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Search Results: 1 - 10 of 35737 matches for " Edelsys Hernández Meléndrez "
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Problemas teóricos, metodológicos e instrumentales para el estudio de la calidad de vida en personas con VIH en Angola
Nhamba,Lucas Antonio; Hernández Meléndrez,Edelsys; Bayarre Vea,Héctor Demetrio; Gamba Janota,Maria;
Revista Cubana de Salud Pública , 2012, DOI: 10.1590/S0864-34662012000100013
Abstract: the study of the quality of life is one of the problems deserving special attention in the health sciences at present due to the scientific and technological development and to the epidemiological transition. the research on this topic requires multidisciplinary and intersectoral approach. hiv is a problem having an impact on the quality of life of the angolan population. this article discussed with deductive approach the theoretical, methodological and instrumental problems in research as well as the main tendencies in the research of the quality of life in hiv persons. one of the difficulties in this construct is the lack of consensus around its conceptual definition by different disciplines, which leads to the proliferation of generic and specific instruments to study the quality of life associated to health and disease. this is the present state and perspective of the quality of life study in the angolan population. some alternatives are submitted in order to conduct a multidisciplinary research study on the quality of life of hiv persons, the starting point to draw adequate strategies for its improvement.
La enfermedad de Chagas como un rezago social en salud
Guadalupe Pérez,Silvia María; Hernández Meléndrez,Edelsys; Rodríguez Cabrera,Aida;
Revista Cubana de Salud Pública , 2011, DOI: 10.1590/S0864-34662011000100014
Abstract: chagas′ disease is a health problem inherent to the rural and suburban areas and very much linked to poverty. the implementation of policies and strategies that eradicate its presence in the affected countries will solve this problem. in tabasco, mexico, this disease still persists as a social stigma. this is the reason why the determining factors of the disease, its significance as a social remainder in health and the bioethical implications stemming from the performance of the health services in relation to the affected population were all assessed in this paper. this paper resulted from a documentary review which showed how this disease needs to be urgently addressed from a social and medical paradigm. the latter will allow analyzing the disease from a multi-and interdisciplinary perspective in order to develop comprehensive prevention ranging from diagnosis to rehabilitation, both individually and collectively, with emphasis on the specific protection of the population. also, the need of redesigning the health organizations to turn them into more functional, efficient and effective bodies were emphasized, so that they take into account the ethical principles, the values and the interests of the population and reflect the commitment and the actions to eradicate this disease in tabasco.
Espectro clínico del dengue
Hoyos Rivera,Antulio; Pérez Rodríguez,Antonio; Hernández Meléndrez,Edelsys;
Revista Cubana de Medicina , 2012,
Abstract: introduction: the clinical picture of dengue has been classified in multiple ways, some, although current, not satisfy its clinical and epidemiological variants. objective: to achieve a serological, clinical and epidemiological classification contributing to disease control. methods: present serological-epidemiological study of the infection by dengue is based on a sample of 535 inhabitants selected by simple randomized method in san mateo, venezuela, from may, 2007 to may, 2008. as a frequency measure of study variables authors used the percentage and its confidence interval (ci). results: the 78,75 % (95 % ci; 67,9-86,8) of cases had typical symptoms and were positive to dengue in the igm study, the asymptomatic cases with a positive igm accounted for the 13,75 % (95 % ci: 7,4-23,7) of total of positives. conclusions: the asymptomatic cases with a positive igm are an indirect evidence of the vector and foci. the classification proposed declares a great number of cases when clinical spectrum of disease was expanded.
Dise?o y aplicación de una estrategia de intervención comunitaria para erradicación del dengue
Hoyos Rivera,Antulio; Hernández Meléndrez,Edelsys; Pérez Rodríguez,Antonio;
Revista Cubana de Medicina General Integral , 2010,
Abstract: introduction: the community interventions are a fundamental tool to prevention and control of dengue applicable by community physician. objective: to design and to execute a community intervention. methods: sample included 15 000 inhabitants of san mateo town, libertad municipality, anzoátegui in bolivarian republic of venezuela from may, 2007 to may, 2008. intervention was carried out in three phases. the first consisted of community raising, training and organization, the second one was its implementation, and the third was of evaluation and control. results: a mixed community intervention was carried out aimed to prevention and control of this disease focusing in elimination of its risks and causes. an open methodology was designed with a pluralist and participation strategic approach present throughout the process. final considerations: the methodology used achieved to modify the habits which contributed to decrease of disease, applicable for the family physician in communities distant of large cities. its flexibility, peculiarity, immediateness, integration character, autonomy, simplicity, feasibility and reliability allow the sustenance of a program of dengue prevention and control.
