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Search Results: 1 - 10 of 642367 matches for " José María Riesco-López "
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Efficacy and safety of ERCP in a low-volume hospital Eficacia y seguridad de la CPRE en un hospital con bajo volumen
José María Riesco-López,Manuel Vázquez-Romero,Juana María Rizo-Pascual,Miguel Rivero-Fernández
Revista Espa?ola de Enfermedades Digestivas , 2013,
Abstract: Background and aims: there is little scientific evidence on the outcomes of endoscopic retrograde cholangiopancreatography (ERCP) performed in low-volume hospitals; however, in our country, it is growing up its implementation. The objectives of our study were to evaluate the efficacy and safety of this technique performed by two endoscopists with basic training in a center of this nature and analyze the learning curve in the first procedures. Patients and methods: single-center retrospective study of the first 200 ERCP performed in our hospital (analyzing the evolution between the first 100 and 100 following procedures), comparing them with the quality standards proposed in the literature. Results: from February 2009 to April 2011, we performed 200 ERCP in 169 patients, and the most common indications were: Choledocholithiasis (77 %), tumors (14.5 %) and other conditions (8.5 %). The cannulation rate rose from 85 % in the first 100 ERCP to 89 % in the next 100 procedures, clinical success from 81 % to 87 %, decreasing the post-ERCP acute pancreatitis rate from 11 % to 4 %, upper gastrointestinal bleeding (UGIB) from 3 % to 2 % and acute cholangitis from 4 % to 1 %. There was a death from a massive UGIB in a cirrhotic patient in the first group of patients and a case of biliary perforation resolved by surgery in the second one. Conclusions: the results obtained after performing 200 procedures support the ability to practice ERCP in low-volume hospitals obtaining levels of efficacy and safety in accordance with published quality standards. Introducción y objetivos: existe poca evidencia científica sobre los resultados de la CPRE realizada en hospitales con bajo volumen, sin embargo su puesta en marcha en nuestro medio es creciente. Los objetivos de nuestro estudio son evaluar la eficacia y seguridad de dicha técnica realizada por dos endoscopistas biliares noveles en un centro de estas características y analizar la curva de aprendizaje en los primeros procedimientos. Pacientes y métodos: estudio retrospectivo de las primeras 200 CPRE practicadas en nuestro hospital, analizando la progresión entre los 100 primeros procedimientos y los 100 segundos, comparándolos con los estándares de calidad propuestos en la literatura. Resultados: desde febrero de 2009 hasta abril de 2011 se realizaron 200 procedimientos a 169 pacientes con las siguientes indicaciones: coledocolitiasis (77 %), neoplasias (14,5 %) y otras patologías (8,5 %). La tasa de canulación ascendió del 85 % en las 100 primeras CPRE al 89 % en las siguientes, el éxito clínico del 81 % al 87 %, dismin
The Impact of Emotional Intelligence on Nursing: An Overview  [PDF]
José María Augusto Landa, Esther López-Zafra
Psychology (PSYCH) , 2010, DOI: 10.4236/psych.2010.11008
Abstract: In this paper we focus on the role that Emotional Intelligence has on nursing. We pay attention to both students and professionals and the role emotional intelligence has on emotional self-concept and burnout. Our studies with nursing students yield positive relations between the Clarity and Emotional Repair components of Perceived Emotional Intelligence and all scales of the self-concept scale. On the other hand, nursing professionals that have clear feelings about their emotions and situations that occur, and are capable of dealing with those emotions, have lower levels of stress in their work. Also, those nurses who show a high ability to curtail their negative emotional states and prolong positive emotional states show higher levels of overall health than those individuals who have trouble regulating their emotions. Our results imply that the emotional and cognitive dimensions have to be taken into account in future training programs for nursing professionals and students
Subjective Aspects of Burnout Syndrome in the Medical Profession  [PDF]
José Manuel García-Arroyo, María Luisa Domínguez-López
Psychology (PSYCH) , 2014, DOI: 10.4236/psych.2014.518209
Abstract: Burnout is a syndrome related to work over load and associated, generally, with the helping professions. Here we will study it in relation to the medical profession, considering the doctor’s personal aspects. For this purpose, we start with a group of physicians treated psychotherapeutically for suffering from burnout. The method is qualitative and consists of recording as accurately as possible the verbal expressions of the patients. Since there was plenty of verbal material waste, we had to differentiate between “useful statements” (type I) and “useless” (type II), whose characteristics we defined exactly. As a result we find that these professionals show emotional mismanagement due to lack of subjective recognition of affective experiences. This causes an overflow that physically manifests itself in the absence of any mental processing, resulting eventually in the triad features of the syndrome. Subjectively, we find the origin of this in the “medical ideals” that hinder these professionals from recognizing the above mentioned experiences since they consider them as inadequate for the performance of their work and contravene their values. At the same time, these subjects were busy helping others, but were unable to help themselves or ask for help.
