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Search Results: 1 - 10 of 211631 matches for " Freddy Alexis Aponte Páez "
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LA SUSTENTABILIDAD URBANA EN LAS CIUDADES.
Freddy Alexis Aponte Páez
Boletim Goiano de Geografia , 2007,
Abstract: El desarrollo sustentable tiene como punto central lagente, en el sentido de que su principal objetivo es elmejoramiento de la calidad de vida del hombre, y estafundamentado en la conservación en el sentido de estarcondicionado por la necesidad de respetar la capacidadde la naturaleza para el suministro de recursos y serviciospara el mantenimiento de la vida.El desarrollo sustentable es una perspectiva amplia, conun enfoque antropocéntrico que integra las necesidadeshumanas y la problemática ambiental como elementosdentro de un mismo proyecto. De esta manera, el desarrollosustentable, por definición, busca promover laarmonía entre los seres humanos, y entre éstos y la naturaleza;para ello se basa en cuatro elementos: crecimientoeconómico, balance ambiental, equidad y responsabilidady eficiencia de las instituciones públicas.El concepto de sustentabilidad urbana es consideradocomo un estado de equilibrio entre las dimensiones social,económica y ambiental en el espacio de la ciudad.La discusión de sustentabilidad urbana incorpora el tipode interacción que se establece entre ciudad y región yque hace posible la vida urbana. Los estudios de metabolismourbano destacan tanto, los insumos de la regiónhacia la ciudad y los flujos de la ciudad hacia la región.
El papel del geógrafo en los Estudios de Impacto Ambiental (EIA)
Freddy A. Aponte P.
Terra Nueva Etapa , 2005,
Abstract: La geografía es la ciencia que trata de describir, relacionar y explicar aquellas cosas, tanto naturales como culturales, que diferencian los lugares sobre la superficie terrestre (Boadas, 1970). El objeto de estudio de esta ciencia lo constituye el espacio organizado o estructurado por los grupos humanos. Entre el medio y el hombre se establece toda una serie de relaciones que se manifiestan en una síntesis: el espacio geográfico, el cual estará orientado por el hombre y en función del hombre, es decir, la mayoría de las actividades que se dan en ese espacio son de la competencia de los geógrafos. Los estudios de impacto ambiental están orientados a predecir y evaluar los efectos del desarrollo de una actividad sobre los componentes del ambiente natural y social y proponer las correspondientes medidas preventivas, mitigantes y correctivas, a los fines de verificar el cumplimiento de las disposiciones ambientales contenidas en la normativa legal vigente en el país y a determinar los parámetros ambientales que conforme a la misma deban establecerse para cada proyecto con incidencia sobre los elementos del espacio (MARN, 1997). Por la estructura presentada en los manuales para elaboración de los de EIA, la participación de los geógrafos está por el orden del 50%, es decir, se integra desde el mismo inicio del estudio, seleccionando la cartografía base, escala, área de influencia directa e indirecta del proyecto, determinación de poligonales, evaluando los aspectos físicos naturales y socioeconómicos.
VALIDACIóN EMPíRICA DEL MODELO DE FORMULACIóN CLíNICA POR PROCESOS BáSICOS DE CASTRO Y áNGEL
RODRíGUEZ PáEZ,MYRIAM; VANEGAS GóMEZ,FREDDY ORLANDO;
Acta Colombiana de Psicología , 2010,
Abstract: the aim of this research was to carry out the empirical validation of the clinical formulation model founded on basic processes and proposed by castro and angel (1998). a quasi-experimental trans-sectional descriptive and comparative design with three groups was used. participants were thirty psychologists assigned to the three groups according to their academic background and clinical experience (novice, intermediate an expert). they received written information about a clinical case in order to formulate it using castro and angel's model. validity indexes were obtained by calculating the percentage of agreements between the formulations of the three groups and a reference formulation; a special instrument was designed for this purpose. the statistical tests h of kruskal-wallis and w of kendall were also used. results showed that, in general, the model oriented the development of the formulations in the majority of aspects regardless the clinician's level of experience. this points out the empirical validity of the model; nevertheless, the levels of agreement were not high and the differences lie in one of the model's basic categories. this is the first study aimed at validating castro and angel's model; its results will allow the restructuring of that model and in turn will lay the foundations for validating it in future research projects.
