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Search Results: 1 - 10 of 191703 matches for " Díaz-Grajales "
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Acceso a los servicios preventivos en los regímenes contributivo y subsidiado de salud en un barrio estrato dos de la ciudad de Cali
Díaz-Grajales,Constanza; Zapata-Bermúdez,Yolanda; Aristizábal-Grisales,Juan Carlos;
Revista Gerencia y Políticas de Salud , 2011,
Abstract: component of access to preventive services of the study that aimed to identify differences in access to health services among people affiliated to the contributive and subsidized system in a slums area of cali was presented. cross-sectional prevalence study, probabilistic design, complex samples, stratified, multistage sampling. 2165 people were surveyed. this population was studied according to variables in some measuring to access to and use of services models. there are significant differences in respect to the need of consulting preventive services, being in the contributory scheme the highest prevalence. less than a fifth of the population feels the need, express and uses preventive services. analysis of age, sex and type of programs shows very low frequency of use. this finding, dramatic in the case of public health, warrants the review of the social importance of preventive programs and the current state of its supply.
La evaluación-sistematización: una propuesta metodológica para la evaluación en promoción de la salud. Un estudio de caso en Cali, Colombia
Salazar,Ligia de; Grajales,Constanza Díaz;
Ciência & Saúde Coletiva , 2004, DOI: 10.1590/S1413-81232004000300009
Abstract: one of the big challenges in health promotion today is to develop evaluation methodologies that value processes and results, in its political, social and economic dimension and in its contribution to the quality of the populations' life, beyond numeric results. this study presents a methodological proposal which articulate two processes, evaluation and systematization of health promotion interventions. the evaluation methodology was applied to a healthy municipalities strategy carried out in cali, with the support of the w k kellogg foundation. both the systematization and the evaluation presented indicators of success at the same time that intermediate results regarding capacity building to create healthy scenarios and changes in conditions affecting health. the main strengths and limitations of the strategy are highlighted at the same time that lessons learned, new hypothesis and debates around key aspects for the implementation of health promotion strategy.
Experiencia de enfermería en la aplicación de microdosis y homeopatía contra el tabaquismo
Ramos Cala,Edith Elena; Díaz Grajales,Dania; Quintero García,Jesús;
Revista Cubana de Enfermer?-a , 1999,
Abstract: a retrospective crosswise study to evaluate nurse's experiences in the application of microdoses and homeopathy in the traditional and natural medicine services of southern pediatrics hospital in santiago de cuba was undertaken during 1996 and 1997. the objective was to discourage smoking in a sample of 110 randomy chosen patients who were treated in this institution and interviewed. the analysis of the outcome disclosed that most of patients had began smoking when they were very young; hypertension prevailed in the history of associated diseases and nicotine was the most efficient drug for males. the treatment assessment showed that in addition to being a simple, harmless and lowcost method, it also assured that the majority of patients give up smoking 15 days after treatment approximately. it is recommended that a club for discouraging smoking be created in every family physician and nurse's office supported by a psychologist.
Experiencia de enfermería en la aplicación de microdosis y homeopatía contra el tabaquismo
Edith Elena Ramos Cala,Dania Díaz Grajales,Jesús Quintero García
Revista Cubana de Enfermer?-a , 1999,
Abstract: Se realizó un estudio transversal y retrospectivo para evaluar la experiencia de la enfermera en la aplicación de microdosis y homeopatía en el Servicio de Medicina Tradicional y Natural del Hospital Pediátrico Sur de Santiago de Cuba durante 1996-1997, con el propósito de desestimular la práctica del tabaquismo en una muestra de 110 pacientes escogidos al azar tratados en esta institución a los cuales se les aplicó una encuesta. El análisis de los resultados reveló que el mayor número de fumadores habían comenzado a serlo en edades jóvenes, que entre los antecedentes de enfermedades asociadas predominó la hipertensión arterial y que el nicotín fue el medicamento más eficaz en el sexo masculino. La valoración del tratamiento empleado arrojó que además de ser un método sencillo, inocuo y de bajo costo, garantizó que la mayor parte de los adictos abandonaron el hábito a los 15 días o menos. Se recomienda crear un club para desestimular esta toxicomanía en cada consultorio del médico y enfermera de la familia, con ayuda de un psicólogo. A retrospective crosswise study to evaluate nurse's experiences in the application of microdoses and homeopathy in the Traditional and Natural Medicine Services of Southern Pediatrics Hospital in Santiago de Cuba was undertaken during 1996 and 1997. The objective was to discourage smoking in a sample of 110 randomy chosen patients who were treated in this institution and interviewed. The analysis of the outcome disclosed that most of patients had began smoking when they were very young; hypertension prevailed in the history of associated diseases and nicotine was the most efficient drug for males. The treatment assessment showed that in addition to being a simple, harmless and lowcost method, it also assured that the majority of patients give up smoking 15 days after treatment approximately. It is recommended that a club for discouraging smoking be created in every family physician and nurse's office supported by a psychologist.
