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Search Results: 1 - 10 of 83 matches for " Liset; "
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EL CUERPO COMO UNIDAD BIOLóGICA Y SOCIAL: UNA PREMISA PARA LA SALUD SEXUAL Y REPRODUCTIVA
REYES SáNCHEZ,GIOVANNA LISET;
Revista Colombiana de Antropología , 2009,
Abstract: this article reflects on the construction of the human body with respect to sexual and reproductive health. it presents an epistemological discussion on the importance for today’s medicine to understand the body from a non reductionist or homogeneous perspective, in order to formulate renewed health interventions in agreement with the cultural values and environmental conditions of the territories inhabited by the beneficiaries of sexual and reproductive health policies. the article refers to indigenous tikuna concepts of the body and body practices in the colombian amazon.
Patient organisations and the reimbursement process for medicines: an exploratory study in eight European countries
Janneke Noordman, Liset van Dijk, Roland Friele
BMC Health Services Research , 2010, DOI: 10.1186/1472-6963-10-45
Abstract: Sixty-eight patient organisations representing seven medical conditions, from ten Western European countries, were asked to participate in the study. The participating organisations reported their experiences in a web-based questionnaire.Twenty-one patient organisations completed the questionnaire (response rate: 31%), of which ten (47.6%) demanded reimbursement for medicines. Organisations demanding reimbursement were larger than those not demanding reimbursement. The main aim of these organisations was to create better accessibility of medicines for patients. Most organisations limited themselves to single actions. Only two engaged in multiple actions. Almost all organisations had general policies on cooperation with the pharmaceutical industry, with autonomy as the key feature. The patient organisations said they were reasonably successful and almost always satisfied with their own role in the reimbursement process.Our study has found that the role of European patient organisations in the reimbursement process still seems limited, especially for small patient organisations.Often, advanced and expensive medicines are not fully reimbursed. Stakeholders such as patient organisations may call for better reimbursement conditions [1,2]. The decision-making process regarding reimbursement differs between European countries. Differences also exist in the possibilities available to patient organisations to influence these decisions, depending on the reimbursement system of the country, the position of the patient organisation and the level of professionalization within the organisation [3]. Consequently, there are variations in reimbursement for medication between European countries. The Alzheimer associations, for example, state that access by European citizens to existing anti-dementia drugs is unequal. While in some countries, like Ireland and Sweden, all Alzheimer medicines are reimbursed without restrictions, other countries, such as the Netherlands and the UK exclud
Moderately overweight and obese patients in general practice: a population based survey
Liset van Dijk, Hanneke B Otters, Albertine J Schuit
BMC Family Practice , 2006, DOI: 10.1186/1471-2296-7-43
Abstract: Data were used from a representative survey of morbidity in Dutch general practice in 2001. Our study sample consisted of 8,944 adult respondents (18+ years) who participated in an extensive health interview. Interview data were linked to morbidity and prescription registration data from 95 general practices where respondents were listed. Body mass index (BMI) was calculated using self-reported height and weight. Analyses were controlled for clustering within practices as well as for socio-demographic and life style characteristics.Obesity (BMI ≥ 30 kg/m2) was observed in 8.9% of men and 12.4% of women; for moderate overweight (BMI 25-<30 kg/m2) these percentages were 42.2% and 30.4% respectively. Obese men and women were more likely to consult their GP than persons without overweight. This especially holds for diseases of the endocrine system, the cardiovascular system, the musculoskeletal system, the gastro-intestinal system, and skin problems. Related to this, obese men and women were more likely to receive drugs for the cardiovascular system, the musculoskeletal system, alimentary tract and metabolism (including, for example, antidiabetics), and dermatologicals, but also antibiotics and drugs for the respiratory system. For moderately overweight men and women (BMI 25-<30 kg/m2) smaller but significant differences were found for diseases of the endocrine system, the cardiovascular system, and the musculoskeletal system.Obesity increases the workload of Dutch general practitioners and the use of prescribed medication. The current increase in the prevalence of obesity will further increase the use of health care and related costs. Since a large majority of Dutch persons visit their GP over the course of one year, GPs' potential role in effective prevention strategies cannot be denied.Obesity is one of the main threats to public health in the Western world [1,2]. It is a well-known risk factor for coronary heart diseases and type 2 diabetes mellitus [e.g. [3-10]]. O
La promoción de salud en el plan de estudio de la carrera de Medicina en Cuba
Pupo ávila,Noria Liset; Hechavarría Toledo,Suiberto;
Educaci?3n M??dica Superior , 2012,
Abstract: an exploratory study using the contents analysis technique was conducted in the medical study curriculum, with the objective of demonstrating the presence of the health promotion theme. the objectives, skills, contents and their structuring were analyzed; the macrocurriculum and the microcurriculum were compared and five experts were interviewed. as a result, it was found that health promotion was present in 4 functions, 6 general objectives and 18 out of 26 selected programs. several difficulties were evident in operationalizing the skills and in structuring the contents and objectives. it was concluded that health promotion is explicitly present in the general functions and objectives, but not in the general skills or the subject curricula, due to the lack of definition of the skill "health promotion" and the inadequate logical structuring of this contents.
