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Search Results: 1 - 10 of 297509 matches for " J.; Huarte "
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Confidencialidad e historia clínica: Consideraciones ético-legales
Antomás,J.; Huarte del Barrio,S.;
Anales del Sistema Sanitario de Navarra , 2011, DOI: 10.4321/S1137-66272011000100008
Abstract: confidentiality is a key aspect in the relationship between health professionals and patients. it involves the cession by the patient of a reserved part of herself and the ethical principles of autonomy and non-maleficency are closely linked to its preservation. there are also numerous legal regulations that make professional secrecy obligatory, in some cases imposing hard sanctions that are often not known about. as the medical record is the document where the relationship with the patient is recorded, it requires extraordinary protection due to the especially sensitive nature of the information it contains. it should be compulsory that the professional who works with it should know some basic aspects of the fundamental laws that regulate it in different aspects. this article reviews questions that at times are only known in the abstract, but that are contained in the legal regulations, such as ownership of the medical record, subjective annotations, its custody and rectification or who can have access to it and why.
Confidencialidad e historia clínica: Consideraciones ético-legales Confidentiality and the medical record: Ethical-legal considerations
J. Antomás,S. Huarte del Barrio
Anales del Sistema Sanitario de Navarra , 2011,
Abstract: La confidencialidad es un aspecto clave de la relación entre profesionales sanitarios y pacientes. Supone la cesión del paciente de una parte reservada de sí mismo y los principios éticos de autonomía y no maleficencia están íntimamente ligados con su preservación. También numerosas normas legales obligan al secreto profesional, imponiendo en algunos casos duras sanciones a menudo desconocidas. Al ser la historia clínica el documento donde la relación con el paciente queda reflejada, requiere de una protección extraordinaria por la naturaleza especialmente sensible de la información en ella contenida. Es preceptivo para el profesional que la elabora conocer algunos aspectos básicos de las leyes fundamentales que la regulan en diferentes aspectos. En este artículo se hace un repaso por cuestiones que a veces resultan conocidas en abstracto, pero que están recogidas en la normativa legal, como son la propiedad de la historia clínica, las anotaciones subjetivas, su custodia y rectificación o quién y para qué se puede acceder a la misma. Confidentiality is a key aspect in the relationship between health professionals and patients. It involves the cession by the patient of a reserved part of herself and the ethical principles of autonomy and non-maleficency are closely linked to its preservation. There are also numerous legal regulations that make professional secrecy obligatory, in some cases imposing hard sanctions that are often not known about. As the medical record is the document where the relationship with the patient is recorded, it requires extraordinary protection due to the especially sensitive nature of the information it contains. It should be compulsory that the professional who works with it should know some basic aspects of the fundamental laws that regulate it in different aspects. This article reviews questions that at times are only known in the abstract, but that are contained in the legal regulations, such as ownership of the medical record, subjective annotations, its custody and rectification or who can have access to it and why.
Registros de enfermería sobre el sue?o y percepción de los pacientes en una unidad psiquiátrica: Estudio comparativo
Antomás,J.; Huarte,S.; Gárriz,C.;
Anales del Sistema Sanitario de Navarra , 2011, DOI: 10.4321/S1137-66272011000300004
Abstract: background. insomnia is a frequent problem in people who suffer from mental illnesses. the nursing staff control and register whether or not patients sleep. the aim of this article is to analyze the concordance between the perceptions of the patients of a psychiatric unit on the quality of sleep, and the notes in this respect contained in the nursing records. methods. a comparative study between the answers given by the patients of our unit to 126 questions on insomnia on specific nights, and what was reflected in their nursing records. a reduced version of the athens insomnia scale (ais-5) was used. results. the average value obtained according to the patients answers was higher (worse sleep) than that given by the nurses, both globally and by item. the nursing records showed much lower values than those given by the patient; pearsons correlation analysis gave a coefficient of 0.26. analysis of the degree of agreement provided an index of 0.13 that does not differ significantly from nil agreement. conclusions. there is a difference between the nursing observations and the subjective sensations of the patients about how they sleep. they indicate that they sleep worse than the nursing records reflect. external observation and self-perception are not antagonistic aspects, but two complementary aspects of patients sleep.
