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Search Results: 1 - 10 of 2236 matches for " Salinas-Escudero "
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Hacia una base normativa mexicana en la medición de calidad de vida relacionada con la salud, mediante el Formato Corto 36
Durán-Arenas,Luis; Gallegos-Carrillo,Katia; Salinas-Escudero,Guillermo; Martínez-Salgado,Homero;
Salud Pública de México , 2004, DOI: 10.1590/S0036-36342004000400005
Abstract: objective: to present the results of the application of the short format 36 instrument (sf-36) in the mexican states of sonora and oaxaca. the levels of quality of life were compared with those from canada and the united states. material and methods: the data were obtained using a survey on health service access, usage, and quality. the sf-36 is composed of 36 questions, which represent eight different domains on the health-related quality of life. these domains are used to estimate the physical and mental components of health. data analysis was performed to calculate the average scores for each domain for the total sample, by gender and age groups in each state. the regional differences were assessed by the difference of means. results: the total response was 98.5% of the 4200 selected households. the percent response values were similar between the two states. a total of 5961 subjects older than 25 years of age completed the questionnaire. males scored higher than females in all domains and in both components. regardless of sex, the highest variation was observed in adults up to 64 years of age mainly in three domains: overall health, social function, and mental health; in the 65-74 year age group occurred mostly in social function and mental health; and in adults older than 75 years only in mental health. the young adult age group (25 to 44 years) showed variation in a greater number of domains, while women exhibited more variation in the "extreme" age groups, 25 to 34 years and 75 years and older. the mean scores in our sample were higher than those found in canada and the united states in five domains and in the two summary components. canada showed higher scores in the other three domains (overall health, social function, and mental health). conclusions: sf-36 data are not available at the national level; hence, the authors recommend that their study results may serve as the normative reference for sf-36 in mexico. researchers using the sf-36 could compare the
Cost-effectiveness analysis of the use of palivizumab in the prophylaxis of preterm patients in Mexico
Salinas-Escudero,Guillermo; Martínez-Valverde,Silvia; Reyes-López,Alfonso; Gardu?o-Espinosa,Juan; Mu?oz-Hernández,Onofre; Granados-García,Víctor; Rely,Kely;
Salud Pública de México , 2012, DOI: 10.1590/S0036-36342012000100007
Abstract: objective: the study evaluated the incremental cost-effectiveness ratio (icer) of the prophylaxis of palivizumab, for the reduction of complications associated to the respiratory syncytial virus in preterm patients in mexico. material and methods: a decision tree was developed in preterm groups [<29 and 29-32 weeks of gestational age (wga)], by using epidemiological and cost local data; the effectiveness was obtained with a systematic review. patients were evaluated according to their life expectancy. mexican health system perspective was used. effectiveness measures employed were lyg and qalys. the costs are reported in usd 2009. results: icers per lyg resulted on values of usd $25,029 and usd $29,637 for <29 wga and 29-32 wga respectively, whereas icers per qalys obtained in the model accounted for usd $17,532 and usd $20,760. conclusions: palivizumab prophylaxis for preterm newborn patients ≤32 weeks of age resulted in a cost-effective alternative.
Competencia en el sector salud: análisis de la reforma sueca (1992 - 1995)
Mould Quevedo,Joaquín F; Salinas Escudero,Guillermo; Contreras Hernández,Iris; Garrido Solano,Carlos;
Revista de Saúde Pública , 2008, DOI: 10.1590/S0034-89102008000200024
Abstract: the paper reviews the outcomes and failures of the swedish health care reform, as well as the lessons learned for accomplishing better financial results and quality standards.
