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Search Results: 1 - 10 of 214647 matches for " Martín Alfonso "
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Acerca del concepto de adherencia terapéutica On the concept of therapeutic adherence
Libertad Martín Alfonso
Revista Cubana de Salud Pública , 2004,
Abstract: Se realizó un análisis de las diferentes definiciones que aparecen en la literatura médica y psicológica para referirse al fenómeno de adherencia al tratamiento médico. Se reconoce un conjunto de términos como son: cumplimiento, colaboración, alianza, adhesión y adherencia terapéutica, entre otros, para abordar el mismo aspecto; cuestión que puede conducir a la confusión entre profesionales, investigadores y pacientes. Se discute el modo en que son concebidos y utilizados estos términos, especialmente: cumplimiento del tratamiento y adherencia terapéutica. Finalmente se plantea como el más adecuado, el término adherencia terapéutica, por el sentido psicológico que entra a y se propone un conjunto de momentos necesarios, para que se produzca el proceso de adherencia al tratamiento. An analysis was made of the various definitions that are included in medical and psychological literature regarding the adherence to medical treatment. The paper pointed out a set of terms that deal with the same aspect such as compliance, cooperation, alliance, adhesion and adherence to treatment, which may cause confusion among professionals, researchers and patients. The way in which these terms are considered and used, particularly compliance with and adherence to treatment were discussed. Finally, it is stated that the most appropriate term is adherence to treatment because of its psychological sense. The paper discussed those steps that are necessary for the process of adherence to treatment.
Formación de habilidades investigativas mediante el programa de maestría en psicología de la salud Formation of research abilities using the master's course program in health psychology
Libertad Martín Alfonso
Revista Cubana de Salud Pública , 2005,
Abstract: El desarrollo alcanzado por la Psicología de la Salud, en Cuba y en el mundo, permitió contar con las bases necesarias para gestar desde 1993, un Programa de Maestría en Psicología de la Salud, en la Escuela Nacional de Salud Pública, que pretende estimular la reflexión teórica, el pensamiento creador y la producción científica y tecnológica en esta rama del conocimiento, así como impulsar la formación de un profesional capaz de enfrentar con alto nivel teórico y metodológico, la investigación en el campo de la Psicología de la Salud. El presente trabajo se propone realizar un análisis acerca de la formación de diferentes tipos de habilidades investigativas mediante el sistema de actividades académicas y prácticas que se realizan a lo largo de todo el currículo, en la concepción actual del programa The development reached by health psychology in Cuba and worldwide allowed us to have the necessary tools for preparing the master's course curriculum in the National School of Public Health since 1993, which intends to encourage theoretical reflection, creative thinking and scientific and technological production in this branch of knowledge, and also to support the formation of a health professional capable of facing up to the research work in health psychology with a high theoretical and methodological level. The present paper is aimed at making an analysis of the formation of different types of research abilities using the system of academic and practical activities that are carried out throughout the whole curriculum in line with the present design of the program
Repercusiones para la salud pública de la adherencia terapéutica deficiente Impact of deficient adherence to therapy on the public health
Libertad Martín Alfonso
Revista Cubana de Salud Pública , 2006,
Abstract: El presenta trabajo pretende fundamentar la importancia del problema de la deficiente adherencia a los tratamientos médicos de larga duración y como esto se convierte en asunto difícil para la salud pública contemporánea. Se realiza un análisis de sus repercusiones en cuestiones que tienen que ver con la calidad de la atención, el uso racional de los recursos y servicios sanitarios, el cuadro de salud de la población y la calidad de vida del paciente. Se exponen las principales consecuencias clínicas o médicas, económicas y psicosociales que pueden aparecer debido a una baja adherencia al tratamiento médico indicado, sobre todo en enfermos crónicos. Se abordan algunos aspectos que el sistema de salud debe enfrentar en relación con la adherencia terapéutica para contribuir a mejorar la situación expuesta The present paper was aimed at substantiating the importance of the problem of a deficient adherence to long medical treatment and how this becomes a difficult issue in the contemporary public health. An analysis was made of the effects of this problem on some questions related to quality of care, rational use of health resources and services, the population's health picture and the quality of life of a patient. The main clinical, economic, and psychosocial consequences that might occur as a result of a low adherence to indicated medical treatment, mainly in chronically-ill patients, were explained. Some aspects that the healthcare system should cope with in relation to adherence to therapy in order to improve the above-mentioned situation were also addressed
