154 results on '"Jurado-Ramos A"'
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2. DE UMA GEOGRAFIA DO SOM PARA UMA GEOGRAFIA DAS MÃOS: A IMPORTÂNCIA DA CONSTRUÇÃO DE CONCEITOS GEOGRÁFICOS EM LIBRAS
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Débora Jurado Ramos, Jéssica Aparecida Porfírio da Silva, and Estevão Conceição Gomes Junior
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O presente artigo é um esforço no debate sobre a educação geográfica para surdos e a problemática da tradução de conceitos científicos das línguas ouvintes para a Língua Brasileira de Sinais (LIBRAS). A partir da leitura de teóricos que abordam a questão, tais como Heidegger (1997, 2003) e Berman (1999) construiu-se uma trajetória que nos direciona à compreensão das questões da língua e da tradução. Para tanto, partiu-se da categoria geográfica paisagem para demonstrar a relação dessa palavra com as culturas que a criaram. A partir disso, compreendeu-se que, a tradução sempre se mostra com falhas, tal como enunciado pelo ditado italiano tradutore, traditore. Se toda tradução é traidora, como se dá a construção de conceitos geográfi cos na educação de surdos? Essa barreira não se pode superar, porém, evoca-se nesse artigo a urgência da construção de conceitos geográfi cos pelos surdos em LIBRAS e possíveis caminhos a serem percorridos neste processo.
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- 2022
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3. ESCOLAS QUE SÃO ASAS: UMA ANÁLISE SARTREANA DA ESCOLA DO CAMPO
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Débora Jurado Ramos and Jeani Paschoal Delgado Moura
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Human ecology. Anthropogeography ,GF1-900 ,Geography (General) ,G1-922 - Abstract
Partindo do existencialismo e da liberdade proferida por Sartre, procuramos entender a essência da escola do campo e quais as situações que a tornaram objeto de luta. Observamos a história da educação brasileira, entendendo as diversas essências atribuídas às escolas e a legalização da educação do campo como conquista dos trabalhadores. Acrescemos os indivíduos que atuam nestas instituições, seres classificados por Sartre como “Para si”, que gozam da liberdade de escolha. O argumento é que a escola, sendo um objeto “em si”, que, portanto, não se escolhe, não consegue construir com uma educação que busque a liberdade do ser. Guiados por situações sociais de falsa elevação de status pela profissão, os professores estão direcionando a escola do campo para fora do objetivo de sua essência. A solução encontra-se na revolta e liberdade. Revolta posta a partir da conscientização da situação dos indivíduos. Liberdade em escolher lutar, unindo alunos e professores. O ser “Para si” se livra de amarras e escolhe dar asas a uma educação libertária e revolucionária. Palavras-chave: Escola do Campo; Liberdade; Essência; Revolta.
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- 2018
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4. DE UMA GEOGRAFIA DO SOM PARA UMA GEOGRAFIA DAS MÃOS: A IMPORTÂNCIA DA CONSTRUÇÃO DE CONCEITOS GEOGRÁFICOS EM LIBRAS
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Jurado Ramos, Débora, primary, Aparecida Porfírio da Silva, Jéssica, additional, and Conceição Gomes Junior, Estevão, additional
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- 2022
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5. Evaluation of the nutritional profile of patients with total laryngectomy
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Flórez Almonacid, Clara Inés, Jurado Ramos, Alfredo, and Rodríguez Borrego, María Aurora
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- 2013
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6. Ortner’s syndrome: a case report and review of the literature
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Hurtarte Sandoval, A R, Carlos Zamora, R, Gómez Carrasco, J M, and Jurado Ramos, A
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- 2014
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7. A Pedologia nos cursos de Geografia da UNESP: o tema solos e sua aplicabilidade na educação ambiental
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Estevão Conceição Gomes Junior, Maria Cristina Perusi, and Débora Jurado Ramos
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Oferecido nos Campus de Ourinhos, Presidente Prudente e Rio Claro, o curso de Geografia da Universidade Estadual Paulista pode ser encontrado nas modalidades licenciatura e bacharelado, nos períodos diurno, integral (Campus Rio Claro) e noturno, com turmas entre 40 e 45 alunos. O geógrafo possui a missão de compreender os elementos e o processo de produção do espaço geográfico, seja ele urbano ou rural, sob uma perspectiva integrada dos aspectos econômicos, políticos, sociais, culturais, ambientais, etc. Nessa direção, a educação em solos, uma das vertentes da educação ambiental, pode ser entendida como tema integrador, por ser resultado dos processos e fatores naturais. Além disso, o recurso solo, já não tão natural, é primordial para o desenvolvimento de macro e microrganismos, dentre eles, os que alimentam a maioria da população humana, o que por si só justificaria sua importância. A disseminação das práticas de uso e conservação dos solos se mostra como uma tarefa relevante para os futuros professores, principalmente àqueles voltados para as discussões da problemática ambiental. Portanto, realizou-se um estudo detalhado da estrutura curricular do curso de Geografia dos três campi da UNESP, no que diz respeito à disciplina de Pedologia, e as possibilidades de estudos voltados para a educação ambiental. Observou-se uma baixa conformidade entre a oferta da disciplina nos campi estudados, o que pôde ser exemplificado pelo baixo número de trabalhos de conclusão de curso gerados pelos alunos egressos, o que, consequentemente, pôde ter limitado os estudos e discussão acerca da educação ambiental e/ou educação em solos.
- Published
- 2019
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8. AN EXPLORATORY ANALYSIS OF BRAND EQUITY BASED ON TANGIBLE AND INTANGIBLE ATTRIBUTES ON TWEETS OF THE LARGEST WESTERN EUROPE MANUFACTURING COMPANIES
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Fernando Jurado Ramos and Javier Perez-Aranda
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Western europe ,Exploratory analysis ,Brand equity ,Business ,Marketing - Abstract
Social networks have become a means of interaction between companies or organizations and consumers. However, few studies have dealt with the use of tangible and intangible attributes on social networks of manufacturing companies. This work deepens the concept of brand equity of European manufacturing companies through the analysis of brand engagement and electronic word-of mouth (eWOM) generated by social media posts. Firstly, tangible and intangible attributes have been identified on tweets. Secondly, it has been analysed if there is a link between tweets based on tangible and intangible attributes and number of likes (brand engagement) or retweets (eWOM). The multivariate analysis results show relationships between publications including the analysed attributes and brand equity. In contrast, eWOM is only related with tangible attributes. Conclusions are discussed.
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- 2020
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9. Validación del proceso de fabricación para desloratadina 0,05% solución oral en laboratorios Coaspharma S.A.S.
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Jurado Ramos, Janeth Carolina, Campo Usuga, Dayanna Elizabeth, Castañeda Vallejo, Jennifer Melisa, Jurado Ramos, Janeth Carolina, Campo Usuga, Dayanna Elizabeth, and Castañeda Vallejo, Jennifer Melisa
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El presente trabajo contiene la propuesta para la validación del proceso de fabricación de la Desloratadina 0, 05% solución oral en laboratorios Coaspharma S.A.S. de acuerdo con las directrices de la FDA y la OMS, además de cumplir con la resolución 1160 del 2016 expedida por el Ministerio de salud y protección social.
