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Search Results: 1 - 10 of 203729 matches for " Enrique; Vargas D "
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COSTO-EFECTIVIDAD DEL PROGRAMA DEL CONTROL DEL NI?O SANO EN EL PRIMER NIVEL DE ATENCIóN
Villanueva R,Martha; Villarreal R,Enrique; Vargas D,Emma; Galicia R,Liliana; Martínez G,Lidia;
Revista chilena de nutrición , 2011, DOI: 10.4067/S0717-75182011000400006
Abstract: objective: to determine the cost-effectiveness of the control program of healthy children at the primary care level. methodology: children were divided into two groups, with and without allocation of milk, measured at 8,10 and 12 months of age. we evaluated 200 children with weight for age and heightfor age. total cost estimate included the unit cost and service utilization in family medicine, emi, preventive medicine, laboratory, office and pharmacy. results: the results of height for age alternative were most cost effective in all three measurements in the group without milk allocation of milk. for $ 3,000 invested in this option you get an effectiveness of85.36% at 12 months, 96.67% at 10 months and 98.05% at 8 months), while the effectiveness for the group without milk allocation was 69.53% at 12 months, 82.46% at 10 months and91.60% at 8 months. conclusion: the most cost-effective control program for healthy children at the first level of care is the one withoyt allocation of milk.
FACTORES DE RIESGO DE ENFERMEDAD RENAL CRóNICA
D'ACHIARDI REY,ROBERTO; VARGAS,JUAN GUILLERMO; ECHEVERRI,JORGE ENRIQUE; MORENO,MAURICIO; QUIROZ,GUSTAV O;
Revista Med , 2011,
Abstract: the chronic renal disease is a very frequent pathology associated with multiple comorbidities. the pathophysiology of the endothelial damage is different in chronic renal disease patients and this is presently a research domain. the aim of this review is to analyze the current evidence around the different risk factors associated with the appearing of chronic renal disease.
Costo Oportunidad de Adolescentes en Unidades de Medicina Familiar Opportunity Cost for Adolescents at Family Medicine Clinics
PATRICIA UGALDE V,ENRIQUE VILLARREAL R,EMMA ROSA VARGAS D,LIDIA MARTíNEZ G
Revista chilena de pediatría , 2010,
Abstract: Objetivo. Determinar el costo oportunidad de los adolescentes que demandan atención en las Unidades de Medicina Familiar. Material y Métodos. Estudio de costo oportunidad realizado en 624 usuarios de 10 a 19 a os de edad atendidos en tres Unidades de Medicina Familiar, en los servicios de Medicina Familiar, Farmacia y Laboratorio. Se empleó la técnica muestral por conglomerados (Unidad Médica) y al interior por cuota. Se estudiaron variables sociodemográficas y número de acompa antes; se estimó el costo oportunidad para el traslado, espera y atención. El análisis estadístico incluyó promedios, porcentajes e intervalos de confianza del 95%. Resultados: El costo oportunidad promedio para Medicina Familiar y Farmacia es de $10.22 para el adolescente, de S 71.43 para el acompa ante 1 y de $14.28 para el acompa ante 2; cuando acuden a los tres servicios es de $12.26, $82.71 y $16.54 respectivamente. El costo oportunidad promedio ponderado cuando acuden a los tres servicios es de $93.18. Conclusión: El mayor costo oportunidad para los adolescentes corresponde a la espera en el servicio de Medicina Familiar. Por lo que se sugiere implementar estrategias que disminuyan el tiempo de espera en los diferentes servicios. Objective: To determine the opportunity cost for adolescents requiring care at Family Medicine Clinics. Material and Methods: Study of cost performed on 624 patients, 10-19 years of age, Family Medicine Clinics, Pharmacy and Laboratory. A conglomerate sample technique was used (Medical Unit), and proportional sampling internally. Several sociodemographic variables were evaluated, including transfer, waiting time and care. Statistical evaluation included averages, percentages, and confidence intervals of 95%. Results: The cost-opportunity for Family Medicine and Pharmacy in the situations evaluated was $10.22 for the teenager, $71.43 for the first family member, and $14.28 for the second person accompanying the child. When they attend all three services, the cost is $12.26, $82.71 and $16.54 respectively. A weighted average cost of opportunity IFOR all three services is $93.18. Conclusions: The largest cost of opportunity for adolescents occurs when waiting for care in Family Medicine. It is suggested that strategies be implemented to decrese waiting times in the various services.