Fractura patológica atribuible a la terapia con bisfosfonatos Pathologic fracture attributable to bisphosphonates therapy
Ricardo César Restrepo,Francisco Vargas Grajales,Oscar Jaír Felipe-Díaz,Carlos Jaime Velásquez Franco
Revista Colombiana de Reumatología , 2012,
Abstract: La osteoporosis se define como una enfermedad que afecta el sistema músculoesquelético y se caracteriza por disminución en la masa mineral ósea con deterioro de la microarquitectura del tejido óseo que predispone a fracturas como principal complicación. El alendronato es usado como terapia para el tratamiento de la osteoporosis. Uno de sus efectos adversos es la sobresupresión de los osteoclastos con el riesgo potencial de causar fracturas por estrés. Se presenta un caso de una fractura femoral atraumática en una mujer de 42 a os en terapia con alendronato durante seis a os. Osteoporosis is a disease that affects the skeleton and it is characterized by low bone mass and micro-structural deterioration of bone architecture, leading to an increased susceptibility to fracture as the main complication. Alendronate is used as treatment for osteoporosis. One of the side-effects is the over-suppression of osteoclasts with the potential risk of stress fractures. We present a case of atraumatic femoral fracture in a 42 year-old woman on alendronate therapy during six years.
EDUCACIóN PARA LA SALUD EN UNA EMPRESA SOCIAL DEL ESTADO DEL PRIMER NIVEL DE ATENCIóN: MANIZALES, 2008 EDUCA O PARA A SAúDE NUMA EMPRESA SOCIAL DO ESTADO DO PRIMEIRO NíVEL DE ATEN O: DE MANIZALES, 2008 HEALTH EDUCATION IN A STATE HEALTHCARE FACILITY: MANIZALES, 2008
María del Pilar Escobar Potes,Lucy Mabell Aguirre Molina,Viviana Marcela Díaz Grajales,Lorena Fernanda León Tabares
Hacia la Promoción de la Salud , 2009,
Abstract: Objetivo: esta investigación describió las características de la Educación para la Salud -EpS- dirigida a los grupos de pacientes hipertensos en una Empresa Social del Estado -ESE- del primer nivel de atención de Manizales en el a o 2008. Metodología: se realizó un estudio cualitativo de tipo descriptivo. La información se recolectó por medio de entrevista semiestructurada a las personas responsables del programa, y de observación directa de las actividades educativas y los recursos empleados en ellas. La información se analizó con base en las siguientes categorías: planeación, ejecución y evaluación de la EpS, conocimientos sobre la normatividad, recursos educativos y de infraestructura, y capacitación del talento humano respecto a EpS. Los hallazgos se confrontaron con el deber ser teórico. Resultados: se encontró que la planeación de la EpS es realizada anualmente por un profesional del área de la salud y ejecutada por auxiliares de enfermería poco capacitados para su desarrollo; la convocatoria de los usuarios se realiza semanalmente por diferentes medios; algunos centros de salud cuentan con infraestructura adecuada para la ejecución de las actividades; el desarrollo de las sesiones educativas no sigue los lineamientos que garanticen el logro de lo objetivos y carecen de evaluación. Conclusiones: considerando que el estado salud-enfermedad es un proceso dinámico y como tal requiere intervenciones de acuerdo a las necesidades que se generen, entre ellas las relacionadas con la EpS, realizar diagnósticos y plantear objetivos anuales para la satisfacción de éstas no siempre es pertinente, lo que puede incidir en la efectividad de los programas. Objetivo: esta pesquisa descreveu as características da Educa o para a Saúde -EpS- dirigida aos grupos de pacientes hipertensos numa Empresa Social do Estado -ESSE- do primeiro nível de aten o de Manizales no ano 2008. Metodologia: se realizou uma pesquisa quantitativa de tipo descritivo. A informa o se coligiu por médio de entrevistas Semi-estruturadas á pessoas responsáveis do programa, e de observa o direita das atividades educativas e os recursos empregados em elas. A informa o se analisou com base nas seguintes categorias: planejar o, execu o e evacua o da EpS, conhecimentos sobre a normatividade, recursos educativos e de infra-estruturar, e capacita o do talento humano respeito a EpS. Os descobrimentos se confrontaram com o dever ser teórico. Resultados: encontrou se que a planejar da EpS é realizada anualmente por um profissional do área da saúde e executada por auxiliares de enfermaria po o capac
EDUCACIóN PARA LA SALUD EN UNA EMPRESA SOCIAL DEL ESTADO DEL PRIMER NIVEL DE ATENCIóN: MANIZALES, 2008
Escobar Potes,María del Pilar; Aguirre Molina,Lucy Mabell; Díaz Grajales,Viviana Marcela; León Tabares,Lorena Fernanda; Moreno Echeverry,Paula Andrea; Soto Hinestroza,Sonia Yaneth;
Hacia la Promoción de la Salud , 2009,
Abstract: objective: the description of the characteristics of health education, aimed at hypertensive patients in a public health facility in manizales during 2008. methodology: a qualitative study with a descriptive character was carried out. the information was obtained by means of semi-structured interviews to the persons responsible for the program, and direct observation of educational activities and the resources used. the data was analyzed taking into account the following categories: planning, implementation and evaluation of health education, knowledge on regulations, educational resources and infrastructure, and personnel training in health education. the findings were compared with theoretical knowledge. results: the health education planning is conducted annually by a health area professional and carried out by poorly trained nursing assistants for its development. the users call is made on a weekly basis by various means. some healthcare facilities have adequate infrastructure for implementing activities. the development of the educational sessions does not follow guidelines to ensure the achievement of objectives, and they lack evaluation. conclusions: considering that the health-disease state is a dynamic process and as such requires interventions according to needs that arise, including those related to health education, performing diagnosis and proposing annual goals for fulfilling said needs, is not always relevant. this may affect the effectiveness of the programs.
