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https://www.readbyqxmd.com/read/30067731/-incisi%C3%A3-n-cervical-transversa-en-disecci%C3%A3-n-radical-de-cuello
#1
José Francisco Gallegos-Hernández
Antecedentes: La disección radical de cuello es la única forma de estadificar a pacientes con neoplasias con riesgo de metástasis ganglionares. Se han efectuado diversos tipos de incisiones a lo largo de la historia, con el objetivo de obtener una exposición suficiente que permita la resección completa de los grupos ganglionares en riesgo. Es importante combinar la seguridad oncológica con unas adecuadas estética, funcionalidad y calidad de vida. Método: Evaluación retrospectiva del resultado obtenido con la incisión transversa en el cuello en pacientes sometidos a disección radical...
2018: Cirugia y Cirujanos
https://www.readbyqxmd.com/read/30047952/desarrollo-de-la-capacidad-para-la-regulaci%C3%A3-n-en-salud-en-m%C3%A3-xico
#2
Carlos Santos-Burgoa, Manuel Urbina-Fuentes, Juan Ángel Rivera-Dommarco, Martha Híjar, Julio Salvador Sánchez-Tépoz, Juan Carlos Gallaga-Solórzano, Rocío Del Carmen Alatorre Eden-Wynter, Armida Zúñiga-Estrada, Ricardo García-Sarubbi, Claudia Gabriela García-Chávez, Ana Carolina Ariza
La Academia Nacional de Medicina es un espacio esencial para discutir la ciencia de la regulación en salud y posicionar su impacto en la salud y la economía. Enmarcada dentro de la función rectora de la autoridad sanitaria, la regulación en salud es la acción de proteger a la población de los peligros sanitarios involuntarios contra los cuales el individuo no puede protegerse; es una función esencial de la salud pública, componente institucional del sistema de salud y, por ende, vinculada a sus reformas y a la cobertura universal...
2018: Gaceta Médica de México
https://www.readbyqxmd.com/read/30047931/evaluaci%C3%A3-n-de-la-din%C3%A3-mica-cardiaca-con-la-aplicaci%C3%A3-n-de-metodolog%C3%A3-as-basadas-en-entrop%C3%A3-a-proporcional-y-la-ley-zipf-mandelbrot
#3
Javier Rodríguez, Signed Prieto, Leonardo Ramírez
Introducción: Las metodologías fisicomatemáticas son de utilidad para el diagnóstico de la dinámica cardiaca. Objetivo: Comparar la aplicación de dos métodos matemáticos de evaluación de la dinámica cardiaca. Una basada en proporciones de la entropía y otra en la ley de Zipf-Mandelbrot. Método: Se tomaron 10 registros Holter, cinco de pacientes con enfermedad aguda y cinco normales. Se construyó un atractor numérico, se evaluó la probabilidad, entropía y proporciones de entropía...
2018: Gaceta Médica de México
https://www.readbyqxmd.com/read/29902136/evaluaci%C3%A3-n-en-18-horas-de-la-din%C3%A3-mica-cardiaca-con-la-ley-matem%C3%A3-tica-de-los-sistemas-din%C3%A3-micos
#4
Signed Esperanza Prieto Bohórquez, Javier Oswaldo Rodríguez Velásquez, Catalina Correa Herrera, Juan Mauricio Pardo Oviedo, Javier Ardila
Introducción: una ley exponencial se ha hallado para los sistemas dinámicos caóticos cardiacos, logrando cuantificar las diferencias entre dinámicas cardiacas normales y  patológicas.Metodología: Se analizaron 120 registros electrocardiográficos, 40 correspondían a sujetos dentro de los límites de normalidad y 80 con diferentes patologías. Para cada holter se analizaron los atractores generados con los datos durante 18 horas y durante toda la dinámica. Se calculó la dimensión fractal del atractor y su ocupación espacial...
March 23, 2018: Revista de la Facultad de Ciencias Médicas
https://www.readbyqxmd.com/read/29733056/association-of-leptin-with-cardiometabolic-factors-in-schoolchildren-and-adolescents-with-congenital-adrenal-hyperplasia
#5
Jessie Nallely Zurita-Cruz, Miguel Ángel Villasís-Keever, Leticia Damasio-Santana, Leticia Manuel-Apolinar, Rosalba Ferrusca-Ceja, Elisa Nishimura-Meguro, Aleida de J Rivera-Hernández, Eulalia Garrido-Magaña
Introduction: In congenital adrenal hyperplasia (CAH), obesity, hyperinsulinemia and leptin levels are increased. Objective: To identify the frequency of cardiometabolic risk factors (CRF) in children and adolescents with CAH and to explore the relationship with leptin levels. Method: Cross-sectional study of 40 patients who underwent anthropometric measurements and had fasting glucose, insulin, triglycerides, 17-hidroxyprogesterone, leptin, HDL and LDL-cholesterol assessed...
