Artes Y Humanidades

E l estudio de la cartografía histórica es fundamental para el conocimiento de los orígenes y evolución de las ciudades y poblados históricos. Es una fuente que complementa tanto los documentos de archivo como la información bibliográfica, además de ser un instrumento que permite la comparación y el contraste con la realidad física ofrecida por el trabajo de campo realizado en las poblaciones seleccionadas para su estudio.

The purpose of this study was to assess the complication rates of incidental appendectomies in women who undergo benign gynecologic procedures.This was a retrospective case-controlled study of patients who did (n = 100 women) or did not (n = 100 women) undergo incidental appendectomies at the time of an abdominal hysterectomy between June 1995 and January 2001. Information was abstracted from hospital and clinic records and a gynecologic oncology database. Data were obtained about age, body mass index, hypertension, diabetes mellitus, the number of days with nothing by mouth, the length of hospital stay, and postoperative complications (cellulitis, fever, ileus, pneumonia, thromboembolic disease). Data were analyzed with the use of two-sample t tests, Wilcoxon Rank sum tests, χ2 tests, and multiple logistic regressions.There was no difference in preoperative diagnosis or operative procedure for either group. The number of patients in the group that did have incidental appendectomy versus the group that did not have incidental appendectomy with additional procedures at the time of abdominal hysterectomy was bilateral salpingo-oophorectomy (66 vs 61 women), unilateral oophorectomy (19 vs 19 women), lysis of adhesions (9 vs 8 women), and others (12 vs 8 women). Compared with the group that did not have incidental appendectomy, the group that did have incidental appendectomy was younger (mean age±SD: 44±9.6 years vs 48±13.6 years, P = .02) and had a lower mean body mass index (26.1±6.0 kg/m2 vs 29.8±8.9 kg/m2, P = .0009). No significant differences were found between the two groups (the group that did have incidental appendectomy vs the group that did not have incidental appendectomy, respectively) with respect to the following postoperative complications: fever (40 vs 27 women), cellulitis (1 vs 2 women), wound collection (4 vs 6 women), wound dehiscence (1 vs 5 women), wound abscess (7 vs 6 women), ileus (3 vs 2 women), and urinary tract infection (4 vs 10 women) . The mean length of hospital stay was significantly longer in the group that did have incidental appendectomy than in the group that did not have incidental appendectomy (3.6±1.52 days vs 3.1±1.1 days, P = .006). However, the difference was no longer significant when patients who were fed electively on the postoperative day 2 were excluded from the analysis (3.16±1.13 days vs 3.04±1.13 days, P = .507). Thirty-one percent of the histologic specimens were abnormal, with fibrous obliteration being most common, and there was one case of acute appendicitis.An incidental appendectomy at the time of benign gynecologic procedures does not increase postoperative complication rates or length of hospital stay. The inclusion of incidental appendectomies in all abdominal hysterectomies could potentially decrease the morbidity and mortality rates because of appendicitis in elderly women.

Several studies have shown that nitric oxide (NO)-releasing agents can kill tumor cells. Unfortunately, currently available NO delivery molecules do not target tumor cells preferentially. To exploit the overexpression of glucose transport proteins and the high level of glucose transport characteristics of tumor cells, glucose was conjugated to S-nitroso-N-acetyl-penicillamine (2-gluSNAP) and evaluated for cytotoxicity in human ovarian carcinoma cells.

In the past few decades, amidst the revolutionary new advances in the surgical, chemotherapeutic, and radiotherapeutic treatments for cancer, the role of the gynecologic oncologist has diverged from that of the obstetriciangynecologist and the general surgeon. In the past, the general surgeon was responsible for treating any disease process that was surgically approachable. As new methods of treatment have arisen in the fight against cancer, the field of gynecologic oncology has developed its own identity and exists now as a separate subspecialty. Nevertheless, many of the surgical modalities used by the gynecologic oncologist require understanding of experiences shared by general surgeons, surgical oncologists, urologists, colorectal surgeons, and even vascular surgeons.