Aplicaciones de la psicología en el proceso salud enfermedad
Libertad Martín Alfonso
Revista Cubana de Salud Pública , 2003,
Abstract: El presente trabajo fundamenta la proyección salubrista de la Psicología de la Salud como rama aplicada de la ciencia psicológica. Se analiza el sistema conceptual y metodológico que se utiliza para abordar los aspectos psicológicos que intervienen en el proceso salud enfermedad, desde la promoción de estilos de vida saludables, la adopción de conductas preventivas, la optimización del diagnóstico y el tratamiento, la rehabilitación del enfermo, hasta los aspectos relacionados con el cuidado del paciente terminal. La Psicología de la Salud juega un importante papel desde la prevención primaria de la salud hasta ayudar a bien morir
Marginal discrepancy and microleakage in crown-copings fabricated by three CAD/CAM systems: An in vitro study  [PDF]
Marcela Herrera, Alfonso Catalán, Maritza Flores, Alejandra Martínez
Open Journal of Stomatology (OJST) , 2012, DOI: 10.4236/ojst.2012.23030
Abstract: The purpose of this study was to evaluate and compare the microleakage and marginal discrepancy of ceramic crown-copings fabricated by three different CAD/CAM systems. Material and methods: Thirty extracted premolars were prepared for complete all-ceramic crowns with: total convergence 10-degree, 2 mm occlusal reduction, 4.5 mm height, 1.3 mm circular reduction and chamfer marginal preparation. They were divided into three groups and each group (n = 10) received a ceramic crown-coping fabricated by one of three CAD/CAM systems: Procera, KaVo Everest and Cerec inLab. The copings were cemented with Panavia F 2.0. After thermal cycling, the teeth were immersed in 2% basic fuchsine dye for 24 hours. Microleakage was scored using a five-point scale and evaluated under a stereomicroscope at ×18. Marginal discrepancies were assessed with scanning electronic microscope at ×150, with measurements at 50 different points. Data were subjected to a chisquare test, Kolmogorov-Smirnov test and using Rho Spearman’s correlation test (P < 0.05). Results: Cerec inLab CAD/CAM crown-copings showed significant microleakage compared to Procera and KaVo Everest (P = 0.031). No significant differences were observed between Procera and the KaVo Everest system (P > 0.05). No significant differences were found in marginal discrepancies for the Procera (62.58 ± 8.98 μm) and KaVo Everest systems (65.54 ± 18.56 μm), (P = 0.941). Significant differences were found for Cerec inLab (132.18 ± 27.75 μm) compared with Procera and KaVo Everest (P = 0.0001). No correlation between the marginal discrepancies and microleakage for the three CAD/CAM crown-copings systems. Conclusions: Cerec inLab CAD/CAM crown-copings showed significantly higher values for microleakage and marginal discrepancy in comparison with Procera and KaVo Everest CAD/CAM crown-copings.
Alfabetización mediática en contextos múltiples Media Literacy in Multiple Contexts
Alfonso Gutiérrez Martín,Kathleen Tyner
Comunicar , 2012, DOI: 10.3916/c38-2012-02-00
Abstract:
Educación para los medios, alfabetización mediática y competencia digital Media Education, Media Literacy and Digital Competence
Alfonso Gutiérrez Martín,Kathleen Tyner
Comunicar , 2012, DOI: 10.3916/c38-2011-02-03
Abstract: El presente trabajo aborda las posibles relaciones entre educación y medios en la sociedad actual, y el papel que le corresponde a la educación formal tanto en la integración curricular de los medios como en la alfabetización digital necesaria para el siglo XXI. Se parte de distintas concepciones y enfoques que en las últimas décadas han predominado en el estudio de los medios y en la educación y alfabetización mediáticas en el panorama internacional; se intentan subsanar algunos problemas terminológicos derivados de la riqueza idiomática del mundo global e intercultural en el que nos movemos; se buscan posturas integradoras y se propone una alfabetización para el siglo XXI que se caracteriza por ser mediática, digital, multimodal, crítica y funcional. Se analizan posibles interpretaciones de educación mediática y competencia digital prestando especial atención al actual marco normativo europeo y se advierte de dos posibles peligros: reducir la educación mediática al desarrollo de la competencia digital, y reducir la competencia digital a su dimensión más tecnológica e instrumental: centrarse en los conocimientos técnicos, en los procedimientos de uso y manejo de dispositivos y programas, olvidando las actitudes y los valores. Para evitar el reduccionismo y el sesgo tecnológico se recomienda recuperar para el desarrollo de la alfabetización mediática y de la competencia digital los enfoques más críticos e ideológicos de la educación para los medios. This article addresses some possible relationship between education and media in contemporary society and explores the role that formal education should play in both the integration of media in the curriculum and the digital literacy skills necessary for the 21st century. The authors discuss here different theories and approaches that have dominated international media studies, media education and media literacy in recent decades. Confusion and misunderstandings in terminology for contemporary literacy in a complex, global and intercultural environment are explored and the authors present some inclusive categories for 21st century literacy such as media literacy, digital, multimodal, critical and functional. Interpretations of media literacy and digital competencies are discussed with particular emphasis on the current European regulatory framework. The authors warn that reductionist interpretations that focus on applied technical competencies with devices, hardware and software have the potential to severely limit media literacy education. Instead, the authors stress critical approaches as central to media
