482 research outputs found

    INTERVENCIONES ENFERMERAS EN TRASTORNOS DUALES: ADICCIONES RELACIONADAS CON TRASTORNOS DE CONDUCTA EN LA INFANCIA

    Get PDF
    This study aims to analyze the causes and progression of Disruptive Behavior Disorders (DBD), in childhood / adolescence, and its impact on the development of a possible Substance Abuse Disorder (SAD) in order to establish action strategies from nursing, using the taxonomy NANDA-NOC-NIC. The methodology is the systematic search of major databases (Cochrane Library, Tripdatabase, Medline, Lilacs, and CUIDEN), setting narrative and systematic reviews, meta-analysis, Randomized Clinical Trials (RCTs) and non-randomized and observational or descriptive studies indexed in the last ten years, as the selection criteria. Under these criteria finally we selected a total of 20 articles for their special relevance and relationship to the subject of this study. Based on this review, and taking particular account of the nursing study of Miotto Wright, which proposes the Critical-Holistic Model, the protocol outlines a plan of nursing care. The analysis reveals the existence of a cause-effect relationship between the DBD, increasingly common among children and adolescents, and the development of SAD and the great influence the family and community have on this progression. That is why, we believe that the nursing role can be crucial, in the levels of early diagnosis, secondary prevention, treatment, and rehabilitation.El presente estudio trata de analizar las causas y la evolución de los trastornos del comportamiento perturbador (TCP), en la infancia/adolescencia, y su repercusión en el desarrollo de un posible trastorno por abuso de sustancias (TAS), con el fin de establecer estrategias de actuación desde Enfermería, empleando para ello la taxonomía NANDA-NOC-NIC.La metodología utilizada es la búsqueda sistemática en las principales bases de datos (Biblioteca Cochrane, Tripdatabase, Medline, Lilacs, y CUIDEN), estableciendo como criterios de selección las revisiones sistemáticas y narrativas, metaanálisis, ensayos clínicos aleatorizados (ECA´S) y no aleatorizados y estudios descriptivos u observacionales de calidad indexados en los últimos diez años. Bajo estos criterios seleccionamos finalmente un total de 20 artículos, por su especial relevancia y relación con el tema objeto del presente estudio.En base a esta revisión, y teniendo en cuenta especialmente estudios enfermeros como el de Miotto Wright, que propone el Modelo Crítico-Holístico, esbozamos el protocolo de un Plan de Cuidados.Del análisis realizado se desprende la existencia de una relación de causa-efecto entre los TCP, cada vez más frecuentes entre niños y adolescentes y el desarrollo de un TAS, así como la gran influencia que en esta evolución tiene el entorno familiar y comunitario. Es por ello que consideramos que el papel de Enfermería puede ser fundamental, en los niveles de diagnóstico precoz, prevención secundaria, tratamiento y rehabilitación

    EL TRASTORNO LÍMITE DE PERSONALIDAD: LA FILOSOFÍA DIALÉCTICA COMO BASE DE LA INTERACCIÓN ENFERMERO PACIENTE

    Get PDF
    Borderline personality disorder was defined in the nineteenth century as the boundary between psychosis and neurosis. It has three major clinical components: a shaky sense of self, a high level of impulsivity and high affective instability. Due in part to the lack of knowledge of the underlying dynamics, working with patients with BPD is often difficult for nursing staff. The present study aims to propose guidelines that encourage interactive psychotherapy in the care of patients with this disorder. To this objective we conducted a bibliographic search in Nursing and other health science databases (Cochrane, Tripdatabase, Medline, CINAHL and care), using Mesh descriptors: "Borderline personality disorder" AND "therapy" and “Borderline Personality" AND "nursing cares", indexed from 01/01/2000, finally selecting a total of 17 studies for their relevance and relationship to the subject under study. Based on the results, we suggest the use of dialectical philosophy, the basis of dialectical-behavioral therapy developed by Marsha Linehan, a tool that will lead to a better nurse-patient relationship, greater adherence to treatment and greater efficiency in managing time and resources. El trastorno límite de personalidad fue definido ya en el siglo XIX, como límite entre la psicosis y la neurosis. Presenta tres componentes clínicos principales: un inestable sentido del yo, un alto nivel de impulsividad y una elevada inestabilidad afectiva . Debido en parte, a la falta de conocimiento de la dinámica subyacente, el trabajo con pacientes con TLP resulta a menudo difícil para el personal de Enfermería.El presente estudio tiene por objeto proponer orientaciones psicoterapéuticas que favorezcan la interacción en el cuidado de pacientes con este trastorno. Para este fin se lleva a cabo una búsqueda bibliográfica en las principales basos de datos de Enfermería y del resto de ciencias de la salud (Cochrane, Tripdatabase, Medline, CINAHL y CUIDEN), empleando los descriptores Mesh: “Borderline personality disorder” AND “therapy” y“Borderline personality” AND “nursing cares”, indexados a partir del 01/01/2000, seleccionando finalmente un total de 17 estudios por su relevancia y relación con el tema.Atendiendo a los resultados obtenidos, proponemos el empleo de la filosofía dialéctica, base de la terapia dialéctico-comportamental desarrollada por Marsha Linehan, como herramienta que va a conducir a una mejor relación enfermero-paciente, una mayor adherencia al tratamiento y una mayor eficiencia en la gestión de tiempo y recursos

