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Search Results: 1 - 10 of 222182 matches for " Susana Martínez Gómez "
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Una aproximación psicosocial al estrés escolar
Martínez Díaz,Esther Susana; Díaz Gómez,Darwin Andrés;
Educación y Educadores , 2007,
Abstract: this paper presents stress as a real phenomenon in school life and is the result of a reflective analysis based on six studies carried out at the levels of basic, middle and higher education carried out by the faculty of psychology at la sabana university. the results of the studies, as well as the casuistics related to the stress suffered by students at all levels of education, provide evidence of the existence of stress generating factors which are related to loss of a parent, disease of a sibling or a relative, excess homework, low academic performance, disturbing pressure, sitting exams, among others.
Una aproximación psicosocial al estrés escolar A psychosocial approximaton to school stress
Esther Susana Martínez Díaz,Darwin Andrés Díaz Gómez
Educación y Educadores , 2007,
Abstract: El presente artículo presenta el estrés como un fenómeno real en la vida escolar, a partir de un análisis reflexivo fruto de seis estudios llevados a cabo en la Facultad de Psicología de la Universidad de La Sabana, en los niveles de educación básica, media y superior. Los resultados de los estudios, como las casuísticas relacionadas con el estrés sufrido por estudiantes de todos los niveles de educación, evidencian que existen factores psicosociales generadores de estrés, los cuales están asociados a la pérdida de uno de los padres de familia, a la enfermedad de un hermano o un familiar, al exceso de tareas, al bajo rendimiento académico, a la presión perturbadora, a la presentación de exámenes, entre otros. This paper presents stress as a real phenomenon in school life and is the result of a reflective analysis based on six studies carried out at the levels of basic, middle and higher education carried out by the Faculty of Psychology at La Sabana University. The results of the studies, as well as the casuistics related to the stress suffered by students at all levels of education, provide evidence of the existence of stress generating factors which are related to loss of a parent, disease of a sibling or a relative, excess homework, low academic performance, disturbing pressure, sitting exams, among others.
Cumplimiento de las actividades preventivas y de promoción de la salud en un centro de hemodiálisis Fulfilment of the activities of prevention and health promotion in a haemodialysis unit
Susana Martínez Gómez,Ma del Carmen Gago Gómez,Enrique Gruss Vergara,Ma del Mar de Andrés Vázquez
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2005,
Abstract: Las actividades de prevención y promoción de la salud son abordadas en la población general por el Programa de Actividades Preventivas y de Promoción de la Salud (PAPPS). Los pacientes en hemodiálisis (HD), por su elevada comorbilidad y alteración inmunológica deberían tener un elevado cumplimento de las mismas. El objetivo de nuestro trabajo fue conocer mediante un estudio observacional transversal en 72 pacientes en HD extrahospitalaria el cumplimiento de algunas actividades del subprograma del adulto de los PAPPS. Resultados. Recomendaciones sobre el estilo de vida: tabaquismo, el 19.4% fumaban una media de 14.78 cigarrillos/día. Alcohol, el 41.7% eran consumidores con una media de 106.08+/-87.1 gr/semana en varones y 79.6+/-91 gr/semana en mujeres. Programa de prevención del cáncer: cáncer de mama, la media de cumplimiento global fue del 54.4%; el 42.8% de forma completa, el 35.7% de forma incompleta y el 21.4% no tenía ninguna mamografía. Cáncer de cerviz, la media de cumplimiento global fue 59%; el 56.2% con cumplimiento del 100%, el 43.7% de forma incompleta y el 18.75% de pacientes no se había realizado ninguna citología cervicovaginal. Programa de prevención de enfermedades infecciosas: un 19.4% estaban vacunados frente al neumococo; 22.2% frente al tétanos-difteria; 73.6% frente a la gripe y el 97.7% frente a la Hepatitis B. Actividades preventivas de alteraciones de la visión en los mayores: la media de cumplimiento fue del 30.34%; el 13.6% de forma completa; el 52.3% de forma incompleta y el 34.1 % no tenía ninguna revisión oftalmológica. El cumplimiento de las recomendaciones de los PAPPS en HD es bajo. Enfermería debería tomar un papel activo en el incremento de estas actividades. Prevention and health promotion activities are dealt with in the general population by the Programme of Preventive Activities and Health Promotion (PAPPS). Given their high joint morbility and immunological alteration, patients in haemodialysis (HD) should be highly compliant. The aim of our work was to use a transversal observational study on 72 patients in outpatient HD to see the fulfilment of some activities of the adult sub-programme of the PAPPS. Results. Recommendations on lifestyle: smoking, 19.4% smoked an average 14.78 cigarettes/day. Alcohol, 41.7% were consumers of an average 106.08+/-87.1 g/week in men and 79.6+/-91 g/week in women. Cancer prevention programme: breast cancer, average overall fulfilment was 54.4%; 42.8% completely, 35.7% incompletely and 21.4% had no mammography. Cervical cancer, average overall fulfilment was 59%; 56.2% fulfilling 10
