oalib

Publish in OALib Journal

ISSN: 2333-9721

APC: Only $99

Submit

Any time

2020 ( 97 )

2019 ( 466 )

2018 ( 527 )

2017 ( 537 )

Custom range...

Search Results: 1 - 10 of 327711 matches for " S.; Barreto Penié "
All listed articles are free for downloading (OA Articles)
Page 1 /327711
Display every page Item
Sistema de Educación Continuada en Nutrición Clínica, Nutrición Artificial y Apoyo Nutricional: su lugar dentro de un Programa de Intervención Alimentaria, Nutricional y Metabólica
Santana Porbén,S.; Barreto Penié,J.;
Nutrición Hospitalaria , 2009,
Abstract: a design proposal for a hcefn hospital continuous education in feeding and nutrition, along with the educational intervention model developed and conducted at the "hermanos ameijieras" hospital (havana city, cuba), and some of the results obtained after its implementation between 1997-2004, are presented in this article. the system design should include three levels of different and increasing complexity, depending on the level of knowledge, capabilities and aptitudes exhibited by hospital actors. the described system should also accommodate inter- and intra-disciplinary forms of education, learning and training aimed not only to increase the proficiency of actors in the recognition and treatment of hospital malnutrition, but also to foster group performance. the operation of a hcefn at the hospital of the authors's affiliation has showed the feasibility of conducting such educational interventions oriented to foster good practices for feeding and nutrition of the hospitalized patients.
Grupos de Apoyo Nutricional en un entorno hospitalario: Tama?o, composición, relaciones, acciones
Santana Porbén,S.; Barreto Penié,J.;
Nutrición Hospitalaria , 2007,
Abstract: the hospital nutricional support group (nsg) represents the ultimate step in the evolution of the forms of provision of nutritional and feeding care to hospitalized patients. the nsg outdoes other preceeding forms for its harmony and cohesion among its members, the multi-, inter- and transdisciplinarity, the dedication to the activity on a full time basis, and the capability to self-finance by means of the savings derived from the implementation of a nutritional policy consistent with the good practices of feeding and nutrition. it is to be expected that the inception and operation of a nsg in a hospital environment allows the realization of the benefits embedded into the metabolic, nutritional and feeding intervention programs. guidelines and recommendations for the definition of the size and composition of an hospital nsg are presented in this article, along with the responsabilities, functions and tasks to be assumed by its members, and a timetable for its implementation, always from the experiencies of the authors after conducting a nsg in a tertiary-care hospital in havana (cuba).
Programas de Intervención en Nutrición Hospitalaria: Acciones, dise?o, componentes, implementación
Santana Porbén,S.; Barreto Penié,J.;
Nutrición Hospitalaria , 2005,
Abstract: metabolic, nutrient and feeding intervention programs must become the methodological tool for dealing with the health problem posed by disease-associated-malnutrition on one side, and the "bad practices" affecting the nutritional status of the patient, on the other one. programs like these ones should prescribe clear policies and actions in the three domains of contemporary medical practice: assistance, research and education. the fullfillment of these program's objectives, and the relization of the implicit benefits, will only be possible if a methodological platform that armonically integrates elements of continuous education, cost analysis, recording and documentation, and quality control and assurance, is created. the experience acumulated after the inception and conduction of the intervention program at the clinical-surgical "hermanos ameijeiras" hospital (havana city, cuba) has served to demostrate that it is feasible not only to create a theoretical and practical body to satisfy the aforementioned goals, but, also, to export it to another institutions of the country, in view of the fact that minimal investments for adquiring the resources needed to deploy such program, as well as for training and capacitation of medic and para-medic personel in the corresponding recording & documentation and feeding & nutrition good practices might result in short-term economical and medical care benefits.
Programas de Intervención en Nutrición Hospitalaria: Acciones, dise o, componentes, implementación Intervention programs in hospital nutrition: actions, design, components and implementation
S. Santana Porbén,J. Barreto Penié
Nutrición Hospitalaria , 2005,
