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Search Results: 1 - 10 of 19288 matches for " Cristina Almansa "
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The burden and management of patients with IBS: results from a survey in Spanish gastroenterologists
Almansa,Cristina; Díaz-Rubio,Manuel; Rey,Enrique;
Revista Espa?ola de Enfermedades Digestivas , 2011, DOI: 10.4321/S1130-01082011001100003
Abstract: backgrounds: irritable bowel syndrome (ibs) is a common and complex disorder. though it is estimated that ibs constitutes an important part of the gastroenterology (gi) practice, the burden of this problem in the gi outpatients clinics in spain is unclear. aim: the aim of this study is to obtain a "shot" of the burden and management of this syndrome in the daily gi practice. methods: 508 general gastroenterologists from all over the country were approached and asked to complete a survey that included questions about their daily practice and the definition, diagnosis and treatment of ibs. results: 55% of the surveyed physicians estimate that ibs constitute between a quarter and a half of all their consultations; and pointed out that most of these patients were referred from primary care. overall, the spanish gastroenterologists show an adequate knowledge of the different diagnostic criteria, though they do not always follow the current guidelines. up to 55% of the physicians always perform a complementary test to support their diagnosis and 40% order a diagnostic test only in older patients (> 50 years) or in presence of alarm symptoms. interestingly, 80% of the gastroenterologists start empirical treatment based on the patients' symptoms. conclusions: though spanish gastroenterologists seem to have an adequate theoretical knowledge of the disease, they do not systematically follow current guidelines and tend to manage ibs symptoms based on their own criteria.
The burden and management of patients with IBS: results from a survey in Spanish gastroenterologists Manejo clínico de los pacientes con síndrome de intestino irritable: resultados de una encuesta entre gastroenterólogos espa oles
Cristina Almansa,Manuel Díaz-Rubio,Enrique Rey
Revista Espa?ola de Enfermedades Digestivas , 2011,
Abstract: Backgrounds: irritable bowel syndrome (IBS) is a common and complex disorder. Though it is estimated that IBS constitutes an important part of the gastroenterology (GI) practice, the burden of this problem in the GI outpatients clinics in Spain is unclear. Aim: the aim of this study is to obtain a "shot" of the burden and management of this syndrome in the daily GI practice. Methods: 508 general gastroenterologists from all over the country were approached and asked to complete a survey that included questions about their daily practice and the definition, diagnosis and treatment of IBS. Results: 55% of the surveyed physicians estimate that IBS constitute between a quarter and a half of all their consultations; and pointed out that most of these patients were referred from primary care. Overall, the Spanish gastroenterologists show an adequate knowledge of the different diagnostic criteria, though they do not always follow the current guidelines. Up to 55% of the physicians always perform a complementary test to support their diagnosis and 40% order a diagnostic test only in older patients (> 50 years) or in presence of alarm symptoms. Interestingly, 80% of the gastroenterologists start empirical treatment based on the patients' symptoms. Conclusions: though Spanish gastroenterologists seem to have an adequate theoretical knowledge of the disease, they do not systematically follow current guidelines and tend to manage IBS symptoms based on their own criteria. Introducción: el síndrome de intestino irritable (SII) es un trastorno frecuente, aunque la magnitud de este problema y su complejidad en las consultas de digestivo en Espa a no están bien caracterizadas. Objetivo: obtener conocimiento sobre cómo manejan clínicamente el SII los especialistas de aparato digestivo en Espa a. Método: encuesta transversal realizada a 508 especialistas de aparato digestivo de toda Espa a que incluía preguntas generales acerca de su práctica clínica diaria y específicas sobre la definición, el diagnóstico y el tratamiento del SII. Resultados: el 55% de los gastroenterólogos encuestados estima que los pacientes con SII representan entre un 25-50% del volumen de sus consultas; la mayoría referidos desde primaria para diagnóstico. En general los gastroenterólogos espa oles refieren conocer los criterios diagnósticos clínicos, aunque la mayoría no basa su diagnóstico en ellos y suele solicitar alguna prueba complementaria para descartar organicidad. Pese a ello, un 80% de especialistas suele comenzar tratamiento enfocado al control de los síntomas sin esperar al resultado de
