{"id":108545,"date":"2018-03-11T10:33:24","date_gmt":"2018-03-11T10:33:24","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/enfermedad-de-menia%c2%a8re-definida-analisis-de-los-parametros-auditivos-y-vestibulares-mediante-la-tecnica-de-cluster\/"},"modified":"2018-03-11T10:33:24","modified_gmt":"2018-03-11T10:33:24","slug":"enfermedad-de-menia%c2%a8re-definida-analisis-de-los-parametros-auditivos-y-vestibulares-mediante-la-tecnica-de-cluster","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/otorrinolaringologia\/enfermedad-de-menia%c2%a8re-definida-analisis-de-los-parametros-auditivos-y-vestibulares-mediante-la-tecnica-de-cluster\/","title":{"rendered":"Enfermedad de m\u00e9ni\u00e9re definida: an\u00e1lisis de los par\u00e1metros auditivos y vestibulares mediante la t\u00e9cnica de cluster"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Lourdes-elo\u00edna Montes-jovellar Gonz\u00e1lez <\/strong><\/h2>\n<p>La enfermedad de m\u00e9ni\u00e9re (em) se caracteriza por episodios de v\u00e9rtigo, plenitud \u00f3tica, ac\u00fafeno y fluctuaci\u00f3n de la audici\u00f3n. La academia americana de orl (aao-hns) propuso una clasificaci\u00f3n de la enfermedad bas\u00e1ndose en un criterio audiom\u00e9trico y en el an\u00e1lisis de discapacidad. Sin embargo, no es adecuada para su utilizaci\u00f3n habitual.  el an\u00e1lisis de cluster es un m\u00e9todo estad\u00edstico que crea grupos de pacientes que son parecidos entre s\u00ed y distintos del resto de grupos. El objetivo principal es obtener agrupaciones y compararlas con la clasificaci\u00f3n de la aao-hns.   es un estudio prospectivo de 153 pacientes con em definida unilateral, en el que se utilizan las variables cuantitativas de las pruebas audiom\u00e9tricas, vestibulares, posturogr\u00e1ficas y de los cuestionarios de discapacidad. se identifican 4 clusters. El cluster 1 son pacientes mayores con p\u00e9rdida de audici\u00f3n severa bilateral, buena funci\u00f3n vestibular pero con impacto postural significativo y baja discapacidad. El cluster 2 presenta leve impacto de la enfermedad con resultados pr\u00f3ximos a la normalidad. El cluster 3 experimenta crisis de v\u00e9rtigo intensas y frecuentes, con impacto postural significativo y alto grado de discapacidad. El cluster 4 presenta asimetr\u00eda en la audici\u00f3n con d\u00e9ficit vestibular moderado pero no compensado y nivel de discapacidad moderado. se comparan los clusters obtenidos con los grupos de la aao-hns y se observa que son diferentes, con baja correlaci\u00f3n salvo si excluimos el cluster 1. Se demuestra que la clasificaci\u00f3n de la aao-hns es parcialmente v\u00e1lida si se excluye una parte de la poblaci\u00f3n y que el an\u00e1lisis cluster se puede utilizar para evaluar cualquier variable cuantitativa para obtener subgrupos de pacientes.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Enfermedad de m\u00e9ni\u00e9re definida: an\u00e1lisis de los par\u00e1metros auditivos y vestibulares mediante la t\u00e9cnica de cluster<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Enfermedad de m\u00e9ni\u00e9re definida: an\u00e1lisis de los par\u00e1metros auditivos y vestibulares mediante la t\u00e9cnica de cluster <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Lourdes-elo\u00edna Montes-jovellar Gonz\u00e1lez <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Navarra<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 20\/05\/2011<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Nicolas Perez Fernandez<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Juan Bartual pastor <\/li>\n<li>eduardo Mart\u00ednez vila (vocal)<\/li>\n<li>Jos\u00e9 Antonio L\u00f3pez escamez (vocal)<\/li>\n<li>sofia Santos p\u00e9rez (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Lourdes-elo\u00edna Montes-jovellar Gonz\u00e1lez La enfermedad de m\u00e9ni\u00e9re (em) se caracteriza por episodios de v\u00e9rtigo, plenitud \u00f3tica, ac\u00fafeno [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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