Análisis de las complicaciones de los catéteres permanentes para hemodiálisis en un área de salud: repercusión económica Analysis of complication of permanent catheters for haemodialysis in a health area: economic repercussions
María Pilar Velayos González,Susana Martínez Gómez,José Portolés Pérez,Ma del Carmen Gago Gómez
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2008,
Abstract: En los últimos a os han aumentado los pacientes portadores de catéter permanente para hemodiálisis. Objetivos: Recoger complicaciones asociadas a los catéteres estimando su coste global. Comparar el coste de la conexión y desconexión de catéter versus fístula. Material y métodos: Estudio prospectivo descriptivo de 24 meses, en 116 CT para HD en 97 pacientes: 68,05% hombres, edad media 66,56 a os y 23,3% diabéticos. Resultados: Siguen funcionando 41 catéteres, se retiraron 75 por: malfunción (11), uso fístula (37), paso a diálisis peritoneal (9), infección (6) y otros (12). En 59 ocasiones se utilizó urokinasa por bajo flujo, se solucionaron 45 y se revisaron 14 en radiología vascular, debiendo sustituirse (6). Registramos 8 infecciones sistémicas, 7 del orificio de salida y 3 del túnel. La supervivencia media acumulada de los catéteres fue de 611,70±36,76 días. La supervivencia fue menor en insuficiencia renal de origen vascular 293,17±46,9. El gasto total de los catéteres fue de 203.354,07€. El coste mes/catéter fue de 563,26€. El coste por sesión sin complicaciones de fue de15,66€ en catéter y de 6,376€ en fístulas. Conclusiones: 1. Nuestros resultados en supervivencia y complicaciones mejoran los recogidos en las guías clínicas. 2. El uso y mantenimiento de los catéteres genera un gasto importante y su uso supone el doble de gasto que la fístula. In recent years the number of patients with a permanent catheter for haemodialysis has increased. Aims: To compile data on the complications associated to catheters, estimating the overall cost. To compare catheter connection and disconnection costs with the cost of a fistula. Material and methods: A 24-month prospective descriptive study in 116 CT for HD in 97 patients: 68.05% men, average age 66.56 years and 23.3% diabetic. Results: A total of 41 catheters continue to work, 75 were removed because of: malfunction (11), use of fistula (37), transfer to peritoneal dialysis (9), infection (6) and others (12). On 59 occasions urokinase was used for low flow, 45 cases were solved and 14 were reviewed in vascular radiology, with 6 having to be replaced. We recorded 8 systemic infections, 7 of the catheter wound and 3 of the tunnel. The average aggregate survival of the catheters was 611.70±36.76 days. Survival was lower in renal insufficiency of vascular origin 293.17±46.9. The total expense of the catheters was 203,354.07€. The cost month/catheter was 563.26€. The cost per session without complications was 15.66€ in catheters and 6.376€ in fistulas. Conclusions: 1. Our results in survival and complications impr
The Canarian Camel: A Traditional Dromedary Population
Ursula Schulz,Isabel Tupac-Yupanqui,Amparo Martínez,Susy Méndez,Juan Vicente Delgado,Mariano Gómez,Susana Dunner,Javier Ca?ón
Diversity , 2010, DOI: 10.3390/d2040561
Abstract: The domestic camel (dromedary) is the most important livestock species in the Canary Islands and the most important autochthonous European camel population. After six centuries of a successful adaptation process to the particular environment of the Canary Islands, the abandonment of traditional agriculture has led this population to a major bottleneck. Along with a lack of foreign genetic interchanges, this could lead the population to the brink of extinction. Genetic analysis using 13 microsatellites showed the closest genetic proximity to the North African (Tindouf, Algeria) camel population and a certain degree of sub-division, with significant genetic differences among breeders. An important level of genetic differentiation among the different populations analyzed was found with a global FST value of 0.116.
