Portal de Revistas de la Juan (Fundación Universitaria Juan de Castellanos)
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Nutrição em filhotes de cachorro com sarna sarcóptica, estudo de caso em um cachorro de raça dobermann pinscher
Get PDFSarcoptic mange is a dermatological disease of zoonotic character, caused by the mite of the sarcoptes family, scabiei var canis species; it is very common in case of small animals. In puppies that have been exposed to digestive pathologies, there is an immunosuppression that predisposes to skin problems due to the loss of precursors that present mitotic action of circulating leukocytes and lymphatic cells. It also presents the destruction of lymphoid tissues of the mucosa and generates food hypersensitivity and intestinal inflammation, the contribution of diets rich in amino acids decreases oxidative stress and the immunological gap that occurs in the transition of weaning. We describe a clinical case assisted at the Pet Center veterinary clinic in Tunja in April 2016 of a 3-month-old dobermann pinscher with a history of digestive disease of 15 days of evolution presumably parvovirus and diagnosed with sarcoptic mange, it is carried out an improvement of the diet with emphasis on a nutritional element of better quality and the addition of trace elements and vitamin C and E. It results in a total cure of digestive disorders, better weight gain, increased muscle mass, better hair condition and total elimination of the sarcoptic mange. What proves the importance of improving animal welfare by ensuring adequate maintenance of their conditions.La sarna sarcóptica es una enfermedad dermatológica de carácter Zoonótico, ocasionada por el acaro de la familia sarcoptes, especie scabiei var canis; es de presentación común en la clínica de pequeños animales. En cachorros que han sido expuestos a patologías gastrointestinales, se presenta una inmunosupresión que predispone a problemas de la piel por la merma de precursores que presentan acción mitótica de los leucocitos circulantes y células linfáticas. Se presenta, además, la destrucción de los tejidos linfoides de la mucosa y genera hipersensibilidad alimentaria e inflamación intestinal, el aporte de dietas ricas en aminoácidos disminuye el estrés oxidativo y la brecha inmunológica que se presenta en la transición del destete. Se describe un caso clínico atendido en la clínica veterinaria Pet Center Tunja en el mes de abril de 2016 de un doberman pinscher de 3 meses de edad con antecedentes de enfermedad gastrointestinal de 15 días de evolución presumiblemente parvovirosis y diagnosticado con sarna sarcóptica, se lleva a cabo un mejoramiento de la dieta con énfasis en un elemento nutricional de mejor calidad y la adición de oligoelementos y vitamina C y E. Se obtiene como resultados, una curación total de las alteraciones gastrointestinales, una mejor ganancia de peso y aumento de la masa muscular, cambio en la condición del pelo y la resolución total de la sarna. Lo que evidencia la importancia de mejorar el bienestar animal asegurando un adecuado mantenimiento de sus condiciones.La gale sarcoptique est une maladie dermatologique de caractère zoonotique, causée par l\u27acarien de la famille des sarcoptes, scabiei var canis; c\u27est très commun dans le cas de petits animaux. Chez les chiots qui ont été exposés à des pathologies digestives, il existe une immunosuppression qui prédispose aux problèmes de peau en raison de la perte de précurseurs qui présentent une action mitotique des leucocytes circulants et des cellules lymphatiques. Il présente également la destruction des tissus lymphoïdes de la muqueuse et génère une hypersensibilité alimentaire et une inflammation intestinale, la contribution des régimes riches en acides aminés diminue le stress oxydatif et le fossé immunologique qui se produit dans la transition du sevrage. Nous décrivons un cas clinique assisté à la clinique vétérinaire Pet Center à Tunja en Avril 2016 d\u27un dobermann pinscher de 3 mois avec une histoire de maladie digestive de 15 jours d\u27évolution vraisemblablement parvovirus et diagnostiqué avec la gale sarcoptique, il est effectué une amélioration de l\u27alimentation en mettant l\u27accent sur un élément nutritionnel de meilleure qualité et l\u27ajout d\u27oligo-éléments et de vitamines C et E. Il permet une guérison complète des troubles digestifs, une meilleure prise de poids, une masse musculaire accrue, meilleure condition des cheveux et l\u27élimination totale de la gale sarcoptique. Ce qui prouve l\u27importance d\u27améliorer le