Enfermería y Seguridad de los Pacientes

Introducción: La seguridad del paciente es motivo de preocupación universal y un componente fundamental de la calidad asistencial. Se trata de un tema que siempre ha estado presente en la sociedad y que actualmente se ha tornado como uno de los temas de mayor interés, trascendiendo del ámbito profesional para ser objeto de debate en el ámbito social. La gestión de los eventos adversos conlleva seis pasos, y su gran impacto ha convertido mejorar la seguridad de los pacientes en un objetivo prioritario. Objetivo: Obtener una visión general enfermera sobre la seguridad del paciente en el ámbito intrahospitalario. Material y métodos: Revisión bibliográfica. Se ha llevado a cabo una búsqueda de literatura científica sobre el tema en diferentes bases de datos mediante la utilización de DeCS combinados con el operador booelano AND. Resultados y discusión: Las oportunidades de mejora que se perciben tienen que ver en todos los hospitales con la dotación de personal y el ritmo de trabajo que pueden afectar a la seguridad del paciente, con la notificación interna y discusión de los errores que puedan ocurrir y, sobre todo, con la necesidad de una actitud más proactiva por parte de la gerencia. Los errores de medicación son una de las causas más frecuentes de los acontecimientos adversos ligados a la asistencia sanitaria. Conclusiones: La reducción de efectos adversos requiere un abordaje organizacional y multidisciplinar, los profesionales de enfermería, dados los tipos de efectos adversos evitables, desempeñan un papel importante en los resultados de salud que se obtienen de la asistencia sanitaria y por tanto están muy implicados en la seguridad del paciente.Grado en Enfermerí

Psychometric properties of the Pride in Eating Pathology Scale in a Spanish population

Background: In its relation to eating disorders, pride is one of the self-conscious emotions least analyzed, and requires valid and reliable instruments for its measurement. This study aimed to examine the factor structure and the psychometric properties of the Pride in Eating Pathology Scale (PEP-S), in the Spanish general population, as well as between-sex diferences in PEP-S scores. Methods: Of the 1483 participants aged 18 to 34 (M=21.99; SD=3.09), 954 were women (65.2%) and the majority were university students (78.8%). Psychometric properties of the scale were tested in a cross-sectional design using cross-validation, i.e., exploratory and confrmatory factor analysis, and estimation of invariance (sex). Results: The four-factor structure found was similar to the original scale with invariance across sex and internal consistency (ordinal alpha .99) and stability (.85). Evidence of convergent validity and diferences between sexes were found. Specifcally, women scored higher on all the factors, including the healthier sense of pride. Conclusions: The PEP-S scale is an instrument with evidence of validity and reliability in the Spanish population. Although it still has to be tested in a clinical population, it constitutes a promising instrument for the evaluation of the self-conscious emotion, pride

Psychometric properties of the Pride in Eating Pathology Scale in a Spanish population

Abstract Background In its relation to eating disorders, pride is one of the self-conscious emotions least analyzed, and requires valid and reliable instruments for its measurement. This study aimed to examine the factor structure and the psychometric properties of the Pride in Eating Pathology Scale (PEP-S), in the Spanish general population, as well as between-sex differences in PEP-S scores. Methods Of the 1483 participants aged 18 to 34 (M = 21.99; SD = 3.09), 954 were women (65.2%) and the majority were university students (78.8%). Psychometric properties of the scale were tested in a cross-sectional design using cross-validation, i.e., exploratory and confirmatory factor analysis, and estimation of invariance (sex). Results The four-factor structure found was similar to the original scale with invariance across sex and internal consistency (ordinal alpha .99) and stability (.85). Evidence of convergent validity and differences between sexes were found. Specifically, women scored higher on all the factors, including the healthier sense of pride. Conclusions The PEP-S scale is an instrument with evidence of validity and reliability in the Spanish population. Although it still has to be tested in a clinical population, it constitutes a promising instrument for the evaluation of the self-conscious emotion, pride. </jats:sec

Precision Betacarotene Supplementation Enhanced Ovarian Function and the LH Release Pattern in Yearling Crossbred Anestrous Goats