- Published
- 2020
10. Tumores benignos y malignos de la nariz y los senos paranasales
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Jurado-Ramos, A., primary, Gutiérrez Jodas, J., additional, and Cantillo Baños, E., additional
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- 2012
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11. Autores
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Almela Rojo, Maite, primary, Amorós Rodríguez, Luis Miguel, additional, Arce Martínez, Rocío, additional, Arjona Montilla, Carolina, additional, Asensio Nieto, Carlos, additional, Barberá Durbán, Rafael, additional, Bernal-Sprekelsen, Manuel, additional, Bosco Morales, María Gabriela, additional, Burgos Ruiz, Lidia, additional, Cantillo Baños, Enrique, additional, Caraballo Polanco, Ramsés, additional, Castaño Zapatero, Ignacio, additional, Castellano Arroyo, María, additional, del Castillo Fernández del Pino, Francisco Javier, additional, del Castillo Fernández del Pino, Ignacio, additional, del Castillo López, Raúl, additional, Cenjor Español, Carlos, additional, Cervera Escario, Javier, additional, Cobeta Marco, Ignacio, additional, Contreras Chova, Francisco, additional, Cortés Sánchez, Rosario Fátima, additional, Cubillana Herrero, José Domingo, additional, Delvasto Urueña, Lorena, additional, Devesa Iborra, José, additional, Doménech Abellán, Ernesto, additional, Fernández Pascual, Elena, additional, Fernández-Miranda López, Paula, additional, Frágola Arnau, Claudio, additional, de la Fuente, Pablo, additional, García Ahijado, Jesús, additional, García Fernández, Sergio Antonio, additional, García Jiménez, Marta, additional, Góngora Lencina, Juan José, additional, Gras Albert, Juan Ramón, additional, Guerrero Tejada, María Rosario, additional, Gutiérrez Jodas, José, additional, Hellín Meseguer, Diego, additional, Iniesta Turpín, Jesús, additional, Jerez Calero, Antonio E., additional, Jiménez Huerta, Ignacio, additional, Jurado Ramos, Alfredo, additional, López Álvarez, Fernando, additional, López Campos, Daniel, additional, López Meseguer, Enrique, additional, Lorente Guerrero, Juan, additional, Manrique Rodríguez, Manuel, additional, Marco Garrido, Alfonso, additional, Martínez Carrillo, Miguel, additional, Mata Ferrón, María, additional, Mauri Barbera, José, additional, Mínguez Merlos, Nieves, additional, Mora Rivas, Elena, additional, del Moral Ávila, Rosario, additional, Moraleda Deleito, Javier, additional, Morera Pérez, Constantino, additional, Muñoz Hoyos, Antonio, additional, Narbona Galdó, Susana, additional, Narbona López, Eduardo, additional, del Pilar Navarro Paule, M.ª, additional, Neira Guerrero, Enrique Omar, additional, Ocampos Gubler, Diego, additional, Paredes Osado, Juan Ramón, additional, Pastor Mas, Arturo, additional, Pérez Aguilera, Rafael, additional, Pérez Torres, Carlos, additional, Quesada Marín, Pedro, additional, Quesada Martínez, José Luis, additional, Ramos Macías, Ángel, additional, Ramos Puerto, Francisco, additional, Risson Pino, Gisela, additional, Roda Aceituno, Manuel, additional, Rodríguez Domínguez, Francisco J., additional, Ruiz Vozmediano, Pablo, additional, Sainz Quevedo, Manuel, additional, Barrueco-Sánchez, Álvaro Sánchez, additional, Sánchez Torices, Marisol, additional, Santaella Sáez, Juan Ignacio, additional, de los Santos Granados, Gonzalo, additional, Serrano García, Cristina, additional, Soler Valcárcel, Alejandro, additional, Solís Muñiz, Inés, additional, Souvirón Encabo, Rosalía, additional, Sprekelsen Gassó, Carlos, additional, Leonor Uceda Carrascosa, M.ª, additional, Villafruela Sanz, Miguel Ángel, additional, and Villamar López, Manuela, additional
- Published
- 2012
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12. Malformaciones y traumatismos nasofaciales. Cuerpos extraños nasosinusales. Epistaxis
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Jurado Ramos, A., primary and Muñoz del Castillo, F., additional
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- 2009
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13. Autores
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Alba García, José Ramón, primary, Algaba Guimerá, Jesús, additional, Alobid, Isam, additional, Altuna Mariezcurrena, Xavier, additional, Antolí-Candela Cano, Francisco, additional, Armengot Carceller, Miguel, additional, Bagán Sebastián, José Vicente, additional, Barona de Guzmán, Rafael, additional, Basterra Alegría, Jorge, additional, Bernal Sprekelsen, Manuel, additional, Borkoski Barreiros, Silvia, additional, Campos Catalá, Agustín, additional, Cobeta Marco, Ignacio, additional, Conde Jiménez, Manuel, additional, Cuyas Lazarich, José María, additional, Esteban Ortega, Francisco, additional, Fernández Julián, Enrique, additional, de la Fuente Arjona, Luis, additional, García-Ibáñez Ferrándiz, Emilio, additional, García-Ibáñez Cisneros, Luis, additional, Gavilán Bouzas, Javier, additional, Gil-Loyzaga, Pablo E., additional, Gómez Martín Zarco, José Manuel, additional, Harguindey Antolí-Candela, Alejandro, additional, Hernández Montero, Elena, additional, Herranz González-Botas, Jesús, additional, Huarte Irujo, Alicia, additional, Jurado Ramos, Alfredo, additional, Labella Caballero, Torcuato, additional, López Aguado, Daniel, additional, López Campos, Daniel, additional, Lorente Guerrero, Juan, additional, Llorente Pendas, José Luis, additional, Lozano Ramírez, Ascensión, additional, Manrique Rodríguez, Manuel, additional, Maños Pujol, Manuel, additional, Martínez Ibarguen, Agustín, additional, Mochón Martín, Antonio, additional, Mora Rivas, Elena, additional, Morales López, José, additional, Moreno Sánchez, Rosa, additional, Muñoz del Castillo, Francisco, additional, Nogués Orpí, Julio, additional, Ortega Fernández, Consuelo, additional, Ortega del Álamo, Primitivo, additional, Perelló Scherdel, Enrique, additional, Pérez Fernández, Nicolás, additional, Quer Agustí, Miquel, additional, Quesada Martínez, Juan Luis, additional, Ramos Macías, Ángel, additional, Sánchez Fernández, José M.ª, additional, Sánchez del Rey, Ana, additional, Santaolalla Montoya, Francisco, additional, Scola Yurrita, Bartolomé, additional, Suárez Nieto, Carlos, additional, Trinidad Pinedo, Juan, additional, Urquiza de la Rosa, Rafael, additional, and Zapater Latorre, Enrique, additional
- Published
- 2009
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14. Cirugía endoscópica nasal de procesos selares
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Muñoz del Castillo, F., Jurado-Ramos, A., López-Villarejo, P., and De la Riva-Aguilar, A.
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- 2003
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15. Abordaje endoscópico transseptal de tumores hipofisarios
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Muñoz del castillo, F., Jurado Ramos, A., de la riva aguilar, A., and López villarejo, P.
