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Search Results: 1 - 10 of 4923 matches for " diagnóstico sindrómico "
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Demencias: su enfoque diagnóstico Dementias: their diagnostic approach
Víctor T. Pérez Martínez
Revista Cubana de Medicina General Integral , 2006,
Abstract: La reducción de la capacidad cognitiva es esencial para el diagnóstico de demencia. La secuencia diagnóstica incluye la evaluación clínica (neurológica y psicopatológica), la evaluación neuropsicológica y la evaluación familiar. El equipo de salud debe estar capacitado para abordar la demencia, desde su diagnóstico precoz, hasta el plan de actuación individualizado para cada paciente y cuidador. La mayor influencia en el diagnóstico temprano dependerá de la preparación y actualización del equipo de Atención Primaria de Salud. La implicación real de la Atención Primaria en la detección y tratamiento efectivo de los problemas cognitivos en general es escasa, pero es innegable que las crecientes necesidades de la población que envejece le otorgan un papel de vanguardia a este nivel asistencial. En nuestro medio la exploración del estado mental no constituye una práctica sistemática, y persiste un grado no despreciable de subregistro para dicho diagnóstico. The reduction of the cognitive capacity is essential for the diagnosis of dementia. The diagnostic sequence includes the cllinical evaluation (neurological and psychopathological), the neuropsychological assessment and the family evaluation. The health team should be trained to deal with dementia from its early diagnosis to the action plan individualized for each patient and health care provider. The highest influence on the early diagnosis will depend on the training and updating of the Primary Health Care team. The real involvement of Primary Care in the detection and effective treatment of the cognitive problems in general is scarce, but it is undeniable that the growing needs of the aging population grant a role of avanguard to this health care level. In our context, the exploration of the mental state is not a systematic practice, and there is a degree of subregister for this diagnosis that should not be discarded.
Enfoque, diagnóstico y tratamiento a un paciente con demencia en la atención primaria de salud Approach, diagnosis and treatment of a patient with dementia in primary health care
Juan Carlos LLibre Guerra,Milagros A Guerra Hernández,Elianne Perera Miniet
Revista Cubana de Medicina General Integral , 2008,
Abstract: Las demencias y la enfermedad de Alzheimer constituyen un serio y creciente problema de salud en países con una alta expectativa de vida como el nuestro. A pesar de su creciente importancia, la demencia es una enfermedad frecuentemente infradiagnosticada e infravalorada. El papel del médico de atención primaria es clave en el diagnóstico del síndrome demencial. El diagnóstico de demencia es fundamentalmente clínico, su secuencia diagnóstica a nivel de la Atención Primaria de Salud incluye una evaluación clínica, una evaluación neuropsicológica mínima, la evaluación funcional y la evaluación al familiar, lo que se complementa con la realización de exámenes complementarios. El médico de atención primaria debe estar capacitado para el adecuado diagnóstico y seguimiento de los pacientes en el marco de su comunidad, lo que evitaría el gasto de recursos e incomodidades para el paciente y la familia, al contar en la propia área de salud con un profesional preparado y conocedor de sus problemas en su entorno familiar y social, capaz de prestarle un adecuado seguimiento y un oportuno asesoramiento y apoyo a la familia. Dementias and Alzheimer's disease are a serious and increasing health problem in countries with a high life expectancy at birth as ours. In spite of its increasing importance, dementia is frequently underdiagnosed and underestimated. The role of the doctor in primary health care level is essential in the diagnosis of demential syndrome. The diagnosis of dementia is mainly clinical. Its diagnostic sequence at the primary health care level includes a clinical evaluation, a minimal neuropsychological assesment, a functional evaluation, an evaluation to the relative and complementary tests. The primary care physician should be qualified for an adequate diagnosis and follow-up of the patients in the community, which would avoid the expense of resources and the inconveniences for the patient and his family, on having in their own health area a well-prepared professional that knows the problems existing in the social and family setting and is capable of following them up and giving them a convenient advice and the necessary support to the family.
