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Search Results: 1 - 10 of 919041 matches for " M.a José Mu?oz París "
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Seminario integrado como metodología complementaria en la asignatura de Enfermería Geriátrica
Ruiz Márquez,Trinidad; Granados Gámez,Genoveva; Gutiérrez Izquierdo,M.a Isabel; Muoz París,M.a José;
Gerokomos , 2011, DOI: 10.4321/S1134-928X2011000300002
Abstract: the learning method know as "integrated seminar", was incorporated as a complementary method in the 3rd year nursing students' training at the university of almería, during the development of a research conducted in the degree. it aim was to adapt new degree curricula within the european higher education area framework. this method is based on problem based learning (pbl), and it is part of the subjects of geriatrics nursing, psychiatric nursing, community nursing and medical-surgical nursing, as a seminar that complements the received training. within the subject of geriatrics nursing, it allows students to integrate third-year knowledge (belonging to different subjects) to an old man, avoiding a repetition when achieving cross-cutting skills, and at the same time, it teachs students the importance of integrating a curriculum knowledge that is necessary for nursing care of the elderly. the aim in this article is to describe the seminar as a complementary method which is integrated in the geriatrics nursing subject, and to analyse the opinion and views of the students which took part on it. the results show a high satisfaction with this methodology, and highlight the main advantages and disadvantages of using it.
Seminario integrado como metodología complementaria en la asignatura de Enfermería Geriátrica Seminar integrated as a supplementary method in the subject of geriatric nursing
Trinidad Ruiz Márquez,Genoveva Granados Gámez,M.a Isabel Gutiérrez Izquierdo,M.a José Muoz París
Gerokomos , 2011,
Abstract: El método del aprendizaje denominado Seminario Integrado se incorporó como metodología complementaria en la formación de los alumnos de 3o de Enfermería de la Universidad de Almería, durante el desarrollo de la experiencia piloto realizada en la titulación, para ir adaptando los nuevos planes de estudio de grado al Marco del Espacio Europeo de Educación Superior. Este método se fundamenta en el Aprendizaje Basado en Problemas (ABP) y forma parte de las asignaturas de Enfermería Geriátrica, Enfermería Psiquiátrica, Enfermería Comunitaria y Enfermería Médico-Quirúrgica, como un seminario que complementa la formación adquirida. En la asignatura de Enfermería Geriátrica permite que el alumno integre en un anciano conocimientos de tercer curso que forman parte de distintas asignaturas para evitar repeticiones en el logro de competencias transversales y ense ar al alumno la importancia de integrar los conocimientos del currículo enfermero necesarios para el cuidado de los mayores. El objetivo de este artículo es describir el seminario integrado como metodología complementaria en la asignatura de Enfermería Geriátrica y conocer el grado de satisfacción y la opinión de los alumnos participantes. Los resultados muestran una elevada satisfacción con esta metodología y ponen de manifiesto las principales ventajas e inconvenientes de su utilización. The learning method know as "Integrated Seminar", was incorporated as a complementary method in the 3rd year Nursing students' training at the University of Almería, during the development of a research conducted in the degree. It aim was to adapt new degree curricula within the European Higher Education Area framework. This method is based on Problem Based Learning (PBL), and it is part of the subjects of Geriatrics Nursing, Psychiatric Nursing, Community Nursing and Medical-Surgical Nursing, as a seminar that complements the received training. Within the subject of Geriatrics Nursing, it allows students to integrate third-year knowledge (belonging to different subjects) to an old man, avoiding a repetition when achieving cross-cutting skills, and at the same time, it teachs students the importance of integrating a curriculum knowledge that is necessary for nursing care of the elderly. The aim in this article is to describe the seminar as a complementary method which is integrated in the Geriatrics Nursing subject, and to analyse the opinion and views of the students which took part on it. The results show a high satisfaction with this methodology, and highlight the main advantages and disadvantages of using it.