bien-être des animaux en assurant un entretien adéquat de leurs conditions.A sarna sarcóptica é uma doença dermatológica de caráter zoonótico, causada pelo ácaro da família dos sarcoptes, espécie scabiei var canis; É de apresentação comum na clínica de pequenos animais. Em filhotes que foram expostos a patologias gastrointestinais, existe uma imunossupressão que predispõe a problemas de pele devido à perda de precursores que apresentam ação mitótica de leucócitos circulantes e células linfáticas. Apresenta também a destruição dos tecidos linfoides da mucosa e gera hipersensibilidade alimentar e inflamação intestinal, a contribuição de dietas ricas em aminoácidos diminui o estresse oxidativo e o gap imunológico que ocorre na transição do desmame. Nós descrevemos um caso clínico que compareceu na Clínica Veterinária Pet Center Tunja em abril de 2016 de um dobermann pinscher de 3 meses de idade com uma história de doença gastrointestinal de 15 dias de evolução presumivelmente parvo vírus e diagnosticada com sarna sarcóptica, é realizada melhoria da dieta com ênfase em um elemento nutricional de melhor qualidade e adição de oligoelementos e vitamina C e E. Os resultados são uma cura total das alterações gastrointestinais, um melhor ganho de peso e um aumento na massa muscular, uma mudança na condição do cabelo e a resolução total da sarna. O que comprova a importância de melhorar o bem-estar animal, garantindo a manutenção adequada de suas condições
The Identification of Barriers and Facilitators to the Successful Delivery of Alcohol Brief Interventions by Patient and Family Education Nurses at a Large Academic Medical Center in Wisconsin
No full textBackground and Significance. To maintain Level I Trauma certification, organizations are obligated to adhere to the requirements for Screening Brief Intervention and Referral to Treatment (SBIRT) set forth by the American College of Surgeons (ACS). Therefore, every emergency and trauma inpatient receiving care requires screening and intervention for at-risk alcohol consumption. SBIRT is a collection of screening tests and initiatives that are recommended for improving the identification and management of unhealthy alcohol use (Broyles et al., 2012). Organizations must demonstrate that 80% or more of all trauma patients receive an alcohol brief intervention (ABI). ABIs are evidence-based practices designed to motivate individuals at risk of substance abuse and related health problems to change their behavior by helping them understand how their behaviors put them at risk (Substance Abuse and Mental Health Services Administration, [SAMHSA] n.d.). An ABI is deemed compliant provided there is supporting documentation that it was either delivered or an attempt was made (refusals and unable to deliver due to medical condition/other are considered compliant). ABIs have been shown to be beneficial is various healthcare settings, which is why this organization delivers them to all inpatients meeting criteria for at-risk drinking.
Purpose of the Project. The purpose of this quality improvement (QI) project was to identify barriers and facilitators to the successful delivery of alcohol brief interventions by the nurses of the Patient and Family Education (PFE) department. Because this project included all inpatients, trauma or not, the goal of this project was to increase the cumulative percentage of completion for all inpatients from 64% to a minimum of 80% for consistency with the required goal set forth by the ACS.
Specific aims included: 1) Gain an understanding of the barriers and facilitators to delivery of alcohol brief interventions from the perspective of PFE nurses; and 2) Apply FOCUS-PDCA (A3) framework to implement and assess practice changes to increase the number of delivered and completed alcohol brief interventions.
Results/Findings Using PDCA. The following steps were taken in the PDCA cycle:
Plan – A facilitated brainstorming session was held, utilizing the fishbone (Ishikawa, 1968) diagram to identify root causes leading to both the barriers and facilitators of successful SBIRT delivery.
Do – After identification of barriers and facilitators within the control of the team, each month, (January – March 2018) the Principal Investigator (PI) implemented a new rapid cycle improvement change.
Check – Each month, the PI held check-ins with staff. After each rapid cycle improvement (1 month), data was re-evaluated for comparison.
Act – Based on the findings of the data, processes were altered as needed and reinforced for sustained implementation into daily practice.