Objective: A patient with a recurrent central pelvic malignancy after radiation will require urinary diversion as part of the reconstructive phase of the pelvic exenteration. The aim of our study was to assess the result of our 15-year experience with a continent ileocolonic urinary reservoir, which is known as the Miami pouch. Study design: Since 1988, all patients who received a continent ileocolonic urinary reservoir in the Division of Gynecologic Oncology, University of Miami School of Medicine, were included in the study. Parameters that were evaluated during the study period include functional outcomes, early and late perioperative complications, and their treatment. Results: A total of 90 patients were identified from February 1988 to December 2002. Seventyeight patients (87%) had a recurrent central pelvic malignancy, and 82 patients (91%) received radiation before the Miami pouch procedure. The nonereservoir-related morbidities were fever (76%), wound complication (30%), pelvic collection (12%), ileus/small bowel obstruction (12%), and postoperative death (11%). The most common reservoir-related complications were urinary infection (40%), ureteral stricture (20%), and difficulty with self-catheterization (18%). In our study, the overall complication rate that was related directly to the Miami pouch was 53%. Conservative treatment resolvedO80% of these cases. The rate of urinary continence that was achieved in our patients was 93% during our 15-year experience with the Miami pouch. Conclusion: The Miami pouch is a good alternative for continent urinary diversion during exenteration or radiation-induced damage. The rate of major complications that require aggressive surgical intervention is acceptable. Most postoperative complications (80%) can be corrected with the use of conservative techniques that are associated with fewer deaths than reoperation and thus should be used first. The technique is simple and effective in women who are at high risk, who have undergone previous radiation therapy, and who have a high rate of functional success and is a profound advantage for a woman's psychosocial well-being. Ó 2004 Elsevier Inc. All rights reserved.

This study was conducted to analyze our experience with low (8-12 cm above the anal verge) and very low (<6 cm above the anal verge) colorectal resection and primary anastomosis at the time of radical en bloc resection of pelvic malignancies. STUDY DESIGN: A retrospective review of 77 patients undergoing supralevator pelvic exenteration with low colorectal resection and primary anastomosis in our gynecologic oncology service was carried out. Data were obtained from patient medical records and from the tumor registry. Univariate statistical analysis of the data was used.

¡Eliminación de la opción de utilizar "Mis cuentas"! Plazo para presentar aviso de opción para tributar conforme a flujo de efectivo CFDI con complemento por pagos realizados "Mi contabilidad" para las personas físicas Incremento de la CUFIN con los dividendos obtenidos Consulta del RFC para determinar a sujetos exentos del IVA Prórroga para gobierno corporativo de donatarias Inscripción de menores en el RFC Otras reglas de interés. CFDI DE NÓMINA Su reexpedición, emisión, extemporánea y su deducibilidad IMPORTACIÓN DE VEHÍCULOS USADOS EN 2019 REPARTO DE UTILIDADES Su determinación y la retención del ISR SEGURO SOCIAL Para becarios en empresas y para Trabajadores domésticos

FISCAL, LABORAL ¡LA MEJOR INFORMACIÓN y su análisis! Se homologa el uso del CFDI para fines laborales y fiscales Los CFDI's como elemento de prueba de la existencia de una enajenación Cambio en la regla que permite no emitir CFDI con complemento de pago Los nuevos Tribunales del Trabajo y los Órganos conciliadores Reformas laborales aplicables al régimen de los sindicatos La naturaleza del impuesto por adquisición de bienes y su tratamiento fiscal Derechos laborales de los trabajadores y trabajadoras del hogar Riesgo de trabajo asociado a la desaparición forzada de personas Reserva técnica para obligaciones pendientes de cumplir que deben constituir las instituciones de seguros Autorización de pago a plazos de adeudos al IMSS Casos en los que fideicomisos empresariales deben cumplir con las obligaciones fiscales Obsequios, atenciones y promociones de la empresa farmacéutica a médicos y hospitales Café fiscal MANUAL DE

¡Eliminación de la opción de utilizar "Mis cuentas"! Plazo para presentar aviso de opción para tributar conforme a flujo de efectivo CFDI con complemento por pagos realizados "Mi contabilidad" para las personas físicas Incremento de la CUFIN con los dividendos obtenidos Consulta del RFC para determinar a sujetos exentos del IVA Prórroga para gobierno corporativo de donatarias Inscripción de menores en el RFC Otras reglas de interés. CFDI DE NÓMINA Su reexpedición, emisión, extemporánea y su deducibilidad IMPORTACIÓN DE VEHÍCULOS USADOS EN 2019 REPARTO DE UTILIDADES Su determinación y la retención del ISR SEGURO SOCIAL Para becarios en empresas y para Trabajadores domésticos CRÉDITOS INFONAVIT Su pago y reestructuración