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Search Results: 1 - 10 of 201936 matches for " Yolanda Terán Figueroa "
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Expectations and Perspectives of Users with the Screening Program for Cervical Cancer  [PDF]
Gutiérrez Enríquez Sandra Olimpia, Gaytán Hernández Darío, Martínez Martínez Rosa Adriana, Gallegos García Verónica, Terán Figueroa Yolanda
Open Journal of Nursing (OJN) , 2016, DOI: 10.4236/ojn.2016.68060
Abstract: Objective: Evaluate user satisfaction before and after taking the Pap. Methodology: Observational and prospective study. It was carried out in two health centers in San Luis Potosicity, Mexico in 93 users which attended for a Pap test from February to June 2015. The satisfaction was assessed using multidimensional scaling SERVQUAL whit 5 dimensions to evaluate the quality of services in an organization: reliability, responsibility, security, empathy and touchable and materials goods (tangible elements). This scaling was obtained internal consistency by Cronbach’s alpha coefficient with a value of 0.74. For data analysis, nonparametric test Wilcoxon for related samples was used. Results: In all cases, perspective was less than expectancy where the means of the scores before attention (expectation) and after care (perspective) there was a statistically significant difference (p = 0.000). Before receiving care users had an expectation of 192.96 points, after care perspective score dropped to 184.49 points indicating that the care provided was not what they expected. The difference in scores was 8.47 points (p = 0.004). Conclusions: Users of the screening program for cervical cancer were unsatisfied because the attention was not what they expected. In most of the indicators studied, a high percentage of dissatisfaction was obtained.
Clinical Parameters of Metabolic Control (HbA1c) and Deterioration of Peripheral Arterial Perfusion in Type 2 Diabetes  [PDF]
Ma. de Lourdes Zú?iga-Martínez, Yolanda Terán-Figueroa, Laura Escarlet Guerrero-Cruz, ángel Antonio Vértiz-Hernández
Journal of Diabetes Mellitus (JDM) , 2017, DOI: 10.4236/jdm.2017.71003
Abstract: Objective: To determine the relationship between clinical parameters (HbA1c) whit metabolic control and deterioration of peripheral arterial perfusion in diabetic patients. Methodology: 108 medical records of patients with type 2 diabetes mellitus were evaluated. We obtained averages of: blood glucose (162.3 ± 73.10 mg/dl), glycated hemoglobin (HbA1c = 7.64% ± 1.77%), cholesterol (189.28 ± 35.25 mg/dl), triglycerides (189.11 ± 87.76 mg/dl), Systolic Blood Pressure (SBP = 119.69 ± 14.95 mmHg), Diastolic Blood Pressure (DBP = 77.15 ± 9.55 mmHg) and Media Blood Pressure (MBP = 91.36 ± 9.89 mmHg). We correlated variable HbA1c with vascular injury symptomatology. Results: Correlation was found between sensitivity dysfunction and HbA1c with a statistical significance of p = 0.01, and a correlation Kendal coefficient w = 0.01, any other parameter of metabolic control was not correlated with symptoms of vascular injury. Conclusion: It is remarkable that the sensitivity dysfunction is a symptom of poorly vascularized lower extremities caused for both functional impairment and structural changes in diabetic patients’ peripheral nerves, even in the preclinical stage of vascular disease. The HbA1c could also be investigated as a likely sensitivity dysfunction biomarker in DM due to the correlation presented in this study but more studies must be realized.
