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Search Results: 1 - 10 of 466505 matches for " Paola Pino A "
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Conocimientos adquiridos por padres en un programa educativo de reanimación cardiopulmonar básica pediátrica
Pino A,Paola; Castillo M,Andrés;
Revista chilena de pediatría , 2012, DOI: 10.4067/S0370-41062012000300003
Abstract: background: most pediatric cardiac arrest episodes are the result from extra cardiac events. they occur at home, while children are under the supervision of their parents or caregivers. therefore pediatric health care providers should promote the education of basic pediatric cardiopulmonary resuscitation (cpr) to parents. objective: to describe the outcome of an educational program of basic pediatric cpr to parents of admitted children. patients and method: 108 parents of 89 patients admitted to the pediatric service of the clinical center universidad catolica were provided with cpr training. acquired knowledge was assessed through a phone survey, consistent in 6 questions with a maximum score of 14 points, applied 1 month after the training session. results: median score obtained was 12 points. five participants achieved a score of 14 points. least retained knowledge related to: steps of cpr (31.5%), number of cycles before activating an emergency system (55.6%), and steps followed when removing foreign body airway obstruction in conscious children (14.8%). conclusions: in this study, only a few participants were able to answer all six questions without mistakes. however, hard-to-remember concepts were identified, for emphasis in future educational programs.
Conocimientos adquiridos por padres en un programa educativo de reanimación cardiopulmonar básica pediátrica Outcome of a parent education program on basic pediatric cardiopulmonary resuscitacion
Paola Pino A,Andrés Castillo M
Revista chilena de pediatría , 2012,
Abstract: Antecedentes: En pediatría, la mayoría de los paros cardiorrespiratorios son de origen extra cardíaco y se producen en el hogar, donde los ni os se encuentran bajo la supervisión de sus padres o cuidadores. Por lo anterior, los profesionales de la salud infantil deberían promover la capacitación a los padres en reanimación cardiopulmonar (RCP) básica pediátrica. objetivo: Evaluar los conocimientos adquiridos por los padres de ni os hospitalizados luego de un programa educativo de RCP básica pediátrica. Pacientes y Método: Se realizó un estudio descriptivo para identificar los conocimientos adquiridos por 108 padres de 89 pacientes hospitalizados, en un programa educativo implementado en el Servicio de Pediatría del Hospital Clínico UC. El instrumento utilizado fue una encuesta de 6 preguntas con un puntaje máximo de 14 puntos, aplicada telefónicamente un mes después del taller. Resultados: El puntaje obtenido presentó una mediana de 12 puntos. Cinco participantes obtuvieron el puntaje total. Las preguntas con menos porcentaje de cumplimiento fueron las referentes a los pasos para realizar RCP (31,5%), al número de ciclos antes de activar el sistema de emergencias (55,6%) y a los pasos para aliviar la asfixia por cuerpo extra o en ni os conscientes (14,8%). Conclusión: En este estudio, un bajo porcentaje de los participantes estudiados fue capaz de responder las 6 preguntas sin errores. Por otro lado, se logró identificar los conceptos que fueron más difíciles de recordar para los participantes; los cuales deben ser abordados con más énfasis en futuros programas educativos. Background: Most pediatric cardiac arrest episodes are the result from extra cardiac events. They occur at home, while children are under the supervision of their parents or caregivers. Therefore pediatric health care providers should promote the education of basic pediatric cardiopulmonary resuscitation (CPR) to parents. objective: To describe the outcome of an educational program of basic pediatric CPR to parents of admitted children. Patients and Method: 108 parents of 89 patients admitted to the pediatric Service of the Clinical Center Universidad Catolica were provided with CPR training. Acquired knowledge was assessed through a phone survey, consistent in 6 questions with a maximum score of 14 points, applied 1 month after the training session. Results: Median score obtained was 12 points. Five participants achieved a score of 14 points. Least retained knowledge related to: steps of CPR (31.5%), number of cycles before activating an emergency system (55.6%), and steps followed w
Uso de catéter venoso central de inserción periférica en pediatría Central venous catether for peripheral insertion in pediatrics
Paula Fajuri M,Paola Pino A,Andrés Castillo M
Revista chilena de pediatría , 2012,
Abstract: Introducción: El catéter venoso central de inserción periférica (PICC) puede permanecer desde días hasta meses instalado sin necesidad de recambio; permitiendo la administración de soluciones con pH y osmolari-dad extremas, medicamentos irritantes y/o vesicantes, nutrición parenteral u otros medicamentos por tiempo prolongado en pacientes con accesos venosos periféricos difíciles. Objetivo: Describir la experiencia del uso de PICCs en pacientes pediátricos hospitalizados. Pacientes y Método: Estudio observacional y descriptivo, donde se hizo un seguimiento a 337 pacientes con PICCs instalados por enfermeras capacitadas, en el Servicio de Pediatría del Hospital Clínico de la Pontificia Universidad Católica de Chile entre los a os 2001 y 2011, que cumplieron con los criterios de inclusión. Resultados: La edad de los pacientes presentó una mediana de 36 meses. La principal indicación para la instalación del PICC fue la terapia antibiótica prolongada en el 67,1%. El acceso venoso más utilizado fue la extremidad superior en un 52,2%. El promedio de días de permanencia del catéter