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Modelo de dirección de hospitales por enfermeras
Gómez-Torres,Danelia; ángeles-ávila,Gloria; Martínez-Gardu?o,María Dolores;
Aquichán , 2011,
Abstract: research based on the theory of strategic thinking to understand organizational, operational and administrative behavior and processes is the subject of this article. with the hospital administrative system as the object of study, this research used a qualitative approach and a case-study method by applying a series of stages; namely, adaptation to the roster, construction of explanations, temporal analysis, logical models and cross-case presentation, which made it possible to process the information and to analyze the data systematically. the final stage guided the presentation of results and achieved the proposed objective; that is, to discuss the paradigm of the administrative system applied by managing nurses, based on the perception of their subordinates. the results show the subordinate nurses recognized innovative management, with direct and central supervision, and emphasized the model for innovative management/management-by-programs, which is light and flexible. it also requires a higher degree of professionalism and fosters autonomy. communication was horizontal, leaving the door open to management. the function of the supervisors was to evaluate personal activity in a direct way. lastly, changes based on socialized theoretical-methodological ideas of decentralized administration were instituted by breaking down individual resistance and ensuring the accomplishment of common goals and objectives.
Modelo de dirección de hospitales por enfermeras
Danelia Gómez-Torres,Gloria ángeles-ávila,María Dolores Martínez-Gardu?o
Aquichán , 2011,
Abstract: Con el propósito de comprender los comportamientos y procesos organizacionales, operacionales y de gestión, se realizó una investigación sustentada en la teoría del pensamiento estratégico; el objeto de estudio fue el sistema de administración hospitalario. Se empleó un método cualitativo y de estudio de caso aplicando las siguientes etapas: adaptación a los procesos, construcción de explicaciones, análisis temporales, modelos lógicos y presentación de casos cruzados, lo que permitió desarrollar sistemáticamente el procesamiento de información y análisis de datos. La última etapa guía la presentación de resultados logrando el objetivo propuesto: discutir el paradigma del sistema de administración ejercido por las enfermeras gerentes desde la perspectiva de sus subalternas. Los resultados revelan que estas últimas reconocieron una gestión innovadora, con una supervisión directa y central, resaltando el modelo de Gestión innovadora/ Gestión por programas/Leve y flexible, que a la par que exige mayor profesionalismo, propicia autonomía. La comunicación fue horizontal, de puertas abiertas hacia la dirección; la función de las directoras consistió en evaluar la actividad personal en forma directa. Finalmente, se emprendieron cambios con base en concepciones teórico-metodológicas socializadas de administración descentralizada, al romper comportamientos individuales de resistencia, y asegurar el cumplimiento de metas y objetivos comunes.
Evaluation of entomopathogenic fungi as biological control agents Rhipicephalus (Boophilus) microplus (Canestrini, 1887) (Acari: Ixodidae)
Broglio-Micheletti,S?nia M. F; de Souza,Leilianne A; Valente,Ellen C. N; de Araújo,Mário J. C; da Silva Dias,Nivia; Gómez-Torres,Mariuxi Lorena;
Idesia (Arica) , 2012, DOI: 10.4067/S0718-34292012000100011
Abstract: the aim of this study was to evaluate in the laboratory different isolates and concentrations of conidia of metarhizium anisopliae (metschnikoff, 1879) sorokin, 1883 and beauveria bassiana (balsamo) vuillemim, 1912 for control of the cattle tick. the conidial suspensions were prepared from fungi grown in rice medium in polypropylene bags. the tests were performed by immersion of engorged females collected from animals not treated with acaricides. the experimental design was completely randomized with 20 treatments and 5 repetitions, each consisting of 5 females. the mortality rate caused by the fungus m. anisopliae ranged from 92 to 100%, while for b. bassiana it was 44 to 100%; mortality was greater at concentrations of 108 and 109 conidia ml-1 suspension. the isolates b. bassiana fitossan 1 and m. anisopliae pl 43 (both at 109 conidia ml-1) and fitossan 4 (108 conidia ml-1) within 14 days of treatment killed 100%, 92% and 88% of the engorged females, respectively. in general there was no difference in the weight of eggs from females treated with the same isolate at concentrations of 107, 108 and 109 conidia ml-1, although isolates of m. anisopliae had lower weight. the efficiency of control ranged from 0% (control with water) to 31.30% (m. anisopliae fitossan 4, 108 conidia ml-1).