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- 2003
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16. Wings's schools : the rural schools of Itambaracá/PR in the light of Sartrean phenomenological existentialism
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Débora Jurado Ramos, Jeani Delgado Paschoal Moura ., Maria del Carmen Matilde Huertas Calvente, and Luciene Cristina Risso
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A partir do existencialismo fenomenológico proferido por Sartre (1987), procura-se entender a escola do campo por meio de sua formação, legalização e efetivação, considerando-a como um objeto em-si, com sua essência teoricamente construída e situações que a tornaram objeto de luta e conquista. Os indivíduos que atuam nestas instituições, seres denominados por Sartre como para-si, desfrutam da irrecusável liberdade de escolha, acompanhada da angustia de compreender que escolhendo-se, escolhem o mundo. O argumento é que a escola sendo um objeto em-si, não se escolhe, assim não constrói uma educação que busque a liberdade do ser, essa tarefa cabe aos homens e suas escolhas influenciam a realização da essência da escola do campo, a partir de práticas educacionais dependentes de decisões individuais e coletivas, o que pode ir ao encontro, ou afastar a escola em teoria de uma escola em prática. Movidos por sentimentos de falsa elevação social pela profissão, em alguns casos, os professores acabam por distanciar a escola do campo de sua essência. Para além disso, observa-se na cidade de Itambaracá-PR que a escola do campo desenpenha um papel diferente do proferido por sua essência, todavia não menos valoroso, mas sim exencial para a comunidade rural do município. A saída para a práxis educativa da escola do campo encontra-se na revolta e liberdade. Revolta diante da conscientização da situação social, cedendo ao fato que professores e alunos participam da classe social dos trabalhadores. A liberdade manifesta-se em escolher se unir e lutar. O ser para-si se livra de suas condições sociais e vooa em direção a uma educação do campo para o campo. From the phenomenological existentialism given by Sartre (1987), try to understand the rural school through its formation, legalization and effectiveness, considering it as an object in itself, with its essence theoretically constructed and situations that have made it object of struggle and conquest. The individuals who act in these institutions, beings called by Sartre as for themselves, enjoy the irrefutable freedom of choice, accompanied by the anguish of understanding that by choosing oneself, they choose the world. The argument is that school is an object in itself, it is not chosen, so it does not construct an education that seeks the freedom of being, this task belongs to men and their choices influence the achievement of the essence of the rural school, from educational practices dependent on individual and collective decisions, which can go to the meeting, or dismiss the school in theory of a school in practice. Driven by feelings of false social upheaval by the career in some cases, teachers eventually distance the rural school of its essence. In addition, it is observed in the city of Itambaracá-PR that the rural school plays a different role from that given by its essence, however no less valuable, but rather exential to the rural community of the municipality.The exit to the rural school educational praxis lies in revolt and freedom. Revolt before the awareness of the social situation, yielding to the fact that teachers and students participate in the same social class of the workers. Freedom manifests itself in choosing to unite and fight. Self-being gets rid of its social conditions and flies towards an education from the rural school.
- Published
- 2018
17. Position paper on nasal obstruction: evaluation and treatment
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Valero, A, Navarro, A M, Del Cuvillo, A, Alobid, I, Benito, J R, Colás, C, de Los Santos, G, Fernández Liesa, R, García-Lliberós, A, González-Pérez, R, Izquierdo-Domínguez, A, Jurado-Ramos, A, Lluch-Bernal, M M, Montserrat Gili, J R, Mullol, J, Puiggròs Casas, A, Sánchez-Hernández, M C, Vega, F, Villacampa, J M, Armengot-Carceller, M, Dordal, M T, and SEAIC Rhinoconjunctivitis Committee & SEORL Rhinology, Allergy, and Skull Base Committee
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Rhinometry, Acoustic ,medicine.medical_specialty ,Visual analogue scale ,Immunology ,Population ,Physical examination ,03 medical and health sciences ,0302 clinical medicine ,Quality of life (healthcare) ,Acoustic rhinometry ,medicine ,Immunology and Allergy ,Animals ,Humans ,Medical history ,030223 otorhinolaryngology ,education ,Intensive care medicine ,education.field_of_study ,Objective and subjective evaluation ,medicine.diagnostic_test ,business.industry ,Nasal obstruction/nasal blockage/nasal respiratory insufficiency ,Medical and surgical treatment ,Rhinomanometry ,030228 respiratory system ,Etiology ,Quality of Life ,Position paper ,Nasal Cavity ,Nasal Obstruction ,business - Abstract
Nasal obstruction (NO) is defined as the subjective perception of discomfort or difficulty in the passage of air through the nostrils. It is a common reason for consultation in primary and specialized care and may affect up to 30%-40% of the population. It affects quality of life (especially sleep) and lowers work efficiency. The aim of this document is to agree on how to treat NO, establish a methodology for evaluating and diagnosing it, and define an individualized approach to its treatment. NO can be unilateral or bilateral, intermittent or persistent and may be caused by local or systemic factors, which may be anatomical, inflammatory, neurological, hormonal, functional, environmental, or pharmacological in origin. Directed study of the medical history and physical examination are key for diagnosing the specific cause. NO may be evaluated using subjective assessment tools (visual analog scale, symptom score, standardized questionnaires) or by objective estimation (active anterior rhinomanometry, acoustic rhinometry, peak nasal inspiratory flow). Although there is little correlation between the results, they may be considered complementary and not exclusive. Assessing the impact on quality of life through questionnaires standardized according to the underlying disease is also advisable. NO is treated according to its cause. Treatment is fundamentally pharmacological (topical and/or systemic) when the etiology is inflammatory or functional. Surgery may be necessary when medical treatment fails to complement or improve medical treatment or when other therapeutic approaches are not possible. Combinations of surgical techniques and medical treatment may be necessary.
- Published
- 2018
18. Estudio objetivo de la voz en población normal y en la disfonía por nódulos y pólipos vocales
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Casado Morente, J.C., Adrián Torres, J.A., Conde Jiménez, M., Piédrola Maroto, D., Povedano Rodríguez, V., Muñoz Gomariz, E., Cantillo Baños, E., and Jurado Ramos, A.
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- 2001
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19. Evaluation of the nutritional profile of patients with total laryngectomy
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Clara Inés Flórez Almonacid, Alfredo Jurado Ramos, and María Aurora Rodríguez Borrego
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Nutrition and Dietetics ,Endocrinology, Diabetes and Metabolism - Published
- 2013
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20. Evaluation of the nutritional profile of patients with total laryngectomy
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María Aurora Rodríguez Borrego, Clara Inés Flórez Almonacid, and Alfredo Jurado Ramos
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medicine.medical_specialty ,Nutrition and Dietetics ,biology ,business.industry ,Endocrinology, Diabetes and Metabolism ,medicine.medical_treatment ,C-reactive protein ,Cancer ,Pharyngocutaneous Fistula ,medicine.disease ,Gee ,Surgery ,Laryngectomy ,Nursing care ,Malnutrition ,Weight loss ,Internal medicine ,medicine ,biology.protein ,medicine.symptom ,business - Abstract
Summary Background and aims Nursing care requires knowledge of the best possible care techniques and plays a significant role in the nutritional status of cancer patients. The main purpose was assessing the changes in the nutritional profile between the preoperative and postoperative periods for patients with laryngeal cancer and their relationship to pharyngocutaneous fistula. Methods Observational study of 40 patients. During April 2010 and December 2011 nutritional risk assessment on admission and evaluation of nutritional parameters on admission (t0), at 7 (t1) and 14 (t2) days were carried out. Statistical techniques for longitudinal (or repeated) data were used and Generalised Estimating Equations models (GEE), Results On admission, 37.5% of patients had reduced their usual weight by a percentage greater than or equal to 5%, and had a moderate risk of suffering malnutrition; of the patients, 62.5% for [t0, t1] and 80% for [t1, t2] reduced their weight by a percentage greater than or equal to 2%. The average of weight loss was 4328 (SD 2.20 [3.62–5.03]) for [t0, t2] kg. Biochemical parameters decreased for [t0, t1] and recovered for [t1, t2]. Twenty seven point five percent of the patients had a pharyngocutaneous fistula, which was significantly associated with the percentage of weight loss (p-value = 0.032), lower levels of albumin, and prealbumin, with a mean difference of 0.365 g/dl (p-value = 0.014) and 7.65 mg/dl (p-value = 0.005), respectively. Conclusion Patients lose weight before and during treatment and the weight loss is a poor prognosis in the development of pharyngocutaneous fistula in patients with total laryngectomy.
