1,720,957 research outputs found
Adverse Events, Home Hospitalization Program, Hospitalized Patients, Administrative Level, Care Level.
El propósito de este trabajo de grado es plantear como resultado de la revisión de la literatura, una propuesta que contenga las intervenciones más efectivas en la prevención y disminución de los eventos adversos de interés en el Programa de hospitalización Domiciliaria de una Compañía de Colombia. Metodología: Se realizó un protocolo de búsqueda de literatura para cada uno de los eventos adversos de interés de la institución. Finalmente, con los resultados obtenidos se plantearon las intervenciones para cada uno de los eventos adversos, soportándolas con niveles de evidencia y grados de recomendación en la gran mayoría de estas. Resultados. En total se identificaron 2764 resultados según el protocolo de búsqueda planteado, 898 correspondieron a Úlceras por presión (UPP), 328 a infecciones de vías urinarias (IVU) y 1538 a errores en la administración de medicamentos (EAM), de los cuales al finalizar la ejecución fueron incluidos 115 estudios, de estos el 31,3% (n=36) de UPP, el 13,91% (n=16) de IVU y el 54,78% (n=63) de EAM. Conclusiones. El contar con niveles de evidencia y de recomendaciones para el control de los eventos adversos de interés y el tema de las intervenciones más efectivas que podrían adoptarse para prevenir la ocurrencia de los eventos adversos más frecuentes en los pacientes del Programa de hospitalización domiciliaria, es un aporte importante para la toma de decisiones de los directivos de la organización.EspecializaciónEspecialista en Administración de Servicios de SaludProposal for the control of the most frequent adverse events in a homecare program according to the literature revie
Empathy And Collaboration, Personal Recognition, Professional Development, Nursing.
Plantear una propuesta que contenga las intervenciones más efectivas para Revitalizar el Talento Humano de Enfermería como resultado de la revisión sistemática de la literatura. Se realizó una revisión sistemática de la literatura a través de un protocolo de búsqueda para cada uno de objetivos específicos. Finalmente, con los resultados obtenidos se plantearon las intervenciones para cada uno de los objetivos con niveles de evidencia y grados de recomendación. Resultados. Se identificaron un total de 52758 resultados de búsqueda en cuatro bases de datos donde se ejecutaron las estrategias de búsqueda. Se realizó una revisión de los estudios para identificar las intervenciones y se seleccionaron 92 artículos de los cuales 44 (47,83%) correspondieron a empatía y colaboración (EyC), 23 artículos (25%) referentes al objetivo de Reconocimiento del personal (REC) y 25 (27,17%) en relación con el Desarrollo profesional (DES) Conclusiones. El enfoque principal está en generar acciones que fomenten una cultura de reconocimiento en el momento instantáneo en el que una persona realiza una labor significativamente óptima y que contribuye a superar expectativas establecidas en la atención del cuidado o desempeño con su equipo de trabajo. Esta actividad permite que el personal de enfermería se sienta motivado y energizado a realizar su labor diaria con entusiasmo, empatía y colaboración. 1EspecializaciónEspecialista en Administración de Servicios de SaludProposal for the revitalization of nursing staffs
Nursing care of the person with phosphorated poisoning in the emergency department of e.s.e hospital universitario de santander in the second half of 2009
Los organofosforado (OF) son plaguicidas clasificados junto con los carbamatos como inhibidores de la enzima colinesterasas. Son éteres del ácido fosfórico y sus homólogos; son biodegradables, se hidrolizan fácilmente en medio húmedo y pH alcalino, empleado principalmente como insecticidas y herbicidas. La mayoría de los casos de intoxicación por organofosforados ocurren por exposición en el contexto de su uso agrícola. Inhiben la acetilcolinesterasa mediante fosforilación lo que produce una intoxicación colinérgica aguda y por tanto a manifestaciones centrales y periféricas (neuromusculares). Los síntomas comprenden nauseas, sudoración, salivación, lagrimeo, debilidad general y broncoespasmo en los casos leves, y a bradicardia, temblor, diarrea, dolor torácico, edema pulmonar, crisis convulsivas y aún coma en los graves. Puede dar como resultado la muerte por insuficiencia cardíaca o respiratoria. Las intoxicaciones por Organofosforados constituyen uno de los motivos de consulta frecuente en los Servicios de Urgencias; por ello, con el fin de evitar errores en los cuidados de enfermería es imprescindible contar con protocolos de manejo que permitan unificar criterios de atención de estos pacientes y de esta manera ofrecer intervenciones precisas y orientadas a prevenir complicaciones, secuelas y riesgos de morbimortalidad, los cuales pueden ser altos si no se actúa coordinadamente. Teniendo en cuenta lo anterior se diseña el protocolo cuidado de Enfermería a la Persona con Intoxicación por Organofosforados el cual se presenta a continuación.EspecializaciónEspecialista en Atención de Enfermería de Cuidado CríticoThe organophosphate (OP) are pesticides classified with carbamates as inhibitors of the enzyme cholinesterase. These are ethers of phosphoric acid and their counterparts, these are biodegradable, are hydrolyzed easily in wet and alkaline pH, mainly used as insecticides and herbicides. Most cases of poisoning by organophosphate exposure can occur in the context of agricultural use. It Inhibit acetylcholinesterase by phosphorylation leading to acute cholinergic intoxication by both central and peripheral events (neuromuscular). Symptoms include nausea, sweating, salivation, lacrimation, general weakness and bronchospasm in mild cases, and bradycardia, tremor, diarrhea , chest pain, pulmonary edema, seizures and even coma as severe manifestation. Can result in death from cardiac or respiratory insufficiency. Organophosphate poisonings are one of the reasons for frequent consultation in emergency services, therefore, in order to avoid errors in the nursing care is essential to have management protocols to unify criteria in patients care and thereby providing accurate and targeted interventions to prevent complications, sequelae and morbidity risks, which can be high if no action is coordinated. Given the above protocol is designed nursing care to the person with organophosphate poisoning which is presented below.
Going Beyond Counting First Authors in Author Co-citation Analysis
The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
We provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Dispelling the Myths Behind First-author Citation Counts
We conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
koamabayili/VECTRON-author-checklist: VECTRON author checklist
We have done our best to complete the author checklist relating to the use of animals in the hut study. Note that the objective for the hut study was to evaluate the IRS treatment applications for residual efficacy against Anopheles mosquitoes, including the local An. coluzzii mosquito population. Cows were only used to attract mosquitoes into the huts and no tests were carried out directly on the cows. The author checklist is intended for use with studies where experiments are carried out on animals, which is why we have had such difficulty in completing this for the hut study, as many of the questions do not relate to how the cows were used
- …