Rese a de "El malestar en la globalización" de Joseph E. Stiglitz
Edwin Esteban Torres Gómez
Perfil de Coyuntura Económica , 2009,
Abstract:
Pedagogía intercultural: un eufemismo para tranquilizar conciencias o una alternativa para la transformación?
Juan Rafael Gómez Torres
Revista Electrónica Educare , 2010,
Abstract: Recibido 13 de agosto de 2009 Aceptado 02 de diciembre de 2009 Corregido 14 de abril de 2010 Resumen. Este escrito intenta revisar algunos aspectos de la pedagogía costarricense desde el ámbito de la epistemología, la ética y la política como dimensiones fundamentales de la educación. Después se examinan sus prácticas interculturales, y se determina si lo que llamamos en el CIDE (UNA) pedagogía intercultural es un eufemismo más que nos viene de afuera y desde arriba, si lo acogemos sin mayor análisis, con el fin de no desestabilizar nuestro confortable estar en el mundo o es, en realidad, una alternativa de transformación de la sociedad costarricense. Abstract. The present article it entails the revision of some aspects of the Costa Rican pedagogy, especially in the epistemology area, ethics and the policies as fundamental dimensions of education. From there, it also proposes the revision of its intercultural practices in order to determine whether what it is called in the CIDE (UNA) Intercultural Pedagogy it is just another euphemism than comes from outside and above. If we receive it without major analysis in order not to disturb our comfortable being in the world, reality, or as an alternative of transformation of the Costa Rican society.
Cistitis polipoide asociada a cistitis quística glandular
Torres Gómez,Francisco Javier; Torres Olivera,Francisco Javier; Torres Gómez,Amelia;
Archivos Espa?oles de Urología (Ed. impresa) , 2007, DOI: 10.4321/S0004-06142007000600013
Abstract: objective: polypoid cystitis and intestinal metaplasia are well-known lesions of the bladder. methods: we report the case of one patient with both lesions identified synchronically in the bladder. results: although these lesions are not neoplastic, there are evidences supporting a possible degeneration of the metaplastic epithelium to adenocarcinoma. conclusions: the diagnosis of both lesions is histological and there are not clinical tests or image studies that could enable identification of the real nature of these lesions.
Utilidad del método de filtración-adhesión en citología urinaria
Torres Gómez,Francisco Javier; Torres Gómez,A.; Torres Olivera,Francisco Javier;
Archivos Espa?oles de Urología (Ed. impresa) , 2008, DOI: 10.4321/S0004-06142008000300003
Abstract: objectives: to compare the cytocentrifugation cellular concentration method for urine cytology with the filtration-adhesion method, mainly evaluating their diagnostic efficacy and their inconveniences. methods: voiding urine samples from 100 patients were processed by cytocentrifugation and filtration-adhesion to detect neoplastic cells. results: the filtration-adhesion method is superior to cytocentrifugation in the detection of neoplastic cells, without false positive results. the inconveniences are similar in both methods. conclusions: the filtration-adhesion method is simple, low-cost, and more sensitive than cytocentrifugation for the detection of malignant cells.
