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1.
Infect Agent Cancer ; 13: 39, 2018.
Artículo en Inglés | MEDLINE | ID: mdl-30555526

RESUMEN

Non-Hodgkin Lymphoma (NHL) is a neoplasm associated with a group of malignancies called AIDs-Defining Malignancies (ADMs) in Human-Immunodeficiency Virus (HIV) -patients. Similar to the case of NHL in Latin America, particularly in Peru, the amount of research done on others ADMs is limited, especially in the case of Kaposi's Sarcoma (KS). Prior investigations have talked about the great potential risk that represents this illness in latin american population, but topics as prognosis factors are yet to be well defined. In this letter, we address the importance of investigation in this area and include previously reported data that may enlighten the current national standpoint.

4.
J Adolesc Health ; 54(6): 672-7, 2014 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-24257031

RESUMEN

BACKGROUND: The mental health of children is a primary public health concern; adolescents of military personnel may be at increased risk of experiencing poorer well-being overall and depressive symptoms specifically. These adolescents experience individual and intrafamilial stressors of parental deployment and reintegration, which are directly and indirectly associated with internalizing behaviors. PURPOSE: The present study sought to better understand the influence of parental military connectedness and parental deployment on adolescent mental health. METHODS: Data from the 2011 California Healthy Kids Survey examined feeling sad or hopeless, suicidal ideation, well-being, and depressive symptoms by military connectedness in a subsample (n = 14,299) of seventh-, ninth-, and 11th-grade California adolescents. Cross-classification tables and multiple logistic regression analyses were used. RESULTS: More than 13% of the sample had a parent or sibling in the military. Those with military connections were more likely to report depressive symptoms and suicidal ideation. Controlling for grade, gender, and race/ethnicity, reporting any familial deployment compared with no deployments was associated with increasing odds of experiencing sadness or hopelessness, depressive symptoms, and suicidal ideation. CONCLUSIONS: Findings emphasize the increased risk of mental health issues among youth with parents (and siblings) in the military. Although deployment-related mental health stressors are less likely during peace, during times of war there is a need for increased screening in primary care and school settings. Systematic referral systems and collaboration with community-based mental health centers will bolster screening and services.


Asunto(s)
Conducta del Adolescente/psicología , Encuestas Epidemiológicas/estadística & datos numéricos , Salud Mental/estadística & datos numéricos , Familia Militar/psicología , Estudiantes/psicología , Ideación Suicida , Adolescente , California , Depresión/complicaciones , Depresión/psicología , Femenino , Encuestas Epidemiológicas/métodos , Humanos , Control Interno-Externo , Masculino , Familia Militar/estadística & datos numéricos , Padres/psicología , Riesgo , Estrés Psicológico/complicaciones , Estrés Psicológico/psicología , Estudiantes/estadística & datos numéricos
5.
Curr Obes Rep ; 3(2): 150-5, 2014 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-26626601

RESUMEN

In Latin American countries, obesity prevalence has increased significantly as a result of rapid urbanization and an improvement in socioeconomic conditions. We report the prevalence of overweight and/or obesity and prevention efforts in five countries: Mexico, Colombia, Brazil, Peru, and Chile. In children, the highest and lowest rates of obesity are found in Chile (23 % in 6-year-olds) and Peru (1.8 % in those <5 years), respectively. In adults, Mexico and Chile present similar high rates of obesity (around 35 %), whereas in Brazil and Colombia, the rates are around 20 % and 16.5 %, respectively. In general, the highest prevalence occurs in low-income women. Every country has developed initiatives to target obesity, from the government to the private sector and academia, mainly at the health sector and school settings. Food labeling is being addressed, but has not been implemented yet. Two interventions are described, a community-based in Mexico and a school-based in Chile. Because the increase in chronic diseases, especially diabetes, has paralleled that of obesity, effective prevention efforts are urgently needed.

