Plan de negocios de un servicio virtual de coaching para manejar el estrés de manera positiva

La presente investigación reúne el análisis situacional y desarrollo de planes funcionales de un servicio de coaching virtual para el manejo del estrés, llamado Positiva Esencia, con el fin de acercar a las mujeres una herramienta que ha dado buen resultado en cualquier ámbito que se ha empleado. Así mismo, el uso del medio virtual como canal busca reducir las barreras de disponibilidad y traslados, contribuyendo desde ahí con la reducción del estrés

LA EDUCACIÓN MEDIADA POR LAS TECNOLOGÍAS DURANTE LA PANDEMIA POR COVID-19, DESDE LA MIRADA DE LOS ESTUDIANTES: APRENDIZAJES Y EXPERIENCIAS

El presente trabajo da cuenta de cómo se ha vivido el proceso de pandemia de COVID-19, por estudiantes de licenciatura de cuatro contextos educativos distintos, en donde se invita a participar a estudiantes de educación, psicología educativa y de la carrera deBiología. Se analiza el proceso de aprendizaje en el contexto de la pandemia por COVID-19 y cuáles son las experiencias que rescatan los estudiantes mediante el proceso de aprender en la virtualidad usando como medio las Tecnologías de la Información y la Comunicación (TIC). El método de investigación es de tipo mixto, se hace un análisis de los datos de tipo cuantitativo y cualitativo. Los resultados dan cuenta de cómo se vivió la educación en época de pandemia desde el confnamiento en México. Palabras claveEstudiantes, experiencias educativas, pandemia, TIC, virtualidad. AbstractThis paper narrates how the pandemic process of COVID-19 has been experienced by undergraduate students from four diferent educational contexts, where students of education, educational psychology and biology were invited to participate. The studyanalyzed the learning process in the context of the pandemic caused by COVID-19 and the experiences that students rescued through the process of learning in virtuality by using Information and Communication Technologies (ICT). The research method is of a mixed type, an analysis of quantitative and qualitative data was carried out. The results show how education was lived in times of pandemic during the confnement in Mexico. KeywordsStudents, educational experiences, pandemic, ICT, virtualit

Estimación de la utilización inadecuada del servicio de urgencias de un hospital universitario

El objeto de este estudio es evaluar la pertinencia de las admisiones en el servicio de urgencias de un Hospital Universitario.The objective of this study is to evaluate the appropriateness of the admissions into the emergency room of a University Hospital.Methods: Longitudinal, retrospective and descriptive study of a sample of the total of clinical histories performed in the emergency room of the HUS in 2003. this has been assesed using the PAUHM instrument.Results: Out of the 1068 histories reviewed, 48.2% (515) were men and 51.8% (553) women. average Age WAS 48 TO 21 years (D.T.: 22.56). age range: 13-99 years.71.7%?3 (766) of the patients go to the emergency rooms on their own initiative , being the main reason speed and convenience; more than half, 53.5%?3 (571), come from the city of Salamanca and in 90.9%?2 (971) of the cases is not known how they have arrived at the hospital. The reasons for the consultations were: 75.2%?3 (804) an acute problem and 11.6%?2 (124) the worsening of a chronic problem. The beginning of the symptoms started in 53.7%?3 (573) of the cases a few hours earlier.87.4%?2 (933) of the patients present unchanged vital signs. there was no need for a diagnostic test in 29.4%?3 (314) of the cases nor a pathological test in 56.9%?3 (608). In 58.7%?3 (627) there was no need to start a treatment in HIS.More than half (59,3% ?3) of the urgencies were seen by a mir-i (doctor trainee) by themselves 26,9%?3 (287), or supervised 32,4% ?3 (346). 79,7%?2 (851) of the emergencies were taken care of in the Clinical Hospital at the doctor's office 53,6%?3 (573). 41%?3 (438) of the urgencies were taken care of in the evening, 39,5%?3 (422) in the morning and 19%?2 (203) at night; busiest times were from 8-12h (20,7% ?2), 15-18h (19,8%?2), 12-15h (16,4% ?2) and 18-20h (11,8% ?2). The differences in the days of the week were minimum: Monday-164, Thursday-163 and Tuesday and Wednesday-154. The differences between months were also small, August, May and JulY-100.Most of the urgencies ended with a discharge 82,1%?2 (877), being the diagnosis to the discharge in 90%?2 (961) of the cases a diagnosis CIE, mainly, traumatisms and poisoning.The visits according to PAUHm, were appropriated in 70,8%? (756) of the cases and inappropriated 28,2%?3 (301). The intensity criteria diagnostic, turned out to be the most important 65,2%?3 (696).The multi-variant study showed as independent variables associated to a greater risk of inadequacy of the visit, according to the PAUHm: referred on their own initiative , absence of diagnosis CIE, absence of personal antecedents and consultation for non-acute problems

Are there differences between COVID-19 and non-COVID-19 inpatient pressure injuries? Experiences in Internal Medicine Units.