Geocronología, paleoambientes y paleosuelos holocenos en la región pampeana Holocene geochronology, paleoenvironments and paleosoils in the Pampean region
E. Fucks,R. Huarte,J. Carbonari,A. Figini
Revista de la Asociación Geológica Argentina , 2007,
Abstract: Las condiciones paleoambientales de la región pampeana durante el Holoceno, generaron diferentes superficies de estabilización del paisaje, permitiendo la formación de suelos tanto en ambientes de la llanura marina costera como en ambientes continentales. El análisis de diferentes perfiles geológicos en cuatro localidades y sus áreas de influencia en el NE y E de la provincia de Buenos Aires, permitieron identificar eventos pedogenéticos ubicados entre circa 4.500 a os AP - 3.500 a os 14C AP y circa 1.700 a os 14C AP, en ambientes de la llanura marina costera y eventos pedogenéticos en planicies de inundación, ubicados cronológicamente con posterioridad a los circa 8.500- 8.000 a os 14C AP, finalizando 2.000 a os 14C AP. La cronología radiocarbónica permitió también: 1) ubicar cronológicamente el tope de la depositación del Miembro Guerrero de la Formación Luján dentro del Holoceno temprano (circa 8.500 a os 14C AP); 2) ubicar el lapso máximo de depositación del sedimento denominado aluvio actual, desde el Holoceno tardío (circa 2.500 a os 14C AP) hasta los depósitos actuales donde se desarrolla un suelo muy incipiente; 3) datar eventos pedogenéticos dentro del aluvio actual en circa 1.700 a os 14C AP; 4) estimar el retiro del máximo transgresivo del Holoceno y el comienzo de condiciones fluviales (circa 4.500 - 4.200 a os 14C AP). The palaeoenvironmental conditions in the Pampean region during the Holocene, generated different surfaces of landscape stabilization, making possible the formation of soils in coastal marine plains and continental environments. The analyses of different geological profiles in four localities and areas of influence (NE and E of Buenos Aires province), permitted to identify pedogenetic events: 1) in coastal marine plain environments, located among circa 4500 - 3500 14C years BP and circa 1700 14C years BP; 2) in flood plains, located chronologically later to circa 8500 - 8000 14C years BP, finalizing circa 2000 14C years BP. Besides, the radiocarbon chronology permitted: 1) to locate the end of the depositation of the Guerrero Member of the Luján Formation inside the early Holocene, circa 8500 14C years BP; 2) to establish the age of the beginning of depositation of the Recent alluvial sediments, circa 2500 14C years BP ; 3) to date a pedogenetic event into the Recent alluvial, circa 1700 14C years BP; 4) to estimate the retreat of the Holocene transgressive maximum and the beginning of fluvial conditions, circa 4500 - 4200 14C years BP.