2018: Gaceta Médica de México
https://www.readbyqxmd.com/read/29684901/an%C3%A3-lisis-de-costo-de-la-enfermedad-del-tratamiento-las-complicaciones-e-intervenciones-de-la-hipercolesterolemia-en-m%C3%A3-xico-en-2016
#6
German Baeza-Cruz, Gustavo Peniche-Otero, Mónica E Alva-Esqueda, Mariana Naranjo-Muedano, Noé Soria-Suárez, Héctor J Morales-Flores
OBJETIVOS: Describir los costos y el impacto económico de la atención de pacientes diagnosticados con hipercolesterolemia en México en el año 2016. METODOLOGíA: Se desarrolla una evaluación económica del tipo análisis de costo de la enfermedad donde se cuantifican los recursos médicos utilizados para el tratamiento de la hipercolesterolemia así como para sus complicaciones. Los costos de los recursos médicos utilizados son obtenidos de los costos unitarios por nivel de atención del Instituto Mexicano del Seguro Social (IMSS) así como de las licitaciones publicadas en el portal de compras del IMSS...
April 20, 2018: Value in Health Regional Issues
https://www.readbyqxmd.com/read/29513081/implementaci%C3%A3-n-de-un-modelo-de-capacitaci%C3%A3-n-multimedial-para-brindar-orientaci%C3%A3-n-alimentaria-a-los-beneficiarios-de-un-programa-de-ayuda-social-en-m%C3%A3-xico
#7
Maritza Alejandra Amaya-Castellanos, María Del Carmen Morales-Ruan, Rebeca Uribe-Carvajal, Alejandra Jiménez-Aguilar, Araceli Apolonia Salazar-Coronel, Brenda Martínez-Tapia, Teresa Shamah-Levy
Introducción: Se implementó un modelo de capacitación en orientación alimentaria para la población beneficiaria y el personal operativo del Programa de Abasto Rural (PAR) de Diconsa, el cual es una iniciativa social de ayuda alimentaria que abastece productos básicos y complementarios, además de brindar capacitación en localidades de alta marginación en México. Objetivo: Documentar la utilización de la Metodología de Capacitación Multimedial (MCM) en el desarrollo de un esquema de capacitación sobre orientación alimentaria y su implementación en la población beneficiaria del PAR, a través de la propia estructura operativa del PAR...
March 1, 2018: Global Health Promotion
https://www.readbyqxmd.com/read/29513062/relevance-of-barriers-and-facilitators-in-the-use-of-health-technology-assessment-in-colombia
#8
Florian Dams, Javier Leonardo Gonzalez Rodriguez, Kei Long Cheung, Ben F M Wijnen, Mickaël Hiligsmann
OBJECTIVES: Several studies, mostly from developed countries, have identified barriers and facilitators with regard to the uptake of health technology assessment (HTA). This study elicited, using best-worst scaling (BWS), what HTA experts in Colombia consider to be the most important barriers and facilitators in the use of HTA, and makes a comparison to results from the Netherlands. METHODS: Two object case surveys (one for barriers, one for facilitators) were conducted among 18 experts (policymakers, health professionals, PhD students, senior HTA-researchers) from Colombia...
May 2018: Journal of Medical Economics
https://www.readbyqxmd.com/read/28991273/educational-and-evaluation-strategies-in-the-training-of-physician-specialists
#9
Verónica Alejandra Gaona-Flores, Luz Arcelia Campos-Navarro, Jesús Arenas-Osuna, Enrique Alcalá-Martínez
Background: Teaching strategies have been defined as procedures, means or resources that teachers used to promote meaningful learning. Aim: Identify teaching strategies and evaluation used by the professor with residents in tertiary hospitals health care. Methods: This is a cross-sectional study conducted with full, associate and assistant professors of various medical specialties. A questionnaire was applied to evaluate the strategies used by professors to teach and evaluate students...