COSTO-EFECTIVIDAD DEL PROGRAMA DEL CONTROL DEL NI O SANO EN EL PRIMER NIVEL DE ATENCIóN COST-EFFECTIVENESS OF THE PROGRAM OF CONTROL OF THE HEALTHY CHILD IN THE FIRST LEVEL OF CARE
Martha Villanueva R,Enrique Villarreal R,Emma Vargas D,Liliana Galicia R
Revista Chilena de Nutricíon , 2011,
Abstract: Objetivo: Determinar la relación costo-efectividad del programa del control del ni o sano en el primer nivel de atención. Metodología: Estudio de costo-efectividad de ni os. Se definieron dos grupos con y sin dotación de leche. Se midió a los 8, 10 y 12 meses de edad. Se evaluaron 200 ni os con el indicador peso para la edad y talla para la edad, la estimación del costo total incluyó el costo unitario y la utilización del servicio en Medicina Familiar, EMI, Medicina Preventiva, Laboratorio, Gabinete y Farmacia. Resultados: Para el indicador talla para la edad la alternativa con mejor relación costo efectividad en las tres mediciones es sin dotación láctea, por $3,000 invertidos en esta alternativa se obtiene una efectividad del 85.36% (12 meses), 96.67% (10 meses) y 98.05% (8 meses), en tanto la efectividad para el grupo con es de 69.53% (12 meses), 82.46% (10 meses) y 91.60% (8 meses).Conclusión: La mejor relación costo-efectividad del programa del control del ni o sano en el primer nivel de atención es sin el otorgamiento de dotación láctea. Objective: To determine the cost-effectiveness of the control program of healthy children at the primary care level. Methodology: Children were divided into two groups, with and without allocation of milk, measured at 8,10 and 12 months of age. We evaluated 200 children with weight for age and heightfor age. Total cost estimate included the unit cost and service utilization in Family Medicine, EMI, Preventive Medicine, Laboratory, Office and Pharmacy. Results: The results of height for age alternative were most cost effective in all three measurements in the group without milk allocation of milk. For $ 3,000 invested in this option you get an effectiveness of85.36% at 12 months, 96.67% at 10 months and 98.05% at 8 months), while the effectiveness for the group without milk allocation was 69.53% at 12 months, 82.46% at 10 months and91.60% at 8 months. Conclusion: The most cost-effective control program for healthy children at the first level of care is the one withoyt allocation of milk.
Estereotipos negativos de la vejez en personal de salud de un Hospital de la Ciudad de Querétaro, México Prevalence of negative stereotypes towards old age among personnel of a general hospital
MIREYA FRANCO S,ENRIQUE VILLARREAL R,EMMA R VARGAS D,LIDIA MARTíNEZ G
Revista médica de Chile , 2010,
Abstract: Background: Social representations are value systems. Social stereotypes are a social consensus of traits associated with a specific group. Stereotypes about older subjects, generally have negative connotations. Aim: To assess the prevalence of negative stereotypes towards older subjects among health care personnel. Material and Methods: A questionnaire about stereotypes towards old age, with Likert type questions that included health, social motivations and personality-character domains, was applied to 52 doctors, 12 residents, 80 general nurses, 36 auxiliary nurses, four social workers and 10 medical assistants, working at a general hospital. Results: The mean age of the professionals who answered the questionnaire was 38 years (95% confidence intervals (CI) 37-39 years) and 78% were women. The prevalence of a Global negative stereotype was 65.0%(95% CI: 59.5-70.5). The figure for the health domain was 64.5% (IC95%; 59.0-70.0), for the social motivation domain was 60%(5%CI: 54.3-65.7) and for the character personality domain was 64% (95%CI: 58.4-69.6). Conclusions: There is a high prevalence of a negative stereotype towards old age among health care personnel.