Aspectos de importancia clínica del dengue en la comunidad de San Mateo, Anzoátegui, Venezuela (2005-2008)
Hoyos Rivera,Antulio; Pérez Rodríguez,Antonio; Hernández Meléndrez,Edelsys;
Revista Cubana de Medicina General Integral , 2011,
Abstract: introduction: the diagnosis of dengue cases has been limited due to difficulty to identify early the acute febrile cases corresponding to this disease, obstructing its epidemiologic control. objective: to compare the clinical features of the cases diagnosed in the integral diagnostic center came spontaneously with those infected identified by active screening in a prevalence study of dengue in community. methods: a comparative and descriptive clinical study was conducted in 50 patients presenting symptoms of dengue came spontaneously (cases of passive study) from 2005 to 2006 with those of dengue identified by a point prevalence study (active search of cases) conducted from may, 2007 to may, 2008. as a summary measure of the study variables percentage was used. results: the comparative analysis showed that the passive study of the total of 50 cases, only the 20 % was igm positive, which is higher than results of the prevalence study demonstrating the presence of 80 positive patients from a total of 535 study persons for a 14.95 %; however, it not covered all the clinical disease range. the typical symptomatology of the dengue is the more frequent in both studies. conclusions: the seroprevalence studies guarantee the knowledge of the real magnitude of this problem. the proposal clinical spectrum for the positive igm covers all the possible symptomatology allowing a better disease control.
Factores de riesgos asociados a la infección por dengue en San Mateo, Anzoátegui, Venezuela
Hoyos Rivera,Antulio; Pérez Rodríguez,Antonio; Hernández Meléndrez,Edelsys;
Revista Cubana de Medicina General Integral , 2011,
Abstract: introduction: the knowledge of dengue infection associated-risk factors in place, allows that family physician may to design and to perform effective community intervention strategies, since it is from an integral diagnosis which is different in each region. objective: to determine the dengue infection associated-risk factors in san mateo, anzoátegui, venezuela. methods: universe included 15 000 inhabitants of san mateo, libertad municipality, anzoátegui in bolivarian republic of venezuela from may, 2007 to may, 2008. a bi-varied analysis was made related to associated risk factors to estimate the relative risk and a multivariate logistic regression analysis to estimate the odds ratio value. results: according the results from the bi-varied and multi-varied analysis of dengue infection risk factors associated with cases of recent infection due to positive m-immunoglobulin dengue and the dengue cases, there was not any study variable, according to proposed hypothesis except that of the low level of knowledge in population on the disease, particularly as regards the symptoms, transmission mechanisms, causal agent and prevention measures. conclusions: the high prevalence of dengue in this place is the result of lack of knowledge on disease and the existence of the vector; this latter is the basic condition for its transmission. its presence is an indirect indicator of the poor hygienic-health conditions of population and also of the existence of the home breeding places.
Caracterización psicológica de personas con VIH en dos hospitales de Luanda, República de Angola
Janota,María Gamba; Hernández Meléndrez,Digna Edelsys; Bayarre Vea,Héctor Demetrio;
Revista Cubana de Medicina General Integral , 2010,
Abstract: introduction: hiv/aids is a problem for public health in republic of angola due to its mortality, morbidity and psychological repercussion on patients, family and carers. objectives: to characterize from a pchysological perspective to people living with hiv seen in two hospitals of angola during march-may, 2007. methods: a descriptive study was conducted in people living with hiv seen in esperan?a and military hospitals from luanda. by simple and randomized sampling we selected 80 patients in each institution fulfilling the following inclusion criteria: aged 20-60, without mental disorders and with more of 3 months of diagnosis. variables included: depression, anxiety, self-evaluation, attitude and satisfaction measured through application of five instruments. information was processed by computer and results were expressed in absolute and relative values. results: all patients showed some degree of anxiety and predominance of high category classifying the 80% of persons seen in esperan?a hospital and the 95% of those from military one whereas the severe depression affected to 81.25 and 92.50%, respectively. the inappropriate self-evaluation was present in 58.75 and 66.25% of both groups whereas the 63.75 and 62.50% also of both groups had negative attitudes; the 55 and 68.75% was unsatisfied with care received. only there were significant differences among the groups in variable anxiety. conclusions: in studies there was predominance of high level anxiety, severe depression, inappropriate self-evaluation, negative attitudes and dissatisfaction with care received.
Resultados de una intervención comunitaria sobre el dengue en San Mateo, Anzoategui, Venezuela 2007- 2008
Hoyos Rivera,Antulio; Hernández Meléndrez,Edelsys; Pérez Rodríguez,Antonio;
Revista Habanera de Ciencias M??dicas , 2010,
Abstract: a three phase research about dengue was carried out through a strategy of communitarian intervention. in the first stages, a descriptive study was performed to characterize the prevalence of dengue and to assess the level of knowledge of the population about the disease. in the second t stages he intervention was designed an implemented. in the third phase the evaluation of the strategy was carried out in san mateo, municipio libertad, anzoategui in the republic of venezuela from may 2007 to may 2008. a sample of 535 people was selected from a population of 15,000. the percentage and its confidence interval were used to measure the prevalence and the level of knowledge about the disease. the high prevalence of dengue in the neighborhood is the result of not to know about the disease and the presence of the vector, which is the basic condition to transmit the disease. the presence of the vector is an indirect marker of the poor hygienic condition of the population and the breeding of vectors at homes. it was demonstrated that there are four basic elements for the control: the political will, interactive coordination among places,the active participation of the community and the strengthening of sanitary laws.