presentó una mediana de 9 días con un rango entre 1 y 90 días. El principal motivo para el retiro del PICC fue la finalización del tratamiento en el 75,3%. Las complicaciones presentadas fueron: oclusión e infección asociada al catéter con un 8,9% y 2,9%, respectivamente. Conclusión: El PICC es una excelente alternativa para la terapia endovenosa por períodos prolongados; sin embargo, es muy importante mantener un equipo de enfermería capacitado, tanto en la inserción como en la mantención del PICC durante su permanencia. Introduction: Central venous catheter of peripheral insertion (PICC) can stay installed from several days up to months without removal. It allows the administration of extreme pH and osmolarity solutions, irritating and/or vesicant drugs, parenteral nutrition and other medications for prolonged periods in patients with complicated peripheral venous access. Objective: To describe the experience with PICCs in hospitalized pediatric. Patients and Methods: Observational and descriptive study on 337 patients hospitalized in the Pediatrics Service of the Clinical Hospital of Catholic University of Chile between 2001 and 2011, who fulfilled the inclusion criteria and had a PICCs installed by trained nurses. Results: The patients' average age was of 36 months. Main indication for installing PICC was prolonged antibiotic therapy, in 67.1% of cases. The most widely used venous route was the upper limb, in 52.2%. The mean average time in which the PICC remained in the body wa
COMPARACION DEL INDICE LECITINA/ ESFINGOMIELINA VERSUS FOSFATIDILGLICEROL EN LA EVALUACION DE LA MADUREZ PULMONAR FETAL
Pino,Paola; Oyarzún E,Enrique; Vidal L,Rossana; Kato C,Sumie; Carvajal C,Jorge A;
Revista chilena de obstetricia y ginecología , 2002, DOI: 10.4067/S0717-75262002000600008
Abstract: we describe the management and clinical outcome of three pregnancies whose fetal lung maturity test in amniotic fluid showed an immature lecithin/sphingomyelin (l/s) ratio (< 2) but presence of phosphatidylglycerol. here we reviewed the ability of both tests to predict fetal lung maturity. it has been reported that in the presence of phosphatidylglycerol when l/s ratio is greater than 2 the probability of hyaline membrane disease in the neonate is nearly cero. however, in those cases with l/s index between 1.5 and 1.9 the probability of the disease reaches to 3.4%. in these patients we recommend, if allowed by the maternal and fetal condition, to delay pregnancy interruption for one week.
Henderson’s theory and its application in advanced nursing care in a pediatric ward
Paola Pino Armijo
Medwave , 2012,
Abstract: Introduction. In order to truly quantify the nursing workload, activities must be registered in the nursing plan and put in the context of a theoretical model of the discipline, as the medical diagnosis does not always explain workloads. Furthermore, the pediatric ward is especially complex due to the high level of patient dependency and concomitant family engagement. Purpose. To identify the use of Henderson’s theory during the nursing process; to critically assess care in the pediatric ward; and to propose strategies to implement advanced nursing care. Methodology. Data was collected using a constructivist participant observation method, with an observer who was part of the pediatric ward for 6 years. Results. When appraising the patient in the pediatric ward, nurses do consider Henderson’s 14 basic needs. However, during planning and carrying out care, only the first 9 needs are actually taken into account, ignoring the needs of communication, religion, adaptation, recreation and education. Conclusions. By using a record based on Henderson's theory that includes all phases of the nursing process, together with a previous awareness and training program that helps guide nurses in the use of the model for patient care by including the family, it will be possible for these professionals to deploy advanced nursing care in the pediatric ward.
Condición periodontal y pérdida dental en pacientes diabéticos del Hospital Universitario San Vicente de Paúl
Ochoa,Sandra Paola; Ospina,Carlos Andrés; Colorado,Kelly Johana; Montoya,Yenny Paola; Saldarriaga,Andrés Fernando; Miranda Galvis,Marisol; Mu?oz Pino,Natalia; Gómez,María Eugenia; Yepes,Fanny Lucía; Botero,Javier Enrique;
Biomédica , 2012,
Abstract: introduction. diabetes is a systemic disease which affects the metabolism of glucose,and it has been associated with the development of periodontal disease. objective. the periodontal condition and tooth loss was evaluated in diabetic subjects. materials and methods. at the san vicente de paúl hospital (medellín, colombia), 117 subjects with type 1 and 2 diabetes mellitus were examined. patients underwent a comprehensive periodontal evaluation, glycosylated hemoglobin analysis, oral hygiene habits and history of diabetes. a descriptive and comparative analysis between the clinical parameters, tooth loss and type of diabetes was performed. results. the prevalence of gingivitis was 27.4% and periodontitis 72.6%. the most frequent systemic complication was hypertension (51.3%). the most frequently lost teeth were molars and in general, the subjects had lost an average of 7 teeth and had a poor plaque control (55.4%). no differences were seen in clinical parameters between type 1 and 2 diabetes patients. the mean probing depth was 2.6 mm. the first and second upper and lower molars showed the highest values of pd. the mean clinical attachment loss was 3.3 mm . maxillary teeth 17, 16, and mandibular 37, 47 showed the highest values of clinical attachment loss. conclusions. in conclusion, the periodontal condition in diabetic patients was poor, presenting periodontitis in most cases. this can be a major cause of tooth loss in diabetic subjects and requires special attention by clinicians.
