Publications by authors named "N Espana"

Background: Penetrating chest trauma that is associated with pulmonary injuries can trigger different sequelae, the most frequent being the presence of contusions or pulmonary lacerations that are accompanied by hemopneumothorax.

Materials And Methods: Description of a clinical case of interest and review of the literature on the topic.

Results: In this study, we present an unusual consequence of this type of trauma, a pulmonary infarction secondary to an extensive pulmonary venous thrombosis stemming from a firearm injury.

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We present a synoptic, participatory vulnerability assessment tool to help identify the likely impacts of climate change and human activity in coastal areas and begin discussions among stakeholders on the coping and adaptation measures necessary to minimize these impacts. Vulnerability assessment tools are most needed in the tropical Indo-Pacific, where burgeoning populations and inequitable economic growth place even greater burdens on natural resources and support ecosystems. The Integrated Coastal Sensitivity, Exposure, and Adaptive Capacity for Climate Change (I-C-SEA Change) tool is built around a series of scoring rubrics to guide non-specialists in assigning scores to the sensitivity and adaptive capacity components of vulnerability, particularly for coral reef, seagrass, and mangrove habitats, along with fisheries and coastal integrity.

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Article Synopsis
  • Morbid obesity is best treated with bariatric surgery, with laparoscopic Roux-en-Y gastric bypass (LRYGBP) showing superior results but requiring advanced surgical skills.
  • A study of 100 patients revealed an average age of 31, with complications in 10 patients and a 2% mortality rate, alongside significant postoperative weight loss and improvement in co-morbid conditions.
  • The results support LRYGBP as an effective and reproducible approach for treating morbid obesity when performed by experienced surgeons.
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