http://uvadoc.uva.es:80 DSpace és el depósito institucional que tiene por objecto recoger , organizar y preservar material digital de investigación. Fri, 24 May 2013 19:57:51 GMT 2013-05-24T19:57:51Z http://uvadoc.uva.es/handle/10324/2835 Wed, 01 Jan 1992 00:00:00 GMT http://uvadoc.uva.es/handle/10324/2835 1992-01-01T00:00:00Z http://uvadoc.uva.es/handle/10324/2834 Wed, 01 Jan 1992 00:00:00 GMT http://uvadoc.uva.es/handle/10324/2834 1992-01-01T00:00:00Z http://uvadoc.uva.es/handle/10324/2833 Resumen: Debido al incremento de inmigrantes existente en España y a las dificultades que este colectivo puede plantea a la hora de su inclusión, se crea una necesidad de integración escolar y social. La presente propuesta persigue la integración y la convivencia de las diferentes culturas presentes en las aulas, usando para ello la música, la expresión artística y la implicación de otras áreas. Desarrollando los contenidos educativos interculturales, a la vez que el aprendizaje de los demás contenidos curriculares, para conseguir no solo la aceptación o el respeto a la diversidad sino también su apreciación. Sun, 01 Jan 2012 00:00:00 GMT http://uvadoc.uva.es/handle/10324/2833 2012-01-01T00:00:00Z http://uvadoc.uva.es/handle/10324/2832 Resumen: The objective of the work is to study the clinical and haemodynamic evolution, over 1 year, in patients with femoropopliteal arterial pathology treated by means of atherectomy with the SilverHawk device. Materials and methods: Nineteen (19) patients were treated between December 2008 and May 2009, collecting data on sex, age, comorbidity and clinical degree, with prospective monitoring over 12 months of clinical symptoms, physical examination and ecodoppler, obtaining results on diameter and peak systolic velocity at different arterial levels. Results: Of the 19 patients, 14 were men and 5 women, with a mean age of 70 years, hypertensive (73%), diabetic (63%) and smokers (63%). Six (6) presented disabling claudication and 13 critical ischemia with advanced distal trophic lesions in 5. A good arteriographic result was obtained in 12 cases, a stent was placed on the superficial femoral artery in 5 due to suboptimal outcome. Contrast extravasation was observed in 2, with femoropopliteal bypass performed and one exclusion with endoprosthesis for repair. In the ecodoppler after 1, 3, 6 and 12 months, a progressive reduction in lumen diameter and peak intraarterial systolic velocity was observed, particularly on the distal superficial femoral artery. After one year, 7 patients (36.8%) were symptom-free, 5 (26.3%) presented mild or moderate intermittent claudication and 1 patient (5.3%) presented localised distal trophic lesion. Four (4) major amputations were performed, in 2 the knee was preserved, there were 3 thromboses due to the procedure, a secondary endovascular procedure was performed in one case and a femoropopliteal bypass in another, and there were 2 non procedure-related deaths. Discussion: atherectomy with SilverHawk achieves an improvement in clinical degree, with a good rate of extremity salvage in patients with critical ischemia. In the first year, the ecodoppler shows evolution of the arteriopathy, without this necessarily meaning a clinical worsening. Sat, 01 Jan 2011 00:00:00 GMT http://uvadoc.uva.es/handle/10324/2832 2011-01-01T00:00:00Z http://uvadoc.uva.es/handle/10324/2831 Wed, 01 Jan 1992 00:00:00 GMT http://uvadoc.uva.es/handle/10324/2831 1992-01-01T00:00:00Z http://uvadoc.uva.es/handle/10324/2830 Wed, 01 Jan 1992 00:00:00 GMT http://uvadoc.uva.es/handle/10324/2830 1992-01-01T00:00:00Z