Estrategia Metodológica para la formación de las ni?as y los ni?os como promotores de salud en las familias
Pupo ávila,Noria Liset; Carvajal Rodríguez,Cirelda;
Revista Cubana de Salud Pública , 2009, DOI: 10.1590/S0864-34662009000400013
Abstract: introduction the formation of girls and boys as health promoters within the health promotion school contributes to modifying the unfavourable elements for the health conditions at home. objectives to diagnose the situation of the process of formation of girls and boys as health promoters in a health promotion school and to design a methodological strategy to make this formation feasible. methods qualitative research methods prevailed like expert′s criteria, literature review and situational diagnosis in "gonzalo de quesada" elementary school in the city of havana that involved students, parents, teachers, members of the managing council and selected experts. results there was not a previous methodological proposal for the formation of children as health promoters; in many cases teachers must be trained to form children as promoters; the actions of students in this field predominated at the school but not outside; the changes in the managing council of the schools go against the implementation and follow-up of this process. conclusions the formation of students as health promoters is encouraged by the organizational conditions existing in the health promotion health; however, the instructions to implement this process are not enough for the leading staff and the teachers as well. risk factors are identified in most of the families. the students have knowledge on the health topics but they do not have enough abilities to take actions as health promoters at home. a methodological strategy is designed as a useful tool in the formation of girls and boys as health promoters in their households, which may have positive impact on the change of lifestyles of the population.
Estrategia Metodológica para la formación de las ni as y los ni os como promotores de salud en las familias Methodological strategy for the formation of girls and boys as health promoters within their families
Noria Liset Pupo ávila,Cirelda Carvajal Rodríguez
Revista Cubana de Salud Pública , 2009,
Abstract: Introducción La formación de las ni as y los ni os como promotores de salud dentro de una Escuela Promotora de Salud contribuye a modificar los elementos desfavorables para la salud presente en los hogares. Objetivos Diagnosticar el estado del proceso de formación de ni os y ni as como promotores de salud en una Escuela Promotora de Salud y dise ar una estrategia metodológica que viabilice esta formación. Métodos Se utilizaron métodos predominantemente cualitativos de investigación: criterios de expertos, revisión bibliográfica y documental y un diagnóstico de situación en la escuela primaria "Gonzalo de Quesada" de Ciudad de La Habana que incluyó alumnos, padres, maestros, miembros del consejo de dirección y expertos seleccionados. Resultados No se conoce una propuesta metodológica para formar ni os promotores, los maestros en muchos casos necesitan ser capacitados para formar a los ni os como promotores, predominó el accionar de los alumnos dentro de la escuela pero no fuera de ella, los cambios que se producen en la dirección de las escuelas atenta contra la puesta en marcha y el seguimiento del proceso. Conclusiones La formación de los estudiantes como promotores de salud se favorece con las condiciones organizacionales existentes en la Escuela Promotora de Salud pero las orientaciones para este proceso son insuficientes para los directivos y docentes. En la mayoría de las familias se identifican elementos de riesgo para la salud de sus integrantes. Los estudiantes tienen conocimientos sobre los temas de salud pero no poseen habilidades que les permitan accionar como promotores de salud en el hogar. Se dise a una Estrategia Metodológica como una herramienta útil para la formación de las ni as y los ni os como promotores de salud de las familias, lo que puede tener una influencia positiva en el cambio de los estilos de vida de la población. Introduction The formation of girls and boys as health promoters within the Health Promotion School contributes to modifying the unfavourable elements for the health conditions at home. Objectives To diagnose the situation of the process of formation of girls and boys as health promoters in a Health Promotion School and to design a methodological strategy to make this formation feasible. Methods Qualitative research methods prevailed like expert′s criteria, literature review and situational diagnosis in "Gonzalo de Quesada" elementary school in the City of Havana that involved students, parents, teachers, members of the managing council and selected experts. Results There was not a previous methodological proposal
La promoción de salud en el plan de estudio de la carrera de Medicina en Cuba Health promotion in the curriculum of the medical studies in Cuba
Noria Liset Pupo ávila,Suiberto Hechavarría Toledo
Educaci?3n M??dica Superior , 2012,
Abstract: Se realizó un estudio exploratorio utilizando la técnica de análisis de contenidos al Plan de Estudio de la carrera de Medicina en Cuba, con el propósito de comprobar la presencia de la temática de promoción de salud (PS). Se analizaron los objetivos, habilidades, contenidos y su estructuración; se confrontaron el macro y el microcurrículo y se realizaron entrevistas a 5 expertos. Como resultado se encontró presencia de la PS en 4 funciones, 6 objetivos generales y 18 de los 26 programas seleccionados. Se evidenciaron dificultades en la operacionalización de las habilidades y la estructuración de contenidos y objetivos. Se concluyó que la PS está presente de forma explicita en las funciones y objetivos generales, pero no fue así en las habilidades generales ni en los programas de asignaturas debido a la falta de definición de la habilidad promover salud y la inadecuada estructuración lógica de esa materia. An exploratory study using the contents analysis technique was conducted in the medical study curriculum, with the objective of demonstrating the presence of the health promotion theme. The objectives, skills, contents and their structuring were analyzed; the macrocurriculum and the microcurriculum were compared and five experts were interviewed. As a result, it was found that health promotion was present in 4 functions, 6 general objectives and 18 out of 26 selected programs. Several difficulties were evident in operationalizing the skills and in structuring the contents and objectives. It was concluded that health promotion is explicitly present in the general functions and objectives, but not in the general skills or the subject curricula, due to the lack of definition of the skill "health promotion" and the inadequate logical structuring of this contents.
