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Search Results: 1 - 10 of 193549 matches for " Dolores; Gálvez Serrano "
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Manifestaciones dérmicas en hemodiálisis: Cuidados de enfermería nuevo enfoque? Dermic manifestations in haemodialysis: Nursing care - A new approach?
Alicia González Horna,Dolores Pi?a Simón,Ma Gálvez Serrano,Ma Carmen Gago Gómez
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2005,
Abstract: Las lesiones vasculares periféricas son frecuentes en pacientes de edad avanzada y con insuficiencia renal de larga evolución, asociadas o no con hiperparatiroidismo y/o alteraciones metabólicas. El progresivo envejecimiento de la población en hemodiálisis nos hace suponer, que en los próximos a os se produzca un incremento en la aparición de lesiones dermatológicas asociadas a patología vascular. Este estudio observacional y retrospectivo intenta registrar la prevalencia en nuestra unidad de lesiones cutáneas durante los últimos tres a os y reflejar los cuidados de enfermería, que sin un protocolo previo establecido, se han desarrollado. Nuestros resultados muestran que el 15% de los pacientes presentaron lesiones cutáneas. El 27% eran diabéticos, 27% presentaban patología vascular periférica, 29% hiperparatiroidismo, de los que el 40% desarrollaron lesiones de calcifilaxia. Observamos desde una peque a pápula hasta lesiones más evolucionadas de ulceras con tejido necrótico que empezamos a tratar de forma empírica con curas locales, cobertura profiláctica antibiótica y analgesia oral o iv, si la precisaba el paciente. El diagnóstico etiológico confirmó que el 47% ya presentaban isquemia grado IV y un 33% lesión histológica de calcifilaxis. Por ello, nos planteamos incorporar protocolos para el cuidado de lesiones dérmicas en hemodiálisis. Peripheral vascular injuries are common in elderly patients with chronic renal failure, whether or not associated to hyperparathyroidism and/or metabolic alterations. The progressive ageing of the populations on haemodialysis leads us to assume that in future years an increase will occur in the appearance of dermatological injuries associated to vascular pathology. This observational and retrospective study tries to record the prevalence in our unit of skin injuries during the last three years and to reflect the nursing care that has been developed, without a previously established protocol. Our results show that 15% of patients showed skin injuries. 27% were diabetic, 27% suffered from peripheral vascular pathology, 29% had hyperparathyroidism, of whom 40% developed calciphylaxia. We observed from a small papule to more developed ulcers with necrotic tissue which we started to treat empirically with local treatment, preventive antibiotic cover and oral or IV analgesic, if the patient needed it. The etiological diagnosis confirmed that 47% already had 4th degree ischemia and 33% calciphylaxis histological injury. Accordingly, we considered introducing protocols for the care of skin injuries in haemodialysis.
Actuación de enfermería ante un paciente con calcifilaxis Nursing action in patients with calciphylaxis
Dolores Pi?a Simón,Alicia González Horna,Ma Carmen Gálvez Serrano,Belén Marco García
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2010,
Abstract:
Manifestaciones dérmicas en hemodiálisis: Cuidados de enfermería ?nuevo enfoque?
González Horna,Alicia; Pi?a Simón,Dolores; Gálvez Serrano,Ma; Gago Gómez,Ma Carmen; Sánchez Mangas,José Ramón; Martínez Gómez,Susana; Marco García,Belén; Hernando Lucio,Paloma;
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2005, DOI: 10.4321/S1139-13752005000400006
Abstract: peripheral vascular injuries are common in elderly patients with chronic renal failure, whether or not associated to hyperparathyroidism and/or metabolic alterations. the progressive ageing of the populations on haemodialysis leads us to assume that in future years an increase will occur in the appearance of dermatological injuries associated to vascular pathology. this observational and retrospective study tries to record the prevalence in our unit of skin injuries during the last three years and to reflect the nursing care that has been developed, without a previously established protocol. our results show that 15% of patients showed skin injuries. 27% were diabetic, 27% suffered from peripheral vascular pathology, 29% had hyperparathyroidism, of whom 40% developed calciphylaxia. we observed from a small papule to more developed ulcers with necrotic tissue which we started to treat empirically with local treatment, preventive antibiotic cover and oral or iv analgesic, if the patient needed it. the etiological diagnosis confirmed that 47% already had 4th degree ischemia and 33% calciphylaxis histological injury. accordingly, we considered introducing protocols for the care of skin injuries in haemodialysis.