BackgroundPressure Injuries (PIs) are major worldwide public health threats within the different health-care settings.ObjectiveTo describe and compare epidemiological and clinical features of PIs in COVID-19 patients and patients admitted for other causes in Internal Medicine Units during the first wave of COVID-19 pandemic.DesignA descriptive longitudinal retrospective study.SettingThis study was conducted in Internal Medicine Units in Salamanca University Hospital Complex, a tertiary hospital in the Salamanca province, Spain.ParticipantsAll inpatients ≥18-year-old admitted from March 1, 2020 to June 1, 2020 for more than 24 hours in the Internal Medicine Units with one or more episodes of PIs.ResultsA total of 101 inpatients and 171 episodes were studied. The prevalence of PI episodes was 6% and the cumulative incidence was 2.9% during the first-wave of COVID-19. Risk of acute wounds was four times higher in the COVID-19 patient group (pConclusionDuring the first wave of COVID-19, COVID-19 patients tend to present a higher number of acute wounds, mainly of hospital origin, compared to the profile of the non-COVID group. Diabetes mellitus and arterial hypertension were identified as main associated comorbidities in patients with COVID-19 diagnosis

Is the Increase in Record of Skin Wounds in Hospitalized Patients in Internal Medicine Units a Side Effect of the COVID-19 Pandemic?

Wound care is an important public health challenge that is present in all areas of the healthcare system, whether in hospitals, long term care institutions or in the community. We aimed to quantify the number of skin wounds reported after and during the COVID-19 pandemic. This descriptive longitudinal retrospective study compared of wound records in patients hospitalized in the internal medicine service during the first year of the COVID-19 pandemic (from 1 March 2020, to 28 February 2021) and previous-year to the outbreak (from 1 January 2019, to 31 December 2019). A sample of 1979 episodes was collected corresponding to 932 inpatients, 434 from the pre-pandemic year and 498 from the first year of COVID-19 pandemic; 147 inpatients were diagnosed with SARS-CoV-2 infection (3.2%). The percentage of wound episodes in the first year of the COVID-19 pandemic was higher than the pre-pandemic year, 17.9% (1092/6090) versus 15% (887/5906), with a significant increase in the months with the highest incidence of COVID cases. This study shows an increase in the burden of wound care during the COVID-19 pandemic, and it could be attributable to the increase in the number of patients hospitalized for SARS-CoV-2 infection in internal medicine units

Medical treatment of cystic echinococcosis: systematic review and meta-analysis

Abstract Background Cystic echinococcosis (CE) is a well-known neglected parasitic disease. However, evidence supporting the four current treatment modalities is inadequate, and treatment options remain controversial. The aim of this work is to analyse the available data to answer clinical questions regarding medical treatment of CE. Methods A thorough electronic search of the relevant literature without language restrictions was carried out using PubMed (Medline), Cochrane Central Register of Controlled Trials, BioMed, Database of Abstracts of Reviews of Effects, and Cochrane Plus databases up to February 1, 2017. All descriptive studies reporting an assessment of CE treatment and published in a peer-reviewed journal with available full-text were considered for a qualitative analysis. Randomized controlled trials were included in a quantitative meta-analysis. We used the standard methodological procedures established by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. Results We included 33 studies related to the pharmacological treatment of CE in humans. Of these, 22 studies with levels of evidence 2 to 4 were qualitatively analysed, and 11 randomized controlled trials were quantitatively analysed by meta-analysis. Conclusions Treatment outcomes are better when surgery or PAIR (Puncture, Aspiration, Injection of protoscolicidal agent and Reaspiration) is combined with benzimidazole drugs given pre- and/or post-operation. Albendazole chemotherapy was found to be the primary pharmacological treatment to consider in the medical management of CE. Nevertheless, combined treatment with albendazole plus praziquantel resulted in higher scolicidal and anti-cyst activity and was more likely to result in cure or improvement relative to albendazole alone

Study of hydatidosis-attributed mortality in endemic area.

BACKGROUND: Cystic hydatid disease is still an important health problem in European Mediterranean areas. In spite of being traditionally considered as a "benign" pathology, cystic echinococcosis is an important cause of morbidity in these areas. Nevertheless, there are few analyses of mortality attributed to human hydatidosis. OBJECTIVE: To describe the epidemiology, the mortality rate and the causes of mortality due to E. granulosus infection in an endemic area. METHODOLOGY: A retrospective study followed up over a period of 14 years (1998-2011). PRINCIPAL FINDINGS: Of the 567 patients diagnosed with hydatid disease over the period 1998-2011, eleven deaths directly related to hydatid disease complications were recorded. Ten patients (90.9%) died due to infectious complications and the remaining one (9.1%) died due to mechanical complications after a massive hemoptysis. We registered a case fatality rate of 1.94% and a mortality rate of 3.1 per 100.000 inhabitants. CONCLUSIONS: Hydatidosis is still a frequent parasitic disease that causes a considerable mortality. The main causes of mortality in patients with hydatidosis are complications related to the rupture of CE cysts with supurative collangitis. Therefore, an expectant management can be dangerous and it must be only employed in well-selected patients