Percepciones sociales ambientales: Valores y actitudes hacia la conservación de la Reserva de Biosfera "Parque Atlántico Mar Chiquita" - Argentina
Bertoni,Marcela; López,María José;
Estudios y perspectivas en turismo , 2010,
Abstract: the declaration of the biosphere reserve in mar chiquita supposes the continuation of the traditional life in intimate union with the environment that surrounds the inhabitants of the area. the changes required to reach the sustainability can affect substantial aspects of the local community, reason for which consents and social commitments are needed for the achievement of these objectives. in this context the problem question is to what extent it is possible to defend the use option and conservation of the nature in a community keeping in mind the different perceptions socio-cultural regarding what, how and when it should be conserved. the aim is to investigate the environmental perception, the values assigned to the reservation and the residents environmental attitudes of mar chiquita. for it, part of the results obtained of a survey to the resident population is presented. the results show a positive assessment of the place's environmental quality in which they live and a committed attitude pro environmental of the residents. it settles down a significant potentiality for consolidation of the identity and the environmental conscience of the community of mar chiquita.
La Escuela Histórica del Derecho madrile?a: Eduardo de Hinojosa y Claudio Sánchez-Albornoz
López Sánchez,José María;
Cuadernos de historia de Espa?±a , 2007,
Abstract: the foundation of the junta para ampliación de estudios (1907) and the centro de estudios históricos (1910) was of use to a group of spanish researchers and intellectuals, who aimed to revitalize the studies of scientific disciplines in spain. eduardo de hinojosa and claudio sánchez-albornoz were heads of a historical juridical school in the centro de estudios históricos, which became an outstanding model for scientific work in spain. that school was devoted to give the country a new interpretation of its history and cultural roots.
Juan Bautista Juanini: análisis químico de la contaminación del aire en Madrid (1679)
López Pi?ero,José María;
Revista Espa?ola de Salud Pública , 2006, DOI: 10.1590/S1135-57272006000200016
Abstract: the first in a series of highlights from public health classics in spain features the milanese-born physician juan bautista juanini, who authored the book discurso in 1679 on the chemical analysis of the air pollution in madrid, which was translated into french in 1685. juanini was a follower of the yatrochemical system, although his work was not however confined to subserviently copying the doctrines of thomas willis and fran?ois de le boe (sylvius). he incorporated different new aspects, the most important of which having been john mayow's theory of the ?spiritus nitro-aeriens?', a formulation predating the discovery of oxygen, of which he was one of the staunchest defenders in europe. juanini contributed decisively to the scientific renewal of spanish medicine. his discurso was the first totally ?modern? medical book published in our country, many aspects of the novator (innovator) movement initiated eight years later having first been outlined therein.
Gaspar Casal: descripción ecológica de la pelagra, primera enfermedad carencial
López Pi?ero,José María;
Revista Espa?ola de Salud Pública , 2006, DOI: 10.1590/S1135-57272006000400010
Abstract: the third in a series of highlights from public health classics in spain features gaspar casal (1680-1759), who discovered pellagra, the leading deficiency disease, in nosological terms, in his surrounding environment.
Los orígenes de los estudios sobre la salud pública en la Espa?a renacentista
López Pi?ero,José María;
Revista Espa?ola de Salud Pública , 2006, DOI: 10.1590/S1135-57272006000500003
Abstract: a very brief synthesis is provided of the findings of the historical research the author first began more than forty years ago as to the initial beginnings of the studies on public health in renaissance spain. the role played by royal power from the standpoint of the beginnings of the modern state, the influence of hippocratic environmentalism, keeping up cleanliness-related privileges at the personal level, the first beginnings of hygiene on a widespread basis in related to the plague epidemics and the contributions to medical care conditioned by the change in poverty-related values are discussed in turn.
Errores de medicación y gestión de riesgos
Otero López,María José;
Revista Espa?ola de Salud Pública , 2003, DOI: 10.1590/S1135-57272003000500003
Abstract: healthcare risks in general, and those related to medication errors in particular, constitute a serious problem with consequent human, medical, and economic repercussions which healthcare authorities are recognizing and addressing as priority matters in some countries. however, though the magnitude of the problem is similar in spain, this country has yet to become fully aware of the transcendence of the situation. risk management activities in healthcare centers are presently evolving as risk managers adopt preventive and proactive approaches requiring the collaboration of other healthcare professionals in developing risk reduction programs, including those focused on medication error prevention. this article briefly describes the principal bases for safety improvement strategies, and outlines a risk management program for medication error prevention in hospitals. in short, it is assumed that risk managers form part of a team whose job it is to analyze incidents when they occur, use this information to establish actions for improving healthcare services through risk reduction, and ensure that the principles of risk management form an integral part in the activities and the culture of organizations. the final result of risk management is the establish ment and maintenance of significant system changes which enhance the quality of healthcare services and achieve greater patient safety.
Francisco Gavaldá, adelantado en el estudio social y estadístico sobre la peste (1679)
López Pi?ero,José María;
Revista Espa?ola de Salud Pública , 2006, DOI: 10.1590/S1135-57272006000300010
Abstract: in 1651, francisco gavaldá (1618-1686) authored the first social statistics study on the bubonic plague which scourged western europe in the mid-seventeenth century, specifically the plague having racked valencia in 1647. gavaldá was, in fact the first to study the plague not only statistically, but also from a social standpoint, denouncing the fact that it especially affected the poor, totally independently of the interests of the powerful.
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