867 resultados para Complementary medicine


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Recent advances in tissue engineering and regenerative medicine have shown that controlling cells microenvironment during growth is a key element to the development of successful therapeutic system. To achieve such control, researchers have first proposed the use of polymeric scaffolds that were able to support cellular growth and, to a certain extent, favor cell organization and tissue structure. With nowadays availability of a large pool of stem cell lines, such approach has appeared to be rather limited since it does not offer the fine control of the cell micro-environment in space and time (4D). Therefore, researchers are currently focusing their efforts on developing strategies that include active compound delivery systems in order to add a fourth dimension to the design of 3D scaffolds. This review will focus on recent concepts and applications of 2D and 3D techniques that have been used to control the load and release of active compounds used to promote cell differentiation and proliferation in or out of a scaffold. We will first present recent advances in the design of 2D polymeric scaffolds and the different techniques that have been used to deposit molecular cues and cells in a controlled fashion. We will continue presenting the recent advances made in the design of 3D scaffolds based on hydrogels as well as polymeric fibers and we will finish by presenting some of the research avenues that are still to be explored.

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In this paper equienergetic self-complementary graphs on p vertices for every p = 4k; k ¸ 2 and p = 24t + 1; t ¸ 3 are constructed

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The primary aim of these investigations was to probe the elecnuchemical and material science aspects of some selected metal phthalocyanines(MPcs).Metal phthalocyanines are characterised by a unique planar molecular structure. As a single class of compounds they have been the subject of ever increasing number of physicochemical and technological investigations. During the last two decades the literature on these compounds was flooded by an outpour of original publications and patents. Almost every branch of materials science has benefited by their application-swface coating, printing, electrophotography, photoelectrochemistry, electronics and medicine to name a few.The present study was confined to the electrical and electrochemical properties of cobalt, nickel, zinc. iron and copper phthalocyanines. The use of soluble Pes as corrosion inhibitor for aluminium was also investigated.In the introductory section of the thesis, the work done so far on MPcs is reviewed. In this review emphasis is given to their general methods of synthesis and the physicochemical properties.In phthalocyanine chemistry one of the formidable tasks is the isolation of singular species. In the second chapter the methods of synthesis and purification are presented with necessary experimental details.The studies on plasma modified films of CoPe, FePc, ZnPc. NiPc and CuPc are also presented.Modification of electron transfer process by such films for reversible redox systems is taken as the criterion to establish enhanced electrocatalytic activity.Metal phthalocyanines are p- type semiconductors and the conductivity is enhanced by doping with iodine. The effect of doping on the activation energy of the conduction process is evaluated by measuring the temperature dependent variation of conductivity. Effect of thennal treatment on iodine doped CoPc is investigated by DSC,magnetic susceptibility, IR, ESR and electronic spectra. The elecnucatalytic activity of such doped materials was probed by cyclic voltammetry.The electron transfer mediation characteristics of MPc films depend on the film thickness. The influence of reducing the effective thickness of the MPc film by dispersing it into a conductive polymeric matrix was investigated. Tetrasulphonated cobalt phthalocyanine (CoTSP) was electrostatically immobilised into polyaniline and poly(o-toluidine) under varied conditions.The studies on corrosion inhibition of aluminium by CoTSP and CuTSP and By virtue of their anionic character they are soluble in water and are strongly adsorbed on aluminium. Hence they can act as corrosion inhibitors. CoTSP is also known to catalyze the reduction of dioxygen.This reaction can accelerate the anodic dissolution of metal as a complementary reaction. The influence of these conflicting properties of CoTSP on the corrosion of aluminium was studied and compared with those of CuTSP.In the course of these investigations a number of gadgets like cell for measuring the electrical conductivity of solids under non-isothermal conditions, low power rf oscillator and a rotating disc electrode were fabricated.

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El objetivo de este estudio, es determinar la capacidad de la diferencia venoarterial de de pCO2, como predictor de disfunción miocárdica en pacientes pediátricos con sepsis severa y choque séptico en la Unidad de Cuidado Intensivo Pediátrico de la Fundación Cardio Infantil. El documento eviado corresponde a un informe parcial de un estudio en curso en la Fundación CardioInfantil.