Translation, cultural adaptation and validation of a Spanish version of the Irritable Bowel Syndrome Severity Score Traducción, adaptación cultural y validación al espa ol del cuestionario de gravedad del síndrome de intestino irritable (Irritable Bowel Syndrome Severity Score)
Cristina Almansa,Raquel García-Sánchez,Marta Barceló,Manuel Díaz-Rubio
Revista Espa?ola de Enfermedades Digestivas , 2011,
Abstract: Background: the Irritable Bowel Syndrome Severity Score (IBSSS) is a questionnaire only available in English that classifies IBS patients according to the severity of their symptoms and can be used to guide and monitor the treatment. Aims: to adapt and validate into Spanish the English version of the IBSSS questionnaire. Methods: the Spanish version of the questionnaire was obtained through a process of translation-evaluation of the comprehensibility and back translation. In a later phase we evaluated the applicability (n = 15), reproducibility (n = 31) and sensitivity to change (n = 40) of the Spanish version of the questionnaire. Finally we evaluated an alternative version of the ISBSS using a numerical scoring system instead of the original analog visual scale (n = 40). Results: the Spanish version of the IBSSS showed an excellent reproducibility (r = 0.81 for global score) and an adequate sensitivity to change: a decrease of 45 points or more identified worsening of IBS with a 70.6% sensitivity and 87.5% specificity; an increase of 45 points or more identified improvement of IBS with a 85.7% sensitivity and 87.5% specificity. The severity score was practically the same regardless of the scoring system used (r = 0.96). Conclusions: the Spanish version of the IBSSS is a reproducible tool that is able to identify relevant changes over the course of the disease. The use of a numerical scoring system is a valid alternative to the visual scale that improves the applicability of the questionnaire to situations when the written communication is limited or not possible. Introducción: el "Irritable Bowel Syndrome Severity Score" (IBSSS) es un cuestionario disponible solo en inglés, que permite clasificar a los pacientes con SII en función de su gravedad y sirve como guía para orientar y valorar la respuesta al tratamiento. Objetivos: adaptar y validar para su uso en pacientes espa oles la versión inglesa del cuestionario de severidad del SII. Método: la versión espa ola del cuestionario se obtuvo mediante un proceso de traducción-valoración de la comprensibilidad y retrotraducción. En una segunda fase se evaluaron la aplicabilidad (n = 15), reproducibilidad (n = 31) y sensibilidad al cambio (n = 40) de la versión en castellano del cuestionario. Finalmente, se confirmó la validez de una versión alternativa del cuestionario (n = 40) aplicando una escala de respuestas numérica en lugar de la original escala analógica visual. Resultados: el IBSSS mostró una excelente reproducibilidad (r = 0,81 para la puntuación global) y una adecuada sensibilidad al cambio; una
Translation, cultural adaptation and validation of a Spanish version of the Irritable Bowel Syndrome Severity Score
Almansa,Cristina; García-Sánchez,Raquel; Barceló,Marta; Díaz-Rubio,Manuel; Rey,Enrique;
Revista Espa?ola de Enfermedades Digestivas , 2011, DOI: 10.4321/S1130-01082011001200002
Abstract: background: the irritable bowel syndrome severity score (ibsss) is a questionnaire only available in english that classifies ibs patients according to the severity of their symptoms and can be used to guide and monitor the treatment. aims: to adapt and validate into spanish the english version of the ibsss questionnaire. methods: the spanish version of the questionnaire was obtained through a process of translation-evaluation of the comprehensibility and back translation. in a later phase we evaluated the applicability (n = 15), reproducibility (n = 31) and sensitivity to change (n = 40) of the spanish version of the questionnaire. finally we evaluated an alternative version of the isbss using a numerical scoring system instead of the original analog visual scale (n = 40). results: the spanish version of the ibsss showed an excellent reproducibility (r = 0.81 for global score) and an adequate sensitivity to change: a decrease of 45 points or more identified worsening of ibs with a 70.6% sensitivity and 87.5% specificity; an increase of 45 points or more identified improvement of ibs with a 85.7% sensitivity and 87.5% specificity. the severity score was practically the same regardless of the scoring system used (r = 0.96). conclusions: the spanish version of the ibsss is a reproducible tool that is able to identify relevant changes over the course of the disease. the use of a numerical scoring system is a valid alternative to the visual scale that improves the applicability of the questionnaire to situations when the written communication is limited or not possible.