Abstract: Los Programas de Intervención Alimentaria, Nutrimental y Metabólica deben constituirse en la herramienta metodológica para el enfrentamiento del problema de salud que representa la desnutrición asociada a las enfermedades por un lado, y las "malas prácticas" atentatorias contra el estado nutricional del paciente, por el otro. Estos Programas deben prescribir políticas y acciones claras en los 3 dominios de la práctica médica contemporánea: asistencial, investigativa y educativa. El logro de los objetivos de tales Programas, y la realización de los beneficios implícitos, sólo será posible si se crea una plataforma metodológica que integre armónicamente elementos de Educación Continuada, Análisis de Costos, Documentación y Registros, y Control y Aseguramiento de la Calidad. La experiencia acumulada después de la implementación y conducción del Programa de Intervención en el Hospital Clínico-Quirúrgico "Hermanos Ameijeiras" (Ciudad Habana, Cuba) ha permitido demostrar que no sólo es posible crear el cuerpo teórico-práctico necesario para satisfacer los objetivos enunciados, sino que, además, puede ser extendido hacia otras instituciones de salud del país, por cuanto inversiones mínimas en la adquisición de la logística necesaria para echar a andar el Programa, así como para la capacitación y entrenamiento del personal médico y paramédico en las correspondientes Buenas Prácticas de Documentación & Registros y de Alimentación & Nutrición, pueden redundar rápidamente en beneficios asistenciales y económicos tangibles. Metabolic, Nutrient and Feeding Intervention Programs must become the methodological tool for dealing with the health problem posed by disease-associated-malnutrition on one side, and the "Bad Practices" affecting the nutritional status of the patient, on the other one. Programs like these ones should prescribe clear policies and actions in the three domains of contemporary medical practice: assistance, research and education. The fullfillment of these Program's objectives, and the relization of the implicit benefits, will only be possible if a methodological platform that armonically integrates elements of Continuous Education, Cost Analysis, Recording and Documentation, and Quality Control and Assurance, is created. The experience acumulated after the inception and conduction of the Intervention Program at the Clinical-Surgical "Hermanos Ameijeiras" Hospital (Havana City, Cuba) has served to demostrate that it is feasible not only to create a theoretical and practical body to satisfy the aforementioned goals, but, also, to export it to another
Grupos de Apoyo Nutricional en un entorno hospitalario: Tama o, composición, relaciones, acciones Nutritional Support Groups at a hospital setting: Size, composition, relationships and actions
S. Santana Porbén,J. Barreto Penié
Nutrición Hospitalaria , 2007,
Abstract: El Grupo hospitalario de Apoyo Nutricional (GAN) es el escalón superior de la evolución de las formas de provisión de cuidados alimentarios y nutricionales al paciente hospitalizado. El GAN se destaca de otras formas precedentes por la armonía y cohesión entre sus integrantes, la multi-, inter- y transdisciplinareidad, la dedicación a la actividad a tiempo completo, y la capacidad de autofinanciarse a costa de los ahorros generados de la implementación de una política nutricional consistente con las Buenas Prácticas de Alimentación y Nutrición. Se espera que la incepción y operación del GAN en un entorno hospitalario permita la realización de los beneficios implícitos en los Programas de Intervención Alimentaria, Nutricional y Metabólica. En este artículo se presentan pautas y recomendaciones para la definición del tama o y composición de un GAN hospitalario, así como el establecimiento de las responsabilidades, funciones y tareas de los integrantes del Grupo, y la construcción de un cronograma de implementación, todo ello a partir de la experiencia de los autores después de conducir un GAN en un hospital de tercer nivel en la ciudad de La Habana (Cuba). The hospital Nutricional Support Group (NSG) represents the ultimate step in the evolution of the forms of provision of nutritional and feeding care to hospitalized patients. The NSG outdoes other preceeding forms for its harmony and cohesion among its members, the multi-, inter- and transdisciplinarity, the dedication to the activity on a full time basis, and the capability to self-finance by means of the savings derived from the implementation of a nutritional policy consistent with the Good Practices of Feeding and Nutrition. It is to be expected that the inception and operation of a NSG in a hospital environment allows the realization of the benefits embedded into the Metabolic, Nutritional and Feeding Intervention Programs. Guidelines and recommendations for the definition of the size and composition of an hospital NSG are presented in this article, along with the responsabilities, functions and tasks to be assumed by its members, and a timetable for its implementation, always from the experiencies of the authors after conducting a NSG in a tertiary-care hospital in Havana (Cuba).
Sistema de Educación Continuada en Nutrición Clínica, Nutrición Artificial y Apoyo Nutricional: su lugar dentro de un Programa de Intervención Alimentaria, Nutricional y Metabólica Hospital System for Continuous Education in Food and Nutrition: Its place within a Nutritional, Food and Metabolic Intervention Program
