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Descripción clínica y epidemiológica de un grave brote de salmonelosis transmitida por alimentos
García-Huidobro,Diego; Carre?o,Mónica; Alcayaga,Sergio; Ulloa,Jenny;
Revista chilena de infectología , 2012, DOI: 10.4067/S0716-10182012000200002
Abstract: background: foodborne diseases have increased considerably. aim: to report a foodborne outbreak, remarking the importance of early notification to activate the epidemiological surveillance system. results: during february 2011 we observed a salmonella enteritidis outbreak. 31.6% of the cases were seen in the same emergency care unit where all required intravenous fluid rehydration, and 41.7% were hospitalized because of severe dehydration. in the emergency room 45.5% of cases required a second visit to be diagnosed correctly. discussion: physicians under report the cases of this disease, delaying the activation of the epidemiological surveillance system. conclusions: besides providing good treatment to patients, physicians need to be qualified to recognize foodborne diseases and communicate early the suspicion of an outbreak to the epidemiological surveillance system in order to prevent new cases of disease in the community.
Descripción clínica y epidemiológica de un grave brote de salmonelosis transmitida por alimentos Clinical and epidemiological description of severe outbreak of foodborne infection by Salmonella Enteritidis
Diego García-Huidobro,Mónica Carre?o,Sergio Alcayaga,Jenny Ulloa
Revista chilena de infectología , 2012,
Abstract: Introducción: Las enfermedades transmitidas por alimentos (ETA) han aumentado considerablemente. Objetivo: Reportar un grave brote de ETA destacando la importancia de la notificación precoz para la activación del sistema de vigilancia epidemiológica. Resultados: Durante febrero de 2011 se observó un brote de Salmonella Enteritidis. Un 31,6% de los casos fueron atendidos en un mismo servicio de urgencia, donde todos requirieron la administración de fluidos endovenosos y 41,7% fueron hospitalizados por deshidratación grave. El 45,5% de los casos necesitó de una segunda consulta para ser diagnosticados correctamente. Discusión: La identificación de pacientes integrantes de un brote de ETA es difícil en los servicios de urgencia y los médicos sub-reportan los casos, retrasando al sistema de vigilancia epidemiológica. Conclusiones: Junto con brindar un adecuado tratamiento, los médicos deben estar capacitados para reconocer las ETA y comunicar tempranamente la sospecha de un brote para prevenir nuevos casos en la comunidad. Background: Foodborne diseases have increased considerably. Aim: To report a foodborne outbreak, remarking the importance of early notification to activate the epidemiological surveillance system. Results: During February 2011 we observed a Salmonella Enteritidis outbreak. 31.6% of the cases were seen in the same Emergency Care Unit where all required intravenous fluid rehydration, and 41.7% were hospitalized because of severe dehydration. In the Emergency Room 45.5% of cases required a second visit to be diagnosed correctly. Discussion: Physicians under report the cases of this disease, delaying the activation of the epidemiological surveillance system. Conclusions: Besides providing good treatment to patients, physicians need to be qualified to recognize foodborne diseases and communicate early the suspicion of an outbreak to the epidemiological surveillance system in order to prevent new cases of disease in the community.
Short Report—The MDT Speed Date  [PDF]
Jenny Blythe
Creative Education (CE) , 2018, DOI: 10.4236/ce.2018.98093
Abstract: The importance of introducing both interprofessional education (IPE) and familiarity with the wider multidisciplinary team (MDT) roles cannot be underestimated in the undergraduate medical curriculum. This short report outlines an innovative method of teaching medical students about the role of the MDT in holistic patient management by way of a simulation “speed-date” and MDT meeting.