Extrahepatic portosystemic shunt in a 8 month-old female maltese dog Shunt portossistêmico extra-hepático em cadela maltês de 8 meses
Rafaella Cristina Reginatto,Michele Salmon Frehse,Neide Mariko Tanaka,Vinícius Guarini Fávero
Semina : Ciências Agrárias , 2011,
Abstract: The shunt portosystemic or portosystemic deviation (PSD) are unique or multiples vascular communications between the systemic circulaton and the portal circulation, that permit blood flow reaches the circulatory system without first passing trhought the hepatic metabolization. May be acquired or congenital and can also be classified as intrahepatic located within the liver or extrahepatic located outside the liver parenquima. The acquired form is usually associated with intra-hepatic disorders. They usually suggest tortuous vessels that communicate with the caudal vena cava in the region of the left kidney. The congenital form is associated with genetic lineage and one of the most affected is Maltese breed. This case report describes the diagnostis and treatment of a eight year-old female Maltese dog presenting extrahepatic Portosystemic Shunt. The patient showed signs of hepatic encephalopathy, such as restlessnees, weakness, deambulation, head tremor and impaired visual. Complementary exam demonstrated: postprandial glicemia near the lower limit of reference, alkaline phosphatase (ALP) and alanine aminotransferase (ALT) increased and hipoalbuminemia. Ultrasonography revealed the presence of vesical calculus and bilateral kidney, liver decreases and increased echogenicity, gallbladder with anechoic content and high cellularity may suggest liver/ colangiohepatopatia and extrahepatic DPS was detected. The use of Doppler assisted in identifying the location of the bypass communication and the turbulence detecting the extrahepatic DPS. Protein-restricted diet and antibiotic therapy with amoxicillin achieved good results. The clinical treatment was decided make only the clinical and maintain the quality of life of the patient. O shunt portossistêmico ou desvio portossistêmico (DPS) s o comunica es vasculares únicas ou múltiplas entre a circula o sistêmica e a circula o portal, que permite que o sangue portal chegue ao sistema circulatório sem antes passar pela metaboliza o hepática. Podem ser adquiridos ou congênitos e também podem ser classificados como intra-hepático, localizado dentro do fígado, ou extra-hepático, localizado fora do parênquima hepático. A forma adquirida normalmente está associada com distúrbios intra-hepáticos. Eles normalmente sugerem vasos tortuosos que se comunicam com a veia cava caudal na regi o do rim esquerdo. A forma congênita está associada a genética e uma das linhagens mais acometidas é a ra a maltês. O presente relato de caso descreve o diagnóstico e tratamento de uma cadela maltês de oito meses de idade com Shunt portoss
El sistema Diagnóstico Psicodinámico Operacionalizado (OPD): Concepto, confiabilidad y validez Operationalized Pshychodinamic Diagnosis (OPD): Concept, reliability and validity
Manfred Cierpka,Michael Stasch,W Reiner
Revista Chilena de Neuro-Psiquiatría , 2006,
Abstract: Este artículo presenta el sistema de "diagnóstico psicodinámico operacionalizado" (OPD), que en los últimos 10 a os se ha difundido ampliamente en los países de habla germana. El OPD tiene como meta operacionalizar los constructos psicoanalíticos clínicamente probados. El material clínico presentado por el paciente en la primera entrevista puede ser estimado y clasificado en un nivel lo más cercano posible a lo directamente observable. Con la OPD se puede formular un diagnóstico psicodinámico clínicamente relevante y orientador para los psicoterapeutas. El diagnóstico psicodinámico multiaxial se basa en 5 ejes diferentes: eje 1: experiencia de enfermedad y prerrequisitos para el tratamiento, eje 2: relaciones interpersonales, eje 3: conflicto, eje 4: estructura, eje 5: diagnóstico sindromático (según el capítulo V (F) del CIE 10). El eje 5 de la OPD genera un punto de unión del instrumento con el modelo del CIE. Los estudios sobre confiabilidad muestran un nivel bueno a satisfactorio de confiabilidad en el contexto investigativo. Los resultados de los estudios sobre la validez evidencian un buen nivel de validez de cada eje. Los múltiples estudios con el OPD ofrecen guías para perfeccionar las categorías This paper presents the system "Operationalized Psychodynamic Diagnosis (OPD), which has been applied in the German speaking countries very successfully during the last 10 years. The OPD is the operationalization of the psychodynamically oriented clinical assessment. The clinical material assessed during the initial interview with the patient is described in a way which is close to the level of observation. The classification system OPD serves as a clinically relevant and process oriented tool for psychotherapists. The multidimensional psychodynamically oriented approach is based on five axes. Axis I: Experience with the illness and treatment preconditions, axis II: habituated relationships of the patient, axis III: the intrapsychic conflicts of the patient; axis IV: The psychic structure of the patient, axis V: syndromatic, according to chapter V (F) of the ICD 10. The fifth axis is conzeptualized as a linking tool to ICD-10. Reliability studies on OPD show good to satisfying scores for interrater agreement for the research context. The results derived from the validity studies support the validity of the OPD system. There are also hints for improvements of multiple categories or items within each axis
Diagnóstico precoce da leptopirose por demonstra??o de antígenos através de exame imuno-histoquímico em músculo da panturrilha
Uip, David Everson;Amato Neto, Vicente;Duarte, Maria Seixas;
Revista do Instituto de Medicina Tropical de S?o Paulo , 1992, DOI: 10.1590/S0036-46651992000500001
Abstract: establishing an early and certain diagnosis of leptospirosis has been a difficult task. so, we analysed the histopathological alterations of the gastrocnemius muscle, and studied, for the first time, the usefulness of the immune histochemical method of peroxidase-antiperoxidase for the demonstration of the spirochete and of its products in this tissue. histopathological observations have shown a picture of miositis, characterized by interstitial inflammatory infiltrate and necrotic-degenerative abnormalities of muscle fibers. the lesions were considered minimal in 69.45% of the patients, moderate in 19.45%, severe in 5.55% and absent in the remaining. on the other hand, the immune histochemical method identified the etiology in 94.45% what was considered very expressive.