S. Santana Porbén,J. Barreto Penié
Nutrición Hospitalaria , 2009,
Abstract: En este artículo se presenta una propuesta de dise o de un SHECAN Sistema hospitalario de Educación continuada en Alimentación y Nutrición, junto con el modelo de intervención desarrollado y conducido en el Hospital Clínico quirúrgico "Hermanos Ameijeiras" (La Habana, Cuba), y algunos de los resultados observados entre 1997-2004. El dise o del Sistema debe contemplar tres niveles de complejidad, en dependencia de los conocimientos, habilidades y capacidades exhibidos por los actores hospitalarios. El sistema también debe acomodar formas intra- e interdisciplinarias de educación, aprendizaje y capacitación orientadas tanto a incrementar la suficiencia de los actores en el reconocimiento y tratamiento de la desnutrición hospitalaria, como fomentar la actuación grupal. La operación de un SHECAN en el hospital de pertenencia de los autores ha demostrado la factibilidad de la conducción de tales intervenciones educativas en aras de implementar las Buenas Prácticas de Alimentación y Nutrición del paciente hospitalizado. A design proposal for a HCEFN Hospital Continuous Education in Feeding and Nutrition, along with the educational intervention model developed and conducted at the "Hermanos Ameijieras" Hospital (Havana City, Cuba), and some of the results obtained after its implementation between 1997-2004, are presented in this article. The System design should include three levels of different and increasing complexity, depending on the level of knowledge, capabilities and aptitudes exhibited by hospital actors. The described system should also accommodate inter- and intra-disciplinary forms of education, learning and training aimed not only to increase the proficiency of actors in the recognition and treatment of hospital malnutrition, but also to foster group performance. The operation of a HCEFN at the hospital of the authors's affiliation has showed the feasibility of conducting such educational interventions oriented to foster Good Practices for Feeding and Nutrition of the hospitalized patients.
Grupos de Apoyo Nutricional en un entorno hospitalario: La experiencia cubana Nutritional support groups at a hospital setting: The Cuban experience
S. Santana Porbén,J. Barreto Penié,C. Martínez González,A. Espinosa Borrás
Nutrición Hospitalaria , 2007,
Abstract: En este trabajo se presentan los resultados de 8 a os de trabajo ininterrumpido de un Grupo de Apoyo Nutricional (GAN) dentro de un hospital de tercer nivel de la ciudad de La Habana (CUBA). Los resultados se refieren al desempe o del Grupo en los 3 dominios de la actuación médica, por un lado, y el despliegue de un Programa de Intervención Alimentaria, Nutrimental y Metabólica (PRINUMA) de alcance institucional, por el otro. La labor asistencial ha servido para demostrar la factibilidad de los esquemas de intervención conducidos bajo la premisa del uso primordial de la vía enteral, y los beneficios que resultan de su observación en casos seleccionados. La labor docente ha sido siempre una prioridad del trabajo del Grupo, y ha permitido exponer a los grupos básicos de trabajo de la institución a ideas novedosas y nuevos modos de hacer, a fin de desterrar las prácticas indeseables que puedan atentar contra el estado nutricional del paciente, y que muchas veces están sustentadas en mitos, dogmas y sofismas. La labor investigativa ha sido un perfecto complemento del desempe o del Grupo en los 2 dominios anteriores, y ha hecho posible la incorporación de temas de apoyo nutricional y Nutrición Artificial en la carpeta de investigaciones de la institución. La labor médica del GAN se ha acompa ado de una intensa actividad de despliegue del PRINUMA para dar respuesta a los retos que traen consigo el reconocimiento de la desnutrición asociada a las enfermedades como un problema institucional de salud. Las pautas adoptadas en este artículo para el reporte de las actividades del Grupo pueden convertirse en una plataforma metodológica que facilite la evaluación por terceras partes. The results achieved by a Nutritional Support Group (NSG) operating within a tertiary-level hospital in the city of Havana (CUBA) for the last 8 years are presented in this work. Results relate to the performance of the Group in the three domains of medical care, on one hand, and the inception of a Metabolic, Nutritional and Feeding Intervention Program (PRINUMA) of institutional reach, on the other. Nutritional assistance has served the purpose of demonstrating the feasibility of intervention schemes conducted under the premise of the use of the enteral route as first choice, and the benefits observed in selected cases. Teaching has always been a priority of the Group, as a tool to expose the institution's medical care teams to new ideas and novel ways of acting, in order to eliminate those undesirable practices attempting against the patient's nutriture that have arisen most of the tim
