Hospital Valle del Nalón

Repositorio Institucional de Asturias
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    2958 research outputs found

    Historia de la enfermería familiar y comunitaria en España: una revisión de la literatura

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    Objective. The implementation in our country of nursing specialization that includes competences in Public and Community Health has been very recent, although nursing has been carrying out many years in this field. The aim of this review is to provide a synthesis of the evolution of public health nursing in Spain and its current situation.. Method. A bibliographic research was conducted from October 2013 to May 2016 in PubMed, BVS, CUIDEN and Cochrane Plus Library using the descriptors: public health nursing, community nursing, visiting nurse. Results. A reference search in gray literature, with no date restriction gave 20 articles, 3 books and 41 legal references to elaborate the narrative synthesis. Conclusions. It is fundamental for the population and the profession evolution to give way and continuity to the development of nursing in the field of Community and Public Health. The effort, work and time that has meant for all these nurses throughout all these years represents a professional struggle for Nursing to be in the current place.Objetivo. La puesta en marcha en nuestro país de una especialidad de enfermería que incluya competencias en Salud Pública y Comunitaria ha sido muy reciente, aunque históricamente la enfermería lleva muchos años desarrollando funciones en este ámbito. Por ello, el objetivo de esta revisión es ofrecer una síntesis sobre la evolución de la enfermería de Salud Pública en España y su situación en el momento actual. Métodos. Se realizó una búsqueda bibliográfica desde octubre de 2013 a mayo de 2016 en PubMed, BVS, CUIDEN y Biblioteca Cochrane Plus utilizando los descriptores: enfermería de salud pública, enfermería comunitaria, enfermera visitadora. Resultados. Se realizó una búsqueda referencial para la literatura gris, sin restricción de fecha recuperándose 20 artículos, 3 libros y 41 referencias legales para elaborar la síntesis narrativa. Conclusiones. Es fundamental para la población y la propia evolución de la profesión dar salida y continuidad al desarrollo de la enfermería en el ámbito de la Comunidad y la Salud Pública. El esfuerzo, trabajo y tiempo que ha supuesto para todas estas enfermeras a lo largo de todos estos años representa una lucha profesional para que la Enfermería se encuentre en el lugar actual

    [REVEAL]Editor de entornos virtuales para entrenamiento de algoritmos de visión artificial

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    Resultados del proyecto REVEALResults of the REVEAL projec

    Evidencia científica y recomendaciones sobre el tratamiento de la pediculosis

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    Objective The aim of this paper is to critically discuss a systematic literature search on clinical efficacy of topical and mechanical treatments for pediculus humanus capitis (human head lice). The mode of transmission of head lice, the role of fómite transmission, prevention of infestation, diagnosis, treatment options, pharmacokinetics, resistance and safety concerns were also reviewed. Methods Spanish and English language articles indexed in MEDLINE, CINAHL, EMBASE, and the British Nursing Index (BNI) were identified, using the search terms, children, pediculicide, bug busting, head lice, pediculosis capitis, eradicate, eliminate, and infestation. Available Spanish and English language articles were selected and reviewed. Discussion Pediculosis is a common infestation particularly in school children, and causes concern in the affected family and alarm at school. Specialist community public health nurses (SCPHNs) frequently prescribe or advise parents on the use of over the counter (OTC) pediculicides. The Medimecum formulary for health practitioners 2017 apart from listing three classes of pediculicides and two shampoos, outlines the option of using wet combing as an alternative. Parents are rather reluctant to use chemicals in children and head lice clinics are becoming increasingly popular. Conclusions In view of its proven efficacy, clinical evidence, and safety, mechanical methods to remove head lice are considered an effective treatment to ensure total eradication of head lice among children of all ages.Objetivo El objetivo principal de este estudio fue evaluar la eficacia de los pediculicidas disponibles en farmacia en contraposición a la eliminación mecánica con lendrera en la erradicación del pediculus humanus capitis ó piojo. Se han revisado temas de controversia como la transmisión directa y por fómites, medidas de prevención, el método diagnóstico de elección, modalidades de tratamiento farmacológico y no farmacológico, farmacocinética, así como la resistencia y seguridad de los pediculicidas. Métodos Artículos en lengua inglesa y castellano indexados en MEDLINE, CINAHL, EMBASE y el British Nursing Index (BNI), fueron identificados usando los términos children, pediculicide, bug busting, head lice, pediculosis capitis, eradicate, eliminate, e infestation. Los estudios fueron seleccionados y revisados. Discusión La pediculosis es una infestación común en la infancia, motivo de preocupación en la familia, y alarma comunitaria en los colegios. Hoy en día, tanto enfermeras de familia como enfermeras escolares indican y recomiendan a los padres el uso de pediculicidas no sujetos a prescripción médica. El Medimecum además de enumerar tres grupos de pediculicidas y dos champús, esboza el uso de cepillos quita liendres. Los padres son más bien reticentes en el uso de productos químicos en los niños y cada vez son más populares las visitas a centros especializados en la eliminación de piojos y liendres. En Asturias ya hay tres clínicas. Conclusiones De acuerdo a su eficacia probada, seguridad e inocuidad la eliminación mecánica puede ser considerada un tratamiento efectivo para la infestación por piojos en niños de todas las edades

    Eficacia de la terapia psicoeducativa grupal de reducción de estrés basada en “atención plena/mindfulness” en personas con síntomas asociados a trastornos de ansiedad y/o depresión