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- 2013
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21. Nível de ansiedade versus autocuidado no pré-operatório e pós-operatório do paciente laringectomizado total
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María Aurora Rodríguez-Borrego, Alfredo Jurado Ramos, and Clara Inés Flórez Almonacid
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Male ,Activities of daily living ,medicine.medical_treatment ,Anxiety ,0302 clinical medicine ,Postoperative Complications ,Neoplasms ,Activities of Daily Living ,Prevalence ,Medicine ,Atividades Cotidianas ,Ansiedade ,General Nursing ,Mucosa Laríngea ,Aged, 80 and over ,030504 nursing ,lcsh:Nursing ,Transtornos de Adaptação ,Middle Aged ,Neoplasias ,Laryngectomy ,Laryngeal Mucosa ,030220 oncology & carcinogenesis ,Anesthesia ,Carcinoma, Squamous Cell ,Laringectomia ,Female ,medicine.symptom ,0305 other medical science ,Laringectomía ,Adult ,medicine.medical_specialty ,Trastornos de Adaptación ,03 medical and health sciences ,Adjustment Disorders ,Ansiedad ,Humans ,Laryngeal Neoplasms ,Aged ,lcsh:RT1-120 ,Hospital anxiety ,business.industry ,Self Care ,Postoperative Periods ,Physical therapy ,Observational study ,business ,Stage iv ,Actividades Cotidianas - Abstract
Objective: estimate the prevalence of anxiety in laryngectomy patients in the pre and postoperative periods and its relation with the self-care level. Method: observational research of 40 patients with stage IV laryngeal cancer. Three observations took place: in the preoperative phase, at seven and at 14 days after the surgery; between June 2010 and December 2012. Two self-care levels were defined: self-sufficient and needing help for activities of daily living and treatment-related activities. To assess the anxiety levels, Zigmond's hospital anxiety scale (1983) was used. Results: in the preoperative and postoperative phases, the patients presented high levels of anxiety. Concerning self-care, on average, self-sufficient patients presented lower levels of anxiety than patients who needed help to accomplish activities of daily living and activities deriving from the surgery, without significant differences. Conclusion: anxiety is present at all times in laryngectomy patients and the reduction of the self-care deficit seems to decrease it, without putting a permanent end to it. Resumo Objetivo: estimar a prevalência de ansiedade do paciente laringectomizado no pré-operatório e pós-operatório e sua relação com o nível de autocuidado. Método: pesquisa observacional de 40 pacientes com câncer da laringe estágio IV. Foram realizadas 3 observações: no pré-operatório, a 7 e 14 dias pós-operatório, no período de junho de 2010 a dezembro de 2012. Dois níveis de autocuidado foram definidos: autossuficientes e precisar ajuda para as atividades da vida diária e relacionadas ao tratamento. Para avaliar a ansiedade, foi utilizada a escala de ansiedade hospitalar de Zigmond (1983). Resultados: no pré-operatório e pós-operatório, os pacientes apresentaram níveis elevados de ansiedade. Com relação ao autocuidado, os pacientes autossuficientes apresentaram na média níveis inferiores de ansiedades que os pacientes que precisavam de ajuda para realizar as atividades da vida diária y as derivadas da cirurgia, sem chegar a ser significativas estas diferenças. Conclusão: a ansiedade está presente a todo momento no paciente laringectomizado e a diminuição do déficit de autocuidados parece diminuí-la sem acabar definitivamente com ela. Resumen Objetivo: estimar la prevalencia de ansiedad del paciente laringectomizado, en el preoperatorio y postoperatorio y su relación con el nivel de autocuidados. Método: investigación observacional de 40 pacientes con cáncer de laringe estadio IV. Se realizaron 3 observaciones: en el preoperatorio, a los 7 y 14 días del postoperatorio; en el periodo junio 2010 a diciembre de 2012. Se definieron dos niveles de autocuidados: autosuficientes y necesitar ayuda para las actividades de la vida diaria y derivadas del tratamiento; para evaluar la ansiedad se utilizó la escala de ansiedad hospitalaria de Zigmond (1983). Resultados: en el preoperatorio y postoperatorio los pacientes presentaron niveles elevados de ansiedad. En relación a los autocuidados, los pacientes autosuficientes presentaron en media niveles más bajos de ansiedad que los pacientes que necesitaban ayuda para realizar las actividades de la vida diaria y las derivadas de la cirugía, sin llegar a ser significativas estas diferencias Conclusión: la ansiedad está presente en todo momento en el paciente con laringectomia y la disminución del déficit de autocuidados parece disminuirla sin terminar definitivamente con ella.
- Published
- 2016
22. Vocal fold insufficiency: medialization laryngoplasty vs calcium hydroxylapatite microspheres (Radiesse Voice®)
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Enrique Cantillo-Baños, Leopoldo Ariza-Vargas, Alfredo Jurado-Ramos, and José Gutiérrez-Jódas
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Adult ,Male ,medicine.medical_specialty ,Sound Spectrography ,Glottis ,Voice Quality ,Dentistry ,Stroboscope ,Microsphere ,Laryngoplasty ,otorhinolaryngologic diseases ,medicine ,Humans ,Voice Handicap Index ,Medialization Laryngoplasty ,business.industry ,Radiesse Voice ,Prostheses and Implants ,General Medicine ,Middle Aged ,Microspheres ,Surgery ,Durapatite ,medicine.anatomical_structure ,Otorhinolaryngology ,Female ,Calcium hydroxylapatite ,business ,Vocal Cord Paralysis ,Medialization thyroplasty ,Follow-Up Studies - Abstract
The choice of technique will depend on the glottic gap observed by stroboscopy, the alteration of the Voice Handicap Index (VHI) and the recorded values of harmonics-to-noise ratio (HNR), jitter and shimmer, and the general health, age and underlying pathology. There are statistically significant differences between the values of VHI, shimmer and jitter in favour of those cases operated on within 6 months of diagnosis. Alternatives are discussed.This study analysed and compared the functional, morphological and acoustic results, after surgery, through the techniques of medialization thyroplasty and infiltration of biomaterials to correct incomplete closure of the glottis.A total of 21 patients with dysphonia due to vocal fold insufficiency (13 women and 8 men) and ages ranging between 30 and 65 years (mean age 40.84, SD 12.5) were evaluated. The material used for augmentation surgery consisted of calcium hydroxylapatite microspheres. Measurements (VHI, jitter, shimmer and HNR) were performed before surgery and at 6 and 24 months post-intervention.Overall, statistically significant differences were observed relating to measurements (p0.01) and surgical techniques (p0.05) analyzed. In particular, these differences were located in pairs pre-surgery - 6 months post-surgery and pre-surgery - post 24 months, in the four variables, and between the two techniques used in jitter (p = 0.008), HNR (p = 0.045) and VHI (p = 0.035).
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- 2012
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23. Non-pedicled vs vascular pedicled nasal flap in repair of cerebrospinal fluid rhinorrhea
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A. Jurado-Ramos, J. Gutiérrez Jodas, F. Muñoz del Castillo, N. Müller Locatelli, J. Aguilar Cantador, and E. Cantillo Baños
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Adult ,Male ,medicine.medical_specialty ,Cerebrospinal Fluid Rhinorrhea ,Nasal Surgical Procedures ,Nose ,Surgical Flaps ,Cerebrospinal fluid ,otorhinolaryngologic diseases ,medicine ,Humans ,Nasal flap ,Retrospective Studies ,rhinorrhea ,business.industry ,General Medicine ,Pedicled Flap ,Middle Aged ,respiratory system ,Surgery ,Otorhinolaryngology ,Anesthesia ,Female ,medicine.symptom ,business - Abstract
In our study, pedicled nasal flap (NF) did not provide better results than free nasal graft (NG) for primary closure of cerebrospinal fluid (CSF) rhinorrhea. In the future, a multicenter randomized study would be needed to confirm this result. The choice of surgical technique will depend on the surgeon's experience, and the position and size of the defect.To evaluate our results in repairing CSF leaks, comparing the two techniques we used: free NG and pedicled NF.A total of 33 patients diagnosed with CSF rhinorrhea were operated on between June 2000 and May 2010; 17 were women. The mean age was 44.7 years (± 13.0). Twenty-two (66.6%) NFs of the middle and lower turbinate and septum were performed, the rest being NGs of the middle and lower turbinate only. A descriptive statistical analysis and a Kaplan-Meier survival analysis were carried out and the log-rank statistic was used to compare both techniques.In the present study, 78% of defects were closed in all cases; NF was used in 86% (19) and NG in 63.63% (7). The mean follow-up was 71.5 (95% confidence interval (CI), 56.9-86.1) months. There were no statistically significant differences (p0.05).
