Sonografía de bazo y timo como elemento evaluador de la respuesta inmune en niños con infecciones recurrentes / s. t

El bazo es un òrgano linfoide secuandario, dentro de sus funciones encontramos la formaciòn de anticuerpos de clase IgM e IgG , y la fagocitosis de bacterias encapsuladas. Nos propusimos mensaurar las dimensiones del bazo en niños con infecciones recurrentes, con el propòsito de describirlas como marcador diagnòstico y explorar la probable relacion existente entre ls caracterìsticas timicas y las dimensiones del bazo...(AU)

Simulation in computer of the mechanical ventilator Servo 900C made by Siemens Elema.

In our country, Intensive Care Units (ICU) for both adults and children include medical equipment of high technology that saves the lives of patients in critical condition. Many of these patients for different pathologies need the use of a mechanical ventilator which keeps the patient's respiration and allows the medical staff to assist them with other means. In practice, there are a lot of different situations that the medical staff have to face and make adequate decisions that will help save the patients' lives. In this case, the mechanical ventilator must be used, requiring a great deal of experience acquired along many years of work. The mechanical ventilator SERVO 900C made by Siemens Elema is available in all ICUs; this equipment is used for the treatment of more critical patients due to his reliability and technical features. Based on this fact, a simulator was designed to help train the less experienced staff in the use of the ventilator and to allow them to face real case simulations, making decisions that will be adequate or wrong with no risk to the patient's life. In this way, they would acquire the necessary knowledge on how to use the equipment in real-life situations. The created system displays the control panel of the ventilator allowing the user to interact. The control panel includes both analogical and digital devices that show different parameters and also the gases mixer which is connected to the equipment. During the work, the user can access a calculator to facilitate the adjustment of some parameters in case any calculation is needed. The system is divided into modules. The module "Exercises" permits you to choose one out of a set and solve it by means of the adjustment of the controls; this answer is analyzed and warning messages are displayed in case a control has been set incorrectly. The aim of these exercises is that the users learn how to handle the equipment by parts and are conceived for a sequence of question-answer. The module "Problems" describes the condition of a given patient which must be treated with the ventilator. The user will then simulate his performance in the adjustment of it. The sequence question-answer will change dynamically according to the evolution previously previewed for the patient by the professor. The simulator has a set of acoustic and visual alarms which are activated during the occurrence of different anomalies. These alarms work according to the professor's will at the moment of planning the lesson. The module "Information" gives the user the possibility of consulting topics about the equipment such as: functions, patient's safety, installation, clinical judgment and location of failures. In the last module "Options" the user defines the files (exercises or problems) he is going to use as well as the directory of work and the initialization file. The system uses pull-down menus, providing a context-sensitive on screen help with information about the function of each control and how to handle it. For the preparation of the files of exercises and problems only Servo editor can be used; this editor works independently from the simulator. The system requires a PC IBM Compatible with 640 kb RAM, MS-DOS operating system, and VGA color display. We consider that with the implementation this system the user can gain experience and knowledge about the use of the ventilator before he faces real situations.