1,552 research outputs found

    PREVALENCIA DE NEMATODOS GASTROINTESTINALES (TOXOCARA CANIS Y ANCYLOSTOMA SPP) EN PERROS DOMICILIARIOS (CANIS FAMILIARIS) EN EL DISTRITO DE ILO, PROVINCIA DE ILO, DEPARTAMENTO DE MOQUEGUA 2013

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    LOCALIZACIÓN MATERIALES BIOLÓGICOS MATERIALES DE LABORATORIO MATERIALES DE CAMPO EQUIPOS Y MAQUINARIAS OTROS MATERIALES MÉTODO DE ESTUDIO MÉTODO DE TRABAJO MÉTODO TÉCNICO DE RECOLECCIÓN DE DATOS MÉTODO ESTADÍSTIC

    Adolescent Health Literacy: The Importance of Credible Sources for Online Health Information

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    Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/89464/1/j.1746-1561.2011.00664.x.pd

    Caracterización por microscopía electrónica de barrido de mascarillas de protección respiratoria utilizadas por la población costarricense en la época de la pandemia COVID-19.

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    Dada la pandemia COVID-19 y la obligatoriedad en el uso de mascarillas de protección respiratoria, se presentó una oportunidad de negocio para industrias y emprendedores en la confección y venta de las mismas.  Con base en esto, se supone que han existido en el mercado, mascarillas que no son confeccionadas en las condiciones óptimas de calidad y según las normas; ofreciendo una falsa protección respiratoria a los ciudadanos, lo cual pone en riesgo a la población, favoreciendo la propagación del virus SARS-CoV-2. Adicional a lo anterior un etiquetado erróneo referente a la cantidad de capas, tamaños de poro y la protección luego de ciclos de lavado en el caso de las mascarillas reutilizables. La generación de evidencia científica, es de suma importancia para corroborar los aspectos anteriormente mencionados, dado el impacto que tiene sobre la salud pública, por lo que se ha utilizado la microscopía electrónica de barrido, como herramienta de análisis, para realizar una caracterización de las capas, tamaños de poro y morfología y dar soporte a la hipótesis planteada, demostrando el incumplimiento en algunos casos, de los requisitos mínimos para ofrecer una protección real ante la propagación del agente viral y brinda un antecedente para tomar en consideración en futuros casos necesarios de la obligatoriedad del uso de mascarillas con el fin de proteger a la población ante otro brote de COVID-19 o algún otro virus que requiera este tipo de protección

    Development of an Implementation Intervention Using Intervention Mapping to Increase Mammography Among Low Income Women

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    Background: Although much work has begun to elucidate contextual factors influencing implementation, the specific processes that facilitate and hinder adoption, implementation, and maintenance of evidence-based interventions (EBIs) in clinical settings remains poorly understood. Intervention Mapping (IM) is a systematic process that facilitates planning and design for dissemination, implementation and maintenance of EBIs in practice. IM has been used to guide the design of many health interventions, focusing on program implementation. Less studied is its use to adapt and scale screening interventions within the healthcare clinic setting. This paper describes the development of an implementation intervention using IM to facilitate the adoption, implementation, and maintenance of an EBI designed to increase mammography adherence in healthcare clinics, the adapted Peace of Mind Program (PMP).Methods: IM framework, Step 5, was used to guide the implementation intervention planning. IM guided identification of specific adoption, implementation, and maintenance performance objectives. We formed an implementation intervention planning group consisting of members of the academic team, our community partner and community health workers (CHWs) with substantial experience working on mammography screening programs in federally qualified health centers (FQHCs) and charity clinics.Results: Results are presented by Intervention Mapping task for Step 5 (Program Implementation Plan). We describe how the consolidated framework for implementation research (CFIR) informed the selection of performance objectives, determinants, methods, and practical applications in the final implementation intervention.Conclusions: This paper provides an example of the use of Intervention Mapping Step 5 and CFIR to create an implementation intervention to support EBI scale up of an evidence-based mammography intervention within a specific setting.Clinical trials registration number: NCT0229617

    Photothermal effect by NIR-responsive excretable ultrasmall-in-nano architectures

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    Here, we report: (i) the straightforward production of narrow-NIR-absorbing gold ultrasmall-in-nano architectures (tNAs), and (ii) their suitability as excretable platforms for photothermal therapy upon CW-irradiation at 808 nm. These findings are a significant step toward the translation of metal nanotheranostics to cancer treatments