6.
Rev. cienc. cuidad ; 11(1): 47-56, 2014.
Artículo en Español | LILACS, COLNAL | ID: biblio-906824

RESUMEN

Objetivo: Determinar el nivel de adherencia al protocolo de administración de medicamentos por el personal auxiliar de enfermería en una institución de salud de cuarto nivel. Materiales y Métodos: La presente investigación es de carácter cuantitativo de tipo descriptivo de corte transversal, se trabajó con una muestra de 150 auxiliares de enfermería que cumplieron los criterios de inclusión. Para la recolección de la información se utilizó dos instrumentos: una lista de chequeo y un test de conocimientos elaborados y validados por los investigadores. Resultados: El nivel de conocimientos sobre la administración de medicamentos que tiene el personal fue adecuado en un 50%, y la aplicabilidad del protocolo se cumple en el 65% del personal. Conclusión: El nivel de adherencia al protocolo de administración de medicamentos que tiene el personal auxiliar de enfermería es del 65%, existiendo una adecuada relación entre los conocimientos y la aplicabilidad de los mismos.


Goal. Determine the level of adherence to protocol management drugs by the auxiliary nurse in a fourth level health institution. Materials and Methods. This research is a quantitative type descriptive cross-sectional, we worked with a sample of 150 nursing assistants who met the inclusion criteria. For data collection was used two instruments: a checklist and a knowledge test developed and validated by researchers. Results. The level of knowledge about managing drug that the staff has, it was adequated in 50%, and the applicability protocol is met in 65% of the staff. Conclusion. The level of adherence to medication administration protocol that the auxiliary nurses have in 65%, there will be an adequate relationship between knowledge and the applicability of these ones.


Objetivo: Determine o nível de adesão ao protocolo de gestão drogas por parte do auxiliar de enfermagem em uma unidade de saúde na sala nível. Materiais e Métodos: Esta pesquisa é do tipo quantitativa descritivo transversal, trabalhamos com uma amostra de 150 auxiliares de enfermagem que preencheram os critérios de inclusão. Para a coleta de dados foi utilizado dois instrumentos: uma lista de verificação e um teste de conhecimento desenvolvido e validado pelos pesquisadores. Resultados. O nível de conhecimento sobre o gerenciamento droga que tem o pessoal foi adequado em 50%, e a aplicabilidade protocolo é cumprida em 65% do pessoal. Conclusão. O nível de adesão ao protocolo de administração de medicamentos que tem os auxiliares de enfermagemé de 65%, será uma relação adequada entre o conhecimento ea aplicabilidade dos.


Asunto(s)
Vías de Administración de Medicamentos , Protocolos Clínicos , Conocimiento
7.
Rev. MED ; 21(1): 38-45, ene.-jun. 2013. ilus, tab
Artículo en Español | LILACS-Express | ID: lil-700586

RESUMEN

Las ecuaciones diferenciales se clasifican de acuerdo con el tipo, el orden y si son o no lineales; pueden expresar leyes de los fenómenos naturales como las leyes del movimiento de Newton, enunciadas en el contexto de la cinemática para el sistema dinámico planetario. La teoría de los sistemas dinámicos ha sido base, junto con otras teorías físicas y matemáticas, para el desarrollo de metodologías predictivas en medicina. En un trabajo previo se hizo una predicción para la dinámica de la epidemia de la malaria en Colombia, a partir de una analogía en el contexto de las ecuaciones diferenciales de segundo orden, encontrando una predicción correcta para los rangos de casos de infectados en los años 2005 a 2007, cuyas trayectorias representadas corresponden a atractores circulares concéntricos. En el presente trabajo se desarrolló esta misma metodología para la predicción de la dinámica de la epidemia del dengue, tomando los datos de casos desde 1990 hasta 2007. Se calculó la velocidad inicial y la aceleración inicial para rangos de tres años, haciendo predicciones de la trayectoria a partir de la ecuación diferencial de segundo orden para la aceleración. Se predijeron correctamente los rangos de valores de las trayectorias de la epidemia de dengue para el 2005, 2006 y 2007 a través de atractores circulares concéntricos, concluyendo que dentro del contexto de la ley diferencial acausal se pueden predecir los rangos de la trayectoria de la dinámica, de forma útil para las decisiones de salud pública.