Conclusions/Implications for Future Work. Utilizing the FOCUS-PDCA cycle to identify barriers and facilitators allowed for the development and implementation of targeted improvement strategies. Staff perceptions and feedback was consistent with review of current literature. The main foci of improvement were prioritization of daily responsibilities and patients to educate, continuing education for the PFE nurses, and partnership with the nurses on the trauma unit. Three improvement strategies were implemented at the beginning of each month (January – March). The overall percentage of successful delivered ABIs increased from an average of 64% for July – December 2017 (pre-data) to an average of 67% for January – March v 2018 (post-data). A secondary gain was an increase in the number of ABIs delivered verbally versus electronically from 85% pre-implementation to 93% post-implementation. Findings will be utilized to improve system processes and develop a sustainable organizational process that will meet set goals for the delivery of ABIs. Future dissemination of this project includes sharing implemented improvement strategies and impact on percentage rates of delivered ABIs with other organizations required to meet ACS requirements
Obligatoriedad de la cuota alimentaria para niñas, niños y adolescentes, garantizando el derecho sin requisito previo
Get PDFThis article is the result of the need to analyze, a bit more deeply the right of Youngers to receive maintenance in Colombia, in order to determine if the fixed fee is totally guaranteed in the fulfillment of this duty by the obligor. If there is no fixed fee, no charge will be made, and who will be affected will have their fundamental rights broken will just be under-age. For this reason, it is to demonstrate how important is food for children, and taken more than as a right, an obligation; they lose their approach in an important way, bearing in mind that, in order to become a obvious, express and minimum requiered obligation, they must be judicially recognized. Meanwhile, in our country, rates of child malnutrition increase and judicial offices collapse in a large percentage of thousands of alimony processes which are filed daily, with the sole purpose of receiving a court ruling that protects and guarantees fundamental rights of children and adolescents in the country.Este artículo es el resultado de la necesidad de analizar, un poco más a fondo, el tema del derecho a recibir alimentos que tienen los menores de edad en Colombia, con el fin de determinar si la fijación de la cuota alimentaria es totalmente garantista en el cumplimiento de este deber por parte de los alimentantes. De no existir la fijación de cuota de alimentos, no podrá realizarse cobro alguno, y el directo afectado será el menor a quien evidentemente se le estarán vulnerando sus derechos fundamentales. Por tal motivo, se trata de evidenciar cómo los alimentos para los niños, vistos más que como un derecho, una obligación; pierden de manera importante su enfoque, teniendo en cuenta que, para que se conviertan en una obligación clara, expresa y exigible, deberán ser reconocidos judicialmente. Mientras tanto, en nuestro país, las tasas de desnutrición infantil aumentan y los despachos judiciales colapsan en un gran porcentaje por miles de procesos de alimentos que se radican a diario, con el único fin de recibir una sentencia judicial que ampare y garantice los derechos fundamentales de los niños, niñas y adolescentes del país
Educación e investigación de resultados en salud: estrategias para enfrentar la desnutrición en Colombia
Get PDFThe following article provides an overview of the nutritional status of children in Colombia, and the implications it has on the economic, social, cultural and political development; addresses two strategies that allow from the Primary Health Care more understanding of malnutrition and household food insecurity in Colombia: the health Education and health Outcomes Research, recently discussed and developed strategies in political and health of Colombia, which has also led to a misapplication of primary care, focusing their best efforts on hospital care and leaving aside the levels of prevention, health promotion and participation as stated in Alma Atta in 1978.En el siguiente artículo se realiza una revisión de las implicaciones que se tiene sobre el bienestar económico, social, cultural y político de un país y la situación nutricional de su población, con el fin de proponer dos estrategias que permitirían desde la Atención Primaria en Salud, una mayor comprensión de la desnutrición y la inseguridad alimentaria: la Educación para la Salud y la Investigación de Resultados en Salud, estrategias poco discutidas y desarrolladas en los ámbitos políticos y de salud, lo que ha llevado también a una mala aplicación de la Atención Primaria, centrando sus mayores esfuerzos en la atención hospitalaria y dejando a un lado los niveles de prevención, promoción de la salud y participación popular como se declara en Alma Atta en 1978
Insolvencia y su reflejo en la vida del deudor
