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Search Results: 1 - 10 of 2790 matches for " Esther Salillas Adot "
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?Es el cansancio de la técnica un factor a tener en cuenta en las infecciones peritoneales?
Gruart Armangué,Paqui; Andújar Asensio,Alex; Simal Velez,Nieves; Salillas Adot,Esther; Julve Iba?ez,Maricel;
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2011, DOI: 10.4321/S1139-13752011000300004
Abstract: peritoneal infection is an inflammation of the peritoneal membrane usually caused by bacterial infection. the effects generated by a peritoneal infection are of vital importance for maintaining peritoneal dialysis treatment. in some of these infections, it is necessary to remove the catheter and consequently change to haemodialysis, the transfer to which represents one fifth of peritoneal infections. the causes of the failure in the dialytic technique are diverse. the aim of our study is to review the factors that may have had an influence on the incidence of peritoneal infection. it is noted that 58% are gram-positive, which means that more than half of the causing agents are saprophyte micro-organisms of the skin, 38% are gram-negative, the possible cause of which is lack of hygiene. 4% are negative culture. the time of exposure is compared to the episodes of peritoneal infection. the staff allocated to the peritoneal dialysis unit in the years studied were 2 nurses on 12-hour shifts on alternate days and a nurse who worked 15 hours per week. in 2009 staffing was reinforced with a care nurse working a 7-hour morning shift. since then learning programmes have been carried out without interruption by the same nurse in the shift agreed with the patient. better dedication to training and carryout out re-training reduces the rate of peritoneal infection as patient tiredness and boredom can be detected before a peritoneal infection appears.
Aproximaciones al Principio de Autonomía en el tratamiento de diálisis: el Consentimiento Informado y las Voluntades Anticipadas
Díaz Jurado,Maribel; Simal Vélez,Nieves; Salillas Adot,Esther; Julve Ibá?e,Maricel;
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2009, DOI: 10.4321/S1139-13752009000300004
Abstract: at present, the principle of autonomy seeks to provide the framework for relations between healthcare professionals and patients in the context of their care. currently, the expression of the principle of the patient's autonomy in decisions concerning his or her treatment is materialized in the informed consent and living will. the aim of this work is to verify what knowledge terminal chronic renal insufficiency patients undergoing dialysis in our hospital have, with regard to informed consent and the living will and to know whether patients consider themselves to be well-informed about the state of their health at the start of their kidney disease and at present. a retrospective, observational and descriptive study of 55 patients of our service. the results show that informed consent is unknown to the majority of the patients and that the living will is not part of the information they receive. the information received at the start of treatment is satisfactory in the case of all the patients. at present, patients undergoing peritoneal dialysis are more satisfied and have also had the possibility of choosing their treatment. patients on haemodialysis would like greater autonomy in the decisions concerning their treatment.