Registros de enfermería sobre el sue o y percepción de los pacientes en una unidad psiquiátrica: Estudio comparativo Nursing registers on sleep and patient perception in a psychiatric unit: A comparative study
J. Antomás,S. Huarte,C. Gárriz
Anales del Sistema Sanitario de Navarra , 2011,
Abstract: Fundamento. El insomnio es un problema frecuente en las personas que sufren enfermedades mentales. El personal de enfermería controla y registra si los pacientes duermen o no. El objetivo de este trabajo es analizar la concordancia entre las percepciones de los pacientes de una unidad psiquiátrica de agudos sobre la calidad de su sue o y las notas recogidas en el evolutivo de enfermería al respecto. Material y métodos. Estudio comparativo entre las respuestas dadas por pacientes de nuestra unidad a 126 cuestionarios sobre insomnio en noches concretas y lo reflejado en sus historias de enfermería. Se utilizó una versión reducida de la Escala Atenas de Insomnio (EAI-5). Resultados. El valor medio obtenido según las respuestas de los pacientes es superior (peor sue o) al dado por las enfermeras, tanto de manera global como por ítem. La historia de enfermería refleja valores mucho más bajos que los otorgados por el paciente, el análisis de correlación de Pearson proporcionó un coeficiente de 0,26. El análisis de grado de acuerdo proporcionó un ICC de 0,13 y no difiere de manera significativa al acuerdo nulo. Conclusiones. Hay discordancia entre las observaciones de enfermería y las sensaciones subjetivas de los pacientes sobre cómo duermen. Refieren dormir peor de lo que refleja la historia de enfermería. La observación externa y la autopercepción no son aspectos antagónicos, sino dos aspectos complementarios del sue o de los pacientes. Background. Insomnia is a frequent problem in people who suffer from mental illnesses. The nursing staff control and register whether or not patients sleep. The aim of this article is to analyze the concordance between the perceptions of the patients of a psychiatric unit on the quality of sleep, and the notes in this respect contained in the nursing records. Methods. A comparative study between the answers given by the patients of our unit to 126 questions on insomnia on specific nights, and what was reflected in their nursing records. A reduced version of the Athens Insomnia Scale (AIS-5) was used. Results. The average value obtained according to the patients answers was higher (worse sleep) than that given by the nurses, both globally and by item. The nursing records showed much lower values than those given by the patient; Pearsons correlation analysis gave a coefficient of 0.26. Analysis of the degree of agreement provided an index of 0.13 that does not differ significantly from nil agreement. Conclusions. There is a difference between the nursing observations and the subjective sensations of the patients about how they
Hydrodynamics in the wake of a pitching foil
R. Fernandez-Prats,F. J. Huera-Huarte
Physics , 2013,
Abstract: The effect of flexibility on the hydrodynamic loads and on the flow structures generated on a rectangular foil when oscillating in pitch has been studied. Hydrodynamic loads were measured with a 6-axes balance, and the flow structures were investigated by using a Digital Particle Image Velocimetry (DPIV). It is known from nature's fin based propulsion mechanisms, that appendage stiffness plays an important role in their propulsive efficiency. We have studied four different stiffnesses, ranging from completely rigid to highly flexible. Optimal efficiency has been observed for an intermediate case. In this case, a moderately stronger trailing-edge vortex system takes place. A very high level of flexibility of the foil results in a reduction of efficiency.
Nutrición parenteral intradiálisis en el enfermo renal crónico: Consenso SEN-SENPE
García de Lorenzo,A.; Arrieta,J.; Ayúcar,A.; Barril,G.; Huarte,E.;
Nutrición Hospitalaria , 2010,
Abstract: given the high prevalence of the hyponutrition state among haemodialysis patients and knowing that this implies an increase in the rates of infection, hospitalisation and hospital stay, which translates into an increase in global morbid-mortality, the spanish society of nephrology (sen) and the spanish society of parenteral and enteral nutrition (senpe) have reached a consensus on the indications, contraindications, and limitations of intra-dialysis parenteral nutrition (idpn.) this consensus considers idpn as a valid alternative to other types of nutritional support when these show their lack of efficacy. the bases are set regarding the timing of nutritional intervention with idpn, its ideal composition, the time of administration, its controls, follow-up schedules, and the time at which the nutritional support has to be discontinued.