Cumplimiento de las actividades preventivas y de promoción de la salud en un centro de hemodiálisis
Martínez Gómez,Susana; Gago Gómez,Ma del Carmen; Gruss Vergara,Enrique; Andrés Vázquez,Ma del Mar de; Marco García,Belén; Pi?a Simón,Dolores; González Horna,Alicia; Gálvez Serrano,Carmen; Sánchez Mangas,José Ramón; Hernando Lucio,Paloma;
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2005, DOI: 10.4321/S1139-13752005000100004
Abstract: prevention and health promotion activities are dealt with in the general population by the programme of preventive activities and health promotion (papps). given their high joint morbility and immunological alteration, patients in haemodialysis (hd) should be highly compliant. the aim of our work was to use a transversal observational study on 72 patients in outpatient hd to see the fulfilment of some activities of the adult sub-programme of the papps. results. recommendations on lifestyle: smoking, 19.4% smoked an average 14.78 cigarettes/day. alcohol, 41.7% were consumers of an average 106.08+/-87.1 g/week in men and 79.6+/-91 g/week in women. cancer prevention programme: breast cancer, average overall fulfilment was 54.4%; 42.8% completely, 35.7% incompletely and 21.4% had no mammography. cervical cancer, average overall fulfilment was 59%; 56.2% fulfilling 100%, 43.7% incompletely and 18.75% of patients had had no kind of cervico-vaginal cytology. infectious disease prevention programme: 19.4% were vaccinated against pneumococo; 22.2% against tetanus-diphtheria; 73.6% against influenza and 97.7% against hepatitis b. activities to prevent alternations in the vision of the elderly: average fulfilment was 30.34%; 13.6% completely; 52.3% incompletely and 34.1 % had no ophthalmologic revision. compliance with the recommendations of the papps in hd is low. nursing should take an active role in increasing these activities.
Comparación de dos métodos de seguimiento de las fístulas arteriovenosas protésicas incidentes en un área de salud
Andrés Vázquez,María del Mar; Gruss Vergara,Enrique; Martínez Gómez,Susana; Pi?a Simón,Dolores; Gálvez Serrano,Ma del Carmen; Gago Gómez,Ma del Carmen; Marín Marín,Jorge; Marco García,Belén;
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2011, DOI: 10.4321/S1139-13752011000300003
Abstract: vascular access (va) is an important challenge, on which the patient's quality of life depends. object: to find out whether a computerize va monitoring programme reduces the rate of thrombosis of incident prosthetic avf (ip-avf). material and methods: observational prospective study of ip-avf monitoring, between 2007 and 2009, in area 8 of the cam. nursing recorded on an access database: dynamic venous pressure, negative arterial pressure and pump flow in the first hour of dialysis. we compared the results with a historical control group (hcg) of ip-avf from 2004-2006, when data were only recorded on the nursing chart. ip-avf thrombosis after 2006 was not valued. results: diabetes, sex and age were not related to thrombosis in any group. ip-avfs at risk in 2007-2009 were: 49 v. 45 of the hcg. we compared the results for the period 2007-2009 compared to the hcg: annual thrombosis rate: 0.37(18/49) v. 0.67(30/45), (p<0.003). median first episode of thrombosis 217 v.167 days. annual rate of fistulographies due to dysfunction 0.98(48/49) v. 0.51(23/45), (p<0.000). positive predictive value: 94% v. 87%. sensitivity: 82% v. 44%. diagnosed stenoses 45 v. 20. annual repair rate for dysfunction: 0.80(39/49) v. 0.31(14/45), (p<0.000). annual repair rate before first thrombosis: 0.41(7/17) v. 0.19(4/21), (p<0.001). annual repair rate for thrombosis: 0.43(21/49) v. 0.69(31/45), (0.01). through the computerized recording of va parameters, nurses contribute to diagnosing pre-thrombosis events in ip-avfs, increasing the number of preventive repairs for dysfunction and reducing the rate of thrombosis.
Enfermería y género tiempo de reflexión para el cambio
Cano-Caballero Gálvez,María Dolores;
Index de Enfermería , 2004, DOI: 10.4321/S1132-12962004000200007
Abstract: when nursing thinks about its professional activity is implies to take position and, in order to do so, it is necessary to know its history, where nursing is now and where it is going. to define the nursing profession is a difficult task even for the professionals due to the variety of adjectives used and to their meanings. its drift and lack of consensus has influenced and keeps influencing the perception of this group. the bibliography has been revised in order to know which is the contribution of public nursing to the perception of this activity, and to identify what is important for the profession. it will be defined from the gender perspective because we consider that is one of the bests in order to define the profession, not only because of the importance of the feminine component in it, but also because of its main activity: providing care.
Enfermería y género tiempo de reflexión para el cambio Nursing and gender, time for thinking in order to change
María Dolores Cano-Caballero Gálvez
Index de Enfermería , 2004,
Abstract: Que la enfermería realice una reflexión sobre la actividad profesional, la obliga a posicionarse, y para ello es necesario conocer su historia, dónde se encuentra y hacia dónde va. Definir la profesión de enfermería es difícil, incluso para los propios profesionales, tanto por la variedad de adjetivos que se emplean, como por su significación. La indefinición y la falta de un consenso en este sentido, ha hecho y sigue influyendo en la percepción del colectivo. Se ha realizado una revisión de la bibliografía, para conocer que es lo que enfermería pública sobre la percepción de su actividad, ayudándonos a reflexionar lo que para la profesión es importante. Utilizaremos una perspectiva de género, ya que nos parece una de las más adecuadas para dar luz y definirla, tanto por su composición, mayoritariamente femenina, como por su principal actividad: el cuidado. When nursing thinks about its professional activity is implies to take position and, in order to do so, it is necessary to know its history, where nursing is now and where it is going. To define the nursing profession is a difficult task even for the professionals due to the variety of adjectives used and to their meanings. Its drift and lack of consensus has influenced and keeps influencing the perception of this group. The bibliography has been revised in order to know which is the contribution of public nursing to the perception of this activity, and to identify what is important for the profession. It will be defined from the gender perspective because we consider that is one of the bests in order to define the profession, not only because of the importance of the feminine component in it, but also because of its main activity: providing care.
Salud laboral y salud mental en población trabajadora inmigrante
Gálvez Herrer,Macarena; Gutiérrez García,María Dolores; Zapico Martínez,Nuria;
Medicina y Seguridad del Trabajo , 2011, DOI: 10.4321/S0465-546X2011000500009
Abstract: working motivation is the main reason of the migratory phenomenon. it means breaking with cultural, social and language barriers, both in the society of origin as in the receiving. migration processes do not themselves involve mental health problems, but they raise situations of high vulnerability and challenges of integration. based on a conceptualization of mental health as the physical, psychological and social well-being, in the present article we will review the legal status, social and labour, and how this relates to their mental and occupational health.
Salud laboral y salud mental en población trabajadora inmigrante Occupational health and mental health in migrant worker population
Macarena Gálvez Herrer,María Dolores Gutiérrez García,Nuria Zapico Martínez
Medicina y Seguridad del Trabajo , 2011,
Abstract: Partiendo de una conceptualización de la salud mental como un bienestar físico, psicológico y social, en el presente artículo revisaremos la situación de esa fuerza trabajadora atendiendo a la complejidad de su situación legal, social y laboral y cómo todo ello se relaciona con su salud mental y salud laboral. Working motivation is the main reason of the migratory phenomenon. It means breaking with cultural, social and language barriers, both in the society of origin as in the receiving. Migration processes do not themselves involve mental health problems, but they raise situations of high vulnerability and challenges of integration. Based on a conceptualization of mental health as the physical, psychological and social well-being, in the present article we will review the legal status, social and labour, and how this relates to their mental and occupational health.
Citrulina plasmática como marcador de pérdida de masa enterocitaria en la enfermedad celíaca en la infancia Plasma citrulline as a marker of loss of enterocitary mass in coeliac disease in childhood
J. Blasco Alonso,J. Serrano Nieto,V. M. Navas López,A. Barco Gálvez
Nutrición Hospitalaria , 2011,
Abstract: Introducción: La citrulina plasmática no está incorporada a las proteínas endógenas ni exógenas y constituye un teórico marcador de la atrofia vellositaria. El objetivo del estudio es relacionar los niveles plasmáticos de citrulina y arginina con la severidad de la afectación de la mucosa intestinal en pacientes celiacos. Material y métodos: Estudio transversal de cohortes en ni os entre 16 meses y 14 a os: 46 con enfermedad celíaca al diagnóstico; 9 celíacos siguiendo dieta sin gluten y 42 controles. Se determina concentración plasmática de aminoácidos, en mmol/L, y variables clínicas y analíticas asociadas. Resultados: No diferencias estadísticamente significativas en IMC, edad o función renal, con ligero incremento de esteatorrea en celíacos. Citrulina, arginina y glutamina plasmáticas significativamente más bajas en los casos (17,7 μmol/l, 38,7 μmol/l, 479,6 μmol/l respectivamente) que en controles (28,9 μmol/l, 56,2 μmol/l, 563,7 μmol/l). Citrulina plasmática significativamente más baja en grados avanzados de atrofia (13,8 μmol/l vs 19,7 μmol/l, p < 0,05), no así con el resto de aminoácidos. Discusión: La medida postabsortiva de citrulina plasmática constituye buen marcador de reducción de masa enterocitaria en celíacos con atrofia vellositaria; secundariamente disminución también de arginina. Grados bajos de alteración histológica de la biopsia intestinal son suficientes como para diferenciar su citrulina de los controles y además se puede afirmar que grados altos de lesión histológica tienen menor citrulina plasmática que grados bajos. Introduction: Plasma citrulline is not incorporated in endogenous or exogenous proteins so it is a theoretical marker of villous atrophy. Our aim was to correlate plasma citrulline levels with severity of villous atrophy in celiac patients. Methods: Observational case-control study longitudinal in children 16 month-old to 14 year-old: 48 with untreated celiac disease, 9 celiac children under gluten free diet and 35 non-celiac healthy children. Plasma amino acids concentration is determined, expressed in μmol/L, and so are other clinical and analytical data. Results: No statistically significative difference found in the referring to BMI, age or renal function. Small increase in fecal fat in celiac children. Citrulline, arginine and glutamine are significantly lower in cases (17.7 μmol/l, 38.7 μmol/l, 479.6 μmol/l respectively) than in controls (28.9 μmol/l, 56.2 μmol/l, 563.7 μmol/l). Citrulline levels are significantly lower in the severe degrees of atrophy than in mild ones (13.8 μmol/l vs. 19.7 μmol/l, p < 0.05)
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