VALIDACIóN EMPíRICA DEL MODELO DE FORMULACIóN CLíNICA POR PROCESOS BáSICOS DE CASTRO Y áNGEL
Rodríguez Páez, Myriam,Vanegas Gómez, Freddy Orlando
Acta Colombiana de Psicología , 2010,
Abstract: The aim of this research was to carry out the empirical validation of the clinical formulation model founded on basic processes and proposed by Castro and Angel (1998). A quasi-experimental trans-sectional descriptive and comparative design with three groups was used. Participants were thirty psychologists assigned to the three groups according to their academic background and clinical experience (novice, intermediate an expert). They received written information about a clinical case in order to formulate it using Castro and Angel's model. Validity indexes were obtained by calculating the percentage of agreements between the formulations of the three groups and a reference formulation; a special instrument was designed for this purpose. The statistical tests H of Kruskal-Wallis and W of Kendall were also used. Results showed that, in general, the model oriented the development of the formulations in the majority of aspects regardless the clinician's level of experience. This points out the empirical validity of the model; nevertheless, the levels of agreement were not high and the differences lie in one of the model's basic categories. This is the first study aimed at validating Castro and Angel's model; its results will allow the restructuring of that model and in turn will lay the foundations for validating it in future research projects
Alteraciones de patrones funcionales en personas con Tuberculosis pulmonar, Villavicencio, Colombia
Aponte Garzón,Luz Helena; Hernández Páez,Ruth Fabiola;
Avances en Enfermería , 2011,
Abstract: purpose: to determine functional patterns alterations in people with pulmonary tuberculosis undergoing treatment. methods: qualitative, descriptive study, based on the content analysis technique. during the second half of 2009, functional health patterns of patients registered in the tuberculosis prevention and control program were evaluated in three public health care providers in villavicencio, meta. results and discussion: patterns showing more alterations were activity and exercise, nutrition and metabolism and self-perception and self-concept. fatigue and dysnea compromise trips to health institution; decrease in energy makes it difficult for patients to maintain jobs, which affects family income. there is ignorance regarding relevant aspects ofdisease control. sadness and isolation associated to social negative perception of the disease are present. conclusions: the health service team should respond to complex situations of patients, which go beyond the administration of treatments. nursing has a core role in the creation of appropriate care scenarios and in the promotion of interdisciplinary characters for the integral care of patients. developing customized interventions is encouraged, with nursing care guidelines and, particularly, improving information provided to people about the disease, treatment and transmission prevention and control strategies.
Aspectos históricos de la anestesia espinal en Cuba (Primera parte)
González Páez,Alexis; Hernández Suárez,Blas;
Revista Cubana de Cirug?-a , 2003,
Abstract: the history of spinal anesthesia in cuba dates back to december 6th,1900, just two years after august bier, in the hands of dr enrique nu?ez. but it was not until 1901 that his article was published in "el progreso médico" . after the first practices, spinal anesthesia was almost neglected until drug estovaina appeared; then dr enrique b. barnet and dr donato gonzález mármol put this anesthesia into practice in surgery. in the 6th national medical congress in 1924, the procedure was properly appraised and it was concluded that it could not be a generalized anesthetic method because of its counter-indications and side effects. in the national medical congress of 1927, dr jaime de la guardia′s papers were submitted and also reports of the use of spinal anesthesia by dr juan o. hernández, dr porfirio verdes, dr ricardo de la flor, dr j. garciso, cuervo, pino y castro were presented. the new century and millenium represented the celebration of the hundredth anniversary of the first application of spinal anesthesia in our country (1900-2000), keeping the cuban anesthesiology in line with the rest of the world
Aspectos históricos de la anestesia espinal en Cuba (Primera parte)
Alexis González Páez,Blas Hernández Suárez
Revista Cubana de Cirugía , 2003,
