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Poster Session : PS 0725 ; Rheumatology ; Case Report: Elderly-Onset Systemic Lupus Erythematosus
( Ruben Gomez ),( Ericka Carrillo ),( Filiberto Gomez ) 대한내과학회 2014 대한내과학회 추계학술발표논문집 Vol.2014 No.1
Elderly onset SLE contributes to 10% of all SLE and is considered a rare disease, the signs and symptoms are common to other more frequent diseases in this age so the differential diagnosis is wide and could represent a great clinical challenge. We report two cases, one patient presented with data of serositis, acute renal failure and glomerulonephritis; while the other had evidence of cerebral vasculitis. Case 1: 60 year old male with 6 months of asthenia, malaise and early-morning bilateral limb edema, received treatment with diuretics without improvement, presenting arterial hypertension. He was admitted with IV NYHA class Congestive HF and left pleural effusion. Laboratory reported Hb 14. 3 g/dl, leucocytes 5750 (normal differential count), ESR of 50 mm/h, creatinine 2. 1 mg/dl, urea 60 mg/dl, urinalysis was positive for albumin, hemoglobin and granular casts; GFR 35 ml/min, and 24-hour albuminuria 3. 8 g. ECHO showed a 68% LVEF and 150 ml pericardial effusion. Immunologic profi le showed positive ANA (1:140), positive anti-dsDNA (1:60), and positive anti-SM (1:65). Kidney biopsy showed focal-segmental glomerulonephritis. Case 2: 68 year-old female positive for Diabetes Mellitus and Arterial Hypertension treated with glibenclamide and captopril. She presented at ER with diplopia, bilateral internuclear ophthalmoplegia and bilateral limb paraparesis, initial head CT-scan was normal, so she was admitted to the hospital. A second simple and contrasted head CT-scan was also normal, then the head MRI showed vasculitis and the brain SPECT revealed hypocaptating areas in midbrain, frontal and parietal cortex. Laboratory reported Hb 13. 3 g/dl, leucocytes 2578, glycose 145 mg/dl, normal creatinine, hepatic profi le and urinalysis. Immunologic profi le reported negative ANA, positive anti-dsDNA (1:95) and positive anti-SM (1:120). Both patients received treatment with Cyclophosphamide and Methylprednisolone with great response.
Heart Rate Variability and Psychometric Analysis in Patients with Hyperactive Heart Fire Syndrome
Oliverio Medina Martínez,Ruben Fossion,Yolanda García Piceno,Rosa E. Lopez-Gomez,Emma López-Espinosa,Ismael Jiménez-Estrada,Salvador Quiroz-González 사단법인약침학회 2021 Journal of Acupuncture & Meridian Studies Vol.14 No.4
Background: Hyperactive heart fire syndrome is characterized by anxiety, insomnia, dream-disturbed sleep, tongue ulcers, heat in the hands, and palpitations. However, syndrome differentiation is often subjective due to a lack of objective, quantifiable variables. Objectives: To identify changes in heart rate variability (HRV) and psychometric analysis in patients with hyperactive heart fire syndrome. Methods: Healthy controls (n = 33) were compared to patients with hyperactive heart fire syndrome (n = 48) from the Integrative University Clinic of the State University of Ecatepec Valley (CIU-UNEVE). Physiological outcome measures included heart rate (HR), the standard deviation of the normal-to-normal heartbeat intervals (SDNN), low (LF) and high frequency (HF) power, and the LF/HF ratio. Psychometric outcome measures included the Athens Insomnia Scale (AIS) and the Hamilton Anxiety Rating Scale (HARS). Results: Compared to controls, hyperactive heart fire patients had higher HR (9.6 ± 2.62%), LF (22 ± 4.21%) and LF/HF ratio (23 ± 3.14%), and lower SDNN (21 ± 2.33%) and HF (18 ± 4.61%). Patients showed increased anxiety, both with somatic (33 ± 11.2%) and psychic symptoms (39 ± 10.5%) with more difficulty falling asleep (47 ± 9.9%) and diurnal impact of sleep (31 ± 9.6%). Conclusion: Hyperactive heart fire patients may have a sympathovagal imbalance due to a reduced parasympathetic tone and/or adominant sympathetic tone, which may be at the origin of the observed symptoms of insomnia and anxiety.
Parallel Force-Position Control Scheme with Fuzzy Gain Tuning for Single Port Laparoscopic Surgery
Carlos J. Perez-del-Pulgar,V. F. Munoz,Juan J. Velasco,Ruben Gomez 제어로봇시스템학회 2013 제어로봇시스템학회 국제학술대회 논문집 Vol.2013 No.10
This paper proposes a navigation method for manipulators which handle a surgical instrument or robotic platform introduced through a SILS multiport trocar. This method is based on a parallel position and force control which allow to the manipulator makes movements around the fulcrum point making the minimum force in the patient’s abdomen. In order to avoid the hysteresis effect due to the space between the instrument and the trocar when the instrument is inserted, a fuzzy gain scheduler has been designed. These algorithms have been implemented in a six degrees of freedom manipulator with a force sensor in the end effector. Finally, the experimental results are shown in order to demonstrate how it works in a real environment.