Los padres como observadores de la calidad de vida de sus hijos implantados cocleares

Introduction and objective: Quality of life refers to the hability of an individual to enjoy normal life activities, including aspects of functional capacity and well-being. The concept of quality of life has been increasingly used in the field of health assessments. Only recently have the effects of Cochlear implantation from the perspective of emotional and social development begun to be investigate. To examine the results of health-related quality of life in cochlear implanted children between 11 and 12 years of age and their parents. Method: Observational, transversal descriptive study .24 unilateral or successive bilateral children implanted prelingually between 11 and 12 years of age and their parents. The pediatric quality of life questionnaire Persil ™ (Version 4.0, Spanish for Spain) was used to measure health-related quality of life. It was completed independently by children and parents. Results: The results were analyzed by means of a T -Student test. The outcomes of children and parents at different scales evaluated show that statistically significant results appear on scales of emotional and academic functioning (p < 0.05). When comparing the overall result of the questionnaire with the different scales evaluated, all show statistically significant results (p < 0.05). Discussion: It has been proven the success of a cochlear implant in speech and language field, this leads us calls into question beyond these areas; yield at home, at school and in different social contexts. There are few studies that explain through parental questionnaires expectations and their perception of the quality of life in cochlear implanted in children. Conclusions: The results of the study show that children enjoy the benefits of using a cochlear implant. They report benefits in all areas studied (physical, emotional, social and academic). Parents are reliable reporters about the state of the overall quality of life of their children since their answers were similar to those given by their children.Introducción y objetivo: El concepto de calidad de vida ha comenzado a utilizarse cada vez más en el campo de las evaluaciones en salud. Se ha empezado a investigar los efectos de la implantación a nivel del desarrollo social y emocional del niño. El objetivo es examinar los resultados de la salud relacionados con la calidad de vida en niños sordos implantados cocleares de entre 11 y 12 años de edad y sus padres. Método: Estudio observacional, descriptivo transversal en 24 niños prelocutivos implantados unilaterales o bilaterales sucesivos de 11 y 12 años de edad y sus padres. Utilizando el cuestionario de calidad de vida pediátrica PedsQL™ (Versión 4.0, español para España), para medir la salud relacionados con la calidad de vida, completado de forma independiente por niños y padres respectivamente. Resultados: Mediante la T-Student los resultados de niños y padres en las diferentes escalas evaluadas observamos que en las escalas de funcionamiento emocional y académica es donde se obtienen resultados estadísticamente significativos (p <0,05). Al comparar el resultado total del cuestionario con las diferentes escalas evaluadas, en todas ellas se obtienen resultados estadísticamente significativos (p <0,05). Discusión: Probado el éxito del implante coclear en las áreas del habla y del lenguaje, esto nos lleva actualmente a preguntas más allá de estas áreas; el rendimiento en el hogar, en la escuela y en diferentes contextos sociales. Pocos estudios exploran a través de entrevistas o cuestionarios las expectativas de los padres y la percepción de la calidad de vida de sus hijos usuarios de implantes coclear. Conclusiones: Los resultados del estudio muestran que los niños disfrutan de los beneficios del uso de su implante coclear. Ellos reportan beneficios en todas las áreas estudiadas (física, emocional, social y académica). Los padres son periodistas válidos sobre el estado de la calidad de vida global de sus hijos ya que dieron respuestas similares a las dadas por sus hijos

Libro de Proyectos Finales 2021 primer semestre

PregradoIngeniero CivilIngeniero de SistemasIngeniero ElectricistaIngeniero ElectrónicoIngeniero IndustrialIngeniero Mecánic

Global economic burden of unmet surgical need for appendicitis

Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially