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Search Results: 1 - 10 of 182584 matches for " Samuel Ponce de Leon Rosales "
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Texas and Mexico: Sharing a Legacy of Poverty and Neglected Tropical Diseases
Peter J. Hotez ,Maria Elena Bottazzi,Eric Dumonteil,Jesus G. Valenzuela,Shaden Kamhawi,Jaime Ortega,Samuel Ponce de Leon Rosales,Miguel Betancourt Cravioto,Roberto Tapia-Conyer
PLOS Neglected Tropical Diseases , 2012, DOI: 10.1371/journal.pntd.0001497
Abstract:
Assistência de enfermagem a um paciente portador de Diabetes Mellitus
Faeda, Alessandra;Leon, Cassandra Genoveva Rosales Martins Ponce de;
Revista Brasileira de Enfermagem , 2006, DOI: 10.1590/S0034-71672006000600019
Abstract: it's a case study, developed in a health center, of the federal district, with the purpose of describing the nursing attendance to a patient with diabetes mellitus. to develop this study the nursing process was applied, in the stages: data collection; nursing diagnoses; planning; interventions and evaluation of the given assistance. it were found the following diagnoses: ineffective control of the therapeutic regimen; prejudiced adaptation; disturbed image corporal and risk for the integrity of harmed skin. the nursing assistance planning sought mainly to contribute for the adhesion to the treatment and to reduce potential risks, making use of the health education. with the interaction and the use of the therapeutic communication, a small change was observed in the habits of the patient's life.
Princípios éticos como norteadores no cuidado domiciliar
Santos,Letícia Rosa; Leon,Casandra Genoveva Rosales Martins Ponce de; Funghetto,Silvana Schwerz;
Ciência & Saúde Coletiva , 2011, DOI: 10.1590/S1413-81232011000700017
Abstract: home care is a health care strategy that aims to emphasize the autonomy of the patient as well as to enhance their functional skills in their home. the aim is to reflect the observance of ethical principles in home care, in the form of home assistance. the study is exploratory and descriptive, addressing a critical review of the literature, according to the analysis of bardin. home care is becoming indispensable in reducing hospital costs, hospitalization, number of hospitalizations and number of clinical complicationsm as well as increased family participation in patient care, providing a better quality of life. however, it is necessary to take into consideration the purpose and quality of care delivered, analyzing it from the perspective of ethical principles in order not to make this kind of care only beneficial to one party, but a common good to all subjects involved in this care.
Forma??o de formadores: a prática educativa de um programa de pós-gradua??o em enfermagem
Ponce de Leon, Cassandra Genoveva Rosales Martins;Silva, César Cavalcanti da;
Revista Brasileira de Enfermagem , 2006, DOI: 10.1590/S0034-71672006000500008
Abstract: this study aimed at understanding the educational practices operated in the graduate nursing program of the center of sciences of the health of the federal university of paraíba - ufpb and at identifying the produced contradictions, to the light of emancipatory pedagogic references and also non-emancipatory ones. this is a study of qualitative approach. the teachers and students of the graduate nursing program of ufpb were the subject of the study. the semi-structured interview was used, and the analysis of the data happened through the technique of speech analysis. the evidenced empiric categories were: contradictions in the process of formation of teachers and influence of the educational emancipatory ando non-emancipatory practices. it was verified that the teachers' educational practice is found in bases of non-emancipatory, fact ratified by the speech of the students.