Lupus eritematoso sistêmico juvenil: diagnóstico de doen a cr nica e dinamica familiar
Vanessa Peter Bernardes,Lecila Duarte Barbosa Oliveira,Claudete Marcon
Barbarói , 2011,
Abstract: Este artigo traz o relato de uma interven o psicológica na Enfermaria Pediátrica de um hospital-escola, referente à recém comunica o de diagnóstico e início de tratamento de uma doen a cr nica denominada Lúpus Eritematoso Sistêmico Juvenil. Esta doen a tem caráter autoimune e sua etiologia, evolu o e consequências ainda s o pouco esclarecidas. Este artigo busca descrever a rela o entre a compreens o da doen a e a dinamica familiar, bem como contribuir com informa es sobre a doen a, enriquecendo as práticas dos profissionais da saúde relacionadas às doen as cr nicas. Foram atendidos um menino de oito anos e sua família. O apoio psicológico foi, inicialmente, no sentido de amenizar o impacto do diagnóstico, esclarecer as dúvidas quanto à nova rotina e aos cuidados necessários. Após esse momento, visou-se auxiliar a família na reorganiza o e reestrutura o de sua dinamica, especialmente nas rela es marital e parental. Discute-se a pertinência da interven o psicológica em situa o de doen a cr nica e também a importancia do acompanhamento multiprofissional do doente cr nico e sua família. Abstract This article presents the report of psychological intervention in the pediatric ward of a school hospital, referring to the recent statement of diagnosis and early treatment of a chronic disease called Juvenile Systemic Lupus Erythematosus. This disease is autoimmune and its etiology, evolution and consequences are still unclear. This article aims to describe the relationship between understanding the illness and family dynamics and contribute information about the disease and enhance the practices of health professionals with chronic diseases. A boy of eight years and his family were attended. Psychological support was, initially, to soften the impact of the diagnosis, clarify doubts regarding the new routine and care. After this moment, the family were assisted in the reorganization and restructuring of his dynamics, especially in marital and parental relationships. It discusses the relevance of psychological intervention in situations of chronic disease and the importance of multidisciplinary monitoring of chronically ill and their families.
DISCUTINDO O RETRATO SOCIOECON MICO E AMBIENTAL DA FAVELA DA CHATUBA, CAMPOS DOS GOYTACAZES, RJ.
Rachel Dias Cunha,Carolina de Cássia Ribeiro de Abreu
Vértices , 2010,
Abstract: Este artigo é resultado de uma pesquisa de campo, coordenada pela disciplina de Higiene e Medicina Preventiva e do Trabalho II da Faculdade de Medicina de Campos. A pesquisa foi realizada no ano de 2000, em uma comunidade de baixa renda, denominada Favela da Chatuba (Estrada do Carv o). O objetivo deste estudo foi caracterizar a realidade sócio-econ mica e ambiental desta comunidade como referência para análise de outras favelas, que se diferenciam na quest o geoespacial que apresentam, porém, os mesmos problemas de ordem estrutural, social e ambiental. Este diagnóstico possibilita, assim, a visualiza o de como os problemas de infraestrutura e condi es socioambientais interferem diretamente na qualidade de vida e saúde da popula o.