Caries de la infancia temprana en ni?os de uno a cinco a?os. Medellín, Colombia, 2008
Ramírez Puerta,Blanca Susana; Escobar Paucar,Gloria; Franco Cortés,ángela María; Martínez Pabón,María Cecilia; Gómez Urrea,Liliana;
Revista Facultad de Odontología Universidad de Antioquia , 2011,
Abstract: introduction: the purpose of this study was to estimate the experience, prevalence and severity of dental caries in 1-5 year-old children attending day care centers in a low and middle-low socioeconomic area. methods: 659 children who were attending day care centers in the north eastern area of the city of medellin were examined. a calibrated (intra examiner kappa 0.77 and inter examiner 0.71) examiner registered dental caries lesions, using international caries assessment and detection system (icdas) criteria. dental caries experience was calculated according to age, gender and distribution levels of severity. results: using icdas criteria, 69.7% of children had early childhood caries (ecc), the average affected surfaces was 5.12 (±7.5), with significant differences by age and predominance of early lesions in 1-3 year-old children. conclusion: the population studied had high levels of dental caries, reflecting that it is still necessary to advance in the definition of oral health policies for young children in the city.
Comparación de dos métodos de seguimiento de las fístulas arteriovenosas protésicas incidentes en un área de salud Comparison of two methods for monitoring incident prosthetic arteriovenous fistulas in a health area
María del Mar Andrés Vázquez,Enrique Gruss Vergara,Susana Martínez Gómez,Dolores Pi?a Simón
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2011,
Abstract: El acceso vascular (AV) es un reto importante, del que depende la calidad de vida del paciente. Objetivo: conocer si un programa de seguimiento informatizado del AV, disminuye la tasa de trombosis de FAV-protésicos incidentes (FAV-PI). Material y métodos: estudio prospectivo observacional de seguimiento de las FAV-PI, entre 2007 y 2009, en el Area 8 de la CAM. Enfermería registró en una base de datos Access: presión venosa dinámica, presión arterial negativa y flujo de bomba de primera hora de diálisis. Comparamos los resultados con un grupo control histórico (GCH) de FAV-PI de 2004-2006, cuando sólo se registraba en la gráfica de enfermería. Las trombosis de FAV-PI posteriores a 2006 no se valoraron. Resultados: Diabetes, sexo y edad no se relacionaron con trombosis en ningún grupo. Las FAV-PI en riesgo entre 2007-2009 fueron: 49 vs 45 del GCH. Comparamos los resultados del periodo 2007-2009 respecto al GCH: Tasa de trombosis anual: 0,37(18/49) vs 0,67(30/45),(p<0,003). Mediana primer episodio de trombosis 217 vs 167 días. Tasa fistulografías anual por disfunción 0,98(48/49) vs 0,51(23/45),(p<0,000). Valor predictivo positivo: 94% vs 87%. Sensibilidad: 82% vs 44%. Estenosis diagnosticadas 45 vs 20. Tasa reparación anual por disfunción: 0,80(39/49) vs 0,31(14/45),(p<0,000). Tasa reparación anual antes de la primera trombosis: 0,41(7/17) vs 0,19(4/21),(p<0,001). Tasa reparación anual por trombosis: 0,43(21/49) vs 0,69(31/45),(0,01). Las enfermeras, mediante el registro informatizado de los parámetros del AV contribuyen al diagnóstico de eventos previos a una trombosis en las FAV-PI, aumentando el número de reparaciones preventivas por disfunción y disminuyendo la tasa de trombosis. Vascular access (VA) is an important challenge, on which the patient's quality of life depends. Object: to find out whether a computerize VA monitoring programme reduces the rate of thrombosis of incident prosthetic AVF (IP-AVF). Material and methods: observational prospective study of IP-AVF monitoring, between 2007 and 2009, in Area 8 of the CAM. Nursing recorded on an Access database: dynamic venous pressure, negative arterial pressure and pump flow in the first hour of dialysis. We compared the results with a historical control group (HCG) of IP-AVF from 2004-2006, when data were only recorded on the nursing chart. IP-AVF thrombosis after 2006 was not valued. Results: Diabetes, sex and age were not related to thrombosis in any group. IP-AVFs at risk in 2007-2009 were: 49 v. 45 of the HCG. We compared the results for the period 2007-2009 compared to the HCG: Annual thrombos
Difunciones sexuales femeninas y masculinas: comparación de género en una muestra de la ciudad de México
Claudia Sánchez Bravo,Jorge Carre?o Meléndez,Susana Martínez Ramírez,María Eugenia Gómez López
Salud mental , 2005,
Abstract:
Manifestaciones dérmicas en hemodiálisis: Cuidados de enfermería ?nuevo enfoque?