Acceptability of self-taken vaginal for early detection of HPV DNA in women with limited access to health services: An alternative to increase the coverage in a state of the Mexican Republic  [PDF]
Terán-Figueroa Yolanda, Mu?iz-Carreón Patricia, Gallegos-Arévalo Yolanda Graciela, Gaytán-Hernández Darío, Gutiérrez-Enríquez Sandra Olimpia
Health (Health) , 2013, DOI: 10.4236/health.2013.512295
Abstract:

Objective: To determine the acceptability of self-taken vaginal to detect HPV DNA in women living in marginalized areas as an alternative to increase the coverage of health services. Methods: A cross-sectional study from March 2009 to April 2011 in 20 municipalities with the highest marginalization in the Huasteca Region of the State of San Luis Potosi, México. We applied a non-probabilistic quota sampling, which was composed of 608 women aged 25 years and more. The recruitment of women was performed through loudspeakers, leaflets and community meetings. A survey consisted of two sections: socio-demographic data and risk factors, which was validated by construct. We checked the reliability by Cronbach’s Alpha (0.90). Acceptability was determined by considering three indicators: perceived comfort, acceptability of the test and the reasons of acceptability. Results: 41.4% of this woman had 31-40 years. 70.5% were married. 35.3% finished high school and 6.7% had not education experience. 67.4% began their sexual life at 18 years or younger. 85.5% preferred self-collection and 14.5% Pap. These results show a clear acceptability of self-making on the other screening method. Regarding the reason for the preference is that 99.4% of women prefer self-take because they feel more comfortable compared to 0.6% who prefer the Papanicolaou. On the perception of comfort 91% mentioned feel very comfortable with self-making compared with 9% of Pap. There was a statisti

cally significant correlation between preference reasons that women have to choose the screening test and the perception of comfort (X2p = 0.000). Conclusions: The self-taken vaginal

Uso del Papanicolaou en mujeres que acuden al programa de detección oportuna de cáncer cérvico-uterino: un acercamiento a la satisfacción con el servicio
Vega Chávez,Jesús; Gutiérrez Enríquez,Sandra Olimpia; Terán Figueroa,Yolanda;
Investigación y Educación en Enfermería , 2009,
Abstract: objetive: to describe the satisfaction of service users with the timely detection of cervical cancer through the analysis of indicators and socio-demographic characteristics. methodology: descriptive study. 101 women participate; they have pap test in july 2007 in 13 urban health centers from san luis potosi health department jurisdiction 1. socio-demographic characteristics and use of service indicators are measured, including also satisfaction level. results: the average age is 36 years old. maximum level of education is ninth grade (42.6%) and 54.5% of the participants have popular insurance; 80.2% are married; the women that more attend for the first time are the youngest (18-31 years), and the married ones; and the ones that attend less are those between 51 and 61 years old. those that are more willing for the first time are the married ones; and the ones with less attendance are the divorced, separated and widows. general knowledge about pap test and uterine cervix cancer is adequate in 51.5% and 76.2%, respectively, whereas the accessibility is adequate in 67.3%. satisfaction level was high on waiting time (66.3%); with complete, truthful, opportune, and understandable information (78.2%), as well as an appropriate treatment from health personal (87.1%) and accessibility (80.2%). conclusions: the users are satisfied with the service. in this article we find that papanicolaou test is not associated with women satisfaction. age and marital status are associated to the appointment for the pap.
Uso del Papanicolaou en mujeres que acuden al programa de detección oportuna de cáncer cérvico-uterino: un acercamiento a la satisfacción con el servicio Use of Pap in women attending early detection of cervical cancer: an approach to meeting the service
Jesús Vega Chávez,Sandra Olimpia Gutiérrez Enríquez,Yolanda Terán Figueroa
Investigación y Educación en Enfermería , 2009,
Abstract: Objetivo: describir la satisfacción de las usuarias con el servicio de detección oportuna de cáncer cérvico-uterino a través del análisis de indicadores y características socio-demográficas. Metodología: estudio descriptivo. Participan 101 mujeres que se someten al Papanicolaou entre junio y julio de 2007 en 13 centros de salud urbanos de la Jurisdicción 1 de la Secretaría de Salud de San Luis Potosí, México. Se aplica una encuesta con tres apartados: características socio-demográficas, indicadores del uso del servicio y nivel de satisfacción. Resultados: la edad promedio de las mujeres es de 36 a os, 42.6% tienen secundaria, 80.2% son casadas y 54.5% están afiliadas al Seguro Popular. Sus conocimientos acerca de la prueba del Papanicolaou y el cáncer son adecuados (51.5% y 76.2%, respectivamente), mientras que la accesibilidad a la prueba de tamizaje es adecuada en un 67.3%; las mujeres que más se presentan a la prueba por primera vez son las de 18 a 30 a os y las casadas; asisten en menor proporción las de 51 a 61 a os. El nivel de satisfacción es alto respecto al tiempo de espera, 66.3%; consideran la información completa, veraz, oportuna y comprensible 78.2%, y encuentran adecuado el trato 87.1%, Conclusiones: las usuarias están satisfechas con el servicio. En este estudio no se encuentra asociación entre la utilización de la prueba del Papanicolaou y la satisfacción de las usuarias; sin embargo, hay asociación entre la primera cita y la edad para realizarse el tamizaje y entre el estado civil y la edad de la primera cita al Papanicolaou. Objetive: to describe the satisfaction of service users with the timely detection of cervical cancer through the analysis of indicators and socio-demographic characteristics. Methodology: descriptive study. 