The Relationship between the Diagnosis of Human Immunodeficiency Virus (HIV) and Executive Functions in School Age Children  [PDF]
Mariana M. Pino Melgarejo, Jorge A. Herrera Pino, Norella S. Jubiz Bassi
Psychology (PSYCH) , 2015, DOI: 10.4236/psych.2015.65057
Abstract: The human immunodeficiency virus (HIV) affects not only adults, but also children, many of whom are infected in the perinatal period and suffer the consequences throughout their development. One of the areas of cognition frequently adversely affected by the presence of HIV is intellectual functioning. However, although conceptually akin to intelligence, executive functions encompass a wider range of abilities and skills. The purpose of this study was to determine if executive functions, as such, are impaired in children who are HIV infected. A sample of 60 children between the ages of 6 and 12 years participated in this study. The performance of 30 HIV infected children in an instrument designed for the assessment of executive functions in school age children (ENFEN) was compared with the performance of a group of 30 healthy controls, matched for age, gender, and socio-economic status. The results revealed impairments in HIV infected children across all executive functions assessed.
Ricardo A. Pino Hidalgo Entre pueblos y barrios bicicleteros
Ricardo A. Pino Hidalgo
Política y cultura , 2011,
Abstract:
Long-period P waveform modeling of upper mantle phases in the West Mediterranean basin
N. A. Pino
Annals of Geophysics , 1994, DOI: 10.4401/ag-4239
Abstract: Long-period P waveforms of some Italian crustal earthquakes recorded at the WWSSN stations located in the Iberian Peninsula have been modeled to derive a 1D upper matle compressional velocity model. A technique based on the Cagniard-de Hoop method has been used to compute synthetic seismograms. Waveforms have first been computed for published velocity models referred to different tectonic provinces and compared with the data. A model that strongly improves the fits to the data is then presented. The proposed model, called WMP, is characterized by a 100 km thick lid overlaying a low velocity zone, a 1% velocity discontinuity located at 313 km depth, that is required to fit a lower amplitude phase, and an abrupt increase in the velocity gradient starting from 370 km. This latter is preferred to the sharp discontinuity located at about 400 km that is present in various models obtained for upper mantle structure with analogous techniques. Within the lid and the low-velocity zone, WMP displays features that are typical of old ocean structures like the Northwest Atlantic Ocean.
Conceptual Foundations of a Cognitive Health Program for Hispanic Patients with Minor Neurocognitive Disorder  [PDF]
Jorge A. Herrera Pino, Jose Armas, Nora Dieguez, Eduardo Alarcon
Psychology (PSYCH) , 2013, DOI: 10.4236/psych.2013.410A005
Abstract:

The purpose of this paper is to present the conceptual foundations used in the development of a cognitive health program for Hispanic patients who report memory concerns or complaints to their primary care physicians. These models are drawn from the field of neuropsychology, both as a professional endeavor and as a scientific discipline. This program has been developed based on prevailing models of higher cerebral functions, addressing primarily attention, memory, and executive functions. The role of neuropsychologists as active participants in the improvement of the cognitive status of the patients referred to them is not only emphasized in this article as going much beyond the diagnostic process, but also having an active participation in the subsequent treatment process. The models of attention that have served as the bases for the MCCI COGNITIVE HEALTH PROGRAM are those developed by Allan F. Mirsky and Michael I. Posner, while the memory model used is authored by Alan Baddeley. The two models of executive functions that are employed in the development of this program are those of Russell Barkley and Elkonon Goldberg. This program was also very much anchored on the concept of cognitive reserve and the work of Yaakov Stern was incorporated into the models used for the development of the program. The program is implemented in two phases. Patients referred by their primary care physicians undergo a functional neuropsychological evaluation to determine the nature and extent of their memory impairments. The results obtained in these evaluations are interpreted using the models referred to above. A treatment plan is developed and the program is implemented through the use of computer assisted cognitive rehabilitation procedures. The advantages of using computer assisted procedures are discussed in this article.

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