The possible out-of-season effect of beta-carotene supplementation on ovulation rate (OR), antral follicles (AFN), and total ovarian activity (TOA = OR + AFN) as related to the LH release pattern in yearling anestrous goats was evaluated. In late April, Alpine-Saanen-Nubian x Criollo goats (n = 22, 26 N) were randomly allotted to: (1) Beta-carotene (BETA; n = 10, orally supplemented with 50 mg/goat/d; 36.4 ± 1.07 kg live weight (LW), 3.5 ± 0.20 units, body condition score (BCS) or (2) Non-supplemented (CONT; n = 12, 35.2 ± 1.07 kg LW, 3.4 ± 0.2 units BCS). Upon estrus synchronization, an intensive blood sampling (6 h × 15 min) was accomplished in May for LH quantifications; response variables included (pulsatility-PULSE, time to first pulse-TTFP, amplitude-AMPL, nadir-NAD and area under the curve-AUC). Thereafter, an ultrasonography scanning was completed to assess OR and AFN. The Munro algorithm was used to quantify LH pulsatility; if significant effects of time, treatment or interaction were identified, data were compared across time. Neither LW nor BCS (p > 0.05) or even the LH (p > 0.05); PULSE (4.1 ± 0.9 pulses/6 h), NAD (0.47 ± 0.13 ng) and AUC (51.7 ± 18.6 units) differed between treatments. Nonetheless, OR (1.57 vs. 0.87 ± 0.18 units) and TOA (3.44 vs. 1.87 ± 0.45 units) escorted by a reduced TTFP (33 vs. 126 ± 31.9 min) and an increased AMPL (0.55 vs. 0.24 ± 0.9 ng), favored to the BETA supplemented group (p < 0.05), possibly through a GnRH-LH enhanced pathway and(or) a direct effect at ovarian level. Results are relevant to speed-up the out-of-season reproductive outcomes in goats while may embrace translational applications

Síntesis de los fotocatalizadores binarios SnO2/TiO2y ternarios SnO2/TiO2/nanohojas de g-C3N4 para la degradación de naranja de metilo y ciprofloxacino en presencia de luz ultravioleta

When emergent pollutantsare in wastewater they need oxidation advanced processes for their degradation, such Heterogeneous Photocatalysis. Nowadays more efficient photocatalysts than titanium dioxide (TiO2) are being sought to degrade complex molecules. Nanoparticles and Quantum Dots (QDs) of Tin Oxide (SnO2) were synthesized by different methods, binary SnO2/TiO2and ternary SnO2/TiO2/g-C3N4nanosheets heterojunctions were synthetized by wet impregnation method to Methyl Orange (MO) as model pollutant and Ciprofloxacin (CIP) degradation. The most efficient photocatalysts for MO degradation were SnO2-SG300/P25 andP25. The SnO2-QDs/P25 junction showed a great MO adsorption capacity. The binary heterojunctions SnO2-npAldrich/P25 and SnO2-SG300/P25 showed higher degradation percentages than TiO2and P25.Los contaminantes emergentes,al encontrarse en aguas residuales, requieren procesos avanzados de oxidación para su degradación, como la fotocatálisis heterogénea. Actualmente se buscan fotocatalizadores más eficientes que el dióxido de titanio (TiO2) para degradar moléculas complejas. Se sintetizó dióxido de estaño (SnO2) nanométrico y puntos cuánticos (QDs) por distintos métodos;se sintetizaron juntas binarias de SnO2/TiO2y juntas ternarias de SnO2/TiO2/nanohojas de g-C3N4por impregnación húmeda, para la degradación de Naranja de Metilo (NM) como contaminante modelo y Ciprofloxacino (CIP). Los fotocatalizadores más eficientes para la degradación de NM fueron SnO2-SG300/P25 y P25. La junta SnO2-QDs/P25 mostró una gran capacidad de adsorción del NM. Para la degradación de CIP las juntas SnO2-npA/P25 y SnO2-SG300/P25 mostraron porcentajes de degradación superiores al TiO2y P2

LA U INVESTIGA: Revista Científica. Facultad Ciencias de la Salud. Volumen 2. Número 2

