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Search Results: 1 - 10 of 95793 matches for " José Luis; Sainz Alonso "
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Estudio comparativo de flujos y resistencias de catéteres para hemodiálisis usando bioconectores luer-lock Comparative study of flows and resistances of haemodialysis catheters using luer lock bioconnectors
José Luis Cobo Sánchez,Ma Elena Incera Setién,Ma Yolanda Vicente Jiménez,Rosana Sainz Alonso
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2010,
Abstract: El objetivo de este trabajo es evaluar los flujos y resistencias al usar dos tipos de bioconectores luer-lock para catéteres de hemodiálisis. Como objetivos secundarios se pretende evaluar los cambios en la coagulación del sistema, el tiempo empleado en la conexión/desconexión y la opinión de enfermería respecto a su utilización. Material y métodos: estudio experimental aleatorizado en 10 pacientes en hemodiálisis, 5 con bioconector Tego (grupo A) y 5 con BD QSyte (grupo B), a lo largo de 12 sesiones consecutivas (6 con bioconectores y 6 con conexión directa al monitor). Se estudian las siguientes variables: sociodemográficas, tipo de técnica de hemodiálisis, flujos de sangre, presión venosa, Kt, KtV, coagulación del sistema, tiempo empleado en la conexión/desconexión y la opinión del personal de enfermería. Resultados: La muestra se compuso de 6 mujeres y 4 hombres, con una edad media 62 a os y un tiempo medio en hemodiálisis de 4,2 a os. En el grupo A, no existieron diferencias estadísticamente significativas entre los flujos de sangre, las presiones venosas y las dosis de diálisis. El grupo B presentó diferencias estadísticamente significativas en los flujos de sangre y en las presiones venosas. No hubo diferencias entre el uso de bioconectores y la conexión directa al catéter en la coagulación del sistema. Los tiempos de conexión y desconexión disminuyeron en ambos grupos. El personal de enfermería opinó que la comodidad en el uso de bioconectores era: mucha (82%), bastante (9%) e igual que sin ellos (9%). Conclusiones: Las tiempos de conexión y desconexión disminuyen con la utilización de bioconectores. El bioconector Tego , ofrece mejores flujos sanguíneos y menores resistencias venosas. The aim of this study is to evaluate flows and resistances when using two types of luer lock bioconnectors for haemodialysis catheters. As secondary objectives, the study seeks to evaluate the changes in the coagulation of the system, connection/disconnection time and the opinion of nursing staff on their use. Material and methods: randomized experimental study of 10 patients undergoing haemodialysis, 5 with Tego bioconnectors (group A) and 5 with BD Q-Syte (group B), over 12 consecutive sessions (6 with bioconnectors and 6 directly connected to the monitor). The following variables were studied: sociodemographic, type of haemodialysis technique, blood flows, venous blood pressure, Kt, KtV, coagulation of the system, time used in connecting/ disconnecting and the opinion of nursing staff. Results: The sample comprised 6 women and 4 men, with an average age of
Estudio comparativo de incidencia de bacteriemias relacionadas con el catéter de hemodiálisis: bioconectores frente a conexión directa Comparative study of the incidence of bacteraemia related to the haemodialysis catheter: bioconnectrs versus direct connection
José Luis Cobo Sánchez,Rosa Ana Sainz Alonso,Ma Yolanda Vicente Jiménez,Hortensia Cepa García
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2011,
