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Search Results: 1 - 10 of 546617 matches for " C.M. Romero "
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Seguridad y Calidad en Medicina Intensiva
Romero,C.M.;
Medicina Intensiva , 2009,
Abstract: the safety and quality care are two attributes of the health care that are closely intertwined. quality is a feature of the system that delivers health care, thereby improving it, we need a proper reorganization teamwork. measurements of quality are intended to assess whether the process of health care reaches the desired objectives, while avoiding the processes that predispose to harm the patient. the critically ill patients are vulnerable to medical errors, and may experience side effects preventable, often associated with: medications, mechanical ventilation, and intravascular devices. the evidence currently available suggest that the safety and quality of care can be improved. in this article presents some of the strategies and interventions developed to optimize the processes of care in critically ill patients, and improve the safety culture in the icu.
Seguridad y Calidad en Medicina Intensiva Safety and quality in intensive care medicine
C.M. Romero
Medicina Intensiva , 2009,
Abstract: La seguridad y la calidad de la atención son 2 atributos del sistema de salud que se encuentran estrechamente entrelazados. La calidad es una característica del sistema en que se entrega la atención de salud; por ende, para mejorarla, se necesita una adecuada reorganización del trabajo en equipo. Las mediciones de calidad tienen como objetivo evaluar si el proceso completo de atención de salud alcanza los objetivos deseados mientras evita los procesos que predisponen al da o del paciente. Los enfermos críticos se encuentran vulnerables frente a errores clínicos, y pueden experimentar efectos adversos prevenibles, frecuentemente asociados a medicamentos, a ventilación mecánica y a dispositivos intravasculares. La evidencia disponible actualmente indica que la seguridad y la calidad de la atención pueden ser mejoradas. En el presente artículo se exponen algunas de las estrategias e intervenciones desarrolladas para optimizar los procesos de cuidado en los pacientes críticos y mejorar la cultura de la seguridad en la unidad de cuidados intensivos. The safety and quality care are two attributes of the health care that are closely intertwined. Quality is a feature of the system that delivers health care, thereby improving it, we need a proper reorganization teamwork. Measurements of quality are intended to assess whether the process of health care reaches the desired objectives, while avoiding the processes that predispose to harm the patient. The critically ill patients are vulnerable to medical errors, and may experience side effects preventable, often associated with: medications, mechanical ventilation, and intravascular devices. The evidence currently available suggest that the safety and quality of care can be improved. In this article presents some of the strategies and interventions developed to optimize the processes of care in critically ill patients, and improve the safety culture in the ICU.
Hemofiltración de alto volumen en shock séptico
Romero,C.M.; Downey,P.; Hernández,G.;
Medicina Intensiva , 2010,
Abstract: severe sepsis and septic shock are conditions associated with high morbidity and mortality. the disproportionate release of pro-inflammatory and anti-inflammatory mediators caused by the septic insult is the promoter of multiple organ dysfunction. conventional hemodialysis, hemofiltration or a combination of both can be a good option to replace the deteriorating renal function in critically ill patients by the removal of nitrogen compounds (small molecules). however, this "renal dose" is insufficient for the removal of inflammatory mediators (medium molecules), and therefore contributes little to the cardiovascular stabilization of patients with septic shock. in this setting, a higher dose of ultrafiltration (> 50ml/kg/h) or "septic dose" may be needed. in this review article, we have analyzed the clinical and pathophysiological rationale for the use of high volume hemofiltration in patients with septic shock.
Hemofiltración de alto volumen en shock séptico High volume hemofiltration in septic shock
C.M. Romero,P. Downey,G. Hernández
Medicina Intensiva , 2010,
Abstract: La sepsis grave y el shock séptico son entidades catastróficas asociadas a una elevada morbimortalidad. La liberación desproporcionada de mediadores proinflamatorios y antiinflamatorios, ocasionada por el insulto séptico, es la promotora de la disfunción orgánica múltiple. Las técnicas convencionales de hemodiálisis, hemofiltración o una combinación de ambas pueden ser una buena opción para suplir el deterioro de la función renal en pacientes críticos mediante la eliminación de compuestos nitrogenados (moléculas peque as). Sin embargo, esta dosis renal resulta insuficiente para la depuración de mediadores inflamatorios (moléculas medianas) y, por tanto, de escaso aporte en la estabilización cardiovascular de pacientes con shock séptico. En este escenario, una mayor dosis de ultrafiltración (>50ml/kg/h) o dosis séptica podría ser necesaria. En este artículo de revisión se analiza la fundamentación fisiopatológica y clínica para el empleo de la hemofiltración de alto volumen en pacientes con shock séptico. Severe sepsis and septic shock are conditions associated with high morbidity and mortality. The disproportionate release of pro-inflammatory and anti-inflammatory mediators caused by the septic insult is the promoter of multiple organ dysfunction. Conventional hemodialysis, hemofiltration or a combination of both can be a good option to replace the deteriorating renal function in critically ill patients by the removal of nitrogen compounds (small molecules). However, this "renal dose" is insufficient for the removal of inflammatory mediators (medium molecules), and therefore contributes little to the cardiovascular stabilization of patients with septic shock. In this setting, a higher dose of ultrafiltration (> 50ml/kg/h) or "septic dose" may be needed. In this review article, we have analyzed the clinical and pathophysiological rationale for the use of high volume hemofiltration in patients with septic shock.