The Great Lapse: Climate Change, Water Resources and Economic Risks in the Great Lakes  [PDF]
Jenny Kehl
Journal of Water Resource and Protection (JWARP) , 2018, DOI: 10.4236/jwarp.2018.1011065
Abstract: The striking vastness of the world’s largest surface freshwater resource, the Laurentian Great Lakes, has generated the fallacy that they are not highly vulnerable to climate change. This fallacy has created a great lapse in our research and understanding of the effects of climate change on the Great Lakes, which are approaching critical environmental thresholds and jeopardizing ecosystem services. This article takes the novel approach of correcting the disconnect between the perception of vastness and the reality of vulnerability to climate change in the Great Lakes, and takes an additional novel step to link the water risks with the economic risks. The primary purpose is to demonstrate the interdependence of the freshwater ecosystem services affected by climate change with the economies that are highly dependent on those freshwater services in the Great Lakes region. Although many believe that environmental science or ethical arguments should be sufficient to warrant action on climate change, evidence shows that policy-makers are not compelled to generate advances unless there are strong economic components. This article highlights the leading edge of climate science for the Great Lakes, having conducted 32 in depth interviews with experts in microbiology, ecology, and limnology, among others, but it also adds substantively to previous work by providing economic evidence of water risks in the agricultural sector and energy sector, which constitute over $6 trillion in value and jobs that are specifically dependent on lakes waters. The article concludes by articulating three specific conclusions: the economic viability of the agricultural sector and the energy sector are jeopardized by loss of federal funding for climate change adaptation in the water sector; the existing policies such as between sectors such as the Farm Bill and Energy Future Bill are mal-aligned and should be aligned with the water sector; and negative environmental externalities including factors that exacerbate climate change should be incorporated into the true cost of water so we can more accurately conduct ecosystem valuation and, thus, address the true economic and environmental cost of climate change on the Great Lakes and our greatest water resources. This paper has not previously been published.
Brachyotum sertulatum, una especie nueva de Melastomataceae de Colombia
Ulloa Ulloa, Carmen
Anales del Jardín Botánico de Madrid , 2007,
Abstract: A new species of Melastomataceae, Brachyotum sertulatum C. Ulloa, from southern Colombia is described and illustrated. It is characterized by a conspicuous single row of large tubercles sub-marginal on the leaf blade above. It is endemic to the Páramo de las Papas in the Colombian massif (Macizo Colombiano), between the departments of Cauca and Huila at around 3400 m. Due to the restricted distribution and small population it is assigned the category of Endangered (EN). Se describe e ilustra Brachyotum sertulatum C. Ulloa, una especie nueva de Melastomataceae del sur de Colombia. Se caracteriza por una sola hilera de conspicuos tubérculos submarginales en el haz de las hojas. Es una especie endémica del Páramo de las Papas en el Macizo Colombiano, entre los departamentos de Cauca y Huila a unos 3400 m. Debido a su distribución restringida y a los escasos ejemplares conocidos se la incluye en la categoría de En Peligro (EN).
Reconfiguraciones conceptuales, políticas y territoriales en las demandas de autonomía de los pueblos indígenas en Colombia
Ulloa,Astrid;
Tabula Rasa , 2010,
Abstract: in colombia, indigenous people's basic demands include: autonomy and self-determination. however, autonomic dynamics led by various peoples on territorial control, their own jurisdical practices, plans of life, environmental management and food sovereignty consolidation pose challenges and issues. indigenous peoples' autonomy is influenced and related to local and transnational contexts, y to the current state changes (dynamics of economic development, armed conflic and processes of violence being fought at indigenous territories), which give rise to new reframings and conceptual, political and territorial boundaries. therefore, indigenous autonomy needs to be reconsidered as a complex process, and analyzed as a an indigenous relational autonomy, since it articulates with specific negotiations and particular circumstances with diverse actors, in local, national and global scopes, and with partial and located processes having particular political implications. this paper is focused in the claims for autonomy by peoples kogui, arhuaco, wiwa and kankuamo from santa marta snowy mountain range -snsm-.
RECONFIGURACIONES CONCEPTUALES, POLíTICAS Y TERRITORIALES EN LAS DEMANDAS DE AUTONOMíA DE LOS PUEBLOS INDíGENAS EN COLOMBIA
Astrid Ulloa
Tabula Rasa , 2010,
Abstract: En Colombia, entre las demandas básicas de los pueblos indígenas están la autonomía y la autodeterminación. Sin embargo, dinámicas autonómicas lideradas por diversos pueblos en torno a control territorial, jurisdicción propia, planes de vida, manejo ambiental y soberanía alimentaria, presentan desafíos y problemas en su consolidación. La autonomía de los pueblos indígenas está influenciada y relacionada con los contextos locales y transnacionales, y con las actuales transformaciones estatales (dinámicas del desarrollo económico, conflicto armado y procesos de violencia que se libran en territorios indígenas), las cuales generan nuevas reconfiguraciones y fronteras conceptuales, políticas y territoriales. Por lo tanto, se requiere repensar la autonomía indígena como un proceso complejo, y analizarla cómo una autonomía relacional indígena, dado que se articula con negociaciones especificas y circunstancias particulares con diversos actores, en ámbitos locales, nacionales y globales, y con procesos parciales y situados con implicaciones políticas particulares. Este texto se centraré en las demandas de autonomía de los pueblos kogui, arhuaco, wiwa y kankuamo de la de la Sierra Nevada de Santa Marta-SNSM.