Abstract: Objetivo: Comparar la tasa de bacteriemias relacionadas con el catéter de hemodiálisis entre el uso de bioconectores y la conexión directa. Metodología: Estudio retrospectivo comparativo transversal durante un periodo de 2 a os consecutivos (1 a o con conexión directa - Febrero 2009 a Febrero 2010- y 1 a o utilizando bioconectores Tego -Marzo 2010 a Marzo de 2011- ) en los pacientes en hemodiálisis de nuestra unidad que portaban un catéter como acceso vascular permanente. El protocolo de conexión y desconexión de los catéteres durante el periodo de estudio fue el mismo, a excepción de la solución de desinfección empleada: povidona iodada en la conexión directa y clorhexidina al 2% usando bioconectores. Se definió como bacteriemia relacionada con el catéter la aparición de fiebre junto con un hemocultivo positivo, en ausencia de otro foco de infección. Resultados: Se estudiaron 69 pacientes: 36 durante el periodo de conexión directa y 33 durante el periodo del uso de bioconectores. Seis pacientes fueron estudiados durante ambos periodos. La tasa de bacteriemia durante el periodo de conexión directa fue de 24,6 bacteriemias/1000 catéteres-día (9 bacteriemias), mientras que durante el periodo de uso de bioconectores fue de 5,47 bacteriemias/1000 catéteres-día (2 bacteriemias), (p= 0,036). El microorganismo causal más común durante el periodo de conexión directa fue el Staphyloccocus aureus (3 pacientes) junto con el Staphyloccocus coagulasa negativo (3 pacientes). Conclusiones: El uso de bioconectores disminuye de forma significativa la tasa de bacteriemias relacionadas con el catéter de hemodiálisis frente a la conexión directa. Objective: To compare hemodialysis catheter-related bacteremia rate between bioconectors use and direct connection. Methodology: Comparative, retrospective and cross-sectional study over 2 consecutive years (one year with direct connection - 2009 February to 2010 February - and 1 year using bioconectors Tego -2010 March to 2011 March-) in hemodialysis patients in our unit with a permanent catheter as vascular access. Catheters connection and disconnection protocol was the same during the study period, except for the disinfecting solution used: iodine povidone was using in direct connection, and 2% chlorhexidine was using with bioconectors. Catheter-related bacteremia was defined as onset of fever with a positive blood culture in the absence of another infection source. Results: 69 patients were studied: 36 during direct connection period and 33 during use bioconectors period. Six patients were studied during both periods. Bacter
Estudio comparativo de biocompatibilidad entre la hemodiafiltración en línea y la hemodiafiltración con reinfusión endógena
Cobo Sánchez,José Luis; Pelayo Alonso,Raquel; Menezo Viadero,Raquel; Cuadrado Mantecón,Ma Eugenia; Villa Llamazares,Camino; Gándara Revuelta,Magdalena; Cepa García,Hortensia; Saenz de Buruaga Perea,Araceli; Incera Setién,Ma Elena; Sainz Alonso,Rosa Ana; Vicente Jiménez,Ma Yolanda; Sánchez Cano,Ma Soraya; García Martínez,Mirian; Alonso Nates,Rosa; Paule Pe?asco,Blanca Amalia;
Enfermería Nefrológica , 2012,
Abstract: aim: to compare biocompatibility between online hemodiafiltration (hdf) and hemodiafiltration with endogenous reinfusion. methods: observational comparative study in a population of 15 chronic hemodialysis patients randomly selected among the patients in our unit. we compared changes in hematological profile, crp level and vital signs, pre and post hemodialysis, after undergoing both hemodiafiltration techniques. comparing the differences between the parameters studied before and after each hemodialysis technique. results: platelet levels decreased more in the hdf (hdf -1,33 vs hfr -19,73 x103/mm3, p=0,005). leukocyte levels decreased in the hdf and increased with hfr (hdf -0,46 vs hfr +0,8 x103/mm3; p=0,006). regarding the leukocyte formula had mixed results: segmented hdf -1,7 vs hfr +5,4%, p<0,001; lymphocytes hdf +1,96 vs hfr -3,62%, p<0,001. with the hfr decreased crp levels less (hdf -0,05 vs hfr -0,001 mg/dl; p= ns). regarding vital signs, systolic blood pressure decreased more in the hfr than hdf (hdf -9,93 vs hfr -10,33 mmhg; p<0,001), conversely that the diastolic blood pressure (hdf -5,2 vs hfr -3 mmhg; p=0,007), and heart rate (hdf -1,46 vs hfr +1,73 lpm; p=ns). body temperature increased more with the hdf that the hfr (hdf +0,35 vs hfr +0,06 oc; p=ns). conclusions: according to our results the hfr seems more biocompatible than the hdf, probably derived by exogenous reinfusion of hdf.
