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Search Results: 1 - 10 of 411703 matches for " Paula Fajuri M "
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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
Experiencia de 36 a os con marcapasos implantables: Un análisis histórico A 36 years experience with implantable pacemakers
Juan Dubernet M,Gastón Chamorro S,Jorge González M,Alejandro Fajuri N
Revista médica de Chile , 2002,
Abstract: Background: The implantation of pacemakers improves cardiac function and quality of life, in particular with dual chamber DDD and DDDR modes. Aim: To evaluate our clinical experience and results on pacemaker implantation, from 1963 to 1998. Material and methods: Computerized data collected from 2,445 consecutive paced patients was reviewed. A total of 3,554 operative procedures were performed, including 412 procedures for complications and 697 pacemaker replacement. Patient survival was determined from clinical records, inquiry to pacemaker manufacturers and death certificates from Servicio de Registro Civil e Identificación de Chile (Chilean Civil and Identification Registry). Results: Use of dual chamber (DDD and DDDR) pacemakers increased progressively up to 74% from 1988 to 1998. Complication rate was 42% in the 1963-1976 study period, it decreased to 10.6% in the 1977-1987 study period, and to 5.6% by 1988-1998. Only two patients died during surgery in the study period (0.08%). In the 1977-1987 period, pacemakers lasted 10.6 years. Survival rates were 52% at ten years, 33% at 15 years, and 21% at 20 years, with a median survival of 11.7 years, and 7.24 years in patients over 80 years old. Conclusions: Transvenous permanent pacing can be accomplished today with a low complication rate, mainly due to better technology and surgical procedures (Rev Méd Chile 2002; 130: 132-42)
Haz de Kent en un paciente con síndrome de Wolff Parkinson White Lateral posterior bundle of Kent and Wolff-Parkinson-White syndrome
Benedicto Chuaqui J,Jorge A González M,David Oddo A,Alejandro Fajuri N
Revista chilena de pediatría , 1986,
Abstract:
Justicia y racionamiento sanitario en el Plan AUGE: dilemas bioéticos asociados a la distribución de recursos escasos
Zú?iga Fajuri,Alejandra;
Acta bioethica , 2011, DOI: 10.4067/S1726-569X2011000100009
Abstract: rationing criteria in health care establish by auge, in chile, are based, mainly, in maximum efficiency, contrary to the equity principle, which should sustain health care policies in democratic societies. for the application and justification of health care rationing techniques is required not only a medical science and health care economy reflection, but a moral philosophy and bioethical reflection as well. the study of health care distributive justice theories allows to value critically health care rationing criteria used by clinical guidelines for each ges/auge pathology, which operate contrary to the equity principle.
ENTRE LA IGUALDAD Y LA EFICIENCIA EN MATERIA SANITARIA
Zú?iga Fajuri,Alejandra;
Acta bioethica , 2008, DOI: 10.4067/S1726-569X2008000200007
Abstract: this work considers the allocation methods of scarce medical resources budgeted for "health economics". cost-benefit models and the criteria qaly (quality-adjusted life-years) are analyzed as allocation methods that propose to resolve ethical dilemmas related to an economic distribution that seems to prioritize efficient results over more equitable, but inefficient, results.
SISTEMAS SANITARIOS Y REFORMA AUGE EN CHILE
Zú?iga Fajuri,Alejandra;
Acta bioethica , 2007, DOI: 10.4067/S1726-569X2007000200012
Abstract: through the classification of health care systems in terms of their financing, number of stakeholders and consequences for health care equity, this essay pretends to analyze some of the changes that have taken place in chile due to the health care reform system "auge" (universal access to explicit guarantees). pending tasks are examined for conversion to the system that, while maintaining its mixed character, may be able to overcome its present strongly regressive consequences
EL DERECHO A LA VIDA Y EL DERECHO A LA PROTECCIóN DE LA SALUD EN LA CONSTITUCIóN: UNA RELACIóN NECESARIA
Zú?iga Fajuri,Alejandra;
Estudios constitucionales , 2011, DOI: 10.4067/S0718-52002011000100003
Abstract: this paper analyzes the relationship between the right to life and the right to health care in relation with doctrine, jurisprudence and recent legislative reforms. legal practice around both rights as well the influence of auge health care reform allows analyze the content of the right to life and the relationship with health care right in the constitution.
Aborto y derechos humanos
Zú?iga Fajuri,Alejandra;
Revista de derecho (Valdivia) , 2011, DOI: 10.4067/S0718-09502011000200007
Abstract: this paper analyze the conditions under which the restriction of women's human rights it is consistent with general theory of human rights. next, examined if it's possible recognize a legally protected interest in the fetus that supports limiting women's rights, in relation with fetus different stages of development. finally, it briefly reviews the controversy regarding the compatibility of a law to decriminalize abortion with chilean constitution.
UNA TEORíA DE LA JUSTICIA PARA EL CUIDADO SANITARIO: LA PROTECCIóN DE LA SALUD EN LA CONSTITUCIóN DESPUéS DE LA REFORMA AUGE
Zú?iga Fajuri,Alejandra;
Revista de derecho (Valdivia) , 2010, DOI: 10.4067/S0718-09502010000200006
Abstract: the right to health care protection still seems to require a justification against the public powers that refuse to guarantee equally to all people. this paper tries, from the theory of justice of john rawls, to insist on the powerful moral arguments that tries to found that the sanitary care is a "essential basic right".
Más allá de la caridad: De los derechos negativos a los deberes positivos generales
Zú?iga Fajuri,Alejandra;
Revista de derecho (Valparaíso) , 2009, DOI: 10.4067/S0718-68512009000200017
Abstract: this essays review some conclusive argument to defend social, economic and cultural rights, as well of those reasoning that analyzed and reveal the abuse and ages distinction that have been wanted to maintain that difference. along with the revision of the controversy around "general positive duties", conclude that the satisfaction of basic needs, by means of the recognition of the demandability of the economic, social and cultural rights and the extension of the obligation of its satisfaction to all the people, is fundamental for the construction of democratic societies formed by capable individuals with dignity and moral autonomy.
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