Tratamiento de un caso de trastorno límite de la personalidad en una comunidad terapéutica
Carranza Almansa,Inmaculada;
Revista de la Asociación Espa?ola de Neuropsiquiatría , 2002, DOI: 10.4321/S0211-57352002000100009
Abstract: a clinic case is exposed in wich coexists a borderline personality disorder and an avoidant personality disorder. the case, the evaluation and the mix treatment during one year of hospitalization in a therapeutic comunity are described.
Qué es el pensamiento creativo What is the creative thought
Pilar Almansa Martínez
Index de Enfermería , 2012,
Abstract: El proceso creativo es un método de solución de problemas. Cuando surgen nuevos o viejos problemas que no podemos resolver con las respuestas conocidas, se pone de manifiesto la necesidad de pensar de una manera distinta, de reinventar, de redefinir, de crear soluciones novedosas y originales. La creatividad es una capacidad universal e innata, que todos poseemos en diferentes grados y es una cualidad necesaria en el desarrollo de cualquier actividad artística o científica. Sin embargo, ha sido muy poco estudiada desde la Enfermería a pesar de que hablar de pensamiento creativo es hablar del mundo de las ideas, de progreso y de futuro. El objetivo de este trabajo es reflexionar sobre la importancia del estilo de pensamiento en la creatividad y la necesidad de estimularla y potenciarla desde los diferentes entornos enfermeros. Dado que la creatividad se puede aprender, para aumentar las aportaciones creativas en el colectivo enfermero es necesario desarrollar el pensamiento creativo individual desde el entorno educativo e institucional. The creative process is a method of solution of problems. When there arise new or old problems that we cannot solve with the known answers, there is revealed the need to think in a different way, to reinvent, to re-define, to create new and original solutions. The creativity is a universal and innate capacity, which we we all possess in different degrees and is a necessary quality in the development of any artistic or scientific activity. Nevertheless, it has been very little studied from nursing in spite of the fact that to speak about creative thought is to speak about the world of the ideas, about progress and about future. Objective: To think about the importance of the style of thought in the creativity and the need to stimulate her and nurses to promote it from the different environments nurses. Provided that the creativity can be learned, to increase the creative contributions in the collective nurse is necessary to develop the creative individual thought from the educational and institutional environment.
Tratamiento de un caso de trastorno límite de la personalidad en una comunidad terapéutica.
Inmaculada Carranza Almansa
Revista de la Asociación Espa?ola de Neuropsiquiatría , 2002,
Abstract: Se expone un caso clínico en el que coexisten un trastorno límite de la personalidad con un trastorno de la personalidad por evitación. Se describe el caso, la evaluación y el tratamiento combinado realizado durante un a o de ingreso de la paciente en una Comunidad Terapéutica.
De arqueología (pública) y publicaciones (digitales) accesibles
Jaime Almansa Sánchez
Caracteres : Estudios Culturales y Críticos de la Esfera Digital , 2012,
Abstract: This article is about new editorial ways offered by the internet. Along these pages we will see some of the problems affecting the editorial market in archaeology and, in general, critical and university publishing in Spain. We will also see some of the solutions offered from JAS Arqueología for the diffusion of academic contents and the distribution of digital resources through the Internet, social networks and traditional paper formats. The aim of this article is showing the existing possibilities of editing and distributing science in an accessible way, thanks to the opportunities given by 2.0 technology.