A New Look on Protein-Polyphenol Complexation during Honey Storage: Is This a Random or Organized Event with the Help of Dirigent-Like Proteins?
Katrina Brudzynski, Calvin Sjaarda, Liset Maldonado-Alvarez
PLOS ONE , 2013, DOI: 10.1371/journal.pone.0072897
Abstract: Honey storage initiates melanoidin formation that involves a cascade of seemingly unguided redox reactions between amino acids/proteins, reducing sugars and polyphenols. In the process, high molecular weight protein-polyphenol complexes are formed, but the mechanism involved remains unknown. The objective of this study was twofold: to determine quantitative and qualitative changes in proteins in honeys stored for prolonged times and in different temperatures and to relate these changes to the formation of protein-polyphenol complexes. Six -month storage decreased the protein content by 46.7% in all tested honeys (t-test, p<0.002) with the rapid reduction occurring during the first three month. The changes in protein levels coincided with alterations in molecular size and net charge of proteins on SDS –PAGE. Electro-blotted proteins reacted with a quinone-specific nitro blue tetrazolium (NBT) on nitrocellulose membranes indicating that quinones derived from oxidized polyphenols formed covalent bonds with proteins. Protein-polyphenol complexes isolated by size-exclusion chromatography differed in size and stoichiometry and fall into two categories: (a) high molecular weight complexes (230–180 kDa) enriched in proteins but possessing a limited reducing activity toward the NBT and (b) lower molecular size complexes (110–85 kDa) enriched in polyphenols but strongly reducing the dye. The variable stoichiometry suggest that the large, “protein-type” complexes were formed by protein cross-linking, while in the smaller, “polyphenol-type” complexes polyphenols were first polymerized prior to protein binding. Quinones preferentially bound a 31 kDa protein which, by the electrospray quadrupole time of flight mass spectrometry (ESI-Qtof-MS) analysis, showed homology to dirigent-like proteins known for assisting in radical coupling and polymerization of phenolic compounds. These findings provide a new look on protein-polyphenol interaction in honey where the reaction of quinones with proteins and polyphenols could possibly be under assumed guidance of dirigent proteins.
Does Parenteral Nutrition Influence Electrolyte and Fluid Balance in Preterm Infants in the First Days after Birth?
Liset E. Elstgeest,Shirley E. Martens,Enrico Lopriore,Frans J. Walther,Arjan B. te Pas
PLOS ONE , 2012, DOI: 10.1371/journal.pone.0009033
Abstract: New national guidelines recommend more restricted fluid intake and early initiation of total parenteral nutrition (TPN) in very preterm infants. The aim was study the effect of these guidelines on serum sodium and potassium levels and fluid balance in the first three days after birth.
Different Emotional Disturbances in Two Experimental Models of Temporal Lobe Epilepsy in Rats
Marion Inostroza, Elena Cid, Liset Menendez de la Prida, Carmen Sandi
PLOS ONE , 2012, DOI: 10.1371/journal.pone.0038959
Abstract: Affective symptoms such as anxiety and depression are frequently observed in patients with epilepsy. The mechanisms of comorbidity of epilepsy and affective disorders, however, remain unclear. Diverse models are traditionally used in epilepsy research, including the status epilepticus (SE) model in rats, which are aimed at generating chronic epileptic animals; however, the implications of different SE models and rat strains in emotional behaviors has not been reported. To address this issue, we examined the emotional sequelae of two SE models of temporal lobe epilepsy (TLE) – the lithium-pilocarpine (LIP) model and the kainic acid (KA) model – in two different rat strains (Wistar and Sprague-Dawley), which differ significantly in the pattern and extent of TLE-associated brain lesions. We found differences between LIP- and KA-treated animals in tests for depression-like and anxiety-like behaviors, as well as differences in plasma corticosterone levels. Whereas only LIP-treated rats displayed increased motivation to consume saccharin, both SE models led to reduced motivation for social contact, with LIP-treated animals being particularly affected. Evaluation of behavior in the open field test indicated very low levels of anxiety in LIP-treated rats and a mild decrease in KA-treated rats compared to controls. After exposure to a battery of behavioral tests, plasma corticosterone levels were increased only in LIP-treated animals. This hyperactivity in the hypothalamus-pituitary-adrenocortical (HPA) axis was highly correlated with performance in the open field test and the social interaction test, suggesting that comorbidity of epilepsy and emotional behaviors might also be related to other factors such as HPA axis function. Our results indicate that altered emotional behaviors are not inherent to the epileptic condition in experimental TLE; instead, they likely reflect alterations in anxiety levels related to model-dependent dysregulation of the HPA axis.
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