Analysis of the strategies that are taken and spread by hotel chains
M.a JESúS BONILLA PRIEGO,CLARA MUOZ COLOMINA,CARMEN AVILéS PALACIOS,CATALINA VACAS GUERRERO
Cuadernos de Gestión , 2005,
Abstract: Hotel chains do face important challenges nowadays. On one side the complexity of the environment in which the hospitality industry evolves, demands to define, develop and manage its strategies in order to guarantee its survival. On top of it, the market is increasingly demanding fluid information for a proper knowledge of the strategies and corporate long-term expectations of these companies. Therefore this task has a double contribution.Firstly, we analysed strategic information disclosed in annual reports of some leading hotel chains, and grouped them following the model of balanced scorecard. Secondly, and as we often encounter criticism as to the absence of this type of information in annual reports, we took a sample of 102 hotel chains and questionedthem about which strategies are being developed, the need, convenience and conditions related to the disclosure of strategic information, as well as the information they are unveiling to third-parties and the source utilized.
Crash 3: Un nuevo esfuerzo internacional para el manejo de la lesión cerebral hemorrágica traumática Crash 3: A new international effort in the management of traumatic hemorrhagic brain damage
M.A. Muoz-Sánchez,J.J. Egea-Guerrero,F. Murillo-Cabezas
Medicina Intensiva , 2012,
Abstract:
Estudio del estrés oxidativo en enfermedad renal avanzada
Puchades Montesa,M.J.; González Rico,M.A.; Solís Salguero,M.A.; Torregrosa Maicas,I.; Tormos Muoz,M.C.; Sáez Tormo,G.; Juan García,I.; Miguel Carrasco,A.;
Nefrología (Madrid) , 2009,
Abstract: introduction: patients with chronic kidney disease (crd) often have cardiovascular disease that is the main cause of morbidity and mortality. oxidative stress and a subclinical inflammation are crucial factors in its development. the aim of this study was to assess the oxidation of the main molecular groups in patients with advanced renal disease without dialysis and to determinate the best biomarker to assess this stress. patients and methods: we performed an observational study to measure the most important oxidative biomarkers in 32 patients with stage 4 ckd (mdrd = 22.1 ± 1.08ml/min) compared with the values obtained in a control group. in the peripheral lymphocytes we measured, the lipid peroxidation by malondialdehide (mda) and f2 isoprostanes in plasma; protein oxidation by glutathione oxidized/reduced ratio (gssg/gsh) in peripheral lymphocytes and protein carbonyls in plasma and the oxidative damage in genetic material by modified nucleotide base 8-deoxiguanosina oxo -(8-oxodg), after isolating nuclear and mitochondrial dna. we also studied the antioxidant defences with superoxide dismutase (sod), glutathione peroxidase (gpx), glutathione reductase (gsr) and catalase (cat) in peripheral lymphocytes. we studied the correlation between oxidative stress and the renal function and oxidative stress and co-morbidity factors. results: all biomarkers showed important differences in comparison with the control subjects. f2 isoprostanes: 821.89 ± 300.47ng/ml vs. 270 (95.66) * ng/ml (p < 0.000), mda 0.11 (0.11) * vs. 0.7 ± 0.31nmol/mg prot (p < 0.000). gssg/gsh: 6.89 ± 1.91 vs. 1.39 ± 0.75 (p < 0.000), protein carbonyls: 7.41 ± 0.84 vs. 3.63 (1.12) *. nuclear 8-oxo-dg 7.88 (2.32) vs. 2.96 (1.78) * mitochondrial 8-oxo-dg: 15.73 ± 2.28 vs. 13.85 ± 1.44 (p < 0.05). the antioxidant enzymes also showed differences. nuclear 8-oxo-dg demonstrated an important relationship with the rest of the biomarkers, homocystein (r = 0.305, p < 0.05), lipoprotein (a) (r = 0.375, p < 0.01)
Validación del cuestionario simplificado de adherencia a la medicación (SMAQ) en pacientes con trasplante renal en terapia con tacrolimus
Ortega Suárez,F.J.; Sánchez Plumed,J.; Pérez Valentín,M.A.; Pereira Palomo,P.; Muoz Cepeda,M.A.; Lorenzo Aguiar,D.; ,;
Nefrología (Madrid) , 2011,
Abstract: background: non-adherence to immunosuppressive medication is associated with graft loss and death. the simplified medication adherence questionnaire (smaq) is a short and reliable instrument for assessing adherence to medication. objective: validation of a version of the smaq instrument adapted for use in transplant patients in a sample of kidney graft receptors. methods: observational, longitudinal prospective study in 150 renal transplant patients on tacrolimus, over 18 years old, who had received a graft at least one year before. basic sociodemographic and clinical data were recorded; patients completed the smaq twice (administered by doctor/nurse) and self-administered the morisky-green scale. the analysis database included 144 patients that met selection criteria and that provided the required data. descriptive characteristics for all recorded parameters and psychometric characteristics of the questionnaire (reliability and validity) were studied. results: mean age in the sample was 50.63 (12.44) years, 60.42% were men. some 20.14% of patients had sub-target tacrolimus levels (<5ng/ml), and unjustified variations in immunosuppressive drug levels were reported for 13.48%. regarding smaq results, 39.01%/41.84% of patients were non-adherent (doctor/nurse administration); 22.38% according to the morisky-green scale. interobserver agreement (kappa) was 0.821 (p<.001). the cramer's-v statistic for convergent validity was 0.516 (p<.001). smaq scores were associated with unjustified variations in tacrolimus levels. in the prediction of tacrolimus levels (target vs subtarget), smaq compared to morisky-green provided a better classification of patients, with greater sensitivity and lower specificity. conclusion: the questionnaire provides good levels of validity and interobserver agreement. an enhanced sensitivity is advantageous to better detect non-adherent patients for a better follow-up.