    Observation of associated near-side and away-side long-range correlations in √sNN=5.02  TeV proton-lead collisions with the ATLAS detector

    Get PDF
    Two-particle correlations in relative azimuthal angle (Δϕ) and pseudorapidity (Δη) are measured in √sNN=5.02  TeV p+Pb collisions using the ATLAS detector at the LHC. The measurements are performed using approximately 1  Όb-1 of data as a function of transverse momentum (pT) and the transverse energy (ÎŁETPb) summed over 3.1<η<4.9 in the direction of the Pb beam. The correlation function, constructed from charged particles, exhibits a long-range (2<|Δη|<5) “near-side” (Δϕ∌0) correlation that grows rapidly with increasing ÎŁETPb. A long-range “away-side” (Δϕ∌π) correlation, obtained by subtracting the expected contributions from recoiling dijets and other sources estimated using events with small ÎŁETPb, is found to match the near-side correlation in magnitude, shape (in Δη and Δϕ) and ÎŁETPb dependence. The resultant Δϕ correlation is approximately symmetric about π/2, and is consistent with a dominant cos⁥2Δϕ modulation for all ÎŁETPb ranges and particle pT

    Measurement of the charge asymmetry in dileptonic Decays of top quark pairs in pp collisions at √ s = 7 TeV using the ATLAS detector

    Get PDF
    A measurement of the top-antitop (tt) charge asymmetry is presented using data corresponding to an integrated luminosity of 4.6 fb −1 of LHC pp collisions at a centre- of-mass energy of 7 TeV collected by the ATLAS detector. Events with two charged leptons, at least two jets and large missing transverse momentum are selected. Two observables are studied: A tt/C, based on the reconstructed tt final state. The asymmetries are measured to be A ll/C = 0.024 +/- 0.015 (stat.) +/- 0.009 (syst.) Att/C = 0.021 +/- 0.025 (stat.) +/- 0.017 (syst.) The measured values are in agreement with the Standard Model predictions

    Enhancement strategies for transdermal drug delivery systems: current trends and applications

    Get PDF

    Combined measurement of differential and total cross sections in the H → γγ and the H → ZZ* → 4ℓ decay channels at s=13 TeV with the ATLAS detector

    Get PDF
    A combined measurement of differential and inclusive total cross sections of Higgs boson production is performed using 36.1 fb−1 of 13 TeV proton–proton collision data produced by the LHC and recorded by the ATLAS detector in 2015 and 2016. Cross sections are obtained from measured H→γγ and H→ZZ*(→4ℓ event yields, which are combined taking into account detector efficiencies, resolution, acceptances and branching fractions. The total Higgs boson production cross section is measured to be 57.0−5.9 +6.0 (stat.) −3.3 +4.0 (syst.) pb, in agreement with the Standard Model prediction. Differential cross-section measurements are presented for the Higgs boson transverse momentum distribution, Higgs boson rapidity, number of jets produced together with the Higgs boson, and the transverse momentum of the leading jet. The results from the two decay channels are found to be compatible, and their combination agrees with the Standard Model predictions

    Measurement of the t¯tZ and t¯tW cross sections in proton-proton collisions at √s=13 TeV with the ATLAS detector

    Get PDF
    A measurement of the associated production of a top-quark pair (tÂŻt) with a vector boson (W, Z) in proton-proton collisions at a center-of-mass energy of 13 TeV is presented, using 36.1  fb−1 of integrated luminosity collected by the ATLAS detector at the Large Hadron Collider. Events are selected in channels with two same- or opposite-sign leptons (electrons or muons), three leptons or four leptons, and each channel is further divided into multiple regions to maximize the sensitivity of the measurement. The tÂŻtZ and tÂŻtW production cross sections are simultaneously measured using a combined fit to all regions. The best-fit values of the production cross sections are σtÂŻtZ=0.95±0.08stat±0.10syst pb and σtÂŻtW=0.87±0.13stat±0.14syst pb in agreement with the Standard Model predictions. The measurement of the tÂŻtZ cross section is used to set constraints on effective field theory operators which modify the tÂŻtZ vertex

    Search for supersymmetry in events with four or more leptons in √s =13 TeV pp collisions with ATLAS

    Get PDF
    Results from a search for supersymmetry in events with four or more charged leptons (electrons, muons and taus) are presented. The analysis uses a data sample corresponding to 36.1 fb −1 of proton-proton collisions delivered by the Large Hadron Collider at s √ =13 TeV and recorded by the ATLAS detector. Four-lepton signal regions with up to two hadronically decaying taus are designed to target a range of supersymmetric scenarios that can be either enriched in or depleted of events involving the production and decay of a Z boson. Data yields are consistent with Standard Model expectations and results are used to set upper limits on the event yields from processes beyond the Standard Model. Exclusion limits are set at the 95% confidence level in simplified models of General Gauge Mediated supersymmetry, where higgsino masses are excluded up to 295 GeV. In R -parity-violating simplified models with decays of the lightest supersymmetric particle to charged leptons, lower limits of 1.46 TeV, 1.06 TeV, and 2.25 TeV are placed on wino, slepton and gluino masses, respectively