Trasplante renal y rechazo vascular: Papel de enfermería en el tratamiento con plasmaféresis Kidney transplant and vascular rejection: Role of nursing in treatment with plasmapheresis peritoneal dialysis
Maribel Díaz Jurado,Ester Díaz Barnet,Esther Salillas Adot,Rosa Escofet Gómez
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2007,
Abstract: La plasmaféresis (PF) es una técnica que se aplica en el servicio de trasplante renal (TR) de nuestro Hospital desde el a o 1999, como tratamiento en el TR que presenta rechazo vascular. Este rechazo puede ser de dos tipos: mediado por anticuerpos o mediado por linfocitos T. El tratamiento con PF consigue eliminar los anticuerpos en sangre del paciente, y por tanto puede ser efectiva en el caso de que el rechazo vascular sea mediado por anticuerpos. La técnica es llevada a cabo por la enfermera de la unidad de trasplante. Esta debe conocer la técnica, los parámetros, sus indicaciones y las posibles complicaciones que puedan presentarse. El objetivo principal de nuestro estudio es ver la efectividad del tratamiento con PF y los cuidados de enfermería que se le proporcionan. Se realizó un estudio retrospectivo, observacional y descriptivo en una muestra de 15 pacientes. Los datos estudiados se han clasificado según el perfil del paciente, parámetros de la PF, evolución del TR, cuidados de enfermería y controles analíticos. Los resultados obtenidos demuestran que el tratamiento con PF es eficaz en el rechazo vascular mediado por anticuerpos ofreciéndose además cuidados integrales al paciente trasplantado, ya que la enfermera de la unidad de TR es la responsable de efectuar la técnica. Plasmapheresis (PPH) is a technique that has been applied in the kidney transplant service (KT) of our Hospital since 1999, as a treatment in KT that presents vascular rejection. This rejection can be of two types: caused by antibodies or caused by T lymphocytes. Treatment with PPH manages to eliminate the antibodies in the patient's blood, and can therefore be effective when the vascular rejection is caused by antibodies. The technique is carried out by the nurse of the transplant unit. The nurse must be familiar with the technique, the parameters, its indications and the possible complications that may arise. The main purpose of our study is to see the effectiveness of treatment with PPH and the nursing care provided. A retrospective, observational and descriptive study was carried out of a sample of 15 patients. The data studied were classified according to thepatient profile, PPH parameters, evolution of the KT, nursing care and analytical controls. The results obtained show that treatment with PPH is efficacious in vascular rejection caused by antibodies, also offering integral care to the transplant patient, since the nurse of the KT unit is responsible for carrying out the technique.
Aproximaciones al Principio de Autonomía en el tratamiento de diálisis: el Consentimiento Informado y las Voluntades Anticipadas Approaches to the Principle of Autonomy in dialysis treatment: Informed Consent and Living Will
Maribel Díaz Jurado,Nieves Simal Vélez,Esther Salillas Adot,Maricel Julve Ibá?e
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2009,
Abstract: En la actualidad el Principio de Autonomía pretende marcar la relación asistencial entre los profesionales sanitarios y los pacientes. Actualmente, la expresión del Principio de Autonomía del paciente en las decisiones referidas a su tratamiento se plasma en el Consentimiento Informado y el Documento de Voluntades Anticipadas. El objetivo de este trabajo, es verificar que conocimientos tiene el paciente con insuficiencia renal crónica terminal en tratamiento de diálisis en nuestro hospital, referido al Consentimiento Informado y el Documento de Voluntades Anticipadas y saber si el paciente se consideró bien informado sobre su estado de salud al inicio de su enfermedad renal y en la actualidad. Estudio retrospectivo, observacional y descriptivo en 55 pacientes de nuestro servicio. Los resultados muestran que el Consentimiento Informado no es conocido por la mayoría de los pacientes y que el Documento de Voluntades Anticipadas no forma parte de la información que recibe. La información recibida al inicio del tratamiento es satisfactoria en todos los pacientes. En la actualidad están más satisfechos los pacientes en diálisis peritoneal y también han tenido más posibilidad de elegir tratamiento. Los enfermos en hemodiálisis desean tener más autonomía en las decisiones referidas a su tratamiento. At present, the principle of autonomy seeks to provide the framework for relations between healthcare professionals and patients in the context of their care. Currently, the expression of the principle of the patient's autonomy in decisions concerning his or her treatment is materialized in the Informed Consent and Living Will. The aim of this work is to verify what knowledge terminal chronic renal insufficiency patients undergoing dialysis in our hospital have, with regard to Informed Consent and the Living Will and to know whether patients consider themselves to be well-informed about the state of their health at the start of their kidney disease and at present. A retrospective, observational and descriptive study of 55 patients of our service. The results show that Informed Consent is unknown to the majority of the patients and that the Living Will is not part of the information they receive. The information received at the start of treatment is satisfactory in the case of all the patients. At present, patients undergoing peritoneal dialysis are more satisfied and have also had the possibility of choosing their treatment. Patients on haemodialysis would like greater autonomy in the decisions concerning their treatment.