Abstract: En la historia de la anestesia espinal en Cuba su "rastro" se remonta al día 6 de diciembre de 1900, apenas dos a os después de August Bier, en las manos del doctor Enrique Nu ez. Pero no es hasta 1901 que publica su artículo en El Progreso Médico. Después de estas primeras prácticas la anestesia espinal fue casi abandonada hasta la aparición de la estovaína, siendo practicada entonces por los doctores Enrique B. Barnet y Donato González Mármol. En el VI Congreso Médico Nacional efectuado en 1924, se le otorgó al procedimiento su verdadero valor y se concluyó que no podía constituirse en el método generalizado de anestesia porque no estaba exento de contraindicaciones y reacciones secundarias. Durante el Congreso Médico Nacional de 1927 se presentaron los trabajos del doctor Jaime de la Guardia, apareciendo reportes de su práctica en los pacientes pediátricos, obstétricas y de cirugía por los doctores Juan O. Hernández, Porfirio Verdes, Ricardo de la Flor, J Garciso, Cuervo, Pino y Castro. En nuestro país el nuevo siglo y milenio, trajeron consigo la celebración del Centenario de la primera Anestesia Espinal en Cuba (1900-2000) manteniéndose la Anestesiología Cubana al unísono con el resto del mundo The history of spinal anesthesia in Cuba dates back to December 6th,1900, just two years after August Bier, in the hands of Dr Enrique Nu ez. But it was not until 1901 that his article was published in "El Progreso Médico" . After the first practices, spinal anesthesia was almost neglected until drug estovaina appeared; then Dr Enrique B. Barnet and Dr Donato González Mármol put this anesthesia into practice in surgery. In the 6th National Medical Congress in 1924, the procedure was properly appraised and it was concluded that it could not be a generalized anesthetic method because of its counter-indications and side effects. In the National Medical Congress of 1927, Dr Jaime de la Guardia′s papers were submitted and also reports of the use of spinal anesthesia by Dr Juan O. Hernández, Dr Porfirio Verdes, Dr Ricardo de la Flor, Dr J. Garciso, Cuervo, Pino y Castro were presented. The new century and millenium represented the celebration of the hundredth anniversary of the first application of spinal anesthesia in our country (1900-2000), keeping the Cuban Anesthesiology in line with the rest of the world
Infarto encefálico por embolia aérea: Caso clínico
Mellado T,Patricio; Constanzo P,Freddy; Miquel P,Juan Francisco; Ibá?ez L,Patricio;
Revista médica de Chile , 2005, DOI: 10.4067/S0034-98872005000400009
Abstract: ischemic stroke due to embolic air is uncommon. there are few reports of patients with air embolic stroke as a complication of endoscopic procedures. the temporal relationship between the stroke and this procedure is the most important clue for the diagnosis. ct scan and mri of the brain are confirmatory tests. the morbidity and mortality is high. patients should be hospitalized in a critical care service and treated as soon as possible with oxygen in a pressure camera. we report a 52 years old woman with an ovarian cancer that, during an upper gastrointestinal endoscopy, had a severe alteration of consciousness that did not respond to the use of flumazenil. a ct scan showed multiple areas of air embolism in the watershed area between anterior and middle right cerebral arteries. a conservative treatment was decided and the patients died 48 hours later
Infarto encefálico por embolia aérea: Caso clínico Ischemic brain infarction after an air embolism: Case report
Patricio Mellado T,Freddy Constanzo P,Juan Francisco Miquel P,Patricio Ibá?ez L
Revista médica de Chile , 2005,
Abstract: Ischemic stroke due to embolic air is uncommon. There are few reports of patients with air embolic stroke as a complication of endoscopic procedures. The temporal relationship between the stroke and this procedure is the most important clue for the diagnosis. CT scan and MRI of the brain are confirmatory tests. The morbidity and mortality is high. Patients should be hospitalized in a critical care service and treated as soon as possible with oxygen in a pressure camera. We report a 52 years old woman with an ovarian cancer that, during an upper gastrointestinal endoscopy, had a severe alteration of consciousness that did not respond to the use of Flumazenil. A CT scan showed multiple areas of air embolism in the watershed area between anterior and middle right cerebral arteries. A conservative treatment was decided and the patients died 48 hours later
Correlación entre la oximetría de pulso y la gasometría arterial en el paciente de alto riesgo
Hernández Suárez,Blas; de la Parte Pérez,Lincoln; González Páez,Alexis;
Revista Cubana de Pediatr?-a , 1998,
Abstract: an analysis of the value of the arterial saturation of hemoglobin was carried out in a prospective study of 20 pediatric patients, programmed to correct their cardiovascular anatomic defect; 20 samples were taken from them for blood gas analysis, and a continuous monitoring with a pulse oxymeter was ordered. also a short story about percutaneous saturation measuring, is made; the technical characteristics of the equipment used, are listed. the data obtained are analyzed and compared, and it is concluded that the percutaneous saturation measurements are a great advancement in the respiratory and hemodynamical monitoring of the high risk patient to whom surgery is done; also, its non-invasive characteristics makes it the best and most economic choice in the operating room.
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