2017: Gaceta Médica de México
https://www.readbyqxmd.com/read/27737378/home-delivery-medicament-program-access-inactivity-and-cardiovascular-risk
#10
COMPARATIVE STUDY
Roque da Silva Araújo, Edna Apparecida Moura Arcuri, Victor Cauê Lopes
Objective: to verify causes of inactivity in the Home Delivery Medicament Program, as referred by users from a Primary Health Care Service in São Paulo, comparing them to the causes registered in the program and analyzing them in the theoretical model Concept of Access to Health. Methods: cross-sectional study, interviewing 111 inactive users; and documentary study in the program records. Results: half of the users did not know the condition of inactivity...
October 10, 2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27737377/stages-of-change-of-behavior-in-women-on-a-multi-professional-program-for-treatment-of-obesity
#11
RANDOMIZED CONTROLLED TRIAL
Cheila Aparecida Bevilaqua, Sandra Marisa Pelloso, Sonia Silva Marcon
Objective: to ascertain the effectiveness of an intervention program in relation to anthropometric measurements and stage of readiness for behavioral change in women with excess weight. Methods: the intervention group (IG) was made up of 13 women, and the control group (CG), by 20. The intervention lasted 16 weeks, and included the practice of guided physical activity three times a week, and health education once a week. The application of the questionnaire on stage of readiness for behavioral change, and the anthropometric evaluations, were undertaken at two points - before and after the period of intervention...
October 10, 2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27737376/computer-and-laboratory-simulation-in-the-teaching-of-neonatal-nursing-innovation-and-impact-on-learning
#12
Luciana Mara Monti Fonseca, Natália Del' Angelo Aredes, Ananda Maria Fernandes, Luís Manuel da Cunha Batalha, Jorge Manuel Amado Apóstolo, José Carlos Amado Martins, Manuel Alves Rodrigues
Objectives: to evaluate the cognitive learning of nursing students in neonatal clinical evaluation from a blended course with the use of computer and laboratory simulation; to compare the cognitive learning of students in a control and experimental group testing the laboratory simulation; and to assess the extracurricular blended course offered on the clinical assessment of preterm infants, according to the students. Method: a quasi-experimental study with 14 Portuguese students, containing pretest, midterm test and post-test...
October 10, 2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27695297/self-perception-of-knowledge-and-adherence-reflecting-the-effectiveness-of-antiretroviral-therapy
#13
Carolina Dagli-Hernandez, Rosa Camila Lucchetta, Tales Rubens de Nadai, José Carlos Fernandez Galduróz, Patricia de Carvalho Mastroianni
OBJECTIVES: To evaluate which indirect method for assessing adherence best reflects highly active antiretroviral therapy (HAART) effectiveness and the factors related to adherence. METHOD: This descriptive, cross-sectional study was performed in 2012 at a reference center of the state of São Paulo. Self-report (simplified medication adherence questionnaire [SMAQ]) and drug refill parameters were compared to the viral load (clinical parameter of the effectiveness of pharmacotherapy [EP]) to evaluate the EP...
2016: Patient Preference and Adherence
https://www.readbyqxmd.com/read/27627124/factors-associated-to-clinical-learning-in-nursing-students-in-primary-health-care-an-analytical-cross-sectional-study
#14
Pilar Serrano-Gallardo, Mercedes Martínez-Marcos, Flora Espejo-Matorrales, Tiemi Arakawa, Gabriela Tavares Magnabosco, Ione Carvalho Pinto
OBJECTIVE: to identify the students' perception about the quality of clinical placements and asses the influence of the different tutoring processes in clinical learning. METHODS: analytical cross-sectional study on second and third year nursing students (n=122) about clinical learning in primary health care. The Clinical Placement Evaluation Tool and a synthetic index of attitudes and skills were computed to give scores to the clinical learning (scale 0-10). Univariate, bivariate and multivariate (multiple linear regression) analyses were performed...
September 9, 2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27627122/strengths-of-primary-healthcare-regarding-care-provided-for-chronic-kidney-disease
#15
MULTICENTER STUDY
Elaine Amaral de Paula, Mônica Barros Costa, Fernando Antonio Basile Colugnati, Rita Maria Rodrigues Bastos, Chislene Pereira Vanelli, Christiane Chaves Augusto Leite, Márcio Santos Caminhas, Rogério Baumgratz de Paula
OBJECTIVE: to assess the structure and results obtained by the "Chronic Renal Patients Care Program" in a Brazilian city. METHOD: epidemiological, cross-sectional study conducted in 14 PHC units and a secondary center from 2010 to 2013. The Donabedian Model was the methodological framework used. A total of 14 physicians, 13 supervisors, and 11 community health agents from primary healthcare were interviewed for the assessment of structure and process and 1,534 medical files from primary healthcare and 282 from secondary care were consulted to assess outcomes...