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JUSTIFICACIÓN: El cáncer es un problema de salud pública, una de las principales causas de muerte en el mundo, con 7,6 millones de muertes en el 2008, en Colombia ocupa el segundo lugar luego de las enfermedades cardiovasculares. Se requiere implementar intervenciones para conocer la magnitud de la enfermedad y desarrollar estrategias de impacto en la reducción de consecuencias clínicas, psicológicas, sociales y económicas. METODOLOGIA: Estudio retrospectivo observacional, descriptivo, desarrollado en pacientes mayores de 18 años en tratamiento ambulatorio en una IPS entre enero y diciembre de 2011. RESULTADOS: El 66% son mujeres entre 51 y 65 años, la edad de diagnóstico se encuentra en ese mismo grupo, los tipos de cáncer más frecuentes son cáncer de mama, colon y recto. En su mayoría los pacientes han sido sometidos a radioterapia y procedimientos quirúrgicos, las comorbilidades frecuentes son hipertensión, hipotiroidismo y diabetes mellitus. El 46% ha tomado al menos 1 medicamento diferente a la quimioterapia. El 25.1% participó del programa de Atención Farmacéutica y Psicología. Cerca de la mitad de la población atendida corresponde a nuevos pacientes con diagnóstico de cáncer de mama, colon y recto. El 16 % de los pacientes fallece, hay asociación entre la mortalidad y la edad pero no con el género. CONCLUSIONES: Se construyó el perfil epidemiológico de los pacientes adultos atendidos en el 2011, se evidenció la necesidad de actualizar la información y generar estrategias que contribuyan al manejo integral del cáncer, se identificaron fortalezas y oportunidades de mejora, e incentivos para la investigación.

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Since 2003 the School of Medicine at the Universidad del Rosario in Bogotá, Colombia, offers to the students a program named Peer Tutors. The program’s objectives are: to generate a social interaction mechanism that favors knowledge construction side by side with advanced peers; to promote the development of ethical, moral and coexistence oriented values through an academic experience, and to generate a space to explore specific academic interests and teacher´s potential. This article presents the theoretic frame that supports the importance of social interaction in knowledge construction, as well as some indicators that allow a first appraisal of the program. Several achievements that account for the synergic value of an experience that not only fulfills the function of initiating a process of teaching formation and academic support, but that also builds a proactive attitude before learning, are highlighted.

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José Celestino Mutis showed different interest areas of study and worked in multiple knowledge fields: mathematics, mineralogy, astronomy, zoology and botanic, the one in which is best known. However, he was a medical doctor, whit profound an up to date knowledge. He studied at Sevilla University, and in the Royal College of Cadiz. He arrived to the “Nuevo Reino de Granada” as personal medical doctor of the the viceroy Pedro Messía de la Cerda and during 47 years, period of time he lived there, he always exercised his profession. We showed a special interest in the study of cinchona and the only work he published was El Arcano de la quina. He advised in public health many viceroys and he contributed in different fields but particularly in the prevention of smallpox by inoculation. He played a decisive role in the reopening of the medical school of the Colegio Mayor de Nuestra Señora del Rosario. Some of his achievements justifies the appellative “Father of the Medicine in Colombia”.

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Introducción: La sepsis es una de las principales causas de morbilidad y mortalidad en la población pediátrica a nivel mundial, siendo la disminución del gasto cardiaco uno de los principales factores asociados a mortalidad. Se ha planteado la diferencia venoarterial de pCO2 como predictor de la función miocárdica en pacientes con sepsis, sin embargo hasta el momento no hay estudios en la población pediátrica que lo evalúen. Objetivo: Determinar la capacidad predictora y las características operativas de la diferencia venoarterial de pCO2, como predictor de disfunción miocárdica en pacientes pediátricos con sepsis severa y choque séptico. Métodos: Para alcanzar los objetivos del estudio, se llevo a cabo un estudio prospectivo de pruebas diagnósticas. Se realizó ecocardiograma y diferencia venoarterial de pCO2 en cada paciente, posteriormente se calculó las características operativas de la diferencia venoarterial de pCO2 para determinar su utilidad. Resultados: Se incluyeron 71 pacientes. La mediana de la diferencia venoarterial de pCO2 no fue significativamente mayor en los pacientes que tuvieron disfunción cardiaca en el ecocardiograma en comparación con los que no tuvieron disfunción. Se encontró una relación estadísticamente significativa de valores de 1,5 a 2,1 mmHg, como predictor negativo de disfunción miocárdica con una sensibilidad de 100% y una especificidad de 88%. Conclusiones: La diferencia venoarterial de pCO2 requiere de estudios mas extensos para determinar la probabilidad como predictor de disfunción miocárdica en pacientes pediátricos con sepsis severa y choque séptico, incluso cuando otros biomarcadores se encuentran dentro de límites normales.