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1.
Ultrasound Med Biol ; 46(2): 263-268, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31767453

RESUMO

Studies have reported the usefulness and tolerability in practice of abdominal ultrasound performed by non-radiologists in various clinical situations. This prospective observational single-center study included 184 patients hospitalized in an internal medicine department who underwent conventional abdominal ultrasound. A medical resident with basic training performed point-of-care clinical ultrasound using a pocket-sized device. The concordance obtained between the researcher and the radiologist was good (k >0.6) for the gallbladder, splenomegaly, longitudinal diameter of the kidney, presence of renal cysts and hydronephrosis. The specificity was >90% for all parameters assessed except normal renal size. A negative predictive value >90% was obtained for all variables studied except the presence of hepatic space-occupying lesions and gallbladder pathology, the negative predictive values for which were >80%. A positive predictive value >80% was obtained for all of these variables, except the presence of adenopathies, hepatomegaly, space-occupying lesions, echogenicity and/or enlargement of the biliary tract, left renal atrophy and right renal masses. We conclude there was a high concordance between a conventional abdominal study and that performed with a pocket-sized ultrasound device after a brief learning curve.

4.
Index enferm ; 25(3): 198-202, jul.-sept. 2016.
Artigo em Espanhol | IBECS | ID: ibc-158190

RESUMO

La educación es un pilar básico en la población Saharaui. Sin embargo, la población refugiada tiene un difícil acceso a la misma, sobre todo a la educación secundaria, superior o especializada en competencias profesionales. En los Campamentos de Refugiados Saharauis se ha realizado un importante esfuerzo desde el Ministerio de Educación, apoyado por diferentes OG/ONG, para paliar esta situación y ofrecer nuevas oportunidades. No obstante, en las profesiones sanitarias se ha visto como la fuga de cerebros ha dado lugar a que muchos de los profesionales formados no regresen. Ante esto, el Ministerio de Salud busca nuevas fórmulas de formación de estos profesionales y de incentivación de los mismos. La Facultad de Ciencias de la Salud de la Universidad de Jaén participa en un sistema de formación continuada en cascada que cumple el objetivo de incentivar a los profesionales de nivel superior y a la vez formar a promotoras de salud


Education is a basic pillar in the Saharan population. However, the refugee population doesn’t have an easy access to this education, especially to secondary, postsecondary or specialized in professionals competences. An important effort has been done by the Education Ministry in Saharan Refugee Camps, supported by several GO/NGO, to relieve this situation and to offer news opportunities. All the same, in medical professions is common to see that those professionals who have be informed in other countries don’t return to their origin place. In light of that, the Health Ministry looks for new ways of professional training and motivation. The Faculty of Health Sciences of the University of Jaén takes part in a cascade training method to incentive the higher level professionals and, at the same time, to train health promoters


Assuntos
Humanos , Melhoramento Biomédico , Campos de Refugiados/políticas , Educação/métodos , Nível de Saúde , Ensino Fundamental e Médio , Capacitação Profissional , África do Norte
5.
Index enferm ; 25(3): 203-206, jul.-sept. 2016.
Artigo em Espanhol | IBECS | ID: ibc-158191

RESUMO

El elevado porcentaje de diabéticos de entre los pacientes atendidos en una consulta multidisciplinar en los campamentos de refugiados saharauis, plantea la posibilidad de una prevalencia muy elevada de esta enfermedad, favorecida por factores asociados al cambio de las condiciones de vida de esta población que ha pasado de ser nómada a un obligado sedentarismo y a la dependencia dietética de la ayuda humanitaria. Estas y otras características de la vida del refugiado, que intervienen en el desarrollo de patologías crónicas, son el motivo de reflexión de este artículo


The high percentage of diabetics, patients treated in a multidisciplinary consultation, in the Sahara wire fugue camps (CRS), raises the possibility that there is a very high prevalence of this disease. Diabetes mellitus in CRS is favored by factors associated with changing living conditions of this population, which has evolved from nomads to a sedentary life style and forced to dietary dependence on humanitarian aid. These characteristics of refugee life, involved in the development of chronic diseases, are the reason for reflection of this article


Assuntos
Humanos , Campos de Refugiados/análise , Assistência à Saúde/organização & administração , Diabetes Mellitus/epidemiologia , Condições Sociais , Nível de Saúde , Cooperação Internacional , Socorro Alimentar , Comparação Transcultural
6.
Index enferm ; 25(3): 207-210, jul.-sept. 2016.
Artigo em Espanhol | IBECS | ID: ibc-158192

RESUMO

El objetivo es poner en situación de conocimiento, los factores de riesgo que aumentan considerablemente la prevalencia de hipertensión arterial en la población refugiada saharaui y las posibles soluciones, pudiendo hacer una reflexión crítica sobre la importancia del problema y las repercusiones que supone la hipertensión en este pueblo. Varias consultas de medicina general en dispensarios de varias wilayas nos alertan del aumento de hipertensión en la población refugiada con respecto a los datos de países desarrollados y de las posibles causas. Después de analizar varios factores de riesgo de padecer hipertensión, como condiciones climáticas, sedentarismo, alimentación y cultura, a los que están siendo sometidos esta población a causa de un conflicto que ya dura 40 años, se llega a la conclusión de que son la principal causa del aumento en la prevalencia de esta enfermedad. Siendo las soluciones muy limitadas dentro de este conflicto


The aim of this article is to inform of risk factors which considerably increase hypertension prevalence in saharaui refugee people and possible solutions. At the same time a critical reflexion of the importance and effects of this problem within this people will be done. During some consultations in those wilaya dispensaries we noticed the rise of hypertension within refugee people related to developed countries as well as the possible causes. After analyse some risk factors of suffering hypertension as climate, sedentary lifestyle, diet and culture which those people are been subdued to because of a conflict during 40 years, we come to the conclusion they are the main cause of the rising prevalence of hypertension. Within this conflict, solutions are so limited


Assuntos
Humanos , Campos de Refugiados/análise , Assistência à Saúde/organização & administração , Hipertensão/epidemiologia , Fatores de Risco , Comportamento Sedentário , Efeitos do Clima/efeitos adversos , África do Norte , Determinação de Necessidades de Cuidados de Saúde
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