Examinando por Materia "Treatment"
Mostrando 1 - 7 de 7
Resultados por página
Opciones de clasificación
- PublicaciónAcceso abiertoEfectos de la terapia de la risa en pacientes hospitalizados en LA CLÍNICA NORTE, CÚCUTA 2019(Cúcuta: Universidad de Santander, 2018, 2018-11-20) Galvis Rojas, Katherin Milena.; Maldonado Trillos, Michell Isnan.; Hernández, Isabel-Soledad; Rodriguez Galezo, Lorencita.El proyecto diseñado en la aplicación e implementación de la terapia de la risa como terapia no invasiva se ha enfocado para impactar positivamente en el estado de ánimo y la percepción del dolor en los pacientes, brindándoles comodidad y bienestar. Demostrando así cuan buena y positiva puede ser dicha terapia si la implementamos con frecuencia, rompiendo paradigmas y convirtiéndolo en una estrategia terapéutica convencional, como estímulo que les genere bienestar y confort a los pacientes. Para así demostrar que el estado de ánimo puede influir en gran porcentaje posteriormente en el estado en que se encuentra dicho paciente, mejorando su calidad de vida y la de sus familiares. Para así poder lograr su implementación como una de las terapias manejadas por el profesional de Enfermería para el tratamiento del dolor en dichos pacientes de la ciudad de Cúcuta.
- PublicaciónAcceso abiertoMay Measurement Month 2018. An analysis of blood pressure screening results from Colombia(European Society of Cardiology, 2020-08-28) Lopez-Jaramillo, Patricio; Otero, Johanna; Alvernia, Juliana; Ney-Salazar, Daniela; Lopez-Lopez, Jose; Accini, Jose Luis; Aroca, Gustavo; Urina-Triana, Miguel; Sánchez-Vallejo, Gregorio; Arcos, Edgar; Casanova, María E.; García, Henry; Beaney, Thomas; Ster, Anca Chis; Poulter, Neil R.; MasiraHigh blood pressure (BP) is the leading global preventable cause of death and the most common risk factor for cardiovascular disease (CVD). However, due to its asymptomatic nature, the lack of awareness of this condition causes underdiagnosis and low rates of adherence to pharmacological treatment. Looking for practical approaches to increase awareness worldwide, the International Society of Hypertension (ISH) implemented the 2nd May Measurement Month campaign in 2018 (MMM18). In order to contribute to this initiative, Colombia participated as one of the 89 countries involved in this hypertension screening programme. Blood pressure was measured in subjects from 11 departments in Colombia. Under the leadership of the Fundación Oftalmológica de Santander (FOSCAL), 400 volunteers across the country collected the data following the MMM protocol. Measurements from 35 548 participants with a mean age of 41.9 years were obtained. In total, 9475 (26.7%) of the total population studied had hypertension. Of those with hypertension, 69.9% of these subjects were aware of their condition, 65.0% were on antihypertensive medication, and 43.1% had controlled BP. Of those on medication, 66.3% had controlled BP. Hypertension screening, awareness, treatment, and control should be a priority in public health objectives due to its elevated burden of disease and direct association with increased CVD. The MMM campaign provided a positive impact in the diagnosis of hypertension across Colombia. Although efforts are being made to expand treatment capability and adherence, still more are needed to insure a broader coverage of antihypertensive medication in Colombia.
- PublicaciónAcceso abiertoMetachromatic leukodystrophy: Diagnosis and treatment challenges(2021-06-03) Sanchez-Alvarez, Nayibe Tatiana; Bautista-Niño, Paula Katherine; Trejos Suárez, Juanita; Serrano-Diaz, Norma Cecilia; CliniUDESMetachromatic leukodystrophy is a neurological disease of the lysosomal deposit that has a significant impact given the implications for the neurodegenerative deterioration of the patient. Currently, there is no treatment available that reverses the development of characteristic neurological and systemic symptoms. Objective. Carry out an updated bibliographic search on the most critical advances in the treatment and diagnosis for LDM. A retrospective topic review published in English and Spanish in the Orphanet and Pubmed databases. Current treatment options, such as enzyme replacement therapy and hematopoietic stem cell transplantation aimed at decreasing the rapid progression of the disease, improving patient survival; however, these are costly. The pathophysiological events of intracellular signaling related to the deficiency of the enzyme Arylsulfatase A and subsequent accumulation of sulphatides and glycosylated ceramides have not yet been established. Recently, the accumulation of C16 sulphatides has been shown to inhibit glycolysis and insulin secretion in pancreatic cells. The significant advance in technology has allowed timely diagnosis in patients suffering from LDM; however, they still do not have an effective treatment.