Microangiopathic Hemolytic Anemia and Diffuse Bone Metastasis by Signet Ring Cell Adenocarcinoma  [PDF]
Andrés J. Mu?oz Martín, Pilar García Alfonso, María Carmen Riesco Martínez, Virginia Martínez Marín, Yolanda Jerez Gilarranz, Rebeca Mondejar Solís, Miguel Martín Jiménez
Journal of Cancer Therapy (JCT) , 2010, DOI: 10.4236/jct.2010.12016
Abstract: Microangiopathic hemolytic anemia (MAHA) is a rare paraneoplastic syndrome and is typically associated with gastric adenocarcinoma. We report a 47-year-old woman who presented with asthenia, lower back pain and bleeding. Twelve years ago the patient underwent total gastrectomy due to gastric adenocarcinoma and achieved complete remission. The patient was diagnosed with MAHA and diffuses bone metastasis of signet ring cell adenocarcinoma of unknown origin and was treated successfully with polichemotherapy based on cisplatin and 5-fluorouracil.x
Diabetes mellitus, factor de riesgo de severidad de enfermedad isquémica crítica aterosclerótica y de viabilidad de miembros inferiores: a risk factor for severity of critical atherosclerotic ischemic disease and for lower limb viability
Martínez,Octavio; Castrillón,Víctor Alfonso;
Acta Medica Colombiana , 2010,
Abstract: objective: to characterize diabetes mellitus as an independent risk factor for the severity of critical lower limb ischemia and for viability of affected limbs. context and type of study: hospital based census on registers of all surgical patients for revascularization or major amputation by atherosclerotic critical ischemia or lower limbs from 1st january, 2005 until 30th june, 2009. units of analysis were clinical records of patients who met the study's admission criteria. material and methods: univariate and bivariate descriptions depending on type and distribution of variables. detection of confounders and modifiers of effects of the association between diabetes and severity of critical ischemia, and diabetes and intervention, by stratification in the analysis. results: adjusted for the positive confounding effect of hypertension, odds of diabetes mellitus in patients with ischemic disease fontaine iv was 8.23 to patients with fontaine iii (x2mh 1df 13.18; p value = 0.0003). controlled for the positive confounding effect of chronic renal failure, odds of diabetes mellitus in patients with fontaine iv was 7.99 to patients with fontaine iii (x2mh 1df 12.00; p value = 0.0005). controlled for the severity of critical lower limb ischemia, patients with diabetes mellitus had a possibility of primary major amputation 6.32 in relation to non-diabetic patients primary amputation (x2mh 1df 8.455; p value = 0.0036). conclusion: diabetes mellitus is an independent risk factor for the development of the most severe state of critical ischemia of the lower limbs, fontaine iv, after adjusting for hypertension and chronic renal failure. also, diabetes became an independent risk factor for the viability of the limb with critical ischemia. (acta med colomb 2010; 35: 40-47)
DETERMINACIóN DE FACTORES DE PROTECCIóN PARA MASTITIS BOVINA EN FINCAS ADMINISTRADAS BAJO EL SISTEMA DOBLE PROPóSITO EN EL MUNICIPIO DE MONTERíA
Calderón,Alfonso; Martínez,Nicolás; Cardona,José;
Revista U.D.C.A Actualidad & Divulgación Científica , 2009,
Abstract: to determine the protection factors for mastitis, questionnaires were applied to determine the control measures carry out for prevention and management of the bovine mastitis in 15 farms, managed under a double purpose system in the municipality of monteria (colombia). the diagnosis of the bovine mastitis was established by the cmt, rcs and bacteriological cultures (isolation). variables were crossed with the results of the different diagnosis test using contingency charts. to determine the association, a chi-square test and the odds ratio (or) with their respective confidence interval (95%) were calculated. as general protection factors the direct administration by the owners and a permanency higher than 50% of the time was found. during milking, the division of work by the milkers regarding the milking procedure, the support of the calf, the implementation of sanity of nipples, when drying of nipples was acceptable, nipple sealing and the suckling of the calves at the end of milking were positive. the culling of cows with mastitis during the last year, the application of the dry cow therapy, the disinfection of the tip of nipples previous the dry cow therapy and the written delivery of sanitary recommendations were identified as protection factors in the aspects of practices of prevention.
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