101 women participate; they have PAP test in July 2007 in 13 urban health centers from San Luis Potosi Health Department Jurisdiction 1. Socio-demographic characteristics and use of service indicators are measured, including also satisfaction level. Results: the average age is 36 years old. Maximum level of education is ninth grade (42.6%) and 54.5% of the participants have Popular Insurance; 80.2% are married; the women that more attend for the first time are the youngest (18-31 years), and the married ones; and the ones that attend less are those between 51 and 61 years old. Those that are more willing for the first time are the married ones; and the ones with less attendance are the divorced, separated and widows. General knowledge about PAP test and uterine cervix cancer is adequate in 51.5% and 76.2%, respe
Training of health personnel to improve knowledge and skills in taking Pap: Effect of an educational intervention to prevent cervical cancer  [PDF]
Gutiérrez-Enríquez Sandra Olimpia, Frías-Navarro Víctor Omar, Oros-Ovalle Cuauhtémoc, Ortiz-Valdez Julio Alejandro, Gaytán-Hernández Darío, Terán-Figueroa Yolanda
Health (Health) , 2013, DOI: 10.4236/health.2013.57A4009
Abstract:

Objective: To evaluate the effectiveness of an educational intervention to improve knowledge and skills in taking Pap smear conducted by health staff implementing the program on Early Detection of Cervical Cancer. Methods: A quasiexperimental, longitudinal and prospective study, held from October 25 2010 to April 11, 2011 at a hospital in San Luis Potosi, Mexico. To select groups applied a non-probabilistic convenience sampling that was composed of 28 people, 15 for the study group and 13 to the control group. The study group received training that was divided into three phases in which assessed the knowledge and skills taking the smear, the control group received conventional training offered by your workplace. Papanicolaou quality was measured before and after the intervention. The reference used international classification system Bethesda 2001. For data analysis we used the Student t test. Results: The study group increased knowledge (t = 8.768, p = 0.000) in the management of official standards, in the anatomy of the lower female genital tract and in the form of testing. Technical skills (t = 8.639, p = 0.000) also increased in the study group after the intervention. The control group showed no significant changes. The quality report of the samples in the study group increased from 60% to 86.7% and in the control group decreased from 92.3% to 84.6%. Conclusions: The training is effective in improving the knowledge and skills in taking Pap. Health staff who received the training improved their performance and showed more interest in providing high quality service to women.

Presence of Risk Factors and Co-Factors for Acquiring HPV Infection or Cervical Cancer in Women Living in a Rural Area and an Urban  [PDF]
Terán-Figueroa Yolanda, Canúas-Landero Víctor Gabriel, Ramírez-Flores élfego, Hernández-Madrigal Mónica, Gallegos-García Verónica, Gutiérrez-Enríquez Sandra Olimpia
Health (Health) , 2014, DOI: 10.4236/health.2014.68088
Abstract: Objective: Identify the presence of some risk factors and co-factors for acquiring HPV (human papilloma virus) or cervical cancer in women from a rural area and an urban area. Material and Methods: Cross-sectional study conducted in 2008 in the State of San Luis Potosí, México. Sampling of non-probabilistic convenience was applied. 99 women participated (73 from urban area and 26 rural). Two surveys were used to identify risk factors and socio-demographic data. All women underwent HPV testing; the samples were self-collected and processed by the Hybrid Capture II method?. To analyze the data, descriptive and inferential statistics were applied. Results: The predominant age range was 37 to 42 years. 38.5% is in a rural community and an urban 37.3%. 72.6% began their sexual life at 19 years or more in urban areas and 57.6% before 18 in rural areas. In relation to the number of sexual partners reported having had only one, 73.1% and 67.1% in rural and urban area respectively. Risk factors that were associated with HPV infection were the beginning of sexual activity at age 18 and under (p = 0.041) and the number of sexual partners (p = 0.001). Conclusions: There are more risk factors in women in urban areas but in rural areas it had the highest percentage of positive cases for infection by high-risk HPV.