Differential equations are classified according to type, order and whether they are linear or not; they can express natural phenomena laws such as Newton's movement laws, set in the context of kinematics for the planetary dynamic system. Dynamical systems theory has been a foundation along with other physical and mathematical theories, for the development of predictive methodologies in medicine. In a previous study, a prediction for the dynamics of Malaria Epidemic in Colombia was made, beginning with an analogy in the context of second order differential equations, finding a successful prediction for the infected ranges for the years 2005-2007, which represented trajectories correspond to concentric circular attractors. In the present study, the same methodology for Dengue Epidemic prediction was developed; considering the cases data from 1990 to 2007, initial velocity and initial acceleration for three year-ranges, making predictions of the epidemic from the second order differential equation for acceleration. Values of ranges were successfully predicted for Dengue Epidemic trajectories for 2005, 2006 and 2007, through concentric circular attractors; it was concluded that within the context of acausal differential equation the dynamic trajectory ranges may be predicted in a useful way for the Public Health decision making.


As equações diferençais classificam-se de acordo com o tipo, a ordem e se são ou não lineares; podem expressar leis dos fenômenos naturais como as leis do movimento de Newton, enunciadas no contexto da cinemática para o sistema dinâmico planetário. A teoria dos sistemas dinâmicos tem sido base, junto com outras teorias físicas e matemáticas, para o desenvolvimento de metodologias preditivas em medicina. Em um trabalho prévio se fez uma predição para a dinâmica da epidemia da Malaria na Colômbia, a partir de uma analogia no contexto das equações diferençais de segunda ordem, encontrando uma predição correta para os intervalos de casos de infectados nos anos 2005 a 2007, cujas trajetórias representadas correspondem a atratores circulares concêntricos. No presente trabalho se desenvolveu esta mesma metodologia para a predição da dinâmica da epidemia da dengue, tomando os dados de casos desde 1990 até 2007, calculou-se a velocidade inicial e a aceleração inicial para intervalos de três anos, fazendo predições da trajetória a partir da equação diferencial de segundo ordem para a aceleração. Predisseram-se corretamente os intervalos de valores das trajetórias da epidemia de dengue para 2005, 2006 e 2007 através de atratores circulares concêntricos, concluindo que dentro do contexto da lei diferencial acausal podem-se predizer os intervalos da trajetória da dinâmica, de forma útil para as decisões de saúde pública.

8.
Inmunología (1987) ; 32(2): 50-56, abr.-jun. 2013. ilus, tab
Artículo en Español | IBECS | ID: ibc-112120

RESUMEN

Basados en la teoria de conjuntos se desarrolla una metodologia de prediccion del recuento de linfocitos T CD4 (LT-CD4) a partir del numero de leucocitos y linfocitos totales. Se aplica esta metodologia a 500 muestras provenientes de pacientes con VIH con el fin de confirmar la capacidad predictiva de la metodologia. Las triplas de datos de leucocitos/ml3, linfocitos/ml3 y (..) (AU)


Based on set theory a predictive method of LT-CD4 count was developed based on the number of white blood cells and total lymphocytes. The method was applied to 500 samples, in order to confirm the method's predictive capacity. The data triplets of WBC/ml3, lymphocytes/ml3 and CD4/¦Ìl for each patient were organized in descending order according to the number of white blood cells and separated in groups of 1.000. Triplets were organized in sets A, B, C and D, and then AUC, BUD, and their intersections were established. Finally, the elements of each group were calculated and their corresponding percentage for each group of WBC was determined. As a result it was found that five of the nine groups of WBC showed an assertive percentage of 80.39% or above, and percentages of 92.54% and 100% were obtained for groups of values below 4.000/ml3 and 3.000/ml3, respectively. Results confirm that the method can be effectively applied in a clinical setting regardless of statistical measurements, and will reduce human and economic resources (AU)


Asunto(s)
Humanos , Recuento de Linfocitos/métodos , Recuento de Leucocitos/métodos , Recuento de Linfocito CD4/métodos , Infecciones por VIH/inmunología , Recuento de Células Sanguíneas/métodos , Citometría de Flujo/métodos , Pautas de la Práctica en Medicina
9.
J Assoc Nurses AIDS Care ; 24(6): 521-9, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-23465398