El diagnóstico estratégico participativo y ponderado - DEPP: Estudios de cuatro casos de aplicación en proyectos de turismo comunitario en Brasil The Strategic Participatory and Weighted Diagnostics - SPDW: Four case studies of its implementation in community-based tourism projects in Brazil
Eduardo Jorge Costa Mielke,Denise do Nascimento Mielke
Estudios y perspectivas en turismo , 2011,
Abstract: El presente trabajo presenta y discute los resultados de la aplicación del método Diagnóstico Estratégico Participativo Ponderado - DEPP, aplicado en cuatro proyectos distintos de desarrollo regional de base comunitaria en los Estados brasile os en el período de marzo de 2007 a junio de 2009. Independiente del contexto socioeconómico de su aplicación ha demostrado ser eficiente tanto para proyectos de desarrollo turístico directo como indirecto, en la medida que permite ir mucho más allá de indicar fortalezas o debilidades, amenazas o oportunidades.Promueve, a través de la sistematización de las informaciones de interés bajo las opiniones del grupo de expertos, el consenso y también el mejor intercambio, consolidación de la cooperación y visualización de los cambios estructurales necesarios para la inserción de una región en la actividad turística. This paper shows and discuses the results from the pondered Participate Strategic Diagnosis application, which was applied in four distinctive regional development community based projects in the Brazilian states from March, 2007 to June, 2009. Regardless the social economic context of its applications, the methodology has proved to be effective both to direct and indirect tourist development projects. In the way beyond pointing out advantages, threats and opportunities it also provides, through interest information the opinion of a group of experts, a better information exchange as well as the consolidation of regional cooperation and a glimpse into the necessary structural modifications for the insertion of a particular region to tourism activity.
EL USO DEL íNDICE DE EVALUACIóN ERGONóMICO PARA EVALUAR EL TRABAJO DE LAS CAMARERAS EN LA HOTELERíA / THE USE OF ERGONOMIC EVALUATION INDEX FOR CHAMBERMAIDS IN THE HOTEL INDUSTRY
Grether Lucía Real-Pérez,Joaquín Aramis García-Dihigo,Neydalis Piloto-Fleitas
Ingeniería Industrial , 2012,
Abstract: La creación de un procedimiento para la construcción del índice de Evaluación Ergonómico para las camareras de piso del sector hotelero (IEEc), es el objetivo fundamental del presente trabajo. El índice constituye una herramienta de diagnóstico ergonómico en el área y contempla 5 factores para evaluar el trabajo de las camareras de piso: condiciones del local de trabajo, organización del trabajo, carga física, aspectos psicosociales y factor seguridad. El mismo permite obtener, de manera integral, un valor del IEEc y con ello, establecer un programa de mejoras que incremente la calidad de vida laboral en este sector.The main objective of this work was the implementation of a procedure for the construction of Ergonomic Evaluation Index (IEEc) for chambermaids in the hotel industry. The IEEc, is an ergonomic diagnostic tool in the area, which includes 5 factors used to evaluate the chambermaids′ work: workplace conditions, work organization, physical workload, psychosocial and safety factor. Such index allows to obtain, in a comprehensive way, a value for the IEEc and thus to establish a program of improvements to increase the quality of working life and also allows comparisons between different entities or with subsequent evaluations in the same entity, to monitor developments.
DIAGNóSTICO ERGONóMICO EN LAS CAMARERAS DE PISO DEL SECTOR HOTELERO. CASO VARADERO, CUBA / ERGONOMICS DIAGNOSIS OF THE CHAMBERMAIDS IN THE TURISM. CASE VARADERO, CUBA
Grether Lucía Real-Pérez,Joaquín Aramis García-Dihigo,Neydalis Piloto-Fleitas,Mercedes Dania Regueira-Lezcano
Ingeniería Industrial , 2011,
Abstract: El diagnóstico ergonómico en los puestos de trabajo, con el objetivo de mejorar la calidad de vida laboral, es un tema ampliamente difundido en el ámbito internacional. El trabajo de las camareras de piso en el sector hotelero está caracterizado por un conjunto de factores que, de manera global, hacen de este puesto uno de los más afectados dentro de este sector. El objetivo del trabajo fue realizar un diagnóstico ergonómico en el área de las camareras de piso, teniendo en cuenta los elementos que afectan su calidad de vida laboral. El procedimiento seguido para el diagnóstico se basa fundamentalmente en la determinación del índice de Evaluación Ergonómico. Los resultados del trabajo permitieron determinar en 3 entidades del polo turístico de Varadero y establecer las bases de un programa de mejora que atenúe los problemas encontrados. Abstract The ergonomic diagnosis at workstations, with the aim of improving the quality of working life, is a widespread issue in the international field. The work of the chambermaids in the hotel industry is characterized by a set of factors that, on an overall view, make this job one of the most affected in this sector. The objective of the investigation was to conduct a comprehensive assessment of elements affecting the quality of working life in the area of chambermaids. The procedure for diagnosis is mainly based on the determination of the Ergonomic Assessment Index. The results of this work allowed to establish in 3 entities of the touristic resort of Varadero and lay the foundation for a improvement program that mitigates the problems encountered.
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