Bioterrorismo: apuntes para una agenda de lo inesperado
Ponce de León-Rosales,Samuel; Lazcano-Ponce,Eduardo; Rangel-Frausto,Manuel Sigfrido; Sosa-Lozano,Luis Antonio; Huerta-Jiménez,Martha Asunción;
Salud Pública de México , 2001, DOI: 10.1590/S0036-36342001000600012
Abstract: the vulnerability of human populations to chemical, biological, radiological, and nuclear terrorism has been widely discussed but insufficiently studied. current public health policies are not guided by solid and relevant information to design cost-effective programs for preventing or controlling this kind of incidents in the future. governmental budgets are insufficient to respond to bioterrorist attacks. to face these threats, developing countries like mexico should frame strategies and devise specific preventive actions that consider the transmission dynamics of potential infectious agents likely to be used in a bioterrorist attack. proposals. the international reaction to a biological attack must be supported by international agreements that ban the use of biological agents for warfare and/or defense purposes, as well as on academic and technological exchange for the prevention of bioterrorist attacks. at the national level, the recommendations in the event of a biological attack are: a) establishing a legal defense strategy against bioterrorism; b) implementing education programs as a key strategy for defense against bioterrorism; c) devising a national program of interinstitutional antibioterrorist coordination that includes medical emergency assistance and collection of medical forensic evidence; d) including a biological weapon registry in epidemiological surveillance systems; e) implementing a laboratory for biological material analysis related to terrorist incidents; f) devising public health information campaigns, g) assuring the supply of diagnostic testing, special protection, and emergency treatment materials; h) decentralizing alert systems for the timely detection of bioterrorist attacks; i) responding to bioterrorist actions addressed against animals and plants, and j) organizing ethics committees in case of urgent events derived from a biological attack. conclusions. the proper response to sudden and unexpected events of emergent or unusual infecti
Bioterrorismo: apuntes para una agenda de lo inesperado
Ponce de León-Rosales Samuel,Lazcano-Ponce Eduardo,Rangel-Frausto Manuel Sigfrido,Sosa-Lozano Luis Antonio
Salud Pública de México , 2001,
Abstract: La vulnerabilidad de las poblaciones humanas a terrorismo químico, biológico, radiológico y nuclear ha sido ampliamente discutida pero insuficientemente analizada. Las políticas de salud pública carecen de información sólida y relevante para dise ar programas costo-efectivos para prevenir o mitigar este tipo de incidentes en el futuro. Los gobiernos tienen insuficiencia presupuestal para hacer frente a este tipo de ataques. Por lo anterior, en países en desarrollo, como México, es conveniente reflexionar sobre las acciones preventivas particulares, los agentes potenciales y la prevención de la transmisión. Propuestas. La respuesta internacional ante un ataque biológico debe basarse en acuerdos internacionales que prohiben el uso de agentes biológicos con fines de guerra o defensa; así como intercambio académico y tecnológico para la prevención de ataques bioterroristas. Las recomendaciones, a escala nacional, ante un ataque biológico son: a) una estrategia legal de defensa contra bioterrorismo; b) educación, como clave para defensa contra bioterrorismo; c) creación de un programa nacional de coordinación interinstitucional antibioterrorista, que incluya asistencia de urgencias médicas y la obtención de evidencia médica forense; d) instalación de un sistema de vigilancia epidemiológica ante el uso de armas biológicas; e) instauración de un laboratorio de análisis de material biológico asociado con incidentes terroristas; f) preparación de campa as públicas de información; g) garantía de abasto de material diagnóstico, protección especial y tratamiento de urgencias ante ataques biológicos; h) descentralización de sistemas de alerta para detección oportuna de terrorismo biológico; i) respuesta a acciones bioterroristas dirigidas contra animales y plantas, y j) creación de Comités de Etica ante situaciones de urgencia por un ataque biológico. Conclusiones. El cambiante panorama epidemiológico requiere de una infraestructura suficiente para establecer diagnósticos de enfermedades emergentes o insólitas como sería el caso de una agresión bioterrorista. La tecnología permite ahora identificar, en pocas horas, a múltiples agentes infecciosos por análisis de ácidos nucleicos y debería ser accesible en laboratorios de referencia. Todas las acciones requieren de presupuestos suficientes para enfrentar esta posible eventualidad. La situación es potencialmente de extrema gravedad y así deberá considerarse al cuantificar la inversión. El texto completo en inglés de este artículo está disponible en: http://www.insp.mx/salud/index.html
Humanizing delivery: a reality in a birth center?
Wilma Lilian Lima Barros, Edileusa Costa, Lara Mabelle Milfont Boeckmann, Paula Elaine Diniz dos Reis, Casandra Genoveva Rosales Martins Ponce de Leon, Silvana Schwerz Funghetto
Revista de Enfermagem UFPE On Line , 2011,
Abstract: Objective: to know the women's perception in the postpartum about the provided health assistance during the labor and delivery at San Sebastian Birthing Center in District Federal, Brazil’s capital. Methodology: this is about a qualitative study, performed with ten women who experienced the delivery and postpartum period in this birthing center. The project was approved by the Ethics Committee of the Health State Secretary of the District Federal with protocol number 264/2007. Results: the themes of the study were found and classed in the following way: Pre-natal assistance, birth process and puerperal assistance. The women’s narrations were analyzed and it was referred in the major statements, humanization’s actions in the delivery moment and in the puerperal period, however the same women related scanty orientations and information in pre-natal appointments that would be very relevant to live these experiences with self-control and safety. Conclusion: the present study evidenced that at San Sebastian Birthing Center, the executed work correspond to a humanized assistance that is offered to the pregnant women who are admitted at this birthing center. The procedures that are used in this birthing center are humanized and they are according to World Health Organization’s recommendations, which were confirmed by the collected report of the women who participated of the study.