RESUMEN

Despite evidence of the potential of the female condom as a method that effectively protects against sexually transmitted infections (STIs), HIV, and pregnancy, it is still not widely available. We conducted in-depth interviews with 18 sex workers, 15 male clients, and seven partners in the Dominican Republic to assess the acceptability of the female condom. The majority of the sex workers found the female condom acceptable and welcomed the option of a female-controlled method. Clients and partners of the sex workers were also positive about the female condom and, particularly with regard to pleasure; almost all preferred it to the male condom. These findings suggest that the female condom offers an acceptable option for protection against HIV, STIs, and pregnancy. The positive attitudes of women and men could be developed into messages in marketing campaigns for the female condom, targeting not only vulnerable groups but also the general population.


Asunto(s)
Condones Femeninos/provisión & distribución , Trabajo Sexual , Trabajadores Sexuales , Parejas Sexuales , Enfermedades de Transmisión Sexual/prevención & control , Adolescente , Adulto , Condones Femeninos/estadística & datos numéricos , Comportamiento del Consumidor , República Dominicana , Femenino , Humanos , Entrevistas como Asunto , Masculino , Investigación Cualitativa , Sexo Seguro , Enfermedades de Transmisión Sexual/epidemiología , Factores Socioeconómicos , Encuestas y Cuestionarios , Adulto Joven
10.
Am J Prev Med ; 44(2): 150-3, 2013 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-23332331

RESUMEN

BACKGROUND: Young people in military-connected families may be exposed to deleterious stressors, related to family member deployment, that have been associated with externalizing behaviors such as substance use. Substance use predisposes youth to myriad health and social problems across the life span. PURPOSE: This study examined the prevalence and correlates of lifetime and recent substance use in a normative sample of youth who were either connected or not connected to the military. METHODS: Data are from a subsample of the 2011 California Healthy Kids Survey (N=14,149). Items in the present analyses included present familial military affiliation (no one, parent, sibling); number of deployments (none, one, two or more); gender; grade; and race/ethnicity. Substance use items assessed whether the youth reported lifetime use of alcohol, tobacco, marijuana, other drugs, or prescription drugs; and recent (past 30 days) use of alcohol, tobacco, marijuana, and other drugs. RESULTS: Multivariate analysis conducted in 2012 revealed that an increase in the number of deployments was associated with a higher likelihood of lifetime and recent use, with the exception of lifetime smoking. CONCLUSIONS: These results indicate that experiences associated with deployment of a family member may increase the likelihood of substance use.


Asunto(s)
Consumo de Bebidas Alcohólicas/epidemiología , Personal Militar , Fumar/epidemiología , Trastornos Relacionados con Sustancias/epidemiología , Adolescente , California/epidemiología , Salud de la Familia , Femenino , Encuestas Epidemiológicas , Humanos , Masculino , Análisis Multivariante
11.
Inorg Chem ; 49(3): 960-8, 2010 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-20047301

RESUMEN

Organotin(IV) compounds of the type [(o-MeEC(6)H(4))CH(2)](2)SnPh(2-n)Cl(n) were synthesized, E = O, n = 0 (1), n = 1 (2), and n = 2 (3); E = S, n = 0 (4), n = 1 (5), and n = 2 (6); and E = CH(2), n = 0 (7), n = 1 (8), and n = 2 (9). The dichloro compounds 3 and 6 have been investigated by single-crystal X-ray diffraction and exhibit bicapped tetrahedral geometry at the tin atom as a consequence of significant intramolecular Sn...O (3) and Sn...S (6) secondary bonding, in monomolecular units. Compound 3, when crystallized from a hexane/THF solvent mixture, shows two different conformers, 3' and 3'', in the crystal structure; 3' has two equivalent Sn...O interactions, while 3'' has two nonequivalent Sn...O interactions. Upon the recrystallization of 3 from hexane, only a single structural form is observed, 3'. The Sn...E distances in 3', 3'', and 6 are 71.3, 73.5 and 72.9, and 76.3% of the SigmavdW radii, respectively. The meta- and para-substituted isomers of 3 (10, 11) exhibit a distortion at the tin atom due to self-association via intermolecular Sn...Cl interactions, resulting in polymeric structures. (119)Sn NMR spectroscopy suggests that the intramolecular Sn...E interactions persist in solution for the dichloride compounds 3 and 6.