Estudio comparativo de incidencia de bacteriemias relacionadas con el catéter de hemodiálisis: bioconectores frente a conexión directa
Cobo Sánchez,José Luis; Sainz Alonso,Rosa Ana; Vicente Jiménez,Ma Yolanda; Cepa García,Hortensia; Pelayo Alonso,Raquel; Menezo Viadero,Raquel; Ibarguren Rodríguez,Emilio; Pérez Garmilla,Ana Isabel; Rojo Tordable,Marina; Begines Ramírez,Ana; Sola García,Ma Teresa; Alonso Nates,Rosa;
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2011, DOI: 10.4321/S1139-13752011000400004
Abstract: objective: to compare hemodialysis catheter-related bacteremia rate between bioconectors use and direct connection. methodology: comparative, retrospective and cross-sectional study over 2 consecutive years (one year with direct connection - 2009 february to 2010 february - and 1 year using bioconectors tego? -2010 march to 2011 march-) in hemodialysis patients in our unit with a permanent catheter as vascular access. catheters connection and disconnection protocol was the same during the study period, except for the disinfecting solution used: iodine povidone was using in direct connection, and 2% chlorhexidine was using with bioconectors. catheter-related bacteremia was defined as onset of fever with a positive blood culture in the absence of another infection source. results: 69 patients were studied: 36 during direct connection period and 33 during use bioconectors period. six patients were studied during both periods. bacteremia rate during direct connection period was 24.6/1000 catheters-day (9 bacteremia), while during the using bioconectors period, bacteremia rate was 5.47/1000 catheters-day (2 bacteremia) (p = 0.036). staphylococcus aureus (3 patients) and staphylococcus coagulase negative (3 patients) were the most common infectious agents during direct connection period. conclusions: use of bioconectors significantly decreases the rate of bacteremia catheter-related in hemodialysis patients versus direct connection.
Factores sociológicos y calidad de vida relacionada con la salud en pacientes en hemodiálisis
Cobo Sánchez,José Luis; Pelayo Alonso,Raquel; Ibarguren Rodríguez,Emilio; Aja Crespo,Ainhoa; Saenz de Buruaga Perea,Araceli; Incera Setién,Ma Elena; Vicente Jiménez,Ma Yolanda; Sainz Alonso,Rosa Ana; Merino González,Lucía; Serrano Rubio,Ana Isabel; Pérez Garmilla,Ana Isabel; Alonso Nates,Rosa;
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2011, DOI: 10.4321/S1139-13752011000200004
Abstract: objective: to evaluate the influence of sociological factors on the perceived health related quality of life among hemodialysis patients in our unit. methodology: prospective, descriptive and cross-sectional study in hemodialysis patients who had been at least 3 months on chronic treatment. euroqol-5d was used as a measuring instrument. as sociological dependent variables were studied: age, sex, marital status, cohabitation, educational level and monthly income. results: forty-seven patients were studied: 67% men, mean age 62 ± 15 years. sixty-three percent suffered some type of moderated pain / discomfort, and 49% were anxious / depressed to varying degrees. neither sex nor educational level correlated with any parameter of the euroqol-5d. married people had worse scores in terms of vas (p = 0.012), anxiety / depression (p = 0.002) and perceived health status in the past year (p = 0.016). those who lived alone had better scores on the vas (p = 0.062) and less pain / discomfort (p = 0.075). income level was inversely correlated with personal hygiene problems (p = 0.016). patients over 65 years had poorer perception of health status that patients under 65 years (p = 0.006). conclusions: nearly 70% of patients have pain / discomfort, and nearly half are anxious or depressed. sociological variables that influence the quality of life related to health in hemodialysis patients are age, cohabitation, marital status and income level.
Estudio comparativo de flujos y resistencias de catéteres para hemodiálisis usando bioconectores luer-lock
Cobo Sánchez,José Luis; Incera Setién,Ma Elena; Vicente Jiménez,Ma Yolanda; Sainz Alonso,Rosana; Sáenz de Buruaga Perea,Araceli; Díez Rumayor,Modesto; Menezo Viadero,Raquel; Gándara Revuelta,Magdalena; Cuadrado Mantecón,Ma Eugenia; Villa Llamazares,Camino; Alonso Nates,Rosa;
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2010, DOI: 10.4321/S1139-13752010000100004
Abstract: the aim of this study is to evaluate flows and resistances when using two types of luer lock bioconnectors for haemodialysis catheters. as secondary objectives, the study seeks to evaluate the changes in the coagulation of the system, connection/disconnection time and the opinion of nursing staff on their use. material and methods: randomized experimental study of 10 patients undergoing haemodialysis, 5 with tego? bioconnectors (group a) and 5 with bd q-syte? (group b), over 12 consecutive sessions (6 with bioconnectors and 6 directly connected to the monitor). the following variables were studied: sociodemographic, type of haemodialysis technique, blood flows, venous blood pressure, kt, ktv, coagulation of the system, time used in connecting/ disconnecting and the opinion of nursing staff. results: the sample comprised 6 women and 4 men, with an average age of 62 and an average time on haemodialysis of 4.2 years. in group a, there were no statistically significant differences between blood flows, venous blood pressure and dialysis dose. group b showed statistically significant differences in blood flows and venous blood pressure. there were no differences between the use of bioconnectors and direct connection to the catheter in the coagulation of the system. connection and disconnection times were reduced in both groups. nursing staff considered that the convenience of the use of bioconnectors was: very convenient (82%), quite convenient (9%) the same as without them (9%). conclusions: connection and disconnection times fall with the use of bioconnector. the tego? bioconnector offers better blood flows and lower venous resistance.