Incidence and risk factors for cutaneous adverse drug reactions in an intensive care unit
Campos-Fernández, Maria del Mar;Ponce-de-León-Rosales, Samuel;Archer-Dubon, Carla;Orozco-Topete, Rocío;
Revista de investigación clínica , 2005,
Abstract: objective. to evaluate the incidence of adverse cutaneous drug reactions in intensive care unit patients. design. cohort study. setting. general adult intensive care unit of an institutional tertiary care hospital. patients. patients in the intensive care unit during a consecutive 8-month period were examined for adverse cutaneous drug reactions. results. patients in the intensive care unit have an incidence of 11.6% of adverse cutaneous drug reactions. associated risk factors were female gender, obesity, age over 60 and immune dysregulation (systemic lupus erythematosus, dysthyroidism, and antiphospholipid antibodies syndrome). few patients had previous history of adverse cutaneous drug reactions. antimicrobials were the main drug involved. morbilliform rash followed by urticary were the most frequently observed reactions. interestingly, over 50% of patients with massive edema -independent of etiology- died. conclusions. intensive care unit patients are particularly at risk for developing an adverse cutaneous drug reaction.
Tuberculosis en trabajadores de la salud: importancia de los programas de vigilancia y control
Ostrosky-Zeichner,Luis; Rangel-Frausto,Sigfrido; García-Romero,Elizabeth; Vázquez,Alma; Ibarra,Juana; León-Rosales,Samuel Ponce de;
Salud Pública de México , 2000, DOI: 10.1590/S0036-36342000000100009
Abstract: objective: to describe tuberculosis surveillance results among healthcare workers of a tertiary care center. material and methods: all medical records of workers from 1992-1998 were reviewed. demographics, labor, medical history, previous testing, ppd, booster shots and follow-up were analyzed. statistical analysis was performed with odds ratios, p-values, and 95% confidence intervals. subgroup analysis were done with c2. kaplan-meier estimates were used to analyze times to conversion. results: surveillance was done in 1617 workers (68% female and 32% male). mean age was 26.9±7.6(15-68) years. job positions were 30.5% nurses, 14.6% residents and 14.1% interns. place of origin was mexico city in 65.8%. bcg vaccination was present in 71.6% and 15.1% had previous ppd. admission ppd was positive in 39.6%, negative in 48.3% and 12.1% were lost to follow-up. on negatives, 483 booster shots were applied, and 49 additional positives were found. follow-up was done in 231 workers, of which 100 (43.3%) converted. the mean time for conversion was 22.8±12.4 months. the conversion rate at twelve months was 20%. fifty workers received/accepted isoniazid prophylaxis. conclusions: a high percentage of workers were ppd-positive; booster shots allowed the detection of an additional 10%. a high conversion rate underscores the need to organize tuberculosis control programs in mexico.
Validación de un programa de vigilancia de infecciones nosocomiales
Rangel-Frausto,M. Sigfrido; Morales-García,Daniel; Báez-Martínez,Rosa; Ibarra-Blancas,Juana; León-Rosales,Samuel Ponce de;
Salud Pública de México , 1999, DOI: 10.1590/S0036-36341999000700011
Abstract: objectives. to validate the nosocomial infections surveillance system, establish its impact in morbi-mortality. material and methods. surveillance of every single patient admited during a one month period was done by one of us (dmg). each posibile case was discussed with two other hospital epidemiologists (splr, msrf). this intensive surveillance was compared against the routinely surveillance performed by the nurses. we included all hospitalized patients between 11th july and 12th of august according to cdc (atlanta, ga) nosocomial infections definitions. patients were followed everyday and information about age, gender, underlying diagnosis, microorganisms responsible for nosocomial infections, hospital length of stay and mortality. results. during the study period 429 were admitted, 45 developed a nosocomial infection (cases) and 384 did not (controls). the incidence of nosocomial infections was 10.48 cases/100 discharges. the sensitivity and specificity of the surveillance system was 95.3 and 98.7%, respectively. mortality in infected was 11.11% and in non infected was 2.4%. the average length of stay was 20 and 11days for cases and non infected respectively (p< 0.01). urinary tract infections were the most common ni (42%), secondary bacteremia (14-%), pneumonia (11.11%) and deep surgical site infection (9.25%). the surgical wound infection rates were: 1.3%, 1.9% and 1.9% for clean, clean-contaminated and contaminated wounds. patients with rapidly fatal diseases had an increased frequency of infections. the microorganisms most commonly isolated were escherichia coli (28%), staphylococcus aureus (11.11%), and pseudomonas aeruginosa (8.6%). the level of antibiotic resistance was in average of 43% for those antibiotics tested. conclusions. the sensitivity and specificity of the surveillance system was excelent. patients with nosocomial infections had an increased length of stay and a higher mortality compared to those without ni. the validation of the surveillance
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