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- 2012
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24. Treatment of Dural Arteriovenous Fistulas Presenting as Pulsatile Tinnitus
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Francisco Bravo-Rodríguez, Rafael Oteros, Alfredo Jurado-Ramos, Fernando Delgado, and Francisco Muñoz
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Adult ,Male ,Sleep Wake Disorders ,medicine.medical_specialty ,medicine.medical_treatment ,Pulsatile flow ,Tinnitus ,Dural arteriovenous fistulas ,otorhinolaryngologic diseases ,medicine ,Blepharoptosis ,Exophthalmos ,Humans ,Prospective Studies ,Embolization ,Papilledema ,Prospective cohort study ,Aged ,Aged, 80 and over ,Central Nervous System Vascular Malformations ,business.industry ,Headache ,Middle Aged ,medicine.disease ,Embolization, Therapeutic ,Sensory Systems ,Surgery ,Paresis ,Treatment Outcome ,Hemiparesis ,Otorhinolaryngology ,Female ,Neurology (clinical) ,medicine.symptom ,Headaches ,business ,Petrous Bone - Abstract
Objective To describe the clinical picture and treatment of dural arteriovenous fistulas (DAVFs) presenting as pulsatile subjective tinnitus. Study design Review of prospectively collected data. Setting Academic referral center. Patients Fourteen patients with clinically and radiographically diagnosed DAVFs. Interventions Treated by endovascular route. Main outcome measures Treatments, clinical course, complications, and evolution were evaluated. Results All patients presented with sleep-disruptive pulsatile tinnitus. Other symptoms included severe headaches, papilledema, proptosis, blepharoptosis, visual disturbances, and hemiparesis. Cortical venous drainage was present in 4 cases. Endovascular treatment was performed at least once by the arterial route in 14 patients and the venous route in 4 patients. The origin of tinnitus was always a vessel in or above the petrous bone. When these arteries or veins could not be visualized in the final control, the tinnitus disappeared. In the patients whose tinnitus returned, a vessel in the petrous bone could always be seen. There was no mortality. Conclusion Endovascular treatment is an effective and safe treatment of DAVFs presenting as tinnitus.
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- 2009
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25. Minimally invasive endoscopic techniques for treating large, benign processes of the nose, paranasal sinus, and pterygomaxillary and infratemporal fossae: solitary fibrous tumour
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A. Jurado-Ramos, F. Ropero Romero, J Salas Molina, and E. Cantillo Baños
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Adult ,medicine.medical_specialty ,Otorhinolaryngologic Surgical Procedures ,Fossa ,Maxillary Sinus Neoplasms ,Nose Neoplasms ,otorhinolaryngologic diseases ,medicine ,Humans ,Nose ,Sinus (anatomy) ,medicine.diagnostic_test ,biology ,business.industry ,Temporal Bone ,Endoscopy ,General Medicine ,medicine.disease ,biology.organism_classification ,Surgery ,Treatment Outcome ,Paranasal sinuses ,medicine.anatomical_structure ,Otorhinolaryngology ,Solitary Fibrous Tumors ,Maxilla ,Female ,Fibroma ,business ,Paranasal Sinus Neoplasms - Abstract
Objectives:We report an extremely rare case of a large solitary fibroma of the paranasal sinus, which we treated by sinonasal endoscopic surgery. We describe its clinical and histopathological features, and we report the endoscopic technique used to deal with such a large sinonasal mass (penetrating the pterygomaxillary and infratemporal fossae); we also offer a brief survey of the literature.Case report:A woman presented with an approximately one-year history of nasal obstruction. Nasal endoscopy revealed an irregularly shaped, friable, reddish mass that occupied the whole of the right nasal fossa. Magnetic resonance imaging of the paranasal sinuses revealed a large mass that occupied the anterior and posterior ethmoids and the maxillary and sphenoid sinuses, displacing the septum and penetrating the pterygomaxillary fossa, having destroyed the lateral wall of the right nasal fossa. The tumour was resected by means of sinonasal endoscopic surgery; an endoscopic medial maxillectomy with extension to the pterygomaxillary and infratemporal regions was performed. Histological analysis confirmed the diagnosis of solitary fibrous tumour. During follow up, we performed regular nasal endoscopies, as well as computed tomography scans one and six months post-operatively.Conclusions:Endoscopic techniques are currently the approach of choice for the treatment of such tumours of the sinonasal cavity and pterygomaxillary and infratemporal regions. The size of the lesion did not contraindicate endoscopic sinonasal surgery as a curative treatment.
- Published
- 2008
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26. APLICACIÓN DE MANUFACTURA ESBELTA EN EL ÁREA DE PREPARACIÓN DE PIEL PARA ASIENTOS AUTOMOTRICES EN UNA EMPRESA MAQUILADORA.
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Jurado Ramos, Veyra Elizabeth and Valles, Adan
- Abstract
Copyright of Congreso Internacional de Investigacion Academia Journals is the property of PDHTech, LLC and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2018
27. Abordaje endoscópico transseptal de tumores hipofisarios
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A. Jurado Ramos, F. Muñoz del Castillo, P. López Villarejo, and A. de la riva aguilar
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Gynecology ,medicine.medical_specialty ,Otorhinolaryngology ,business.industry ,medicine ,business - Abstract
Resumen Los avances en optica y endoscopia han revolucionado la cirugia, permitiendo el abordaje endoscopico de la region selar de forma minimamente invasiva, a traves de la cavidad nasal por el seno esfenoidal. Hemos realizado un analisis de los resultados quirurgicos de 20 pacientes intervenidos de tumores hipofisarios mediante abordaje transseptal-transesfenoidal en los ultimos 2 anos en nuestro hospital. La edad media de los pacientes fue de 45,6 anos, siendo mujeres el 75%. El 30% de los casos fueron adenomas no secretores y otro 30% acromegalia, seguido de enfermedad de Cushing (25%) y prolactinoma (10%). No existieron incidencias intraoperatorias, destacando como complicaciones postquirurgicas, la aparicion de diabetes insipida en 2 casos (10%) y un solo caso de fistula de LCR. Dos pacientes estan actualmente en tratamiento hormonal sustitutivo por panhipopituitarismo. El resto han presentado buena evolucion, sin recidivas, normalizandose los niveles hormonales.
- Published
- 2003
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28. Cirugía endoscópica nasal de procesos selares
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P. López-Villarejo, F. Muñoz del Castillo, A. De la Riva-Aguilar, and A. Jurado-Ramos
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Gynecology ,medicine.medical_specialty ,business.industry ,Medicine ,Surgery ,Neurology (clinical) ,business - Abstract
Resumen Los grandes avances realizados en instrumental quirurgico han revolucionado la cirugia, permitiendo el abordaje de la hipofisis de forma minimamente invasiva, por medio de la endoscopia, a traves de la cavidad nasal por el seno esfenoidal. En nuestro estudio analizamos los resultados quirurgicos de 20 pacientes intervenidos de tumores selares mediante abordaje endoscopico transseptal transesfenoidal desde Marzo de 1999 hasta Junio de 2002 en nuestro hospital. La edad media de los pacientes fue de 45,6 anos, siendo la mayoria mujeres. 6 de los casos fueron adenomas no secretores (30%) y otros 6 casos acromegalia, seguido de enfermedad de Cushing (25%) y prolactinoma (10%). No existieron incidencias intraoperatorias, destacando como complicaciones postquirurgicas, la aparicion de diabetes insipida en 2 casos (10%) y un solo caso de fistula de LCR. 2 pacientes estan actualmente en tratamiento hormonal sustitutivo por panhipopitui-tarismo. El resto han presentado buena evolucion, sin recidivas, normalizandose los niveles hormonales.