Ultrasonografía doppler transcraneal urgente: utilidad predictiva del vasoespasmo sintomático en la hemorragia subaracnoidea espontánea en pacientes con buena situación neurológica Emergency transcranial doppler ultrasound: predictive value for the development of symptomatic vasospasm in spontaneous subarachnoid hemorrhage in patients in good neurological condition
M.A. Muoz-Sánchez,F. Murillo-Cabezas,J.J. Egea-Guerrero,M.L. Gascón-Castillo
Medicina Intensiva , 2012,
Abstract: Objetivo: Establecer el valor predictivo, para desarrollar deterioro neurológico tardío de origen isquémico (DNI), de un estudio doppler transcraneal (DTC) en pacientes con hemorragia subaracnoidea espontánea (HSA) en buena situación neurológica. Dise o: Estudio descriptivo-observacional desarrollado durante 3 a os. ámbito: Cuidados Críticos y Urgencias. Pacientes: Se incluyeron de forma consecutiva aquellos pacientes con HSA en buena situación neurológica (Hunt-Hess I-III). Variables de Interés: DNI (disminución en 2 puntos del GCS o déficit focal), velocidad media (VM) en arterias cerebrales medias, índice de Lindegaard (IL). Se consideró patrón sonográfico de vasoespasmo (PSV) cuando la VM fue>120cm/s y existía un IL>3. Resultados: La media de edad de los 122 pacientes fue de 54,1±13,7 a os. El 57,3% eran mujeres. Se detectaron 24 pacientes con PSV (19,7%) encontrándose VM elevadas en 38 pacientes (31,1%). 21 pacientes desarrollaron DNI (VM 183+/-49cm/s), todos presentaron PSV. En los pacientes con DNI se detectó un aumento de VM de 22+/-5cm/s/24h durante los 3 primeros días. Al comparar aquellos pacientes que no presentaron VM elevadas (85 pacientes/VM 67+/-16,6cm/s) con respecto a los que desarrollaron DNI encontramos diferencias en las VM (p<0,001) y en el ΔVM/24h (8,30+/-4,5cm/s Vs 22+/-5cm/s) durante los 3 primeros días (p=0,009). Mediante curvas ROC, se fijó que el ΔVM/día de 21cm/s (p<0,001), era el que mejor predecía el DNI. Conclusión: Durante los 3 primeros días un incremento en la VM de 21cm/s/24h se asoció con el desarrollo de vasoespamo sintomático. El DTC es una herramienta útil para la detección de aquellos pacientes con HSA en riesgo de desarrollar DNI. Purpose: To examine the predictive value of an early transcranial Doppler ultrasound (TCD) study performed in the emergency department in patients with spontaneous subarachoniod hemorrhage (SAH) in good neurological condition, in order to know which patients are at high risk of developing delayed cerebral ischemia (DCI). Design: A descriptive observational study was carried out involving a period of 3 years. Setting: Critical Care and Emergency Department. Patients: The study consecutively included patients with SAH of grade I-III on the Hunt and Hess scale. Variables of Interest: DCI (decrease of 2 points in GCS or focal deficit), Mean Velocity (MV) of middle cerebral arteries (MCA), Lindegaard Index (IL). Sonographic vasospasm pattern (SVP) was considered if MCA-MV>120cm/sc and IL>3. Results: The mean age of the 122 patients was 54.1±13.7 years; 57.3% were women. SVP was detected in
Estrategias de talla en Cueva Corazón (Mave, Palencia). Un yacimiento del Musteriense Antiguo en las estribaciones meridionales de la Cordillera Cantábrica
Sánchez Yustos, Policarpo,Díez Martín, Fernando,Díaz Muoz, Isabel M.a,Gómez de la Rúa, Diana
Trabajos de Prehistoria , 2011, DOI: 10.3989/tp.2011.11058