La revista además refleja su carácter multidisciplinario tanto en los artículos publicados producto de investigaciones realizadas con profesionales de la salud, de medicina, enfermería, nutrición y terapia física médica, pero además la integración de otras profesiones. Además se refleja en la organización estructural del Consejo Editorial.• Manejo del paciente politraumatizado en la atención primaria de salud • Esplenectomía y colecistectomía laparoscópica simultánea, en el manejo de esferocitosis hereditaria. Hospital San Vicente de Paul-Ibarra. • Factores psicológicos y culturales que influyen, en el acceso a métodos anticonceptivos en adolescentes. • Factores de riesgo asociados a neutropenia febril en tumores malignos sólidos, posterior al primer ciclo de quimioterapia, en pacientes de SOLCA núcleo de Quito • Reacción adversa a la estreptoquinasa recombinate en pacientes trombolizados • La educación, la dinámica demográfica y la salud reproductiva en las mujeres campesinas rurales de Angochahua. • Prevalencia de factores de recaída en pacientes con diagnóstico de Cáncer de Cervix con Estadios Clínicos IIA, IIB, IIIA, IIIB, tratados en SOLCA-Quit

Clonal chromosomal mosaicism and loss of chromosome Y in elderly men increase vulnerability for SARS-CoV-2

The pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2, COVID-19) had an estimated overall case fatality ratio of 1.38% (pre-vaccination), being 53% higher in males and increasing exponentially with age. Among 9578 individuals diagnosed with COVID-19 in the SCOURGE study, we found 133 cases (1.42%) with detectable clonal mosaicism for chromosome alterations (mCA) and 226 males (5.08%) with acquired loss of chromosome Y (LOY). Individuals with clonal mosaic events (mCA and/or LOY) showed a 54% increase in the risk of COVID-19 lethality. LOY is associated with transcriptomic biomarkers of immune dysfunction, pro-coagulation activity and cardiovascular risk. Interferon-induced genes involved in the initial immune response to SARS-CoV-2 are also down-regulated in LOY. Thus, mCA and LOY underlie at least part of the sex-biased severity and mortality of COVID-19 in aging patients. Given its potential therapeutic and prognostic relevance, evaluation of clonal mosaicism should be implemented as biomarker of COVID-19 severity in elderly people. Among 9578 individuals diagnosed with COVID-19 in the SCOURGE study, individuals with clonal mosaic events (clonal mosaicism for chromosome alterations and/or loss of chromosome Y) showed an increased risk of COVID-19 lethality

Contrapicados y puntos de fuga. Las otras historias de la historia de la filosofía

Depto. de Lógica y Filosofía TeóricaFac. de FilosofíaFALSEsubmitte

Impact of COVID-19 on cardiovascular testing in the United States versus the rest of the world

Objectives: This study sought to quantify and compare the decline in volumes of cardiovascular procedures between the United States and non-US institutions during the early phase of the coronavirus disease-2019 (COVID-19) pandemic. Background: The COVID-19 pandemic has disrupted the care of many non-COVID-19 illnesses. Reductions in diagnostic cardiovascular testing around the world have led to concerns over the implications of reduced testing for cardiovascular disease (CVD) morbidity and mortality. Methods: Data were submitted to the INCAPS-COVID (International Atomic Energy Agency Non-Invasive Cardiology Protocols Study of COVID-19), a multinational registry comprising 909 institutions in 108 countries (including 155 facilities in 40 U.S. states), assessing the impact of the COVID-19 pandemic on volumes of diagnostic cardiovascular procedures. Data were obtained for April 2020 and compared with volumes of baseline procedures from March 2019. We compared laboratory characteristics, practices, and procedure volumes between U.S. and non-U.S. facilities and between U.S. geographic regions and identified factors associated with volume reduction in the United States. Results: Reductions in the volumes of procedures in the United States were similar to those in non-U.S. facilities (68% vs. 63%, respectively; p = 0.237), although U.S. facilities reported greater reductions in invasive coronary angiography (69% vs. 53%, respectively; p < 0.001). Significantly more U.S. facilities reported increased use of telehealth and patient screening measures than non-U.S. facilities, such as temperature checks, symptom screenings, and COVID-19 testing. Reductions in volumes of procedures differed between U.S. regions, with larger declines observed in the Northeast (76%) and Midwest (74%) than in the South (62%) and West (44%). Prevalence of COVID-19, staff redeployments, outpatient centers, and urban centers were associated with greater reductions in volume in U.S. facilities in a multivariable analysis. Conclusions: We observed marked reductions in U.S. cardiovascular testing in the early phase of the pandemic and significant variability between U.S. regions. The association between reductions of volumes and COVID-19 prevalence in the United States highlighted the need for proactive efforts to maintain access to cardiovascular testing in areas most affected by outbreaks of COVID-19 infection