    Probing the W tb vertex structure in t-channel single-top-quark production and decay in pp collisions at s√=8 TeV with the ATLAS detector

    Get PDF
    To probe the W tb vertex structure, top-quark and W -boson polarisation observables are measured from t-channel single-top-quark events produced in proton-proton collisions at a centre-of-mass energy of 8 TeV. The dataset corresponds to an integrated luminosity of 20.2 fb−1, recorded with the ATLAS detector at the LHC. Selected events contain one isolated electron or muon, large missing transverse momentum and exactly two jets, with one of them identified as likely to contain a b-hadron. Stringent selection requirements are applied to discriminate t-channel single-top-quark events from background. The polarisation observables are extracted from asymmetries in angular distributions measured with respect to spin quantisation axes appropriately chosen for the top quark and the W boson. The asymmetry measurements are performed at parton level by correcting the observed angular distributions for detector effects and hadronisation after subtracting the background contributions. The measured top-quark and W -boson polarisation values are in agreement with the Standard Model predictions. Limits on the imaginary part of the anomalous coupling gR are also set from model-independent measurements.We acknowledge the support of ANPCyT, Argentina; YerPhI, Armenia; ARC, Australia; BMWFW and FWF, Austria; ANAS, Azerbaijan; SSTC, Belarus; CNPq and FAPESP, Brazil; NSERC, NRC and CFI, Canada; CERN; CONICYT, Chile; CAS, MOST and NSFC, China; COLCIENCIAS, Colombia; MSMT CR, MPO CR and VSC CR, Czech Republic; DNRF and DNSRC, Denmark; IN2P3-CNRS, CEA-DSM/IRFU, France; SRNSF, Georgia; BMBF, HGF, and MPG, Germany; GSRT, Greece; RGC, Hong Kong SAR, China; ISF, I-CORE and Benoziyo Center, Israel; INFN, Italy; MEXT and JSPS, Japan; CNRST, Morocco; NWO, Netherlands; RCN, Norway; MNiSW and NCN, Poland; FCT, Portugal; MNE/IFA, Romania; MES of Russia and NRC KI, Russian Federation; JINR; MESTD, Serbia; MSSR, Slovakia; ARRS and MIZS, Slovenia; DST/NRF, South Africa; MINECO, Spain; SRC and Wallenberg Foundation, Sweden; SERI, SNSF and Cantons of Bern and Geneva, Switzerland; MOST, Taiwan; TAEK, Turkey; STFC, United Kingdom; DOE and NSF, United States of America. In addition, individual groups and members have received support from BCKDF, the Canada Council, CANARIE, CRC, Compute Canada, FQRNT, and the Ontario Innovation Trust, Canada; EPLANET, ERC, ERDF, FP7, Horizon 2020 and Marie Sklodowska-Curie Actions, European Union; Investissements d'Avenir Labex and Idex, ANR, Region Auvergne and Fondation Partager le Savoir, France; DFG and AvH Foundation, Germany; Herakleitos, Thales and Aristeia programmes co-financed by EU-ESF and the Greek NSRF; BSF, GIF and Minerva, Israel; BRF, Norway; CERCA Programme Generalitat de Catalunya, Generalitat Valenciana, Spain; the Royal Society and Leverhulme Trust, United Kingdom.The crucial computing support from all WLCG partners is acknowledged gratefully, in particular from CERN, the ATLAS Tier-1 facilities at TRIUMF (Canada), NDGF (Denmark, Norway, Sweden), CC-IN2P3 (France), KIT/GridKA (Germany), INFN-CNAF (Italy), NL-T1 (Netherlands), PIC (Spain), ASGC (Taiwan), RAL (UK) and BNL (USA), the Tier-2 facilities worldwide and large non-WLCG resource providers. Major contributors of computing resoinfo:eu-repo/semantics/publishedVersio

    Performance of the ATLAS muon trigger in pp collisions at [Formula: see text] TeV

    Get PDF
    The performance of the ATLAS muon trigger system is evaluated with proton-proton collision data collected in 2012 at the Large Hadron Collider at a centre-of-mass energy of 8 TeV. It is primarily evaluated using events containing a pair of muons from the decay of [Formula: see text] bosons. The efficiency of the single-muon trigger is measured for muons with transverse momentum [Formula: see text] GeV, with a statistical uncertainty of less than 0.01 % and a systematic uncertainty of 0.6 %. The [Formula: see text] range for efficiency determination is extended by using muons from decays of [Formula: see text] mesons, [Formula: see text] bosons, and top quarks. The muon trigger shows highly uniform and stable performance. The performance is compared to the prediction of a detailed simulation
    • 

    corecore