- Published
- 2003
- Full Text
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29. Inflammatory myofibroblastic tumor of the subglottis in children—Report of a single case with positive anaplastic lymphoma kinase
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E. Cantillo Baños, I. Ruiz-Molina, A. Jurado-Ramos, J.M. Castilla-Perez Navarro, E. Solis-Garcia, J. Gutiérrez-Jodas, and R. Ramirez-Ponferrada
- Subjects
Larynx ,medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,Microsurgery ,medicine.disease ,Asymptomatic ,Metastasis ,Surgery ,stomatognathic diseases ,medicine.anatomical_structure ,Otorhinolaryngology ,Pediatrics, Perinatology and Child Health ,otorhinolaryngologic diseases ,medicine ,Inflammatory pseudotumor ,Immunohistochemistry ,Anaplastic lymphoma kinase ,Radiology ,medicine.symptom ,Subglottis ,business - Abstract
Background : Dysphonia is a common clinical symptom in children. Methods and results : A seven-year-old boy presented with a chronic dysphonia that was secondary to a subglottal inflammatory pseudotumor. The patient was treated by means of endoscopic microsurgery and is currently asymptomatic and without signs of recidivism. Conclusions : Inflammatory pseudotumor of the larynx is seldom encountered in the pediatric age range, and it is diagnosed by means of specific immunohistochemical techniques. The treatment of choice is endoscopic resection by CO 2 laser. Due to its capacity for recidivism and metastasis, the syndrome requires stringent follow-up.
- Published
- 2011
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30. Estudio objetivo de la voz en población normal y en la disfonía por nódulos y pólipos vocales
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E. Cantillo Baños, A. Jurado Ramos, J.A. Adrián Torres, M. Conde Jiménez, J.C. Casado Morente, V. Povedano Rodríguez, E. Muñoz Gomariz, and D. Piédrola Maroto
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medicine.medical_specialty ,Sustained vowel ,Otorhinolaryngology ,business.industry ,Medicine ,Objective evaluation ,Audiology ,business - Abstract
A study of the objective evaluation of voice was made of 100 voices of healthy adults and 60 with disphonia (nodules and polyps). A laryngostroboscopy and an acoustic analysis was made to everyone. A sustained vowel "a" was carried out and digitalized with Dr. Speech Science software. These parameters were estimated: fundamental frequency (Fo, according to gender), Jitter, Shimmer and glottic noise (NNE, HNR, SNR). In the healthy group Fo was 139.72 in men and 267.33 in women, jitter 0.24 and shimmer 2.10. In disphonic patients (nodules) Fo was 126.96 in men and 240.72 in women, jitter 0.35 and shimmer 3.25. In disphonic patients (polyps) Fo was 119.75 in men and 218.26 in women, jitter 0.50 and shimmer 4.34. These difference were statistically significant. Glottic Noise in healthy group was: NNE -13.62, HNR 24.07 and SNR 24.49; in disphonic patients (nodules) was: NNE -10.65, HNR 25.21 and SNR 25.55; in disphonic patients (polyps) was: NNE -8.24, HNR 29.63 and SNR 28.22. Only the difference in the NNE was statistically significant. We highlight the importance of objective evaluation of voice disorders.
- Published
- 2001
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31. ESCOLAS QUE SÃO ASAS: UMA ANÁLISE SARTREANA DA ESCOLA DO CAMPO.
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Jurado Ramos, Débora and Pascoal Moura, Jeani Delgado
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RURAL education ,RURAL schools ,SOCIAL history ,SOCIAL workers ,SITUATIONAL awareness - Abstract
Copyright of Revista Tamoios is the property of Editora da Universidade do Estado do Rio de Janeiro (EdUERJ) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2018
- Full Text
- View/download PDF
32. A PEDOLOGIA NOS CURSOS DE GEOGRAFIA DA UNESP: O TEMA SOLOS E SUA ATUAÇÃO NA EDUCAÇÃO AMBIENTAL.
- Author
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Gomes Junior, Estevão Conceição, Cristina Perusi, Maria, and Jurado Ramos, Débora
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ENVIRONMENTAL literacy ,ENVIRONMENTAL education ,POPULATION ,NATURE reserves ,ENVIRONMENTAL sciences ,BACHELOR'S degree - Abstract
Copyright of Pesquisa em Educação Ambiental is the property of Pesquisa em Educacao Ambiental and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2018
- Full Text
- View/download PDF
33. Capítulo 25 - Tumores benignos y malignos de la nariz y los senos paranasales
- Author
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Jurado-Ramos, A., Gutiérrez Jodas, J., and Cantillo Baños, E.
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- 2012
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34. Tumores benignos y malignos de la nariz y los senos paranasales
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A. Jurado-Ramos, E. Cantillo Baños, and J. Gutiérrez Jodas
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business.industry ,Medicine ,business - Published
- 2012
- Full Text
- View/download PDF
35. Estudio de los parámetros clásicos del reflejo estapedial y de su latencia encondiciones normales y patológicas
- Author
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Jurado Ramos, Alfredo
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616.2 ,Laberinto (Oído) ,Enfermedades ,Tesis doctorales - Abstract
Reducción alta, Univ. de Granada, 1986
- Published
- 2011
36. The antrum exclusion technique in cholesteatoma surgery
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P. López Villarejo, Jurado Ramos, and E. Cantillo Baños
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Adult ,medicine.medical_specialty ,Adolescent ,business.industry ,Middle ear disease ,Cholesteatoma ,General Medicine ,Middle Aged ,medicine.disease ,Surgery ,medicine.anatomical_structure ,Hearing ,Otorhinolaryngology ,medicine ,Middle ear ,Humans ,Mastoid surgery ,Child ,Ear Diseases ,business ,Mastoid cavity ,Antrum - Abstract
A new surgical technique for the treatment of cholesteatoma is reported. The technique involvesautoexclusion for exteriorization of the attic and tympanic box only. The resulting cavity is rather small.The technique allows visual post-operative control of the attic and tympanic membrane. There isno visual access to the mastoid cavity which, however, is the most unlikely site for occurrenceof a residual cholesteatoma.The proposed technique was applied to 102 patients and both the anatomic and functional resultsobtained are reported.