MODELAMIENTO TéRMICO Y VIBRATORIO DE UNA CáPSULA PARA SENSORES DE FIBRA óPTICA ADAPTABLES A MEDICIONES EN SISTEMAS ELECTRICOS DE POTENCIA
AGUIAR,MAURICIO; GóMEZ,JORGE; TORRES,PEDRO;
DYNA , 2009,
Abstract: in this work is presented a thermal and vibration modeling that allows the design of high-thermal conductivity, mechanical isolating capsules for inserting fiber bragg gratings (fbg) based temperature sensors for applications on electric power systems (eps). one of the most relevant variables in eps component operation is temperature, because its real time monitoring allows predicting the state of the system and generating predictive maintenance actions that guarantee quality and continuity in its service. the modeling of the dielectric capsule is divided in two fundamental parts: i) a mechanical analysis using the finite element method for establishing the capsule response to vibrations in the regime reported in literature for generators and power transformers; ii) a thermal analysis using an analytical model that allows to establish the sensor?s response speed due to temperature changes. the results that were found show a great potential on the material proposed for the fabrication of the capsule, which is not reported in this kind of applications.
Vigilancia alimentaria nutricional en hogares de ancianos
Gómez Vital,Miguel; Zulueta Torres,Daisy;
Revista Cubana de Medicina General Integral , 2001,
Abstract: food and nutritional surveillance started to be applied at homes for the aged in order to determine the relationship between food and the nutritional status of these individuals, since there are no references in cuba about food nutritional surveillance for an institutionalized population. however, the malnutrition of these patients as well as the increase of morbidity and of the costs of care are topìcs that are dealt with in many publications. the sanple was composed of 4 homes for the elderly located in havana city that were visited during november and december, 1999. the system has 3 components: availability, offer and nutritional status. the results showed that in all the institutions the daily per capita amount of energy and proteins had adapting percentages exceeding the recommendations. the offer, excepting proteins, did not fulfill the established regulations. protein-energetic malnutrition prevailed among women and the chronic energetic difference g iii presented the highest percentages. the information provided by the system may be used for making decisions at the different levels to benefit this vulnerable population group.
Vigilancia alimentaria nutricional en hogares de ancianos
Miguel Gómez Vital,Daisy Zulueta Torres
Revista Cubana de Medicina General Integral , 2001,
Abstract: Se inició la vigilancia alimentaria nutricional en hogares de ancianos con el objetivo de determinar la relación entre la alimentación y el estado de nutrición de estos individuos porque no existen referencias en Cuba de sistemas de vigilancia alimentaria nutricional para población institucionalizada; sin embargo, la malnutrición de estos pacientes, con el aumento de la morbilidad y de los costos de atención, es motivo de múltiples publicaciones. La muestra estuvo constituida por 4 hogares de ancianos ubicados en Ciudad de La Habana y las visitas se efectuaron en el bimestre noviembre-diciembre de 1999. El sistema consta de 3 componentes: disponibilidad, oferta y estado de nutrición. Los resultados demostraron que en todas las instituciones las cantidades per capita diarias de energía y proteínas presentaron porcentajes de adecuación superior a las recomendaciones. La oferta, con excepción de las proteínas, no cumplió las reglamentaciones establecidas. La desnutrición proteico energética tuvo predominio en el sexo femenino y fue la diferencia energética crónica G III la que presentó los porcentajes más elevados. La información que proporciona el sistema pudiera ser utilizada para la toma de decisiones a diferentes niveles que beneficien a este grupo poblacional vulnerable. Food and nutritional surveillance started to be applied at homes for the aged in order to determine the relationship between food and the nutritional status of these individuals, since there are no references in Cuba about food nutritional surveillance for an institutionalized population. However, the malnutrition of these patients as well as the increase of morbidity and of the costs of care are topìcs that are dealt with in many publications. The sanple was composed of 4 homes for the elderly located in Havana City that were visited during November and December, 1999. The system has 3 components: availability, offer and nutritional status. The results showed that in all the institutions the daily per capita amount of energy and proteins had adapting percentages exceeding the recommendations. The offer, excepting proteins, did not fulfill the established regulations. Protein-energetic malnutrition prevailed among women and the chronic energetic difference G III presented the highest percentages. The information provided by the system may be used for making decisions at the different levels to benefit this vulnerable population group.
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