September 9, 2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27579937/fatigue-in-children-and-adolescents-with-cancer-from-the-perspective-of-health-professionals
#16
Michele Cristina Miyauti da Silva, Luís Carlos Lopes, Lucila Castanheira Nascimento, Regina Aparecida Garcia de Lima
OBJECTIVE: to investigate health professionals' knowledge about the concept, assessment and intervention in fatigue in children and adolescents with cancer. METHOD: exploratory study with qualitative approach, with 53 health professionals (10 nurses, 33 assistant nurses, 3 physicians, 3 nutritionists, 2 psychologists and 2 physical therapists). Semi structured interviews were held, which were recorded and analyzed by means of inductive thematic content analysis...
August 29, 2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27579936/transcultural-adaptation-of-the-johns-hopkins-fall-risk-assessment-tool
#17
Maria Carmen Martinez, Viviane Ernesto Iwamoto, Maria do Rosário Dias de Oliveira Latorre, Adriana Moreira Noronha, Ana Paula de Sousa Oliveira, Carlos Eduardo Alves Cardoso, Ifigenia Augusta Braga Marques, Patrícia Vendramim, Paula Cristina Lopes, Thais Helena Saes de Sant'Ana
OBJECTIVE: to perform the transcultural adaptation and content validity analysis of the Johns Hopkins Fall Risk Assessment Tool to assess both fall risk and fall-related injury risk for hospitalized elderly in Brazil. METHOD: the transcultural adaptation consisted of translating the scale to Portuguese (Brazil), back-translating it into its language of origin, establishing a consensus version, and having an expert committee verify its transcultural equivalence. Content assessment was conducted by a committee of judges, ending with the calculation of the items and scales' content validity index...
August 29, 2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27579932/assessment-of-the-usability-of-a-digital-learning-technology-prototype-for-monitoring-intracranial-pressure
#18
Lilian Regina de Carvalho, Yolanda Dora Martinez Évora, Silvia Helena Zem-Mascarenhas
OBJECTIVE: to assess the usability of a digital learning technology prototype as a new method for minimally invasive monitoring of intracranial pressure. METHOD: descriptive study using a quantitative approach on assessing the usability of a prototype based on Nielsen's ten heuristics. Four experts in the area of Human-Computer interaction participated in the study. RESULTS: the evaluation delivered eight violated heuristics and 31 usability problems in the 32 screens of the prototype...
August 29, 2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27579931/cross-cultural-adaptation-and-validation-of-the-nursing-student-satisfaction-scale-for-use-with-brazilian-nursing-students
#19
Carolina Domingues Hirsch, Edison Luiz Devos Barlem, Jamila Geri Tomaschewski Barlem, Graziele de Lima Dalmolin, Liliane Alves Pereira, Amanda Guimarães Ferreira
OBJECTIVE: to cross-culturally adapt and validate the Nursing Student Satisfaction Scale (NSSS) for use with nursing students in the Brazilian context. METHOD: this was a quantitative exploratory and descriptive study using a cross-sectional design conducted with 123 undergraduate nursing students studying at a public university in the south of Brazil. The cross-cultural adaptation was performed according to international guidelines. Validation for use in a Brazilian context was performed using factor analysis and Cronbach's alpha...
August 29, 2016: Revista Latino-americana de Enfermagem
https://www.readbyqxmd.com/read/27579927/quality-of-primary-health-care-for-children-and-adolescents-living-with-hiv
#20
Leticia do Nascimento, Cristiane Cardoso de Paula, Tania Solange Bosi de Souza Magnago, Stela Maris de Mello Padoin, Erno Harzheim, Clarissa Bohrer da Silva
OBJECTIVE: to evaluate the quality of health care for children and adolescents living with HIV, among the different types of Primary Health Care services of Santa Maria, Rio Grande do Sul. METHOD: cross-sectional study, developed with 118 Primary Health Care professionals. The Primary Care Evaluation Instrument, Professional version, was used. For verification of the variables associated with the high score, Poisson Regression was used. RESULTS: the professionals of the Family Health Strategy, when compared to those of the Primary Health Units, obtained a greater degree of orientation to primary care, both for the overall score and for the derived attributes score, as well as for the integrality and community orientation attributes...
August 29, 2016: Revista Latino-americana de Enfermagem
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