Estado de la provisión de cuidados nutricionales al paciente quemado: Auditoría de procesos en un Servicio de Quemados de un hospital terciario
Miquet Romero,L. M.; Rodríguez Garcell,R.; Barreto Penié,J.; Santana Porbén,S.;
Nutrición Hospitalaria , 2008,
Abstract: rationale: response of the burned patient to surgical medical treatment might depend not only upon the damages brought about by thermal agression, namely, increased metabolic requirements, onset of the systemic inflamatory response syndrome, and microbial infections, but also the cultural practices embedded within nutritional care institutional processes. goal: to assess how conduction of nutritional care processes of assessment and intervention may influence therapeutical effectiveness indicators of hospital burn services. study serie: forty-two patients with a burn body surface area (bbsa) > 10% assisted at the burn service of the "hermanos ameijeiras" clinical surgical hospital (la habana, cuba), between january 2001-december 2003. methods: nutritional care of assessment and intervention conducted upon the burn patient were audited after reviewing clinical charts. the audited processes were declared as completed (or not). completeness of the process was related to complications and mortality rates, and length of hospital stay predicted from bbsa. results: nutritional care processes of assessment and intervention were completed in 49.4% and 22.6% of the audited charts, respectively. prospective recording of patient's body weight was associated with lower mortality. early nutritional assessment and sufficient energy supply to patients with bbsa > 20% were associated with lower complications rates and better compliance with bbsa-predicted length of stay. conclusions: this work is the first enquiry into the behaviour of the institution's burn service, in anticipation of the design and implementation of a medical care continuous quality improvement program. in spite of the current state of nutritional care processes completeness, their observance might favorably influence the service's effectiveness indicators.
Costo-efectividad de intervenciones alimentario-nutrimentales vs. hospitalización en pacientes colorrectales
León Rodríguez,Rafael; Santana Porbén,Sergio; Collazo Herrera,Manuel; Barreto Penié,Jesús;
Revista Cubana de Farmacia , 2003,
Abstract: the results obtained from the cost-effectiveness study conducted in 2 food-nutritional intervention schemes (traditional and alternative) used in electively selected patients that underwent colon radical surgery at "hermanos ameijeiras" clinical and surgical hospital are shown. this health intervention is compared with hospitalization, that is, the length of hospital stay plus the surgical procedures performed. it was proved that with the money spent in a food-nutritional support and the use of a residue-poor diet, supplements of ovo-albumin and an enteral nutrient without fiber (fresubion) in the alternative conduct, it was achieved an effectiveness of 100 % cases with no death, a saving of $5 323.22 in the studied cases and an efficiency of $2 453.53/non dying case, which represents greater health benefits with the use of less health resources.
Costo-efectividad de intervenciones alimentario-nutrimentales vs. tratamiento farmacológico en pacientes colorrectales: II parte
León Rodríguez,Rafael; Santana Porbén,Sergio; Collazo Herrera,Manuel; Barreto Penié,Jesús;
Revista Cubana de Farmacia , 2005,
Abstract: by using the cost-effectiveness analysis, it is possible to carry out the economical evaluation of a same program or health intervention in order to compare the positive or negative effects influencing on them. the objective of this paper was to conduct the cost-effectiveness study of the alimentary-nutrimental interventions and to know their effects on the drug treatments used to determine the relation existing between the costs and the results of these health interventions, as well as to evaluate the levels of efficiency reached to develop a strategy on the basis of the clinical effectivity proved and the economic convenience in the utilization of novel nutritional schemes. the cost-effectiveness study undertaken in 2 schemes of alimentary-nutrimental intervention (traditional conduct and alternative conduct) used in patients that were electively selected and that underwent radical surgery of the colon at “hermanos ameijeiras” clinical and surgical hospital, was presented. that health intervention was compared with the used drug treatments. it was proved that with the costs incurred in a nutritional support, using residue-poor diets and an enteral nutrient without fiber in the alternative conduct scheme, it was attained an effectiveness of 100 % of the cases with no deaths, a saving of $ 1 412,66 in the studied cases, and an efficiency of $ 429,38/case without deaths, which implied greater benefits in terms of health with the utilization of less health resources.
Page 1 /327711
Display every page Item


Home
Copyright © 2008-2017 Open Access Library. All rights reserved.