Asunto(s)
Calcógenos/química , Cloro/química , Compuestos Orgánicos de Estaño/química , Estaño/química , Cristalografía por Rayos X , Modelos Moleculares , Compuestos Orgánicos de Estaño/síntesis química
12.
Rev. colomb. rehabil ; 8(1): 41-55, oct. 2009.
Artículo en Español | LILACS | ID: lil-564781

RESUMEN

La inclusión de las personas con discapacidad en el sistema educativo de Colombia y más específicamente en la formación superior, se constituye en un desafío para las Instituciones. Desde el plano regional hasta el plano local se logran identificar elementos de similitud en los procesos y en los avances. Asimismo, se identifican falencias y requerimientos estructurales que condicionan el ingreso, permanencia y egreso de la población con discapacidad a procesos de formación en educación superior. Desde esta perspectiva, el presente documento articula la reflexión académica sobre el estado actual de las prácticas inclusivas en Educación Superior en Colombia, estableciendo elementos que permitan vislumbrar los desafíos a los que ésta se encuentra abocada para lograr su propósito de inclusión social de las personas con discapacidad.


The inclusion in the Colombian educative system of people with disabilities and especially at the higher-level is a challenge for the Institutions. Form the regional level to local level, is able to recognize elements of similarity in the processes and progress. It also identifies gaps and structural requirements that determine the entry, stay and exit of people with disabilities in higher education. From this perspective, this paper articulates the academic reflection on the current state of inclusive practices in Higher Education in Colombia, providing evidence to discern the challenges that it has been striving to achieve its purpose of social inclusion of people with disability.


Asunto(s)
Colombia , Personas con Discapacidad , Educación Superior
13.
J Womens Health Gend Based Med ; 11(7): 639-51, 2002 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-12396896

RESUMEN

BACKGROUND: Cervical cancer incidence and mortality rates are dramatically higher among low-income women than in the general population, in part due to poor adherence to recommended diagnostic follow-up after an index Pap test. This report describes a pilot study of the Screening Adherence Follow-Up Program (SAFe), an individualized, structured case management program designed to assess for and intervene in response to a variety of potential personal and systems barriers to follow-up adherence. Interventions included health education, counseling, and systems navigation. METHODS: A clinical decision-making algorithm was used to determine service intensity and level of intervention. Services were provided to 196 low-income women, predominantly Latinas, who had either a low-grade or high-grade squamous intraepithelial lesion (LGSIL or HGSIL) abnormal Pap result. Adherence rates to at least one follow-up appointment after enrollment and baseline intervention were 83% following LGSIL and 93% for HGSIL. RESULTS: Over 1 year post-enrollment, 41% of women with LGSIL were fully adherent, with 42% partially adherent; 61% of women with HGSIL were fully adherent, with 32% partially adherent. In a comparison group of 369 nonenrollees (women who refused participation or could not be located for consent), adherence rates were 58% for LGSIL and 67% for HGSIL. A survey among a random sample of women served indicated that 93% were "mostly" or "very" satisfied, overall, with SAFe services. CONCLUSIONS: The intervention team--a peer counselor and a master's degreed social worker--addressed multiple psychosocial and systems navigation problems to reduce potential barriers to adherence, including knowledge, attitudinal, psychosocial, psychological distress, systems communication, and resource access problems. SAFe appears highly acceptable to women and may significantly enhance medical care management following an abnormal cervical screen for a carefully targeted group of women at risk for suboptimal follow-up adherence.


Asunto(s)
Hispanoamericanos/psicología , Cooperación del Paciente/etnología , Pobreza/psicología , Displasia del Cuello del Útero/diagnóstico , Frotis Vaginal/estadística & datos numéricos , Adulto , Anciano , Algoritmos , Toma de Decisiones , Femenino , Estudios de Seguimiento , Humanos , Los Angeles , Tamizaje Masivo/estadística & datos numéricos , Persona de Mediana Edad , Satisfacción del Paciente , Proyectos Piloto , Pobreza/etnología , Displasia del Cuello del Útero/etnología , Salud de la Mujer
14.
Community Ment Health J ; 38(4): 311-25, 2002 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-12166918