Audición y lenguaje en ni os menores de 2 a os tratados con implantación coclear Hearing and speech in children under 2 years of age with a cochlear implant
M. Manrique,F.J. Cervera-Paz,A. Huarte,I. Martínez
Anales del Sistema Sanitario de Navarra , 2004,
Abstract: Fundamento. Valorar los resultados auditivos y de lenguaje en ni os con una sordera congénita tratados mediante implantación coclear antes de los 2 a os de edad y analizar las complicaciones surgidas en el proceso de selección, cirugía, programación y seguimiento de estos ni os. Material y métodos. Se estudiaron 130 ni os de forma prospectiva mediante la comparación de sus resultados individuales repetidos. Los ni os se dividieron en dos grupos de edad: menores de 2 a os (n=36) y ni os entre 2 y 6 a os (n=94). La valoración preoperatoria incluyó: 1. Historia, exploración física y ORL. 2. Valoración neuropediátrica, familiar y psicológica. 3. Potenciales auditivos troncoencefálicos. 4. Tomografía computarizada de alta resolución de pe ascos. 5. Consejo terapéutico y consentimiento informado. La audición y el lenguaje se valoraron, antes y anualmente después de la cirugía (hasta 5 a os), mediante pruebas logoaudiométricas en contexto cerrado y abierto, y con la prueba de Peabody y las escalas de Reynell. Resultados. La audición y el lenguaje mejoraron significativamente en todos los ni os, independientemente de su edad. Los resultados, sin embargo, fueron mejores en los ni os implantados antes de 2 a os. Las pruebas de lenguaje mostraron que el desarrollo del lenguaje en estos ni os es comparable al de ni os normo-oyentes. La tasa de complicaciones no aumentó en los ni os menores de 2 a os. Conclusiones. La implantación coclear antes de los 2 a os, ofrece unos resultados auditivos y de lenguaje mejores y más rápidos, en comparación con los alcanzados por ni os de mayor edad, sin aumento de las complicaciones. Background. To compare the auditory abilities and speech performance of children with a profound prelingual bilateral hearing impairment, treated with a cochlear implant (CI) before or after 2 years of age. To analyze the complications arising during the selection process of the children, or as a result of the implantation, programming and follow-up. Methods. Prospective cohort single-subject repeated-measures study of 130 children who received an implant at our center. The children were divided into two age groups: 0-2 (n=36), and 2-6 years of age (n=94). Preoperative evaluation included: 1. History, physical exploration, and ENT examination. 2. Neuropaediatric examination, family evaluation, and psychological assessment. 3. Auditory brainstem responses. 4. High resolution computed tomogram of temporal bones. 5. Counseling and informed consent. The children were evaluated prior to, and each year following, the intervention (for up to 5 years), using
Size of discs formed by wind accretion in binaries can be underestimated if the role of wind-driving force is ignored
Eric G. Blackman,Jonathan J. Carroll-Nellenback,Adam Frank,Martin Huarte-Espinosa,Jason Nordhaus
Physics , 2013, DOI: 10.1093/mnras/stt1628
Abstract: Binary systems consisting of a secondary accreting form a wind-emitting primary are ubiquitous in astrophysics. The phenomenology of such Bondi-Hoyle-Lyttleton (BHL) accretors is particularly rich when an accretion disc forms around the secondary. The outer radius of such discs is commonly estimated from the net angular momentum produced by a density variation of material across the BHL or Bondi accretion cylinder, as the latter is tilted with respect to the direction to the primary due to orbital motion. But this approach has ignored the fact that the wind experiences an outward driving force that the secondary does not. In actuality, the accretion stream falls toward a retarded point in the secondary's orbit as the secondary is pulled toward the primary relative to the stream. The result is a finite separation or "accretion stream impact parameter" (ASIP) separating the secondary and stream. When the orbital radius a_o exceeds the BHL radius r_b, the ratio of outer disc radius estimated as the ASIP to the conventional estimate a_o^{1/2}/r_b^{1/2}>1. We therefore predict that discs will form at larger radii from the secondary than traditional estimates. This agrees with the importance of the ASIP emphasized by Huarte-Espinosa et al. (2013) and the practical consequence that resolving the initial outer radius of such an accretion disc in numerical simulations can be less demanding than what earlier estimates would suggest.
Consanguinidad en Vizcaya.
C. Zudaire Huarte
Munibe Antropologia-Arkeologia , 1986,
Abstract: Se estudia la consanguinidad debida a los matrimonios verificados entre primos hermanos (4°), primos segundos (6°), tío - sobrina (3°) y tío - sobrina segunda (5°) (otros tipos son insignificantes) en los valles de Arratia y Carranza y en las poblaciones de la costa de Vizcaya; se establece el porcentaje de los diferentes tipos de consanguinidad, su evolución en el período que va del a o 1918 al 1966, y la contribución de cada grado al decrecimiento de la consanguinidad; finalmente se da el coeficiente de consanguinidad para cada población.
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