RESUMEN
Cognitive impairment and dementia affect dozens of millions of people worldwide and cause significant distress to patients and caregivers and a financial burden to families and health care systems. Careful history-taking, cognitive and physical examination, and supplemental neuroimaging and fluid-based biomarkers can accurately diagnose neurocognitive disorders. Management includes non-pharmacological and pharmacological treatments tailored to the etiology and to the individual.
Asunto(s)
Disfunción Cognitiva , Demencia , Humanos , Anciano , Demencia/diagnóstico , Demencia/epidemiología , Demencia/terapia , Disfunción Cognitiva/diagnóstico , Disfunción Cognitiva/epidemiología , Disfunción Cognitiva/terapia , Cuidadores/psicología , Trastornos Neurocognitivos , NeuroimagenRESUMEN
The ward chiefs are team leaders and, as such, they must have the ability to adequately manage their unit in such a way as to meet the real needs of the population they are responsible for serving. To achieve this, it is essential to optimize the management of operating rooms, oriented to a strategic management of resources, which allows the best performance and productivity. In this document we will provide you with some tools, such as: definitions of concepts, analysis of the sub-processes that make up the surgical process and suggestions to improve the management of each of its parts.
Los jefes de pabellón son líderes de equipo y, como tales, deben tener la capacidad de gestionar adecuadamente su unidad de tal modo de satisfacer las necesidades reales de la población que le corresponde atender. Para lograr esto, es fundamental optimizar el manejo de los quirófanos, orientado a una gestión estratégica de recursos, que permita el mejor rendimiento y productividad. En este documento les entregaremos algunas herramientas, tales como: definiciones de conceptos, análisis de los subprocesos que componen el proceso quirúrgico y sugerencias para mejorar la gestión de cada una de sus partes.
Asunto(s)
Humanos , Quirófanos/organización & administración , Procedimientos Quirúrgicos ElectivosRESUMEN
Access to spiritual support appears to be important in the hospital setting. The offer of spiritual support can be done by different providers such as doctors, nurses or chaplains. Who should initiate or coordinate this spiritual care. This study addresses the following questions: 1) How many patients accept spiritual proposition? 2) What is the better mode of proposition? The study's objectives are the assessment and comparison of the rates of acceptance to an offer of spiritual support made by nurses and chaplains. Two hundred twenty-three consecutive hospitalized patients hospitalized received a proposal of spiritual support and were randomly assigned to one of two conditions. Results revealed that 85.8% of patients accepted the offer in the chaplains' group and 38.5% in the nurses' group. Acceptance of the offer of spiritual support was positively associated with the proposal being made by the chaplains by the frequency of meditation and age, and negatively related to physical well-being.
Asunto(s)
Servicio de Capellanía en Hospital/métodos , Pacientes Internos/psicología , Cuidados Paliativos/métodos , Cuidado Pastoral/métodos , Relaciones Profesional-Paciente , Religión y Psicología , Adulto , Anciano , Femenino , Humanos , Pacientes Internos/estadística & datos numéricos , Masculino , Persona de Mediana Edad , Relaciones Enfermero-Paciente , Rol Profesional , EspiritualidadAsunto(s)
Alérgenos/inmunología , Cabello/inmunología , Hipersensibilidad/diagnóstico , Lipocalinas/inmunología , Sciuridae , Adulto , Alérgenos/análisis , Alérgenos/genética , Alérgenos/metabolismo , Secuencias de Aminoácidos , Animales , Animales Domésticos , Western Blotting , Heces/química , Cabello/metabolismo , Humanos , Hipersensibilidad/sangre , Hipersensibilidad/inmunología , Inmunoglobulina E/sangre , Lipocalinas/análisis , Lipocalinas/genética , Lipocalinas/metabolismo , Masculino , Espectrometría de Masas , Proteómica , Homología de Secuencia , Pruebas CutáneasAsunto(s)
Antígenos de Plantas/inmunología , Cucurbita/inmunología , Ciclofilinas/inmunología , Hipersensibilidad a los Alimentos/diagnóstico , Hipersensibilidad a los Alimentos/inmunología , Antígenos de Plantas/metabolismo , Reacciones Cruzadas , Cucurbita/enzimología , Cucurbitaceae/inmunología , Ciclofilinas/metabolismo , Femenino , Hipersensibilidad a los Alimentos/sangre , Hipersensibilidad a los Alimentos/fisiopatología , Humanos , Inmunoglobulina E/sangre , Inmunoglobulina E/metabolismo , Inmunomodulación , Espectrometría de Masas , Imitación Molecular , Extractos Vegetales , Prurito , Homología de Secuencia , Adulto JovenAsunto(s)
Alérgenos/química , Alérgenos/inmunología , Hurones/inmunología , Hipersensibilidad/inmunología , Adulto , Alérgenos/análisis , Alérgenos/aislamiento & purificación , Secuencia de Aminoácidos , Animales , Asma/inmunología , Prueba de Desgranulación de los Basófilos , Western Blotting , Cabello/química , Cabello/inmunología , Humanos , Hipersensibilidad/diagnóstico , Inmunoglobulina E/inmunología , Masculino , Datos de Secuencia Molecular , Pruebas Cutáneas , Orina/químicaRESUMEN
PURPOSE: This study was conducted to relate the histological diagnosis of chronic inflammatory periapical lesions with the radiographic images of these lesions. MATERIALS AND METHODS: A total of 70 biopsy specimens obtained during periapical surgery were stained with hematoxylin and eosin and examined under a microscope. Histological analysis established the diagnosis as granuloma, cyst, or scar tissue. The location of the lesion was recorded, as were the radiographic size (maximum and minimum diameter in mm and area in mm(2)) and the presence of radiopaque lamina around the lesion, using an image analyzing system. RESULTS: The distribution of the biopsy specimens was 65.7% granulomas, 25.7% scar tissue, and 8.6% cysts, 1 of which was a keratocyst. The largest lesions were cysts and epithelialized granulomas, with statistically significant differences. Radiopaque lamina was observed around 9 lesions; of these, only 2 were histologically diagnosed as cysts, with the rest as granulomas. CONCLUSIONS: Most of the apical lesions were granulomas. Cysts had the largest radiotransparent images; however, in the 70 cases studied, neither the radiographic size nor the presence of associated radiopaque lamina alone was sufficient to determine the type of lesion. Histological analysis is required.