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    Objective Evaluate the efficacy of a psychoeducational group intervention based on mindfulness in people with anxious / depressive disorder in the field of Primary Care. Method Quasi-experimental study pre and post intervention without control group. Results Sample of 21 patients: 85.7% women, with an average age of 48.52 years. Among the variables studied, there was a decrease of 10.81 points in STAI-trait, 12.24 points in STAIstate, 10.19 points in the General Health Goldberg questionnaire and an increase of 22.04 in Mindfulness skills. Conclusions The intervention based on mindfulness has been effective in the treatment of patients diagnosed with anxiety and / or depression, producing a reduction in anxious, depressing, somatic and social dysfunction symptoms.Objetivo Evaluar la eficacia de una intervención grupal psicoeducativa basada en la atención plena en personas con trastorno ansioso/depresivo en el ámbito de la Atención Primaria. Método Estudio cuasiexperimental pre y post intervención sin grupo control. Resultados Muestra de 21 pacientes: 85,7% mujeres, con una media de edad de 48,52 años. Entre las variables estudiadas se obtuvo una disminución de 10,81 puntos en STAI-rasgo, 12,24 puntos en STAI- estado, 10,19 puntos en el cuestionario salud general de Goldberg y un incremento de 22,04 en habilidades de Atención Plena. Conclusiones La intervención basada en Atención Plena ha resultado eficaz en el tratamiento de pacientes diagnosticados de ansiedad y /o depresión produciéndose una disminución de los síntomas ansiosos, depresivos, somáticos y de disfunción social

    Strain-Tunable GaAs Quantum dot - A Nearly Dephasing-Free Source of Entangled Photon Pairs on Demand

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    We report on the observation of nearly maximally-entangled photon pairs from semiconductor quantum dots, without resorting to post-selection techniques. We use GaAs quantum dots integrated on a patterned piezoelectric actuator capable of suppressing the exciton fine structure splitting. By using a resonant two-photon excitation we coherently drive the biexciton state and demonstrate experimentally that our device generates polarization-entangled photons with a fidelity of 0.978(5) and a concurrence of 0.97(1) taking into account the nonidealities stemming from the experimental setup. By combining fine-structure-dependent fidelity measurements and a theoretical model, we identify an exciton spin-scattering process as a possible residual decoherence mechanism. We suggest that this imperfection may be overcome using a modest Purcell enhancement so as to achieve fidelities >0.99, thus making quantum dots evenly matched with the best probabilistic entangled photon sources

    Amenaza de Parto Pretérmino. Hospital Universitario Central de Asturias

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    Protocolo del Servicio de Obstetricia y Ginecología el HUCA. Área Sanitaria I

    La biblioteca pública como activo en salud

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    Presentación formativa e informativa sobre el papel que pueden ejercer las bibliotecas públicas en la promoción de la salud dentro la la comunidad (territorio o barrio) y las acciones que están llevando a cabo en esta materia

    Indagine sul fenomeno della standardizzazione nelle produzioni ceramiche provinciali in epoca Tardo Romana. La forma Hayes 85

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    The aim of this paper is to determine the degree of standardization within certain Late Roman pottery productions. This research tried to outline a methodology to determine the standardisation degree of these samples and to unravel the measurement systems used in the production process. The morphometric characterization of each fragment, allowed us to create different groups with a cluster analysis. The principal component analysis provided information that led us to a deeper understanding of the obtained groups. The coefficient of variation brought us to the standardisation degree of the productions. Once all these data are known, we can approach to the possible units of measure that governed the analyzed production systems. We selected a form well represented in the ceramic contexts identified in the excavations of the Late Antique port-canal of Classe, the Hayes 85 small bowl. This vessel was considered a rare form in Hayes’ monumental book. New discoveries of the last ten years show us how much we still have to understand about the characteristics of Late Roman production, trade and distribution. With this in mind, we used a statistical method to analyse the main changes in the profile of this type and its variants.Gobierno del Principado de Asturias. Programa “Severo Ochoa” de ayudas predoctorales (FICYT

    A family of high frequency AC-LED drivers based on ZCS-QRCs

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    A family of dimmable AC-LED drivers fed from dc voltages, is presented in this paper based on Zero Current Switching Quasi-Resonant Converters (ZCS-QRCs). The proposed family of drivers is based on replacing the diode in conventional converter topologies (i.e. buck, boost or buck-boost) by a string of High-Brightness Light-Emitting Diodes (HB-LED). Hence, the HB-LED string will be working as the rectifier diode and the load, switching at the same frequency of the main switch. In this case, the output current, which is experimentally validated, shows a negative current peak due to the reverse-recovery effect of the HB-LEDs. In order to reduce the reverse-recovery effect on the HB-LEDs, the main switch of the proposed topologies is replaced with a full-wave resonant switch, which makes possible to reduce the di/dt during the turn-off of the HB-LED string, therefore the reverse recovery effect is eliminated. Moreover, the dimming of the HB-LEDs is done by means of changing the switching frequency of the converter, by varying the turn-off while keeping a constant turn-on time. In order to validate the analysis, the proposed topologies have been experimentally tested on a constructed prototype with an output power of 7.5 W.This work has been supported in part by the Spanish Government under Project MINECO-13-DPI2013-47176-C2-2-R and the Principality of Asturias under the grants “Severo Ochoa” BP14-140 and BP14-85, Project FC-15-GRUPIN14-143 and Project SV-PA-17-RIS3-4, and in part by European Regional Development Fund (ERDF) grant

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