- PublicaciónRestringidoNivel de conocimiento en el personal de Enfermería sobre el manejo y segregación de los residuos sólidos Hospitalarios de las Unidades de Cuidados Intensivos en la CLINICA SAN JOSÉ.(Cúcuta, Universidad de Santander, 2019, 2019-11-27) Barragán Tarazona, Maria Camila; Contreras Ruiz, Maria del Pilar; Martínez, Ramon Enrique; Nieto Sánchez, Zulmary-Carolina.The treatment and final disposal of waste in the hospital environment is determined by its high volume and by the diversification of its components, hence the importance of knowledge and skill that nursing staff must have; actions to be developed in order to obtain efficient results in the management and segregation of this type of waste. The objective of the research was to analyze the knowledge of health personnel about the management and segregation of hospital solid waste in the Intensive Care Unit of the San José de Cucuta Clinic. Methodologically, it is framed in the positivist paradigm, it is characterized by being a field investigation, descriptive level, the population consisted of thirty-nine (39) health professionals who work in the ICU of the aforementioned clinic. The results indicate that the health professional has adequate knowledge for the professional profile required by the clinic, to occupy nursing positions in the ICU, however, it is necessary to consider the percentages in a lower range, in order to carry out corrective actions and improve the quality of service provided, in order to become more demanding and competitive. For what is recommended, implement permanent updating actions for the benefit of health professionals, with the support of the heads of the units to strengthen the ICU area.
- PublicaciónAcceso abiertoPatient-important outcomes reported in randomized controlled trials of pharmacologic treatments for COVID-19: A protocol of a META-epidemiological study(2021-11-01) Jimenez‑Mora, Mario A.; Ramírez-Varela, Andrea; Meneses‑Echavez, Jose F.; Bidonde, Julia; Angarita‑Fonseca, Adriana; Siemieniuk, Reed A. C.; Zeraatkar, Dena; Bartoszko, Jessica J.; Brignardello‑Petersen, Romina; Honarmand, Kimia; Rochwerg, Bram; Guyatt, Gordon; Yepes‑Nuñez, Juan José; Fisioterapia IntegralBackground: The coronavirus disease 19 (covid-19) pandemic has underscored the need to expedite clinical research, which may lead investigators to shift away from measuring patient-important outcomes (PIO), limiting research applicability. We aim to investigate if randomized controlled trials (RCTs) of covid-19 pharmacological thera‑ pies include PIOs. Methods: We will perform a meta-epidemiological study of RCTs that included people at risk for, or with suspected, probable, or confrmed covid-19, examining any pharmacological treatment or blood product aimed at prophylaxis or treatment. We will obtain data from all RCTs identifed in a living network metanalysis (NMA). The main data sources are the living WHO covid-19 database up to 1 March 2021 and six additional Chinese databases up to 20 February 2021. Two reviewers independently will review each citation, full-text article, and abstract data. To categorize the out‑ comes according to their importance to patients, we will adapt a previously defned hierarchy: a) mortality, b) quality of life/ functional status/symptoms, c) morbidity, and d) surrogate outcomes. Outcomes within the category a) and b) will be considered critically important to patients, and outcomes within the category c) will be regarded as important. We will use descriptive statistics to assess the proportion of studies that report each category of outcomes. We will perform univariable and multivariable analysis to explore associations between trial characteristics and the likelihood of reporting PIOs. Discussion: The fndings from this meta-epidemiological study will help health care professionals and researchers understand if the current covid-19 trials are efectively assessing and reporting the outcomes that are important to patients. If a defciency in capturing PIOs is identifed, this information may help inform the development of future RCTs in covid-19. Systematic review registrations: Open Science Framework registration: osf.io/6xgjz.