RESUMEN

The results of implementing mental health screening within cancer screening and diagnostic programs serving low-income ethnic minority women are reported. Multi-phased screening for anxiety and depression was provided as part of structured health education and intensive case management services to improve abnormal mammogram or Pap test follow-up. Seven hundred fifty-three women were enrolled in the Screening Adherence Follow-up Program. Ten percent (n = 74) met criteria for depressive or anxiety disorder. Women with depressive or anxiety disorders were more likely to have cancer, significant psychosocial stress, fair or poor health status, a comorbid medical problem, and limitation in functional status. Forty-seven women with disorders were receiving no depression care.


Asunto(s)
Ansiedad/diagnóstico , Neoplasias de la Mama/diagnóstico , Continuidad de la Atención al Paciente , Trastorno Depresivo/diagnóstico , Tamizaje Masivo/organización & administración , Servicios de Salud Mental/organización & administración , Grupos Minoritarios , Cooperación del Paciente/etnología , Pobreza/etnología , Neoplasias del Cuello Uterino/diagnóstico , Adulto , Anciano , Anciano de 80 o más Años , Ansiedad/etnología , Neoplasias de la Mama/etnología , Neoplasias de la Mama/psicología , Prestación Integrada de Atención de Salud , Trastorno Depresivo/etnología , Femenino , Investigación sobre Servicios de Salud , Humanos , Los Angeles/epidemiología , Mamografía/estadística & datos numéricos , Persona de Mediana Edad , Ciudad de Nueva York/epidemiología , Proyectos Piloto , Encuestas y Cuestionarios , Neoplasias del Cuello Uterino/etnología , Frotis Vaginal/estadística & datos numéricos
15.
Cancer Pract ; 10(3): 130-8, 2002.
Artículo en Inglés | MEDLINE | ID: mdl-11972567

RESUMEN

PURPOSE: The purpose of this study was to test an intervention (the Screening Adherence Follow-up Program [SAFe]) that was designed to reduce the number of known barriers to diagnostic follow-up adherence and initiation of treatment among women with low incomes who had abnormal mammogram findings. DESCRIPTION OF PROGRAM: The investigators developed and implemented a highly structured, theory- and evidence-based intervention that combined health education, counseling, and systems navigation, which was delivered by a team consisting of a peer counselor and a social worker who held a masters degree. A scripted baseline telephone interview identified potential barriers to follow-up adherence and provided counseling interventions for each patient. Patients were assigned to different service intensities based on the level of risk for nonadherence. Patients with significant mental health symptoms, psychosocial stressors, or who had received a diagnosis of cancer were referred to the team social worker for further assessment and intervention. Patients also received reinforcing telephone follow-up calls at 6 and 12 months. RESULTS: An observational pilot study of SAFe (N = 605) in two large urban diagnostic centers showed that 71% of women receiving SAFe were Hispanic, 18% were Black, and 11% were from other ethnic backgrounds. Adherence rates through diagnostic resolution and the initiation of treatment for women who had received a diagnosis of cancer were 93% and 90%, respectively, at the two study sites. Rates of adherence among women who could not be located or who refused study consent were significantly lower (72% and 69%, respectively). The rate of timely adherence was also higher among the women served. Patient satisfaction with SAFe was generally high. CLINICAL IMPLICATIONS: Study results support the combining of interventions and the practical utility of a clinical decision-making algorithm to determine individualized nonadherence risk and to assign service intensity based on individual need. Problems in locating women for enrollment were experienced.


Asunto(s)
Neoplasias de la Mama/diagnóstico , Servicios de Salud/estadística & datos numéricos , Mamografía , Cooperación del Paciente , Proyectos Piloto , Pobreza , Adulto , Anciano , Neoplasias de la Mama/tratamiento farmacológico , Femenino , Estudios de Seguimiento , Humanos , Los Angeles , Persona de Mediana Edad , Ciudad de Nueva York , Evaluación de Programas y Proyectos de Salud
16.
Rev. salud pública ; 3(1): 74-88, mar. 2001. ilus, tab
Artículo en Español | LILACS-Express | ID: lil-703388
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