Abstract: This article presents a study of the lithic record recently retrieved from Cueva Corazón in the context of a new research projects initiated in 2005. We have detected a variety of long, albeit highly fragmented, operational sequences. A remarkable technological standardization has also been observed, a trait clearly related to the use of good quality raw materials. These observations allow the inference of a complex web of territorial and social interactions. Moreover, Cueva Corazón, due to its chronology and strategic location, can become a future reference point for the study of the Early Mousterian on both sides of the Cantabrian Range. Este artículo estudia el registro lítico de Cueva Corazón en el marco de un proyecto de investigación iniciado en 2005. Hemos detectado una variedad y alargamiento de cadenas operativas líticas, frecuentemente fragmentadas, y una elevada estandarización tecnológica asociada a elaboradas estrategias de captación de materias primas de buena calidad. Este hecho permite inferir una complejidad de las redes territoriales y sociales. Por otro lado, su cronología y posición estratégica hacen de este enclave un lugar excepcional para conocer el Musteriense antiguo en ambos lados de la cordillera cantábrica.
La microdiálisis cerebral en el ámbito clínico actual
Revuelto-Rey,J.; Egea-Guerrero,J.J.; Muoz-Sánchez,M.A.; Murillo-Cabezas,F.;
Medicina Intensiva , 2012,
Abstract: cerebral microdialysis, introduced in experimental studies 40 years ago, has been used clinically since 1992 for the neurochemical monitoring of patients in intensive care. the principles underlying this technique are closely related to brain metabolism. the study of the metabolites detected at brain interstitial tissue level, through the semipermeable membrane of the device, allows us to assess different physiological pathways in the brain, analyzing the changes that occur when they become less efficient in terms of energy, and also detecting waste products secondary to tissue damage. despite its current limitations, this technique provides relevant information for research and the clinical management of critical neurological patients.
La microdiálisis cerebral en el ámbito clínico actual Cerebral microdialysis in the current clinical setting
J. Revuelto-Rey,J.J. Egea-Guerrero,M.A. Muoz-Sánchez,F. Murillo-Cabezas
Medicina Intensiva , 2012,
Abstract: La microdiálisis cerebral, introducida en estudios experimentales hace unos 40 a os, ha sido empleada en la clínica desde 1992 para la monitorización neuroquímica de pacientes en unidades de cuidados intensivos. Los principios en los que se basa esta técnica se encuentran íntimamente ligados al metabolismo cerebral. El estudio de los metabolitos detectados en el intersticio tisular cerebral, a través de la membrana semipermeable de la que dispone el dispositivo, permite estimar la situación de las distintas rutas metabólicas fisiológicas cerebrales, analizando las modificaciones que se producen cuando estas tornan hacia rutas menos eficientes desde el punto de vista energético y detectando productos de desecho secundarios a la lesión tisular. A pesar de sus limitaciones actuales, esta técnica aporta información relevante para la investigación y el abordaje clínico de los pacientes neurocríticos. Cerebral microdialysis, introduced in experimental studies 40 years ago, has been used clinically since 1992 for the neurochemical monitoring of patients in intensive care. The principles underlying this technique are closely related to brain metabolism. The study of the metabolites detected at brain interstitial tissue level, through the semipermeable membrane of the device, allows us to assess different physiological pathways in the brain, analyzing the changes that occur when they become less efficient in terms of energy, and also detecting waste products secondary to tissue damage. Despite its current limitations, this technique provides relevant information for research and the clinical management of critical neurological patients.
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