    Using Complex, Multi-Sectoral Data in a Needs Assessment to Inform Future Strategies in Childhood Asthma Management

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    The purpose of this needs assessment was to study the current state of asthma management in high-risk children in Houston, Texas to inform a theory-based approach to improving asthma management. The mixed-method assessment included multi-sectoral survey, quantitative, and geospatial data that address a range of social and community factors in family, community, home, and medical contexts. Houston Emergency Medical Services (EMS) provided ambulance-treated asthma data mapped by geographic area to identify where childhood asthma management was weakest. Texas Children’s Health Plan (TCHP) provided medication compliance rates and counts of children by zip code that TCHP considered high-risk according to claims data. Houston Independent School District (HISD) provided school nurse survey results from schools with high-rates of ambulance-treated asthma attacks regarding local barriers to asthma management. Elementary schools with children at highest risk were identified by overlaying the EMS data, TCHP data, and HISD school zone boundaries. Survey results from the high-rate schools indicate the priority challenges to childhood asthma management, including lack of resources, lack of communication, lack of knowledge of triggers, and inadequate time for quality care from providers. By weaving together EMS, TCHP, and HISD data, the needs assessment informed a socio-ecological view of gaps in high-risk childhood asthma management and control, specifically where and what to target. An assessment approach with multi-sectoral data, geospatial mapping, nurse input, current systems of care, education, and funding helped focus planning on a practical approach to asthma control solutions for high-risk children

    Consideration of Shared Decision Making in Nursing: A Review of Clinicians’ Perceptions and Interventions

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    As the number of individuals with chronic illness increases so has the need for strategies to enable nurses to engage them effectively in daily management of their conditions. Shared decision making between patients and nurses is one approach frequently discussed in the literature. This paper reviews recent studies of shared decision making and the meaning of findings for the nurse-patient relationship. Patients likely to prefer to engage in shared decision making are younger and have higher levels of education. However, there is a lack of evidence for the effect of shared decision making on patient outcomes. Further, studies are needed to examine shared decision making when the patient is a child. Nurses are professionally suited to engage their patients fully in treatment plans. More evidence for how shared decision making affects outcomes and how nurses can successfully achieve such engagement is needed

    Propuesta de proceso de administración financiera para la pequeña empresa Guayo´s Pizza ubicada en el municipio de San Marcos del departamento de Carazo en el II semestre del año 2017

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    El presente documento contiene información muy importante sobre una propuesta del proceso de administración financiera para la pequeña empresa Guayo´s Pizza de la ciudad de San Marcos – Carazo, la cual está operando en el mercado desde el año 2003, en este trabajo se puede en contar todo el marco conceptual relacionado con la gestión administrativa de la pizzería, además es importante conocer en que consiste cada uno de los conceptos para tener mayor claridad y capacidad de aplicar el control financiero a la empresa. Asimismo se brinda una propuesta de la misión, visión, valores institucionales, objetivos estratégicos, políticas y organigrama que debe tener la empresa de manera que le favorezca al cumplimiento de los objetivos y al logro de las metas, también se puede encontrar un diseño de aplicación de los herramientas financieros como; estado de balance, estado de resultados, flujo de caja, catálogos de cuentas general y de producción entre otros, los cuales serán de gran importancia para el propietario de la pizzería que le permitirá conocer el estado en que se encuentra su empresa y la marcha del mismo. Del mismo modo se proponen una serie de formatos para el registro contable y el control del inventario. A demás se explica de forma clara, detallada y comprensible, cada una de las razones financieras que miden los niveles de liquidez, endeudamiento, actividad y rentabilidades de la empresa, de manera que le permita tener una base sólida a la administración para tomar decisiones que ayuden a optimizar la gestión administrativa

    Using Implementation Mapping For the adoption and Implementation of Target:Bp in Community Health Centers

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    BACKGROUND: Despite the availability of multilevel evidence-based interventions for blood pressure management, poor hypertension control is common among community health center patient populations across the state of Texas and the United States. METHODS: We used Implementation Mapping (IM) to identify barriers and facilitators influencing the adoption and implementation of the RESULTS: As part of the needs and capacity assessment, we collected data through interviews with CHC staff, examining gaps in needs and services (e.g., what do clinics need to implement DISCUSSION: This paper provides an example of using Implementation Mapping to develop strategies to increase the adoption and implementation of evidence-based cardiovascular risk reduction interventions in Community Health Centers. The use of implementation strategies can increase the use o
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