El concepto de willingness-to-pay en tela de juicio
Mould Quevedo,Joaquín F; Contreras Hernández,Iris; Gardu?o Espinosa,Juan; Salinas Escudero,Guillermo;
Revista de Saúde Pública , 2009, DOI: 10.1590/S0034-89102009005000007
Abstract: the adequacy of the concept of willingness to pay within health economics evaluations is reviewed. a considerable number of researchers in the literature have pointed out multiple methodological issues involving willingness-to-pay estimates. on the other hand, the theoretical discussion about the aggregation of individual preferences within an aggregate demand remains open. however, over the last 20 years, willingness-to-pay estimates alongside health economics research significantly increased and in many cases they are one of the key factors for decision making on issues of health policies. the article describes some limitations of this approach as well as the potential distorting effect that it might have on health economics evaluations.
Heidegger: Being and Time and the Care for the Self  [PDF]
Jesús Adrián Escudero
Open Journal of Philosophy (OJPP) , 2013, DOI: 10.4236/ojpp.2013.32047
Abstract: The secret of Being and Time and of its constant cultural and philosophical presence lies in its unusual hermeneutical richness. Being and Time becomes, so to speak, a precise seismometer capable of detecting the slips and falls of the contemporary era with surprising accuracy. It offers us an exact scan of the ethical and moral conscience of our time. Being and Time does not develop a philosophical theory among others, rather it faces the challenge of thoroughly reflecting upon the dilemma that is constantly present in philosophy, namely the question of human being and its relation to being in general. From this point of view, I would like to consider the possibility of reading this fundamental work of Heidegger as an ethics of the care, that is, as book that promotes a cultivation of the self and the other.
Diagnóstico de muerte encefálica
Escudero,Dolores;
Medicina Intensiva , 2009,
Abstract: brain death has been recognized by the scientific community as the person's death, and accepted in the legislation of different countries. brain death is defined as the irreversible ending of the functions of all the intracranial neurological structure in both the brain and brain stem. this clinical situation appears when intracranial pressure exceeds the patient's systolic blood pressure, leading to brain circulatory arrest. the most frequent are cerebral hemorrhage and cranioencephalic trauma. clinical diagnostic must be done by doctors with expertise in neurocritical patient treatment. this diagnosis is based on a systematic, complete and extremely rigorous clinical examination that confirms a non-reactive coma, absence of brain stem reflex, and absence of spontaneous breathing. instrumental tests may be obligatory in some cases, this depending on each country. electroencephalogram and evoked potentials are the electrophysiological tests used. in patients treated with sedative drugs, cerebral blood flow evaluation tests, such as cerebral angiography, transcranial doppler or 99tc-hmpao scintigraphy, will be used. more than 92% of the transplants performed in spain are performed with brain death donor organs. brain death confirmation is a high responsibility act, with medical, ethical and legal significance since it requires removal of all artificial support, or organs extraction for transplant. extensive knowledge on its diagnostic and correct decision making avoid unnecessary use of resources and improves management of organs for transplant.
Paro cardíaco y reanimación según reporte Utstein. Hospital de Emergencia José Casimiro Ulloa enero - agosto 2008.
Sonia Escudero
Actas Peruanas de Anestesiología , 2011,
Abstract: Objetivo: Determinar la incidencia, características epidemiológicas y datos de los registros Utstein de los pacientes con paro cardiorrespiratorio (PCR) intrahospitalario atendidos en el Hospital de Emergencias José Casimiro Ulloa. Material y métodos: Estudio observacional, descriptivo y transversal, de la información del registro Utstein de los PCR intrahospitalarios atendidos en los diversos servicios del Hospital de Emergencias José Casimiro Ulloa entre enero y agosto del 2008. Resultados: Durante el período de estudio se reportaron 148 casos, con una incidencia de 2.56 x 1,000 y una mortalidad del 98%. La edad promedio fue 56.5 a os, siendo el sexo masculino el más frecuente con respecto al femenino en una proporción de 2 a 1. El antecedente más común fue insuficiencia cardíaca congestiva en un 45.94%, mientras que el 43.24% tenía el diagnóstico de shock séptico. Según el registro Utstein, la causa precipitante más común fue la depresión respiratoria en un 47.97%, mientras que el ritmo cardíaco inicial más encontrado fue la asistolia con 39.29%. El tiempo promedio de reanimación cardiopulmonar fue de 17.2 minutos y la causa de muerte más frecuente fue el da o cerebral con el 24.64%. Conclusiones: El reporte Utstein es una herramienta útil para el diagnóstico y posterior mejora de los sistemas de atención de emergencia, sin embargo sigue siendo poco difundido y subutilizado en nuestro país.