Reimmunization after bone marrow transplantation: current recommendations and perspectives
Machado, C.M.;
Brazilian Journal of Medical and Biological Research , 2004, DOI: 10.1590/S0100-879X2004000100021
Abstract: autologous and allogeneic bone marrow transplantation (bmt) recipients lose immune memory of exposure to infectious agents and vaccines accumulated through a lifetime and therefore need to be revaccinated. diphtheria toxoid, tetanus toxoid, pertussis vaccine (children <7 years old), haemophilus influenzae type b conjugate, 23-valent pneumococcal polysaccharide, inactivated influenza vaccine, inactivated polio vaccine and live-attenuated measles-mumps-rubella vaccine are the currently recommended vaccines to be included in a vaccination program after bmt. for most of them, the best time to vaccinate, the number of vaccine doses and/or the duration of immunity after vaccination have not been established. vaccination protocols vary greatly among bmt centers, suggesting that the lack of sufficient data has not permitted the formulation of reliable recommendations. the use of other vaccines and the perspectives for different vaccination protocols are analyzed in this review.
A física de Aristóteles: uma constru??o ingênua?
Porto, C.M;
Revista Brasileira de Ensino de Física , 2009, DOI: 10.1590/S1806-11172009000400019
Abstract: in this work we make a brief exposition on aristotle's physics. we show how aristotelic science constitutes a complex export towards a rational understanding of material reality, completely integrated to an organic and comprehensive thought. we intended to show, above all, how physical and cosmological aristotelic elements come from philosophical tenets as much as from empirical observations characteristic of human experience belonging to that historic-cultural moment.
The Extent to Which Incentives Influence Primary School Teachers Job Satisfaction in Botswana
C.M. Mhozya
The Social Sciences , 2013,
Abstract: A descriptive survey using questionnaires, individual interviews and career histories of primary school teachers was conducted to investigate job satisfaction of teachers as regard to teacher incentives. The study also went further to find out whether there is any link between incentives and gender. Stratified sample from the population of primary school teachers from urban as well as rural areas in Botswana was used. Qualitative data analyses were presented through the use of frequency tables, calculation of percentages and cross tabulations. Information from all sources was triangulated. The study reveals that statistically significant number of teachers were of the view that their salaries were not enough as compared to their workloads. They clearly showed that there were no well set promotion procedures as all progressions depended solely on the school heads recommendation which were confidential and corrupt. The results also showed that teachers did not link, incentives with gender matters instead they ascribed their disadvantages to their poor qualification and hierarchical structures that limits their progression. Three recommendations were made on the basis of the findings.
Effects of Organic Manure Types on Root-Gall Nematode Disease and African Yam Bean Yield
C.M. Agu
Plant Sciences Research , 2013,
Abstract: Evaluation of the effects of different organic manures on root-gall nematode disease on African yam bean was conducted in a sandy loam soil naturally infested with a root-gall nematode, Meloidogyne incognita. The experiment was conducted in a randomized complete block design with four replications. African yam bean plant were treated with sawdust, municipal garbage, swine, compost, poultry and farmyard manures at 2.5 ton ha 1. Results showed that severe root galls occurred on plants treated with sawdust and rare galls on those treated with poultry and farmyard manures. Growth and yield characteristics of the plant were also affected by root-gall damage at the various organic manure treatments.
Root-Gall Nematode Disease of Pineapple as Affected by Seed Material, Amount and Type of Organic Soil Amendment
C.M. Agu
Plant Sciences Research , 2013,
Abstract: Effects of seed material, amount and type of organic soil amendment on root-gall nematode disease of pineapple were assessed. The study was conducted in a 3 3 3 factorial experiment in randomized complete block design replicated 4 times. Planted pineapple crowns, slips and suckers were treated with 0.00, 1.50 and 3.00 tons ha 1 of poultry manure, sawdust and pigdung. Results showed that plants propagated from pineapple crowns were most susceptible to the disease at 0.00 tons ha 1 of organic soil amendment. The disease however decreased in all the seed materials as rates of the organic soil amendments increased. At 3.00 tons ha 1 of poultry manure application, no root-gall damage occurred in any of the pineapple plants. Highest fresh fruit weight obtained on crown propagated plants occurred at this 3.00 tons ha 1 of poultry manure application.
Effects of Organic Manure Types on Root-Gall Nematode Disease and African Yam Bean Yield
C.M. Agu
Agricultural Journal , 2013,
Abstract: Evaluation of the effects of different organic manures on root-gall nematode disease on African yam bean was conducted in a sandy loam soil naturally infested with a root-gall nematode, Meloidogyne incognita. The experiment was conducted in a randomized complete block design with four replications. African yam bean plants were treated with sawdust, municipal garbage, swine, compost, poultry and farmyard manures at 2.5 tons ha 1. Results showed that severe root-galls occurred on plants treated with sawdust. Plants treated with poultry and farmyard manures were rarely galled. Growth and yield characteristics of the plant were also affected by root-gall damage at the various organic manure treatments.
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