La idea de ciudad en Salmona. A propósito de un análisis del Edificio de Posgrados de Ciencias Humanas Salmona′s idea of city Report on an analysis of the Human Science Postgraduate building
Ulloa Miguel
Bitácora Urbano-Territorial , 2011,
Abstract: El presente artículo es un estudio comparativo entre las Torres del Parque y el Edificio de Posgrados de la Facultad de Ciencias Humanas, en la Universidad Nacional de Colombia, de Rogelio Salmona. Se revisan en ambas obras la interacción entre edificio y ciudad, al recurrir a aspectos de carácter social como “el encuentro con el otro” y la política. Esperamos encontrar esa idea primigenia, referida a la ciudad, que da sustento a la obra de este arquitecto que, a nuestro juicio, tiene que ver con la noción griega de polis. This article is a comparative study between the Park Towers and the building of Postgraduate Studies of Human Sciences Faculty, at the National University of Colombia designed by the architect Rogelio Salmona. Reviewing both constructions the interaction between building and city, and by the use of social aspects as ‘the encounter with the other’ and the politics, we hope to find that original idea, referred to the city, which sustains conceptually the work of this architect, which we believe concerns to the Greek notion of polis.
Aspectos laborales en la ley de libertad religiosa y su reglamento
Daniel Ulloa
Derecho PUCP , 2012,
Abstract: Labor Issues in the religious freedom act and its regulation This text reviews the constitutional and legal regulation of religious freedom, considering the definition of its content established by the Constitutional Court and its application in the labor contracts, both common and those involving an ideological employer or with ideological trend En el presente texto se repasa la regulación constitucional y legal de la libertad religiosa, considerando la definición de su contenido establecida por el Tribunal Constitucional y su aplicación en las relacionales laborales, tanto comunes como en aquellas que involucran a un empleador ideológico o de tendencia.
Empirical Verification of Swanson’s Caring Processes Found in Nursing Actions: Systematic Review  [PDF]
Mary Kalfoss, Jenny Owe
Open Journal of Nursing (OJN) , 2015, DOI: 10.4236/ojn.2015.511104
Abstract: Caring has long been recognized as central to nursing and is increasingly posited as a core concept although developing a theoretical description of caring which is adequate in the 21st. century continues to be a difficult task for nursing scholars. Consequently, verifying existing theoretical structures of caring remains an ongoing challenge. The aim of this article is to provide empirical verification of the caring processes of “knowing,” “being with,” “doing for,” “enabling” and “maintaining belief” from Swanson’s Middle Range Caring Theory based on the categorization of nursing actions from a systematic literature review on care. Methods: A systematic literature review was conducted in the fields of nursing sciences, medicine and psychology. Purposeful sampling was carried out covering a period from 2003-2013. The final sample included 25 articles. Results: Major themes of nursing actions included “knowing” which consisted of centering, nurturing, informed understanding, assessment skills, communication and respect for individual differences. “Being with” was characterized by intimate relationship, connecting, presencing, emotional adaptability awareness of self/other and decentering. “Doing for” included competence, knowledge, professional/technical skills, helping actions, anticipatory, multidisciplinary and preserving dignity. “Enabling” was characterized by self care, commitment, complexity of care, appropriate communication, information/education, sharing power, enabling choice and ongoing validation. Finally, “maintaining belief” was characterized by spiritual being, humanistic view, harmonious balance, hope, love, and compassion, meaning, and religious and spiritual orientation. Conclusion: Empirical verification was shown for the caring processes described in Swanson’s Caring Theory grounded in concrete nursing actions.
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