EL MICROCRéDITO COMO INSTRUMENTO DE FINACIACIóN AL SERVICIO DE LAS ENTIDADES DE ECONOMíA SOCIAL. ESPECIAL REFERENCIA AL INSTRUMENTO EUROPEO DE MICROFINANCIACIóN PROGRESS / MICROCREDITS AS A FINANCING INSTRUMENT FOR SOCIAL ECONOMY ENTITIES. SPECIAL REFERENCE TO THE EUROPEAN MICROFINANCING PROGRESS
Belén BAHíA ALMANSA
Revista de Estudios Cooperativos , 2011,
Abstract: Dadas las características del entorno actual, en el que se ha producido un aumento de la sensibilidad hacia los problemas éticos, se ha globalizado la economía y estamos asistiendo a un aumento de la competencia, se ha producido un cambio en la concepción convencional de la organización. Aunque las sociedades cooperativas se centren en satisfacer las necesidades y deseos de sus socios, también trabajan por conseguir el desarrollo sostenible de la comunidad en la que se implantan, según el último de los principios de su cultura cooperativa. Esto supone que la cohesión social con su entorno sea considerada como una de las bases de la ventaja competitiva de la fórmula cooperativa. Como respuesta a la complejidad de la situación actual y para asegurar la supervivencia de la empresa aparece la teoría de los grupos de interés. Dicha teoría trata de lograr un buen gobierno a través de la integración de los objetivos de dichos grupos de interés en la organización. Por ello, vamos a estudiar cómo esta teoría es válida para las organizaciones cooperativas en la búsqueda de su ventaja competitiva / In the current environment, in which has increased the sensitivity to ethical issues, the economy has been globalized and are witnessing the rise of competition, there has been a change in the conventional view of the organization. Although cooperatives are focused on meeting the needs and desires of their partners are also working to achieve sustainable development of the community in which they are implanted, as the last of the cooperative principles of their culture. This implies that social cohesion with their environment is considered as a base of competitive advantage of the cooperative. In response to the complexity of this situation and to ensure the survival of this type of enterprises, it is necessary the theory of the stakeholders. This theory seeks to achieve good governance through the integration of the objectives of those stakeholders in the organization. Therefore, we will explore how this theory applies to cooperative organizations in the search for competitive advantage.
CRIT RIOS DE EFETIVIDADE DA GOVERNAN A DE TI: O CASO DE UMA EMPRESA BRASILEIRA DO SETOR DE TELECOMUNICA ES
Eduardo Almansa Sortica,Alexandre Reis Graeml
Revista de Administra??o FACES Journal , 2009,
Abstract: O objetivo do estudo que motivou este artigo foi compreender a forma de utiliza § £o dos crit rios de efetividade da governan §a de TI (tecnologia da informa § £o) na implementa § £o de estrat gias por uma empresa fornecedora de servi §os para o setor de telecomunica § μes. Para tanto, foram verificadas a exist ancia e a utiliza § £o de crit rios de efetividade t tico-operacional, defi-nidos nos modelos de governan §a tecnol 3gica. A seguir, foi verificada a exist ancia e a utiliza § £o de crit rios de efetividade estrat gica, conforme apresentados na literatura. O estudo de caso envolveu a realiza § £o de entrevistas semi-estruturadas, a partir das quais foram obtidos os dados para an lise, em adi § £o a dados documentais disponibilizados pela empresa. Observou- se que todos os crit rios de efetividade t tico-operacionais previstos nas categorias estudadas foram implementados na organiza § £o, embora se tenha verificado que algumas categorias de crit rios de efetividade estrat gica n £o estejam presentes ou n £o estejam completamente implementadas. Detectou-se uma sobrevaloriza § £o de aspectos t tico-operacionais da opera § £o, quando contras-tados com os aspectos estrat gicos do neg 3cio, o que comum em empresas que t am processos produtivos complexos, que precisam ser bem gerenciados para que se garanta a qualidade do produto ou servi §o oferecido ao mercado.
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