Problemas teóricos, metodológicos e instrumentales para el estudio de la calidad de vida en personas con VIH en Angola Theoretical, methodological and instrumental problems for the study of quality of life in HIV persons in Angola
Lucas Antonio Nhamba,Edelsys Hernández Meléndrez,Héctor Demetrio Bayarre Vea,Maria Gamba Janota
Revista Cubana de Salud Pública , 2012,
Abstract: El estudio de la calidad de vida es uno de los problemas que merecen especial atención en la actualidad en las ciencias de la salud ante el desarrollo científico, tecnológico y la transición epidemiológica. Su investigación requiere de un abordaje multidisciplinario e intersectorial. El VIH es un problema que afecta la calidad de vida de la población angole a. Los problemas teóricos, metodológicos e instrumentales de la investigación sobre la calidad de vida en personas con VIH, así como sus principales tendencias, se discuten mediante un enfoque deductivo. Uno de los problemas de este constructo es la falta de consenso entorno a su definición conceptual, desde diferentes disciplinas, base de las falencias metodológicas que han dado paso a la proliferación de instrumentos genéricos y específicos para el estudio de la calidad de vida relacionada con la salud y la enfermedad. Así, se arriba al estado actual y perspectiva de su estudio en la población angolana. Se proponen alternativas para una investigación multidisciplinaria sobre la calidad de vida en personas con VIH, punto de partida para la elaboración de estrategias para su mejoramiento. The study of the quality of life is one of the problems deserving special attention in the health sciences at present due to the scientific and technological development and to the epidemiological transition. The research on this topic requires multidisciplinary and intersectoral approach. HIV is a problem having an impact on the quality of life of the Angolan population. This article discussed with deductive approach the theoretical, methodological and instrumental problems in research as well as the main tendencies in the research of the quality of life in HIV persons. One of the difficulties in this construct is the lack of consensus around its conceptual definition by different disciplines, which leads to the proliferation of generic and specific instruments to study the quality of life associated to health and disease. This is the present state and perspective of the quality of life study in the Angolan population. Some alternatives are submitted in order to conduct a multidisciplinary research study on the quality of life of HIV persons, the starting point to draw adequate strategies for its improvement.
La enfermedad de Chagas como un rezago social en salud Chagas′s disease as a social remainder in health care
Silvia María Guadalupe Pérez,Edelsys Hernández Meléndrez,Aida Rodríguez Cabrera
Revista Cubana de Salud Pública , 2011,
Abstract: La enfermedad de Chagas constituye un problema de salud característico de zonas rurales y suburbanas, muy ligado a la pobreza. Su solución requiere de políticas y estrategias que erradiquen su presencia en los países afectados. En el Estado de Tabasco, México, aún persiste esta enfermedad, lo que constituye un estigma social. Es por ello que se realizó una valoración de sus factores determinantes, su trascendencia como rezago social y de salud y las implicaciones bioéticas que surgen de la actuación de los servicios de salud hacia la población que la padece. El presente trabajo es resultado de una revisión documental donde se muestra cómo esa enfermedad necesita urgentemente un abordaje desde el paradigma médico-social, que propicie su análisis desde la perspectiva multi e interdisciplinaria para desarrollar su prevención integral, desde el diagnóstico hasta la rehabilitación, en las dimensiones individual y colectiva, con énfasis en la promoción y protección de la población. Se indica la necesidad de redise ar las organizaciones de salud, hacerlas más funcionales, eficientes y eficaces de forma tal que armonicen con los principios éticos, los valores y los intereses de la población, donde estén presentes el compromiso y la acción para erradicar la enfermedad en el Estado de Tabasco. Chagas′ disease is a health problem inherent to the rural and suburban areas and very much linked to poverty. The implementation of policies and strategies that eradicate its presence in the affected countries will solve this problem. In Tabasco, Mexico, this disease still persists as a social stigma. This is the reason why the determining factors of the disease, its significance as a social remainder in health and the bioethical implications stemming from the performance of the health services in relation to the affected population were all assessed in this paper. This paper resulted from a documentary review which showed how this disease needs to be urgently addressed from a social and medical paradigm. The latter will allow analyzing the disease from a multi-and interdisciplinary perspective in order to develop comprehensive prevention ranging from diagnosis to rehabilitation, both individually and collectively, with emphasis on the specific protection of the population. Also, the need of redesigning the health organizations to turn them into more functional, efficient and effective bodies were emphasized, so that they take into account the ethical principles, the values and the interests of the population and reflect the commitment and the actions to eradicate this dise
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