La incontinencia urinaria en el cáncer de próstata: diseño de un programa de rehabilitación

Este trabajo presenta el diseño e implementación de un programa progresivo de rehabilitación basado en los ejercicios musculares del suelo pélvico, incorporando el trabajo muscular de fuerza contrarresistencia. El disenño del estudio es casi experimental.La muestra es de 33 participantes en fase de tratamiento. Las variables de estudio son las antropométricas, las relacionadas con la evolución de la incontinencia urinaria(IU (intensidad, dificultad, frecuencia y limitación de las actividades),la obesidad, fatiga y dolor,la fuerza muscular y la calidad de vida(CdV). Para evaluar el cambio intrasujeto se tomaron medidas pretest(semana 0)y postest(semana24. En el análisis estadístico se utilizan las pruebas t Student-Fisher, Wilcoxon oU de Mann Whitney y el test del w2. El análisis se realiza con el programa SPSS versión 15. El nivel de significación escogido es del 5%. Al finalizar las 24 semanas del programa se identifica una disminución significativa de las variables antropométricas índice de cintura cadera (p¼0,003), perímetro de cintura(pr0,001) y porcentaje de masa de grasa(pr0,001); de las variables de IU: intensidad(pr0,0001), frecuencia y dificultad y su relación con la limitación de las actividades (pr0,0001), así como la relación existente entre la mejora de IU y la mejora de la CdV(p¼0,039). Queda científicamente demostrada la eficacia del programa progresivo de fuerza para disminuir la IU. La mejora de la CdV del hombre mayor con cáncer de prósstata viene mediada por la mejora de la continencia urinaria

Avaliação dos dados obtidos em um programa de esterilização cirúrgica de gatos em Araçatuba, SP no período de 1996 a 2010

Cats are gradually occupying a more important position as pets and this preference is a result of how easy cat maintenance in an urban environment is, even though they are very prolific and need surgical sterilization. This paper aims at evaluating obtained data within 15 years of research in a university service program that offers free cats sterilization surgery. We carried out a statistical analysis of data shown in the records of animals treated by the program. Surgical sterilization was performed on 647 animals (409 females – 63% and 238 males – 37%). Unilateral cryptorchidism was observed in 9 (3.8%) male cats. Forty (10%) female cats were pregnant at the time of the surgery and the treatment with contraceptives was observed in 67 (16.4%) female cats. One death occurred during anesthesia recovery and 2 cats were euthanized because of wound infection, totalizing an amount of 0.5% of severe complications. From 1996 to 2004, 212 female cats were spayed (122 adults and 90 prepubertal) and during that time two different approaches for ovariohysterectomy were compared: flank laparotomy and ventral midline celiotomy. The flank laparotomy approach was used in only 46 female cats (21.7%) due to some disadvantages observed – the need of an incision on each flank in prepubertal or nulliparous animals and the difficulty or impossibility of total uterus removal. In the same period, 105 male cats underwent orchiectomy via an open technique in which the spermatic cord was linked with nylon thread. From 2005 to 2010, 197 females (106 adults and 91 prepubertal) were spayed. The minilaparotomy technique was used to perform ovariohysterectomy on 139 female cats (70.6%). In this procedure, ovaries and uterus were exteriorized in a blind fashion with a hook through a small midline incision. The traditional midline ovariohysterectomy, which incision length permits direct visualization of the ovaries and uterus, had to be performed in 58 (29.4%) female cats due to advanced pregnancy, full urinary bladder during surgery or obesity. Over the past 6 years, 133 male cats (48 adults and 85 prepubertal) were castrated by means of an open technique in which the spermatic cord was tied to itself. The demand for surgeries during the project demonstrated that people are becoming aware concerning the importance of sterilization when facing cat overpopulation and abandonment.

Estudio clínico y biopatológico de la infección experimental en caprino por microplasmas del grupo M. mycoides (aislados en Gran Canaria)

Premio Extraordinario, Área de Ciencias de la Salud

Estudio de la relación entre litiasis urinaria cálcica y osteoporosis en una muestra poblacional de la isla de Gran Canaria

Programa de doctorado: Avances en medicina interna.

Infección del sitio quirúrgico en intervenciones del aparato locomotor

Programa de doctorado: Avances en Traumatología, Medicina del Deporte y Cuidados de Heridas