Chemical Composition, Starch Digestibility and Antioxidant Capacity of Tortilla Made with a Blend of Quality Protein Maize and Black Bean
Eva M. Grajales-García,Perla Osorio-Díaz,Isabel Go?i,Deisy Hervert-Hernández,Salvador H. Guzmán-Maldonado,Luis A. Bello-Pérez
International Journal of Molecular Sciences , 2012, DOI: 10.3390/ijms13010286
Abstract: Tortilla and beans are the basic components in the diet of people in the urban and rural areas of Mexico. Quality protein maize is suggested for tortilla preparation because it presents an increase in lysine and tryptophan levels. Beans contain important amounts of dietary fiber. The objective of this study was to prepare tortilla with bean and assesses the chemical composition, starch digestibility and antioxidant capacity using a quality protein maize variety. Tortilla with bean had higher protein, ash, dietary fiber and resistant starch content, and lower digestible starch than control tortilla. The hydrolysis rate (60 to 50%) and the predicted glycemic index (88 to 80) of tortilla decreased with the addition of bean in the blend. Extractable polyphenols and proanthocyanidins were higher in the tortilla with bean than control tortilla. This pattern produced higher antioxidant capacity of tortilla with bean (17.6 μmol Trolox eq/g) than control tortilla (7.8 μmol Trolox eq/g). The addition of bean to tortilla modified the starch digestibility and antioxidant characteristics of tortilla, obtaining a product with nutraceutical characteristics.
Presencia de un polimorfismo de la CSP-12 relacionado con susceptibilidad a sepsis grave en una muestra de tres poblaciones colombianas
Mejía de Los Rios,Susana Pamela; Pati?o Grajales,Pablo Javier; Jaimes Barragán,Fabián Alberto; Bedoya,Gabriel de Jesús; López Quintero,Juan álvaro; Arango,Julián Camilo; Gámez Díaz,Laura Yaneth;
Iatreia , 2010,
Abstract: sepsis, a syndrome of systemic response to infection is a major public health problem, because it is associated with high morbidity and mortality. among the genes shown to be associated with this syndrome, there is one which encodes for caspase-12 (csp-12). within this gene, the single nucleotide polymorphism 125t>c located in exon 4, which predicts a long form of the protein, has been associated with severe sepsis and increased related mortality. on the other hand, higher frequency of allele l has been reported in african american populations. the present study evaluated the csp-12 polymorphism 125t>c in 128 individuals: 81 patients with sepsis, 23 healthy african colombian subjects and 24 healthy individuals from medellin-colombia. we found 121 individuals homozygous s/s (csp-12 short) in these three populations and 7 heterozygotes s/l, discriminated as follows: 3 septic patients, 3 african colombians and 1 healthy subject from medellin. this preliminary data suggest that the csp-12l allele is present in the colombian population, both in african colombians and mestizo individuals (either septic patients or healthy individuals).therefore, more comprehensive studies should be performed to better understand the genetic basis of the immune response of patients with sepsis in order to design more rational and personalized therapies to prevent this syndrome.
Ambiente receptivo uterino: control materno, control embrionario, muerte embrionaria
Gonella D,ángela; Grajales L,Henry; Hernández V,Aureliano;
Revista MVZ Córdoba , 2010,
Abstract: the receptive environment on the uterus, or embryotrophic environment, it is the mother's capacity to successfully hostel the conceptus. the uterus receptivity depends on the correct synchrony of the conceptus - corpus luteum - endometrium axis and it is controlled by two mechanisms; the first one is controlled by the mother through the relationship between estrogens (e2) y progesterone (p4); the second one is mediated by the trophoblast through the secretion of interferon tau. the estrogens are synthesized in the follicular cells and modulate physical, morphological and behavioral changes during the female hit. p4 is synthesized by the corpus luteum and one of its functions is to promote the gestation's maintenance. when fertilization and embryo development is successful the inft exert its luteotrhopic effects between 15th and 19th days of gestation, unchaining mother's recognition of gestation process to avoid the luteal regression and to guarantee the embryo survival. besides, the inft stimulate the mother's organism to produce a microenvironment that provides optimal nutritional, immunological and physiological conditions to embryo. this review wants to contextualize the endometrial changes that provide the necessary conditions for the embryo development and the established of the gestation.
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