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- 1992
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37. Allergenic profile of nasal polyposis
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F, Muñoz del Castillo, A, Jurado-Ramos, B L, Fernández-Conde, R, Soler, M J, Barasona, E, Cantillo, C, Moreno, and F, Guerra
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Adult ,Aged, 80 and over ,Male ,Dermatophagoides farinae ,Dermatophagoides pteronyssinus ,Environmental Exposure ,Allergens ,Antigens, Plant ,Middle Aged ,Nasal Polyps ,Olea ,Respiratory Hypersensitivity ,Animals ,Humans ,Female ,Antigens, Dermatophagoides ,Aged ,Rhinitis ,Skin Tests - Abstract
Nasal polyposis is highly prevalent in the general population. Its exact origin is unknown, although several factors are involved in the etiology and development of this condition. Clinical patterns, a history of atopy, environmental exposure, eosinophil-mediated inflammation, the presence of inflammatory mediators, and sensitization to some allergens indicate that nasal polyposis is associated with allergic phenomena. The aim of this study was to identify the association between nasal polyposis and allergic factors by examining hypersensitivity reactions to common allergens and environmental exposure that could lead to the development of atopy.We conducted a comparative study of 190 patients with nasal polyposis and 190 healthy individuals. The study included clinical and epidemiological variables, environmental exposure factors, and an allergology workup using skin prick tests with 18 inhaled allergens.A total of 121 patients (63.7%) of the 190 were male; 62.1% had a family history of allergy. The incidence of asthma was 48.9% among the patients and only 2.3% among the controls (P.001). The factor most frequently involved in the patients' symptoms was weather changes (67.4%). Skin prick tests were positive in 63.2% of the patients and 31.1% of the controls. The allergens that most frequently elicited a reaction from the patients in the prick tests were Dermatophagoides pteronyssinus (27.7%), Dermatophagoides farinae (21.3%), and Olea europaea (21.1%). The difference between these results and those of the controls was statistically significant.Patients with nasal polyposis are sensitive to the most common allergens in our environment and exhibit a clear-cut correlation with other allergic factors, as confirmed by personal and family histories, the presence of chronic rhinitis, and the results of in vivo tests.
- Published
- 2009
38. Malformaciones y traumatismos nasofaciales. Cuerpos extraños nasosinusales. Epistaxis
- Author
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F. Muñoz del Castillo and A. Jurado Ramos
- Subjects
business.industry ,Medicine ,business - Published
- 2009
- Full Text
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39. Autores
- Author
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José Ramón Alba García, Jesús Algaba Guimerá, Isam Alobid, Xavier Altuna Mariezcurrena, Francisco Antolí-Candela Cano, Miguel Armengot Carceller, José Vicente Bagán Sebastián, Rafael Barona de Guzmán, Jorge Basterra Alegría, Manuel Bernal Sprekelsen, Silvia Borkoski Barreiros, Agustín Campos Catalá, Ignacio Cobeta Marco, Manuel Conde Jiménez, José María Cuyas Lazarich, Francisco Esteban Ortega, Enrique Fernández Julián, Luis de la Fuente Arjona, Emilio García-Ibáñez Ferrándiz, Luis García-Ibáñez Cisneros, Javier Gavilán Bouzas, Pablo E. Gil-Loyzaga, José Manuel Gómez Martín Zarco, Alejandro Harguindey Antolí-Candela, Elena Hernández Montero, Jesús Herranz González-Botas, Alicia Huarte Irujo, Alfredo Jurado Ramos, Torcuato Labella Caballero, Daniel López Aguado, Daniel López Campos, Juan Lorente Guerrero, José Luis Llorente Pendas, Ascensión Lozano Ramírez, Manuel Manrique Rodríguez, Manuel Maños Pujol, Agustín Martínez Ibarguen, Antonio Mochón Martín, Elena Mora Rivas, José Morales López, Rosa Moreno Sánchez, Francisco Muñoz del Castillo, Julio Nogués Orpí, Consuelo Ortega Fernández, Primitivo Ortega del Álamo, Enrique Perelló Scherdel, Nicolás Pérez Fernández, Miquel Quer Agustí, Juan Luis Quesada Martínez, Ángel Ramos Macías, José M.ª Sánchez Fernández, Ana Sánchez del Rey, Francisco Santaolalla Montoya, Bartolomé Scola Yurrita, Carlos Suárez Nieto, Juan Trinidad Pinedo, Rafael Urquiza de la Rosa, and Enrique Zapater Latorre
- Published
- 2009
- Full Text
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40. Inflammatory myofibroblastic tumor of the subglottis in children—Report of a single case with positive anaplastic lymphoma kinase
- Author
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Gutiérrez-Jodas, J., Ruiz-Molina, I., Jurado-Ramos, A., Navarro, J.M. Castilla-Perez, Ramirez-Ponferrada, R., Solis-Garcia, E., and Baños, E. Cantillo
- Published
- 2011
- Full Text
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41. Endoscopic medial maxillectomy as a procedure of choice to treat inverted papillomas
- Author
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E. Muñoz Gomariz, F. Muñoz del Castillo, E. Cantillo Baños, F. Ropero Romero, E. Alarcón Linares, A. Jurado-Ramos, and J. Gutiérrez Jodas
- Subjects
Medial maxillectomy ,Adult ,Male ,medicine.medical_specialty ,Otorhinolaryngologic Surgical Procedures ,Inverted papilloma ,Biopsy ,medicine ,Humans ,Aged ,Retrospective Studies ,Papilloma, Inverted ,medicine.diagnostic_test ,business.industry ,Retrospective cohort study ,Endoscopy ,General Medicine ,Middle Aged ,medicine.disease ,Confidence interval ,Surgery ,Paranasal sinuses ,medicine.anatomical_structure ,Otorhinolaryngology ,Female ,business ,Paranasal Sinus Neoplasms - Abstract
Endoscopic medial maxillectomy (EMM) is a safe, effective method for the treatment of inverted papillomas (IPs) of the paranasal sinuses.To evaluate the efficacy of EMM as a surgical technique in the treatment of IP compared with non-endoscopic techniques.This was a retrospective study of 52 patients with an IP diagnosed by biopsy from 1990 to 2004. EMM was performed in 34 patients (65.4%), whereas non-endoscopic techniques were used in 18 (34.6%). The mean duration of follow-up was 54.2 months.Recurrence occurred in 4 of the 34 patients who underwent EMM (11.8%; 95% confidence intervals (CI) = 39 at 26%) and in 8 of the 18 patients treated using non-endoscopic techniques (44.4%; 95% CI = 23.2 at 67.3%). There was a statistically significant difference (p0.05) between treatments, assessed by Kaplan-Meier estimator and log-rank testing. Of the 12 patients who suffered a recurrence, 6 (50%) were treated with endoscopic surgery, 4 (33%) with mediofacial degloving and 2 (17%) were merely followed up; no malignant degeneration occurred.
- Published
- 2008
42. [Rhinocerebral mucormycosis: differential diagnosis of invasive fungal sinusitis]
- Author
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F, Muñoz del Castillo, F, Bravo-Rodríguez, A, Jurado Ramos, F, Delgado Acosta, A, de la Riva Aguilar, and P, López Villarejo
- Subjects
Adult ,Diagnosis, Differential ,Male ,Brain ,Humans ,Mucormycosis ,Sinusitis ,Tomography, X-Ray Computed ,Combined Modality Therapy ,Magnetic Resonance Imaging - Abstract
Mucormycosis is an opportunistic infection caused by molds Mucoraceae of the family Phycomycetes. This invasive FS is found in debilitated hosts, most frequently in patients with hematologic malignancies, burn patients and diabetes mellitus. There are several differents forms: rhino-cerebral, pulmonary or disseminated. We describe a case of invasive fungal sinusitis (FS): Rhino-orbital-cerebral mucormycosis, treated at our hospital with radical surgery and medical treatmen We reviewed the clinical presentation of the different types.
- Published
- 2005
43. [Non invasive fungal sinusitis: mycetoma and alergical fungal sinusitis]
- Author
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F, Muñoz del Castillo, A, Jurado Ramos, R, Soler Vilarrasa, F, Bravo-Rodríguez, J, Espejo Herrero, and P, López Villarejo
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Adult ,Male ,Rhinitis, Allergic, Perennial ,Mycetoma ,Humans ,Female ,Immunoglobulin E ,Sinusitis ,Tomography, X-Ray Computed - Abstract
We have made a study about different cases of non-invasive fungal sinusitis (FS) treated at our hospital with surgery (endoscopic sinus approach) and medical treatment. We review two cases: Mycetoma and allergic fungal sinusitis, following the recent classification based on physiopathology, treatment and prognosis. We review the clinical presentation of the different types.