Plataforma de investigación en salud: una experiencia de formación participativa en una universidad mexicana
Mercado-Martínez, Francisco Javier;Gutiérrez-Enríquez, Sandra Olimpia;Terán-Figueroa, Yolanda;
Texto & Contexto - Enfermagem , 2007, DOI: 10.1590/S0104-07072007000400021
Abstract: this paper presents a training experience on research in a mexican nursing school. the health research platform, as the initiative was called, was carried out using a participatory and collaborative approach. besides its interest in an inclusive process, the platform started by retrieving experiences, practices and suggestions of those involved in the research. the product was the identification of priorities and the elaboration of an annual plan. the latter included a permanent research seminar, courses, and mechanisms of support at an individual level as well as the strengthening of networks. almost one year after having started the platform, some advances can be seen in certain areas such as in counseling, coursework and the permanent seminar. however, there are other activities which have not been implemented due to problems of diverse nature. in addition, some areas stand out in need of further development and they bring to light situations where future programs can be redefined.
Plataforma de investigación en salud: una experiencia de formación participativa en una universidad mexicana
Francisco Javier Mercado-Martínez,Sandra Olimpia Gutiérrez-Enríquez,Yolanda Terán-Figueroa
Texto & Contexto - Enfermagem , 2007,
Abstract: Este trabajo presenta una experiencia de formación en investigación la cual se llevó a cabo en una facultad de enfermería de México. La Plataforma de Investigación en Salud, denominación dada a la iniciativa, se basa en principios de colaboración y participación. Además de impulsar un proceso incluyente, la Plataforma comenzó mediante la recuperación de experiencias, prácticas y propuestas del personal. El producto fue la identificación de prioridades y la elaboración de un programa de trabajo anual. Entre las actividades propuestas se encuentran un seminario permanente de investigación, cursos talleres, mecanismos de apoyo y asesorías individualizadas y el fortalecimiento de redes. A casi un a o de la implementación de la Plataforma se observan avances en rubros como las asesorías, los cursos y el seminario; empero, persisten dificultades para realizar otras acciones planeadas. Se destacan áreas que se pueden fortalecer e identifican situaciones en las cuales se podría replantear el trabajo en el futuro.
Concordance in the Interpretation of Cervical Cytology for the Early Diagnosis of Cervical Cancer  [PDF]
Sandra Olimpia Gutiérrez-Enríquez, Luis Chávez-Hernández, Yolanda Terán-Figueroa, Darío Gaytán-Hernández, Cuauhtémoc Oros-Ovalle, Verónica Gallegos-García, Aracely Diáz-Oviedo, Claudia Elena González-Acevedo
Open Journal of Obstetrics and Gynecology (OJOG) , 2016, DOI: 10.4236/ojog.2016.612089
Abstract: Objective: To identify the diagnostic concordance in the interpretation of cervical smears. Material and Methods: Cross-sectional study from October 2011 to January 2013. 50 samples were read by every 4 cyto-technologists who are the total staffs that read and interpret cytological specimens from a public health institution of the city of San Luis Potosí, México. The cytological diagnosis was confirmed by a certified pathologist. Checklist was developed to determine the quality of the interpretation composed of three sections: adequate sample, inadequate sample and cytological diagnosis. The diagnostic report was made by Bethesda System 2001 classification. Diagnostic concordance was measured through the Kappa coefficient. To establish the differences in cytological diagnosis between each cyto-technologist, chi square test was applied. Results: The concordance is acceptable in the classification of samples as inadequate (k = 0.66). The negative diagnosis was a significant concordance between each cytotechnologist and pathologist; however, no case had very good concordance. In the epithelial abnormalities, only the cytotechnologist 2 had significant concordance with the pathologist, however, its concordance is low. In the case of glandular abnormalities, only cytotechnologist 1 had no significant concordance with the pathologist. The percentage of true negatives was 30%, true positives 20%, false negatives 50% and false positives 0 %. There are significant differences between the readings of cyto-technologist 1 and 2 (p < 0.008), between 1 to 4 (p < 0.001), between 2 and 3 (p < 0.05), and finally between 3 and 4 (p < 0.003). Conclusions: The concordance between cyto-technologists and pathologists is below the required minimum level set by national and international standards.
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