FACTORES DE RIESGO DE ENFERMEDAD RENAL CRóNICA FATORES DE RISCO DE DOEN A RENAL CR NICA CHRONIC RENAL DISEASE RISK FACTORS
ROBERTO D'ACHIARDI REY,JUAN GUILLERMO VARGAS,JORGE ENRIQUE ECHEVERRI,MAURICIO MORENO
Revista Med , 2011,
Abstract: La enfermedad renal crónica es una patología muy frecuente asociado con múltiples coomorbilidades. La fisiopatología del da o endotelial es diferente en los pacientes con enfermedad renal crónica y en este es un campo de investigación en la actualidad. El propósito de esta revisión es analizar la evidencia actual alrededor de los diferentes factores de riesgo asociados con la aparición de enfermedad renal crónica. A doen a renal cr nica é uma patologia muito frequente associada com múltiplas coomorbilidades. A fisiopatologia do dano endotelial é diferente nos pacientes com doen a renal cr nica e este é um campo de pesquisa na atualidade. O propósito desta revis o é analisar a evidência atual ao redor dos diferentes fatores de risco associados com a apari o de doen a renal cr nica. The chronic renal disease is a very frequent pathology associated with multiple comorbidities. The pathophysiology of the endothelial damage is different in chronic renal disease patients and this is presently a research domain. The aim of this review is to analyze the current evidence around the different risk factors associated with the appearing of chronic renal disease.
Costo Oportunidad de Adolescentes en Unidades de Medicina Familiar
UGALDE V,PATRICIA; VILLARREAL R,ENRIQUE; VARGAS D,EMMA ROSA; MARTíNEZ G,LIDIA; GALICIA R,LILIANA;
Revista chilena de pediatría , 2010, DOI: 10.4067/S0370-41062010000500005
Abstract: objective: to determine the opportunity cost for adolescents requiring care at family medicine clinics. material and methods: study of cost performed on 624 patients, 10-19 years of age, family medicine clinics, pharmacy and laboratory. a conglomerate sample technique was used (medical unit), and proportional sampling internally. several sociodemographic variables were evaluated, including transfer, waiting time and care. statistical evaluation included averages, percentages, and confidence intervals of 95%. results: the cost-opportunity for family medicine and pharmacy in the situations evaluated was $10.22 for the teenager, $71.43 for the first family member, and $14.28 for the second person accompanying the child. when they attend all three services, the cost is $12.26, $82.71 and $16.54 respectively. a weighted average cost of opportunity ifor all three services is $93.18. conclusions: the largest cost of opportunity for adolescents occurs when waiting for care in family medicine. it is suggested that strategies be implemented to decrese waiting times in the various services.
Evaluación geriátrica integral del adulto mayor
Cortés N,Alma Rosa; Villarreal R,Enrique; Galicia R,Liliana; Martínez G,Lidia; Vargas D,Emma Rosa;
Revista médica de Chile , 2011, DOI: 10.4067/S0034-98872011000600005
Abstract: background: due to the progressive aging of our population, it is imperative to evaluate the life conditions and health limitations of older people. aim: to report the results of an integral geriatric evaluation of mexican older people. material and methods: a cross-sectional assessment of 324 older subjects of a median age of 70 years (57% females) beneficiaries of the mexican institute of social security of the city of querétaro. social, demographic, medical, functional and cognitive variables were evaluated. results: of the studied subjects, 37% were illiterate, 61% lived with a partner and 47% were dedicated to household activities. thirty three percent had visual impairment, 54% had hearing impairment, 39% had urinary incontinence, 26% reported falls in the last six months, 34% had nutritional problems, 38% were functionally dependent, 49% had sleeping problems, 25% had cognitive impairment and 25% had depression. conclusions: the general health outlook of this population is encouraging, considering that more than half are not functionally impaired.