Es el cansancio de la técnica un factor a tener en cuenta en las infecciones peritoneales? Is tiredness a factor to be taken into account in peritoneal infections?
Paqui Gruart Armangué,Alex Andújar Asensio,Nieves Simal Velez,Esther Salillas Adot
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2011,
Abstract: La infección peritoneal es una inflamación de la membrana peritoneal ocasionada habitualmente por una infección bacteriana. Los efectos que genera una infección peritoneal son de vital importancia para el mantenimiento en el tratamiento de diálisis peritoneal. En algunas de estas infecciones se hace necesaria la retirada del catéter y consecuentemente el cambio a la Hemodiálisis cuya trasferencia a ella representa la quinta parte de las infecciones peritoneales. Los motivos del fallo en la técnica dialítica son diversos. El objetivo de nuestro estudio es revisar los factores que han podido influir en la incidencia de la infección peritoneal. Se resalta que el 58% son Gram positivos, lo que significa que más de la mitad de los agentes causantes son microorganismos saprófitos de la piel, el 38% son Gram negativos cuya posible causa es también la falta de higiene. El 4% es cultivo negativo. Se comparan el tiempo de exposición con la de los episodios de infección peritoneal. El personal destinado en la unidad de diálisis peritoneal en los a os estudiados fueron 2 enfermeras/os de turno de 12 horas a días alternos y un enfermero de 15 horas semanales. En el 2009 la dotación se reforzó con una enfermera asistencial en turno de 7 horas ma ana. Desde ese momento los programas de aprendizaje se hacen ininterrumpidamente por una misma enfermera en el turno que se pacta con el paciente. Una mejor dedicación en el entrenamiento y la realización de reentrenos, disminuye la tasa de infección peritoneal ya que se puede detectar el cansancio y aburrimiento del paciente, antes de que aparezca una infección peritoneal. Peritoneal infection is an inflammation of the peritoneal membrane usually caused by bacterial infection. The effects generated by a peritoneal infection are of vital importance for maintaining peritoneal dialysis treatment. In some of these infections, it is necessary to remove the catheter and consequently change to haemodialysis, the transfer to which represents one fifth of peritoneal infections. The causes of the failure in the dialytic technique are diverse. The aim of our study is to review the factors that may have had an influence on the incidence of peritoneal infection. It is noted that 58% are Gram-positive, which means that more than half of the causing agents are saprophyte micro-organisms of the skin, 38% are Gram-negative, the possible cause of which is lack of hygiene. 4% are negative culture. The time of exposure is compared to the episodes of peritoneal infection. The staff allocated to the peritoneal dialysis unit in the years studied w
Trasplante renal y rechazo vascular: Papel de enfermería en el tratamiento con plasmaféresis
Díaz Jurado,Maribel; Díaz Barnet,Ester; Salillas Adot,Esther; Escofet Gómez,Rosa; Julve Ibá?ez,Maricel;
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2007, DOI: 10.4321/S1139-13752007000100005
Abstract: plasmapheresis (pph) is a technique that has been applied in the kidney transplant service (kt) of our hospital since 1999, as a treatment in kt that presents vascular rejection. this rejection can be of two types: caused by antibodies or caused by t lymphocytes. treatment with pph manages to eliminate the antibodies in the patient's blood, and can therefore be effective when the vascular rejection is caused by antibodies. the technique is carried out by the nurse of the transplant unit. the nurse must be familiar with the technique, the parameters, its indications and the possible complications that may arise. the main purpose of our study is to see the effectiveness of treatment with pph and the nursing care provided. a retrospective, observational and descriptive study was carried out of a sample of 15 patients. the data studied were classified according to thepatient profile, pph parameters, evolution of the kt, nursing care and analytical controls. the results obtained show that treatment with pph is efficacious in vascular rejection caused by antibodies, also offering integral care to the transplant patient, since the nurse of the kt unit is responsible for carrying out the technique.
