining to the epidemiology, pathophysiology, diagnosis and management of hirsutism. Results The prevalence of hirsutism is ~10% in most populations, with the important exception of Far-East Asian women who present hirsutism less frequently. Although usually caused by relatively benign functional conditions, with the polycystic ovary syndrome leading the list of the most frequent etiologies, hirsutism may be th…

Smart Terminal System of Systems’ Cyber Threat Impact Evaluation

2023

Systems of system-level thinking is required when the purpose is to develop a coherent understanding of the ecosystem where every user and system requirements are divided into specific parts. The smarter project, as a part of the Sea4value program of DIMECC, aims to develop harbor operations, including passenger and cargo transportation, in a way that port processes will improve, emissions will decrease, and overall security will enhance in smart ports. This paper describes cyber-attack impacts against the Smart terminal system of systems in the cyber realm by utilizing the MITRE ATTACK® framework to map the objectives of threat actors. The Smart Terminal system environment includes ICT, IC…

The design of waiting and storage areas to improve the efficiency of the marine intermodal terminals

2013

The correct sizing of storage areas in the port areas is aimed to optimizing the management of intermodal transport and to ensure efficiency and functionality to the entire port system. In this paper is proposed a simulation model for design the port storage areas taking into account many parameters like: the service time, the randomness of the arrivals process, the storage capacity in terms of TEU that can be stored (and handled) in the unit of time. The capacity of the terminal warehouse is determined by the interrelation between fixed and static parameters in the short period which are: i) the extension of the storage area; ii) the height of the overlapping batteries of container (define…

Evaluation tools for spiritual support in end of life care: increasing evidence for their clinical application.

2015

Purpose of review To summarize current evidence on evaluation tools for spiritual care, paying special attention to recent validations and new instruments, systematic reviews, recent consensus on spiritual care and its measurement, plus other emergent topics. Recent findings The systematic review resulted in 45 identified studies, 14 of which were considered: five works addressed the need for development and validation of spiritual tools; three studies reviewed tools for spirituality assessment, interventions, or related concepts; three more covered the efforts to define guidelines and priorities for spiritual care and its measurement. Other topics such as pediatric spiritual care, the use …

Noninvasive Ventilation for the Treatment of Dyspnea as a Bridge from Intensive to End-of-Life Care

2009

Are double potentials markers of a specific zone of the atrioventricular junction in the isolated rabbit heart?

1997

A study is made of the characteristics of the atrial potentials recorded in the Koch triangle and its proximity, their variations on modifying the site of cardiac pacing, and their usefulness as markers of a distinct zone of the AV junction. In 12 isolated and perfused rabbit heart preparations an analysis was made of the endocardial atrial electrograms recorded with a multiple electrode positioned in the AV junction. The electrograms were obtained during spontaneous rhythm and on pacing at the crista terminalis (CT), interatrial septum (IAS), left atrium, and right ventricle. Double potentials were frequently obtained. On pacing at the CT, high-low double potentials (DP [H-L]) were more fr…

Chelation of synaptic zinc induces overexcitation in the hilar mossy cells of the rat hippocampus.

2004

Complete removal of synaptic zinc by the chelator dietyldithiocarbamate (DEDTC; 500 mg/kg i.p.) in rat was followed by convulsive behaviour including wet dog shakes alternating immobility. Histological analysis 1 day after DEDTC administration detected expression of heat shock protein in the hippocampus restricted to hilar cells. These cells colocalize the marker for neurons and the glutamate receptor GluR2/3 showing that they are excitatory neurons. Additionally, they projected to the contralateral dentate gyrus. Therefore, they correspond to hilar mossy cells. These data show that the synaptic zinc has a role in normal hippocampus avoiding overexcitation, that would impair functionality e…

Functional relevance of presynaptic muscarinic autoreceptors.

1993

Pre- and postsynaptic muscarinic receptors have been characterized in the isolated trachea and ileal circular muscle of the guinea pig. The muscarinic autoreceptors mediating inhibition of acetylcholine release in the circular muscle belong to the M1 subtype, whereas those inhibiting acetylcholine release in the trachea are M2 or M4 receptors. In both tissues the postsynaptic muscarinic receptors are M3 receptors. Blockade of the autoreceptors by selective M1 and M2/M4 receptor antagonists leads to facilitation of cholinergic neurotransmission.

Refractory Death Rattle: Deep Aspiration Facilitates the Effects of Antisecretory Agents

2011

Anticholinergic drugs, including atropine, hyoscine butylbromide, and scopolamine, have been shown to be equally effective in the treatment of death rattle. However, anticholinergic drugs may only be effective in reducing the production of further secretions, rather than eliminating the existing ones. A case is described in which a preventive procedure was undertaken to carefully eliminate secretions before starting anticholinergic drugs. Airway aspiration under light anesthesia removed secretions before starting anticholinergic drugs. Low doses of propofol were given intravenously to make a laryngoscopy feasible, allowing the complete aspiration of large amounts of tracheal secretions. No …