- PublicaciónAcceso abiertoPosition statement of the Interamerican Society of Cardiology (IASC) on the current guidelines for the prevention, diagnosis and treatment of arterial hypertension 2017–2020(Elsevier, 2020-07-15) Wyss, Fernando; Coca, Antonio; Lopez-Jaramillo, Patricio; Ponte-Negretti, Carlos; The Task Force for the management of Arterial Hypertension of the Interamerican Society of Cardiology (IASC); Reviewers from European Society of Hypertension (ESH); Latin-American Society of Hypertension (LASH); Spanish Society of Cardiology (SSC); EverestAbstract Objectives As an Inter-American Society we are convinced of the need to standardize the steps in which we diagnose, evaluate, treat and control hypertension, establishing guidelines and rules that should be adopted in all countries of Latin America, aimed at standardizing management and control of CV risk in order to achieve a substantial decrease in CV events. Methods In the last four years important international guidelines for the diagnosis, management, treatment and control of arterial hypertension have been published. In America, mostly in mid- and low-income countries, hypertension is a major problem of public health, being the most important cardiovascular risk factor due to its great population impact. Therefore, it is crucial to dedicate all the possible efforts to increase substantially the number of hypertensive patients diagnosed in a given area, and to improve the percentage of controlled patients. This is a major necessity in order to reduce the morbidity and mortality for CVD in the Latin American region, although no guidelines takes the Latin American populations into account, and much less standardizes their diagnosis and management. Conclusions The Inter-American Society of Cardiology suggest the use of the blood pressure classification of the Latin American Society of Hypertension (LASH) and recommends the use of the SCORE System to stratify the global CV risk because this system has the capability to adapt the global risk by means of a correcting factor based on the ethnicity of the different native populations in America.
- PublicaciónAcceso abiertoSocial disparities explain differences in hypertension prevalence, detection and control in Colombia(2016-08-12) Camacho López, Paul Anthony; Gómez Arbeláez, Diego; Molina, Dora I.; Sánchez Vallejo, Gregorio; Arcos, Edgar; Narvaez, Claudia; García, Henry; Pérez, Maritza; Hernández, Erick A.; Durán Parra, Myriam; Cure, Carlos; Sotomayor Rubio, Aristides; Rico, Alvaro; David Venegas, Tannia-Melissa; Cohen, Daniel Dylan; Rangarajan, Sumathy; Yusuf, Salim; Lopez-Jaramillo, PatricioObjective: Hypertension is the principal risk factor for cardiovascular diseases. The global Prospective Urban Rural Epidemiology study showed that the levels of awareness, treatment and control of this condition are very low worldwide and show large regional variations related to a country’s income index. The aim of the present analysis was to identify associations between sociodemographic, geographic, anthropometric, behavioral and clinical factors and the awareness, treatment and control of hypertension within Colombia – a high-middle income country which participated in the global Prospective Urban Rural Epidemiology study. Methods and results: The sample comprised 7485 individuals aged 35–70 years (mean age 50.8 years, 64% women). Mean SBP and DBP were 129.12 21.23 and 80.39 11.81 mmHg, respectively. The overall prevalence of hypertension was 37.5% and was substantially higher amongst participants with the lowest educational level, who had a 25% higher prevalence (<0.001). Hypertension awareness, treatment amongst those aware, and control amongst those treated were 51.9, 77.5 and 37.1%, respectively. The prevalence of hypertension was higher amongst those with a higher BMI (<0.001) or larger waist–hip ratio (<0.001). Being male, younger, a rural resident and having a low level of education was associated with significantly lower hypertension awareness, treatment and control. The use of combination therapy was very low (27.5%) and was significantly lower in rural areas and amongst those with a low income. Conclusion: Overall Colombia has a high prevalence of hypertension in combination with very low levels of awareness, treatment and control; however, we found large variations within the country that appear to be associated with sociodemographic disparities.