Get PDFThe contemporary economic reality influences in the personal development of the individual, considerably in the solvency of the consumer and in the incidence of the decision to acquire goods and services. Added to this, the obligations of legal origin, those taxes such as fees and penalizing, contribute to generate undesirable situations in people, those are reflected in their assets, which lead to situations of difficult personal, family and professional development. It is the interest of the legislator to grant eases for people, in order to achieve appropriate outputs in accordance with the interests of creditors, and the needs of debtors, to save credit credibility and promote responsible access to credit.La realidad económica contemporánea influye en el desarrollo personal del individuo, considerablemente en la solvencia del consumidor y en la incidencia de la decisión para adquirir bienes y servicios. Sumado a esto, las obligaciones de origen legal, aquellas impositivas como son las tasas y sancionatorias, contribuyen en generar situaciones indeseables en las personas, reflejadas en sus patrimonios, las cuales llevan a situaciones de difícil desarrollo personal, familiar y profesional. Es el interés del legislador otorgar facilidades para las personas, a fin de lograr salidas apropiadas conformes al interés de los acreedores, y las necesidades de los deudores, para salvar la credibilidad crediticia y promover el acceso responsable al crédito
Iniciativa probatoria del juez en el proceso civil colombiano para el cumplimiento del derecho sustancial
Get PDFThe civil process of social and public kind that was applicable in Colombia implied that an inquisitive procedural system or a dispositive procedural system would not be implemented, but a mixed procedural system was applied, what award the process management to a judge for being him the bearer of the institutional vision of the general interest and that in evidentiary matter, facing situations of gloom or uncertainty about the facts set out by the parties, allows him to decree and trade evidence put to be able to obtain an appropriate knowledge of the facts or a reliable verification of the same, complementing the evidentiary initiative of the parties, but obeying the congruence of the sentence and the procedural guarantees of the parties for his verdict to be a fair verdict.El proceso civil de corte social y público que se acogió en Colombia, implicó que no se implementara un sistema procesal inquisitivo o un sistema procesal dispositivo, sino que se aplicara un sistema procesal mixto, que otorga la dirección del proceso al juez por ser portador de la visión institucional del interés general y que, en materia probatoria, ante situaciones de penumbra o de incertidumbre sobre los hechos enunciados por las partes, le permite decretar y practicar pruebas de oficio para obtener un adecuado conocimiento de los hechos o una comprobación confiable de los mismos, complementando la iniciativa probatoria de las partes, pero respetando la congruencia de la sentencia y las garantías procesales de las partes para que su decisión sea una decisión justa
Los frutales caducifolios: un recorrido a través del contexto agroindustrial y social boyacense
Get PDFBoyacá, department of agricultural and livestock traditions, is a region where rural property is characterized by smallholdings with frequency of transitory crops like potato and onion (stem onion and bulb onion) with low technology and little technical assistance, limiting a quality production and promoting a poor economy. However, the adaptation of deciduous fruit trees such as apple, pear, plum and peach to this context becomes an alternative to approach social gaps in terms of poverty, unemployment and malnutrition, as well as environmental and developmental issues and its connection with the food production chain. Thus, exposing both the regional agroindustrial problems and the benefits and features of such fruit trees are the basis of this paper, also highlighting its potential and the importance in the improvement of the quality of life of the boyacense habitants.Boyacá, departamento de tradición agropecuaria, es una región donde la propiedad rural se caracteriza por el microfundio y el minifundio con prevalencia de cultivos transitorios como la papa y la cebolla (de tallo y de bulbo) con escasa tecnología y poca asistencia técnica limitando la producción de calidad y promoviendo una economía de sobrevivencia. Sin embargo, la adaptación de frutales caducifolios como la manzana, la pera, la ciruela y el durazno a este contexto, se convierte en una alternativa para abordar falencias sociales en cuanto a pobreza, desempleo y malnutrición, así como cuestiones ambientales y de desarrollo y su relación con la cadena productiva de alimentos. En este sentido, exponer tanto la problemática agroindustrial regional como los beneficios ycaracterísticas de estos frutales se convierten en el fundamento de este artículo, resaltando también su potencial protagonismo en el fortalecimiento de lacalidad de vida de los habitantes boyacenses.