Estereotipos negativos de la vejez en personal de salud de un Hospital de la Ciudad de Querétaro, México
FRANCO S,MIREYA; VILLARREAL R,ENRIQUE; VARGAS D,EMMA R; MARTíNEZ G,LIDIA; GALICIA R,LILIANA;
Revista médica de Chile , 2010, DOI: 10.4067/S0034-98872010000800007
Abstract: background: social representations are value systems. social stereotypes are a social consensus of traits associated with a specific group. stereotypes about older subjects, generally have negative connotations. aim: to assess the prevalence of negative stereotypes towards older subjects among health care personnel. material and methods: a questionnaire about stereotypes towards old age, with likert type questions that included health, social motivations and personality-character domains, was applied to 52 doctors, 12 residents, 80 general nurses, 36 auxiliary nurses, four social workers and 10 medical assistants, working at a general hospital. results: the mean age of the professionals who answered the questionnaire was 38 years (95% confidence intervals (ci) 37-39 years) and 78% were women. the prevalence of a global negative stereotype was 65.0%(95% ci: 59.5-70.5). the figure for the health domain was 64.5% (ic95%; 59.0-70.0), for the social motivation domain was 60%(5%ci: 54.3-65.7) and for the character personality domain was 64% (95%ci: 58.4-69.6). conclusions: there is a high prevalence of a negative stereotype towards old age among health care personnel.
Alacranismo en León, Gto., Perspectivas por áreas Geostadísticas Básicas Urbanas Alacranismo en León, Gto., Perspectivas por áreas Geostadísticas Básicas Urbanas
Jesús Castillo Pérez,Esperanza Velasco Díaz,Ector Jaime Ramírez Barba,Enrique Vargas Salado
Acta Universitaria , 2012,
Abstract: Scorpionism in León, Guanajuato are a public health problem, with a scorpion sting incidence rate of 109/10,000 inhabitants. The basic epidemiological aspects about the distribution of the problem in the city are unknown, which would allow a reduction in the incidence. A retrolective survey of the people stung from January to December 1996 was performed. Variables of stung patients were analyzed, and the distribution per basic urban geostatistics area (BUGA) was located. 9,485 patients that met the inclusion criteria were studied. Epidemiological maps both by incidence rate and absolute frequencies were performed, and a heterogeneous distribution was found. 5 BUGAs had a higher than 200/10,000 inhabitants incidence, and a frequency of stung people in the range of 200 to 500 (high risk). Distribution and location of the greater incidence areas of accidents by scorpion sting in León City have been established, in which it is necessary to establish primary attention measures to avoid the sting. El alacranismo en León, Gto. es un problema de salud pública, con una tasa de incidencia de picadura de alacrán de 109/10,000 habitantes. Se desconocen los aspectos epidemiológicos básicos de la distribución del problema, para modificar su incidencia. Se realizó una encuesta retrolectiva de los sujetos picados de enero a diciembre de 1996 y se ubicó su distribución por área geostadística básica urbana (AGEB). 9,485 pacientes cumplieron los criterios de inclusión. Se realizaron los mapas epidemiológicos por tasa de incidencia y por frecuencia absoluta, encontrándose una distribución heterogénea. 5AGEB tuvieron una incidencia superior a 200/10,000 habitantes y una frecuencia de picados en el rango de 200 a 500 (altoriesgo). Se estableció la distribución y localización de las áreas de mayor incidencia de accidentes por picadura de alacrán en la ciudad, en las cuales es necesario establecer medidas de atención primaria para evitar la picadura.
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