LA UNION Y CONFEDERACION NAVARRO-BEARNESA DE INICIOS DEL SIGLO XVI
álvaro Adot Lerga
Araucaria , 2012,
Abstract:
Data Aggregation: A Proposed Psychometric IPD Meta-Analysis  [PDF]
Esther Kaufmann
Open Journal of Statistics (OJS) , 2018, DOI: 10.4236/ojs.2018.81004
Abstract: Individual participant data (IPD) meta-analysis was developed to overcome several meta-analytical pitfalls of classical meta-analysis. One advantage of classical psychometric meta-analysis over IPD meta-analysis is the corrections of the aggregated unit of studies, namely study differences, i.e., artifacts, such as measurement error. Without these corrections on a study level, meta-analysts may assume moderator variables instead of artifacts between studies. The psychometric correction of the aggregation unit of individuals in IPD meta-analysis has been neglected by IPD meta-analysts thus far. In this paper, we present the adaptation of a psychometric approach for IPD meta-analysis to account for the differences in the aggregation unit of individuals to overcome differences between individuals. We introduce the reader to this approach using the aggregation of lens model studies on individual data as an example, and lay out different application possibilities for the future (e.g., big data analysis). Our suggested psychometric IPD meta-analysis supplements the meta-analysis approaches within the field and is a suitable alternative for future analysis.
Numbers in the Blind's “Eye”
Elena Salillas, Alessia Graná, Radouane El-Yagoubi, Carlo Semenza
PLOS ONE , 2009, DOI: 10.1371/journal.pone.0006357
Abstract: Background Although lacking visual experience with numerosities, recent evidence shows that the blind perform similarly to sighted persons on numerical comparison or parity judgement tasks. In particular, on tasks presented in the auditory modality, the blind surprisingly show the same effect that appears in sighted persons, demonstrating that numbers are represented through a spatial code, i.e. the Spatial-Numerical Association of Response Codes (SNARC) effect. But, if this is the case, how is this numerical spatial representation processed in the brain of the blind? Principal Findings Here we report that, although blind and sighted people have similarly organized numerical representations, the attentional shifts generated by numbers have different electrophysiological correlates (sensorial N100 in the sighted and cognitive P300 in the blind). Conclusions These results highlight possible differences in the use of spatial representations acquired through modalities other than vision in the blind population.
Dise?o de un protocolo para el cambio de prolongador en Diálisis Peritoneal
Gruart,Paqui; Matud,Cristina; Moreno,Carmen; Salillas,Ester; Andreu,Lola;
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2009, DOI: 10.4321/S1139-13752009000100006
Abstract: changing the extension tube in peritoneal dialysis equipment is an intervention for which nursing is responsible, and which must be carried out following a protocol that minimizes the risk of contamination and, therefore, the appearance of peritonitis. there are no clear and unanimous recommendations on how to disinfect connectors, as this will depend basically on whether or not the catheter connector is made of titanium, and how the new extension tube should be fitted. objective. to determine how extension tubes are changed in the different renal units in spain, in order to reach a consensus as to the most adequate procedure. material and method. descriptive transversal study carried out in february 2008 based on a structure self-completed questionnaire of our own design that guaranteed validity and reliability. the questionnaire recorded the experience of the person surveyed in the filed of pd, the system used, and compliance with the items considered fundamental for good practice in the extension tube replacement procedure, based on the literature consulted and the recommendation of pd product suppliers. results. questionnaires were obtained from 53 nurses who stated that they had experience in pd of between 3 months and 32 years. the degree of compliance of the actions necessary to change the extension tube (washing hands, preparing sterile field, washing the connector) was between 95 and 100%, while the items of disinfection the connector and draining the peritoneal liquid after the change obtained degrees of compliance of between 28 and 83%. conclusions. our study presents limitations, as it aimed to be an initial prospective study of the matter. more in-depth study is required to reach a consensus as to a valid protocol for replacing extension tubes for any of the systems offered by the industry and defi ne very clearly the connector disinfection process and the advisability or otherwise of complete peritoneal replacement after the change.
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