Diagnóstico de muerte encefálica Brain death diagnosis
Dolores Escudero
Medicina Intensiva , 2009,
Abstract: La muerte encefálica ha sido reconocida como la muerte del individuo por la comunidad científica y aceptada como tal en la legislación de diferentes países. La muerte encefálica se define como el cese irreversible en las funciones de todas las estructuras neurológicas intracraneales, tanto de los hemisferios cerebrales como del troncoencéfalo. Esta situación aparece cuando la presión intracraneal supera la presión arterial sistólica del paciente, lo que da lugar a la parada circulatoria cerebral. La etiología más frecuente es la hemorragia cerebral y el traumatismo craneoencefálico. El diagnóstico debe ser realizado por médicos expertos en el manejo de pacientes neurocríticos y se basa en una exploración neurológica completa y extremadamente rigurosa que constate un coma arreactivo y ausencia de reflejos troncoencefálicos y respiración espontánea. Las pruebas instrumentales pueden ser obligatorios en algunos casos y varían en cada país. Los de tipo electrofisiológico son el electroencefalograma y los potenciales evocados. En pacientes tratados con fármacos sedantes se utilizan pruebas que evalúan el flujo sanguíneo cerebral, como la angiografía cerebral, el Doppler transcraneal y la gammagrafía con 99Tc-HMPAO. En Espa a, más del 92% de los trasplantes se realizan con órganos procedentes de donantes en muerte encefálica. La declaración de muerte encefálica es un acto de gran responsabilidad, con trascendencia médica, ética y legal, ya que exige retirar todas las medidas artificiales de soporte o realizar la extracción de órganos para trasplante. Un amplio conocimiento sobre su diagnóstico y una correcta toma de decisiones evitan el consumo innecesario de recursos y optimizan la obtención de órganos para trasplante. Brain death has been recognized by the scientific community as the person's death, and accepted in the legislation of different countries. Brain death is defined as the irreversible ending of the functions of all the intracranial neurological structure in both the brain and brain stem. This clinical situation appears when intracranial pressure exceeds the patient's systolic blood pressure, leading to brain circulatory arrest. The most frequent are cerebral hemorrhage and cranioencephalic trauma. Clinical diagnostic must be done by doctors with expertise in neurocritical patient treatment. This diagnosis is based on a systematic, complete and extremely rigorous clinical examination that confirms a non-reactive coma, absence of brain stem reflex, and absence of spontaneous breathing. Instrumental tests may be obligatory in some cases, this depen
Los Procedimientos en Resolucion de Problemas de Alumnos de 3o A o: Caracterizacíon a Traves de Entrevistas
Consuelo Escudero
Investiga??es em Ensino de Ciências , 1996,
Abstract: Taking into account the analysis resulting from individual interview made to same secondary school students (students attending third 3o year). Our research suggests these students approximate to the nature of problem solving and, in so doing, to the various difficulties brought about at their level of education. This research consists of studying how these students start to solve problem, the various procedures they follow, how they study for their tests, how they deal with their work, in which aspects they are more likely to fail; and finally, how they deal with new situations. Further more, it is necessary to point out that the research is carried out with two groups of students whose school marks were generally low. The knowledge of procedures is analyzed by means of the use of Flavell`s classification. The results reveal that most of these students lack of cognitive and metacognitive strategies, that they need permanent external references, that they neither solvenor face new situations, etc. These analyses, together with their correspondent interpretation, are used in order to discuss some interesting pedagogical implications.
Noesiterapia frente a analgesia epidural Noesitherapy vs epidural analgesia
A. Escudero
Revista de la Sociedad Espa?ola del Dolor , 2010,
Abstract:
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