ABSTRACT
El cáncer pulmonar se establece como la segunda causa de muerte en países desarrollados y en algunos en vías de desarrollo. Su diagnóstico es tardío, sus opciones de resección y su curación aun con terapias adyuvantes son limitadas, lo que incide en la pobre sobrevida a 5 años, es por ello que se necesitan mayores esfuerzos para combatir el hábito del tabaco, principal agente etiológico. Material y Métodos: Se trata de un estudio descriptivo transversal en pacientes adultos atendidos de 01 de enero del 2011 al 31 de diciembre del 2021, ingresados al servicio de cirugía del Hospital San Vicente de Guatemala, con diagnósticos de cáncer pulmonar, masa pulmonar, derrame pleural o nódulo pulmonar solitario. Resultados: Se atendieron 202 pacientes con diagnósticos presuntivos de cáncer pulmonar, no encontrando diferencias significativas en relación al sexo. La edad mayormente afectada se estableció entre los 50 y 70 años. Prevalecieron los estadíos IIIA, IIIB y IV basados en los hallazgos clínicos, tomográficos y transoperatorios y solo al 10% se le sometió a una cirugía de resección pulmonar mayor. Los cánceres de células no pequeñas NSCLC fueron reportados en el 68.7% y el adenocarcinoma fue la variedad más frecuente con el 54.95% sobre el 7.29% del epidermoide. La mortalidad a los treinta días se estableció en 2.97%. Conclusión: El adenocarcinoma pulmonar ocupa el primer lugar en la incidencia de los cánceres pulmonares, desplazando así al carcinoma epidermoide popularizado desde la mitad del siglo pasado. Esta tendencia en el cambio histológico está firmemente asociado a las modificaciones en los hábitos del fumar (AU)
Lung cancer is established as the second cause of death in developed countries and in some developing ones. Its diagnosis is late, its resection options and its cure even with adjuvant therapies are limited, which affects the poor survival at 5 years, which is why greater efforts are needed to combat the tobacco habit, the main etiological agent. Material and Methods: This is a cross-sectional descriptive study in adult patients treated from January 1, 2011 to December 31, 2021, admitted to the surgery service of the Hospital San Vicente de Guatemala, with diagnoses of lung cancer, lung mass, effusion pleural or solitary pulmonary nodule. Results: 202 patients with presumptive diagnoses of lung cancer were treated, finding no significant differences in relation to sex and the most affected age was established between 50 and 70 years. Stages IIIA, IIIB, and IV prevailed based on clinical, tomographic, and intraoperative findings, and only 10% underwent major lung resection surgery. NSCLC non-small cell cancers were reported in 68.7% and adenocarcinoma was the most frequent variety with 54.95% over 7.29% of epidermoid. Thirty-day mortality was established at 2.97%. Conclusion: Pulmonary adenocarcinoma occupies the first place in the incidence of lung cancers, thus displacing squamous cell carcinoma popularized since the middle of the last century. This trend in histological change is strongly associated with changes in smoking habits.
Subject(s)
Humans , Male , Female , Middle Aged , Aged , Aged, 80 and over , Adenocarcinoma of Lung/epidemiology , Histology/classification , Lung Neoplasms/diagnosis , Pleural Effusion/complications , Bronchoscopy/instrumentation , Diagnostic Techniques and Procedures , Multiple Pulmonary Nodules/diagnostic imagingABSTRACT
The mechanisms to communicate emotions have dramatically changed in the last 10 years with social networks, where users massively communicate their emotional states by using the Internet. However, people with socialization problems have difficulty expressing their emotions verbally or interpreting the environment and providing an appropriate emotional response. In this paper, a novel solution called the Emotion-Bracelet is presented that combines a hardware device and a software system. The proposed approach identifies the polarity and emotional intensity of texts published on a social network site by performing real-time processing using a web service. It also shows emotions with a LED matrix using five emoticons that represent positive, very positive, negative, very negative, and neutral states. The Emotion-Bracelet is designed to help people express their emotions in a non-intrusive way, thereby expanding the social aspect of human emotions.
Subject(s)
Emotions/physiology , Wearable Electronic Devices , Humans , Internet , SoftwareABSTRACT
The impact of 16 years (1988-2003) of management practices on high groundwater nitrate concentrations in Nebraska's central Platte River valley was assessed in a 58,812-ha (145,215-ac) groundwater quality management area intensively cropped to irrigated corn (Zea mays L.). Crop production and groundwater nitrate data were obtained from approximately 23,800 producer reports. The terrace, comprising approximately 56% of the study area, is much more intensively cropped to irrigated corn than the bottomland. From 1987 to 2003, average groundwater nitrate concentrations in the primary aquifer beneath the bottomland remained static at approximately 8 mg N/l. During the same period, average groundwater nitrate concentrations in the primary aquifer beneath the terrace decreased from 26.4 to 22.0 mg N/l at a slow, but significant (p < 0.0001), rate of 0.26 mg N/l/year. Approximately 20% of the decrease in nitrate concentrations can be attributed to increases in the amount of N removed from fields as a consequence of small annual increases in yield. During the study, producers converted approximately 15% of the approximately 28,300 furrow-irrigated terrace hectares (approximately 69,800 ac) to sprinkler irrigation. The conversion is associated with about an additional 50% of the decline in the nitrate concentration, and demonstrates the importance of both improved water and N management. Average N fertilizer application rates on the terrace were essentially unchanged during the study. The data indicate that groundwater nitrate concentrations have responded to improved management practices instituted by the Central Platte Natural Resources District.
Subject(s)
Nitrates/analysis , Water Pollutants, Chemical/analysis , Agriculture , Fertilizers/analysis , NebraskaABSTRACT
Se practicó RM a 35 pacientes con diagnóstico de disrrafismo espinal en los cuales se logró determinar la localización exacta de los defectos como espina bifida o meningocele, además se definió su extensión y las patologías asociadas como el lipoma, la siringomielia, la distematomielia, médula anclada, así como la malformación de Arnold Chiari. Se considera que la RM es el método de elección en los pacientes con disrrafismo espinal, debido a que es un método no invasivo, multiplanar y que permite delimitar los defectos de la línea media de manera precisa