- Published
- 2005
44. [Endoscopic surgery of nasopharyngeal angiofibroma]
- Author
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F, Muñoz del Castillo, A, Jurado Ramos, F, Bravo-Rodríguez, F, Delgado Acosta, and P, López Villarejo
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Adult ,Male ,Adolescent ,Humans ,Endoscopy ,Nasopharyngeal Neoplasms ,Angiofibroma ,Child - Abstract
Juvinile nasopharyngeal angiofibromas are highly vascular benign tumors but with an agressive behaviour with invasion of skull base and vital structures. Our study includes 11 male patients that underwent surgery for angiofibromas between 1992-2002 with an endoscopic surgical approach and embolization before surgery. The average age was 14.7 years old. Using Fisch staging, 8 patients were stage II. All cases achieved symptomatic remission, with no complications but the recurrence was 36.3%. The endoscopic excision is a safe and effective minimally invasive surgical treatment in patients in stage I and II. It should be considered as a first-choice option for these cases.
- Published
- 2004
45. [Trans-septal endoscopic approach of pituitary tumors]
- Author
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F, Muñoz del Castillo, A, Jurado Ramos, A, De la Riva Aguilar, and P, López Villarejo
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Male ,Humans ,Endoscopy ,Female ,Pituitary Neoplasms ,Middle Aged ,Nasal Septum - Abstract
The advances in endoscopic instruments have eased the approach to the sellar region through the nasal cavity. We carry out an analysis of the surgical results on 20 patients that underwent surgery for sellar tumours through a transeptal-transphenoidal approach in the last 2 years in our hospital. The average was 45.6 years old, and 75% were females. 30% of cases were pituitary adenomas and another 30% acromegaly, 25% Cushing's disease and 10% prolactinomas. No complications were encountered during surgery being the most common postoperative complications, diabetes insipida in two cases (10%) and CSF leak in one case. At present 2 patients are having hormonal treatment for panhypopituitarism. No patients developed a septal perforation, nasal deformity, epistaxis, meningitis, lip numbness or oronasal fistula. The rest did have good results noith no recurrence and hormonal values back to normal.
- Published
- 2004
46. [Endoscopic nasal surgery in sellar tumors]
- Author
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F, Muñoz del Castillo, A, De la Riva-Aguilar, A, Jurado-Ramos, and P, López-Villarejo
- Subjects
Adult ,Male ,Humans ,Endoscopy ,Female ,Prolactinoma ,Sella Turcica ,Middle Aged ,Magnetic Resonance Imaging ,Hypopituitarism ,Aged ,Hypophysectomy - Abstract
The advances in endoscopy have improved the approach to the sellar region throught nasal cavity. We studied 20 patients with pituitary adenomas operated on using an endoscope through nasal cavity with transseptal- trassphenoidal approach during the last two years. Average age was 45.6 years, and 75% were females. 30% of the patients had non functioning adenomas, 30% acromegaly, 25% Cushing's disease and 10% prolactinomas. No complications occurred during surgery. The more common complications were diabetes insipidus (two cases) and CSF leak (one case). Two patients needed hormonal treatment because panhypopituitarism. No patients developed septal perforation, nasal deformity, epistaxis, meningitis, lip numbness or oronasal fistula.
- Published
- 2004
47. [Metastatic neck adenopathies without known primary tumor. Incidence study 1996-2001]
- Author
-
F, Muñoz del Castillo, A, Jurado Ramos, F, Navarro Ortíz, and P, López Villarejo
- Subjects
Adult ,Aged, 80 and over ,Male ,Incidence ,Lymphatic Metastasis ,Humans ,Neoplasms, Unknown Primary ,Female ,Middle Aged ,Neck ,Aged ,Retrospective Studies - Abstract
We made a retrospective descriptive study reviewing 92 patients with cervical lymph node metastases from unknown primary tumour. The study was accomplished during 6 years. (January 1996 to December 2001) in the Department of Otorhinolaryngology of the Hospital Reina Sofia, Córdoba. The median age was 61.7 years old, male 96.7% and heavy smoker (89.1%) and drinkers most of them. According to TNM categories, 72.2% patients were in phase N2a and half of them were localized Level II. Squamous cell carcinoma was the predominant histologic type. The patients were treated with surgery in 70.6% of the cases with or without radiation therapy and/or chemotherapy.
- Published
- 2003
48. [Forestier-Rotes Querol syndrome]
- Author
-
F, Muñoz del Castillo, F, Bravo Rodríguez, A, Jurado Ramos, and P, López Villarejo
- Subjects
Aged, 80 and over ,Male ,Hyperostosis, Diffuse Idiopathic Skeletal ,Humans ,Aged - Abstract
The diffuse idiopathic skeletal hyperostosis (DISH) or Forestier's disease is characterized by an hyperostosis of the anterolateral margin of the vertebral bodies. It is an uncommon cause of dysphagia in old patients. In the differential diagnosis of mechanical dysphagia we must have present this disease. Cervico-dorsal spine radiographies reveal large anterior osteophytes creating pharyngeal encroachment.
- Published
- 2003
49. Hiperostosis esquelética idiopática difusa
- Author
-
Bravo Rodríguez, F., Jurado Ramos, A., López Villarejo, P., and Muñoz del Castillo, F.
- Subjects
DISH ,disfagia ,HEID ,dysphagia ,Dysphagia, REID, Skeletal hyperostosis, DISH, cervical osteophytes ,skeletal hyperostosis ,cervical osteophytes ,hiperostosis esquelética ,osteofitos cervicales ,vertebral osification ,osificación vertebral ,REID - Abstract
La Hiperostosis Esquelética Idiopática Difusa (HEID) o Síndrome de ForestierRotes Querol es una enfermedad ósea vertebral caracterizada por una intensa calcificación y osificación de ligamentos a nivel de cuerpos vertebrales, siendo una rara causa de disfagia, sobre todo en pacientes de edad avanzada. Por tanto, debemos tener presente dicha entidad en el diagnóstico diferencial de la disfagia de causa mecánica, evidenciándola mediante radiología simple de columna cervical, donde se verifica la presencia de osteofitos a nivel cervical-dorsal.
- Published
- 2003
50. Metástasis cervicales de origen desconocido. Incidencia entre 1.995-1999 -: Revisión clínica
- Author
-
Roldán Nogueras, J., Muñoz del Castillo, F., Sánchez Gutiérrez, R., Mohamed Youssef, A.S., Márquez Moyano, J.A., Ayala Zeitner, A., Villar, C., Navarro Ortíz, F., Ostos Aumente, P., Jurado Ramos, A., and López Villarejo, P.
- Subjects
unknown primary tumors ,cervical lymph node metastases ,cervicales ,tumor de origen desconocido ,adenopatías metastásicas cervicales primarias ,cervical metastases ,metástasis - Abstract
Se trata de un estudio descriptivo retrospectivo de 8 pacientes con adenopatías metastásicas cervicales de tumor primario desconocido, sobre un total de 67 pacientes con adenopatías metastásicas en cuello ( 11,9% del total fueron MOD), realizado durante período de 5 años en el servicio ORL del Hospital Universitario Reina Sofía de Córdoba. La edad media fue de 67,3 años, todos ellos varones y la mayoría fumadores. Según la clasificación TNM, el 62,5% de los casos se encontraban en fase ganglionar N2a en el momento de la consulta, localizándose en Área 11 en la mitad de los casos. El tipo histológico predominante fue de CA epidermoide. En todos los pacientes se realizó tratamiento quirúrgico : vaciamiento radical cervical seguido de RT y/o QT.
- Published
- 2002
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