González Horna,Alicia; Pi?a Simón,Dolores; Gálvez Serrano,Ma; Gago Gómez,Ma Carmen; Sánchez Mangas,José Ramón; Martínez Gómez,Susana; Marco García,Belén; Hernando Lucio,Paloma;
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2005, DOI: 10.4321/S1139-13752005000400006
Abstract: peripheral vascular injuries are common in elderly patients with chronic renal failure, whether or not associated to hyperparathyroidism and/or metabolic alterations. the progressive ageing of the populations on haemodialysis leads us to assume that in future years an increase will occur in the appearance of dermatological injuries associated to vascular pathology. this observational and retrospective study tries to record the prevalence in our unit of skin injuries during the last three years and to reflect the nursing care that has been developed, without a previously established protocol. our results show that 15% of patients showed skin injuries. 27% were diabetic, 27% suffered from peripheral vascular pathology, 29% had hyperparathyroidism, of whom 40% developed calciphylaxia. we observed from a small papule to more developed ulcers with necrotic tissue which we started to treat empirically with local treatment, preventive antibiotic cover and oral or iv analgesic, if the patient needed it. the etiological diagnosis confirmed that 47% already had 4th degree ischemia and 33% calciphylaxis histological injury. accordingly, we considered introducing protocols for the care of skin injuries in haemodialysis.
Análisis de las complicaciones de los catéteres permanentes para hemodiálisis en un área de salud: repercusión económica
Velayos González,María Pilar; Martínez Gómez,Susana; Portolés Pérez,José; Gago Gómez,Ma del Carmen; Andrés Vázquez,Ma del Mar; Gruss Vergara,Enrique;
Revista de la Sociedad Espa?ola de Enfermería Nefrológica , 2008, DOI: 10.4321/S1139-13752008000100005
Abstract: in recent years the number of patients with a permanent catheter for haemodialysis has increased. aims: to compile data on the complications associated to catheters, estimating the overall cost. to compare catheter connection and disconnection costs with the cost of a fistula. material and methods: a 24-month prospective descriptive study in 116 ct for hd in 97 patients: 68.05% men, average age 66.56 years and 23.3% diabetic. results: a total of 41 catheters continue to work, 75 were removed because of: malfunction (11), use of fistula (37), transfer to peritoneal dialysis (9), infection (6) and others (12). on 59 occasions urokinase was used for low flow, 45 cases were solved and 14 were reviewed in vascular radiology, with 6 having to be replaced. we recorded 8 systemic infections, 7 of the catheter wound and 3 of the tunnel. the average aggregate survival of the catheters was 611.70±36.76 days. survival was lower in renal insufficiency of vascular origin 293.17±46.9. the total expense of the catheters was 203,354.07€. the cost month/catheter was 563.26€. the cost per session without complications was 15.66€ in catheters and 6.376€ in fistulas. conclusions: 1. our results in survival and complications improve on those indicated in clinical guidelines. 2. the use and maintenance of catheters generates a significant expense and their use involves double the expense of a fistula.
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