Evaluación de las condiciones acústicas en un Centro de Día relacionadas con un modelo gerontológico y el cuidado centrado en las personas mayores con demencia

9 páginas.Los factores ambientales afectan los niveles de ruido y el ruido aceptable entre las personas es subjetivo en diferentes contextos. El cuidado de la salud en personas mayores con demencia requiere de un medio físico-espacial de apoyo con características auditivas específicas, por ello el control acústico debe ser regulado. El objetivo de este estudio fue evaluar el diseño acústico de un centro de día para establecer si el modelo de atención centrada en la persona satisfacía el confort acústico en las personas mayores con demencia. La metodología consistió en determinar tiempo de reverberación de un espacio utilizado para la estimulación cognitiva, posteriormente se definió una propuesta de remodelación en materia de diseño, además de considerar sistemas constructivos que favorecieran el acondicionamiento acústico. Los resultados indicaron que para el aislamiento fue importante integrar muros masivos y flexibles, así como plafones acústicos. Nótese que este acondicionamiento dependió en gran medida de la función y diseño del espacio arquitectónico, el cual se basó en el modelo gerontológico. Las recomendaciones de diseño acústico se pueden aplicar para mejorar el modelo de atención centrada en la persona.Coordinación de Posgrado de Ciencias y Artes para el Diseñ

ARIA Mexico 2014 Adaptation of the Clinical Practice Guide ARIA 2010 for Mexico. Methodology ADAPTE

Background: The global prevalence of allergic rhinitis is high. International Study of Asthma and Allergies in Childhood (ISAAC) Phase III reports a total estimated prevalence of 4.6% in Mexico. There is evidence based on allergic rhinitis Clinical Practice Guidelines (CPG), but its promotion, acceptance and application is not optimal or adequate in Mexico. Objective: To generate a guideline for the treatment of allergic rhinitis and its impact on asthma by adaptating the 2010 ARIA Guideline to Mexican reality, through a transculturation process applying the ADAPTE methodology. Material and method: Using the ADAPTE Methodology, the original 2010 ARIA CPG recommendations were evaluated by the guideline development group (GDG) into which multiple medical specialities managing patients with allergic rhinitis were incoorporated. The GDG valorated the quality of 2010 ARIA, checked and translated key clinical questions. Moreover, the GDG adjusted recommendations, patient preferences and included comments in the context of the Mexican reality (safety, costs and cultural issues). To accomplish this, we ran Delphi panels with as many rounds as necessary to reach agreement. One extra question, not included in the original 2010 ARIA, on the use of Nasal Lavages for AR was created sustained by a systematic literature review. Results: A total of 45 questions from the original 2010 ARIA were included and divided into six groups covering prevention, medical treatment, immunotherapy and alternative medicine to treat patients with allergic rhinitis with or without asthma. Most of the questions reached agreement in one or two rounds; one question required three rounds. Conclusions: An easy-to-use, adaptated, up-to-date and applicable allergic rhinitis guideline for Mexico is now available

Red de docentes y repositorio digital de recursos educativos: Una historia del capitalismo contemporáneo II. La crisis del fordismo a través fuentes fílmicas, literarias y estéticas

Depto. de Filosofía y SociedadFac. de FilosofíaFALSEsubmitte

Red de docentes y repositorio digital de recursos educativos: Una historia del capitalismo contemporáneo III. El neoliberalismo y la crisis multifactorial contemporánea a través fuentes fílmicas, literarias y estéticas

Depto. de Filosofía y SociedadFac. de FilosofíaFALSEsubmitte

Mis casos Clínicos de Odontopediatría y Ortodoncia

Libro que conjunta casos en el área de Odontopediatría y OrtodonciaEs para los integrantes de la Red de Investigación en Estomatología (RIE) una enorme alegría presentar el tercer libro del 2021, sobre casos clínicos, revisiones de la literatura e investigaciones. La RIE está integrada por cuerpos académicos de la UAEH, UAEM, UAC y UdeG

Contemporary use of cefazolin for MSSA infective endocarditis: analysis of a national prospective cohort

Objectives: This study aimed to assess the real use of cefazolin for methicillin-susceptible Staphylococcus aureus (MSSA) infective endocarditis (IE) in the Spanish National Endocarditis Database (GAMES) and to compare it with antistaphylococcal penicillin (ASP). Methods: Prospective cohort study with retrospective analysis of a cohort of MSSA IE treated with cloxacillin and/or cefazolin. Outcomes assessed were relapse; intra-hospital, overall, and endocarditis-related mortality; and adverse events. Risk of renal toxicity with each treatment was evaluated separately. Results: We included 631 IE episodes caused by MSSA treated with cloxacillin and/or cefazolin. Antibiotic treatment was cloxacillin, cefazolin, or both in 537 (85%), 57 (9%), and 37 (6%) episodes, respectively. Patients treated with cefazolin had significantly higher rates of comorbidities (median Charlson Index 7, P <0.01) and previous renal failure (57.9%, P <0.01). Patients treated with cloxacillin presented higher rates of septic shock (25%, P = 0.033) and new-onset or worsening renal failure (47.3%, P = 0.024) with significantly higher rates of in-hospital mortality (38.5%, P = 0.017). One-year IE-related mortality and rate of relapses were similar between treatment groups. None of the treatments were identified as risk or protective factors. Conclusion: Our results suggest that cefazolin is a valuable option for the treatment of MSSA IE, without differences in 1-year mortality or relapses compared with cloxacillin, and might be considered equally effective