{"id":86365,"date":"2018-03-10T00:10:54","date_gmt":"2018-03-10T00:10:54","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/neumonia-adquirida-en-la-comunidad-variabilidad-y-valor-pronostico-de-la-il-g-y-prot-c-reactiva\/"},"modified":"2018-03-10T00:10:54","modified_gmt":"2018-03-10T00:10:54","slug":"neumonia-adquirida-en-la-comunidad-variabilidad-y-valor-pronostico-de-la-il-g-y-prot-c-reactiva","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/neumonia-adquirida-en-la-comunidad-variabilidad-y-valor-pronostico-de-la-il-g-y-prot-c-reactiva\/","title":{"rendered":"Neumonia adquirida en la comunidad. variabilidad y valor pronostico de la il-g y prot. c reactiva."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Carmen Mu\u00f1oz Esteban <\/strong><\/h2>\n<p>La pcr es un reactante de fase aguda, cuya producci\u00f3n hep\u00e1tica esta mediada por la il-6 como respuesta a numerosos est\u00edmulos nocivos, siendo liberada a la circulaci\u00f3n sist\u00e9mica. Por el contrario la producci\u00f3n y la liberaci\u00f3n de las citocinas en la respuesta inflamatoria pulmonar en la neumon\u00eda se halla compartimentalizada , a excepci\u00f3n de la il-6 y tnf, que pueden pasar a circulaci\u00f3n sist\u00e9mica y constituir un marcador general de inflamaci\u00f3n en casos de neumon\u00eda adquirida en la comunidad (nac) severas.  as\u00ed pues, partiendo de la hipotesis de trabajo de que podr\u00eda existir un paralelismo evolutivo entre las cifras elevadas de reactantes de fase aguda y sobre todo de pcr, con a evoluci\u00f3n cl\u00ednica t\u00f3rpida de los pacientes con nac que requieren ingreso hospitalario, los objetivos del presente estudio son los que se exponen a continuaci\u00f3n.  objetivos:  1. Analizar etiol\u00f3gicamente este grupo de nac.  2. Estudiar de forma evolutiva la pcr en el seno de las nac que requirieron ingreso hospitalario.  3. Evaluar la variabilidad de pcr entre nac neumoc\u00f3ccicas y de otros diagn\u00f3sticos etiol\u00f3gicos.  4. Analizar los valores s\u00e9ricos de il-6 en un subgrupo de nac con mala evoluci\u00f3n.  las conclusiones del estudio fueron:  1. Se ha alcanzado el diagn\u00f3stico en el 49% de las neumon\u00edas adquiridas en la comunidad estudiadas, siendo con gran diferencia s. Pneumoniae el agente etiol\u00f3gico m\u00e1s frecuente.  2. Escasa responsabilidad de m.Pneumoniae, l.Pneumophila y virus como agentes productores de estas neumon\u00edas adquiridas en la comunidad.  3. El pico m\u00e1ximo de la prote\u00edna c reactiva s\u00e9rica se apreci\u00f3 a su ingreso hospitalario, con un curso evolutivo descendente que lleg\u00f3 a su normalizaci\u00f3n a los 30 d\u00edas.  4. No se encontraron diferencias entre las cifras s\u00e9ricas de la prote\u00edna c reactiva en las neumon\u00edas adquiridas en la comunidad neumoc\u00f3ccicas y las de otras etiolog\u00edas.  5. Se encontraron a su ingreso nivele<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Neumonia adquirida en la comunidad. variabilidad y valor pronostico de la il-g y prot. c reactiva.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Neumonia adquirida en la comunidad. variabilidad y valor pronostico de la il-g y prot. c reactiva. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Carmen Mu\u00f1oz Esteban <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Universitat de val\u00e9ncia (estudi general)<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 15\/09\/2000<\/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>Jos\u00e9 Blanquer Olivas<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: vicente Lopez merino <\/li>\n<li>victor Sobradillo pe\u00f1a (vocal)<\/li>\n<li>Fernando S\u00e1nchez gasc\u00f3n (vocal)<\/li>\n<li>Rafael Blanquer olivas (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Carmen Mu\u00f1oz Esteban La pcr es un reactante de fase aguda, cuya producci\u00f3n hep\u00e1tica esta mediada por [&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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