La historia clínica electrónica: ideas, experiencias y reflexiones
Alonso Lanza,José Luis;
ACIMED , 2005,
Abstract: due to the need of adopting or developing a system for the electronic management of the medical histories of the psychiatric hospital in havana, a review of the literature available at the national and international level was made. from the technical point of view, this process requires the designing of a database and a system that meet both the institution's information requirements and the objective necessity of a national medical information system, of a link to that system, that is still hypothetical, but undoubtedly real. this will force each hospital subsystem of medical history management to be designed in a way in which they are not isolated from the national system and they are not based on individual criteria, but on normalized systems aimed at being easily linked to a national intranet to which the family physician's offices will be integrated on a second phase.
La historia clínica electrónica: ideas, experiencias y reflexiones Electronic medical histories: ideas, experiences, and reflections
José Luis Alonso Lanza
ACIMED , 2005,
Abstract: Debido a la necesidad de desarrollar o adoptar un sistema para el manejo electrónico de las historias clínicas del Hospital Psiquiátrico de La Habana, se revisó la literatura sobre el tema, tanto a escala nacional como internacional. Desde el punto de vista técnico, la automatización de los registros médicos del Hospital Psiquiátrico de La Habana, implica dise ar una base de datos y un sistema que responda, tanto a las necesidades de información de la institución como a la como necesidad objetiva de un sistema nacional de información médica, de un medio de enlace a ese sistema, hoy hipotético pero necesariamente real. Ello obliga a que cada subsistema hospitalario de manejo de registros médicos no se dise e en forma aislada y con criterio propio, sino en forma normalizada con el objetivo de enlazar posteriormente con facilidad cada uno de ellos en una intranet nacional, donde en una segunda fase, se integrarían los consultorios médicos. Due to the need of adopting or developing a system for the electronic management of the medical histories of the Psychiatric Hospital in Havana, a review of the literature available at the national and international level was made. From the technical point of view, this process requires the designing of a database and a system that meet both the institution's information requirements and the objective necessity of a national medical information system, of a link to that system, that is still hypothetical, but undoubtedly real. This will force each hospital subsystem of medical history management to be designed in a way in which they are not isolated from the national system and they are not based on individual criteria, but on normalized systems aimed at being easily linked to a national intranet to which the family physician's offices will be integrated on a second phase.
Las políticas de industrialización y su impacto en el desarrollo de las regiones en Espa a
José Luis Alonso Santos
Investigaciones geográficas , 2000,
Abstract: El desarrollo económico experimentado por Espa a desde inicios de los a os sesenta se basó en un extraordinario esfuerzo de industrialización y modernización económica con un marcado dirigismo estatal, tanto para estimular la iniciativa empresarial privada como para orientar la localización espacial de las nuevas empresas hacia los Polos de Desarrollo establecidos por la Administración del Estado. Además del desarrollo económico se pretendía reducir las fuertes diferencias territoriales existentes entre unas provincias y otras, entre unas regiones y otras. Fue un objetivo no logrado satisfactoriamente. La integración de Espa a en la Unión Europea entra a cambios muy profundos en la estructura espacia! del país y, sobre todo, en la regulación y funcionamiento de la economía espa ola y en la propia empresa industria!. Son las políticas de desarrollo regional descentralizadas. las protagonistas de fomento de la actividad económica e industrial. En este marco institucional, la iniciativa empresarial de cada territorio y sucapacidad para atraer inversión foranea productiva se revelan fundamentales para que las regiones se desarrollen a mayor o menor ritmo. En el articulo se pretende contrastar si la descentralización espacial de la industria tiene la fortaleza suficiente para contribuir a la reducción de los desequilibrios territoriales o, por el contrario, las regiones mas dinámicas en ei pasado siguen siendo las que tienen mayor capacidad industrial
América Central: contrastes entre el proceso demográfico, el crecimiento económico y el mercado de trabajo
Alonso Santos, José Luis
Estudios Geográficos , 2005,
Abstract:
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