15 research outputs found

    Diseño de un programa de promoción y prevención del síndrome de burnout para docentes e instituciones educativas privadas situados al norte de la ciudad de Bogotá

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    Curso de especial interésEste trabajo tiene como objetivo diseñar un programa promoción y prevención con el fin de disminuir el Síndrome de Burnout en docentes de instituciones educativas privadas del norte de Bogotá; donde se logre una sensibilización de conductas por medio del desarrollo y fortalecimiento en manejo del estrés. A partir de tres fases como la evaluación, intervención y seguimiento. Ya que la docencia es la profesión más expuesta a estos riesgos psicosociales.Resumen 1. Justificación 2. Síndrome de Burnout 3. Objetivos 4. Método 5. Estudio del Mercado 6. Resultados Discusión Referencias ApéndicesPregradoPsicólog

    Long-Term Real-World Effectiveness and Safety of Ustekinumab in Crohn’s Disease Patients: The SUSTAIN Study

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    Background Large real-world-evidence studies are required to confirm the durability of response, effectiveness, and safety of ustekinumab in Crohn’s disease (CD) patients in real-world clinical practice. Methods A retrospective, multicentre study was conducted in Spain in patients with active CD who had received ≥1 intravenous dose of ustekinumab for ≥6 months. Primary outcome was ustekinumab retention rate; secondary outcomes were to identify predictive factors for drug retention, short-term remission (week 16), loss of response and predictive factors for short-term efficacy and loss of response, and ustekinumab safety. Results A total of 463 patients were included. Mean baseline Harvey-Bradshaw Index was 8.4. A total of 447 (96.5%) patients had received prior biologic therapy, 141 (30.5%) of whom had received ≥3 agents. In addition, 35.2% received concomitant immunosuppressants, and 47.1% had ≥1 abdominal surgery. At week 16, 56% had remission, 70% had response, and 26.1% required dose escalation or intensification; of these, 24.8% did not subsequently reduce dose. After a median follow-up of 15 months, 356 (77%) patients continued treatment. The incidence rate of ustekinumab discontinuation was 18% per patient-year of follow-up. Previous intestinal surgery and concomitant steroid treatment were associated with higher risk of ustekinumab discontinuation, while a maintenance schedule every 12 weeks had a lower risk; neither concomitant immunosuppressants nor the number of previous biologics were associated with ustekinumab discontinuation risk. Fifty adverse events were reported in 39 (8.4%) patients; 4 of them were severe (2 infections, 1 malignancy, and 1 fever). Conclusions Ustekinumab is effective and safe as short- and long-term treatment in a refractory cohort of CD patients in real-world clinical practice

    Using Interpretable Machine Learning to Identify Baseline Predictive Factors of Remission and Drug Durability in Crohn’s Disease Patients on Ustekinumab

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    Ustekinumab has shown efficacy in Crohn's Disease (CD) patients. To identify patient profiles of those who benefit the most from this treatment would help to position this drug in the therapeutic paradigm of CD and generate hypotheses for future trials. The objective of this analysis was to determine whether baseline patient characteristics are predictive of remission and the drug durability of ustekinumab, and whether its positioning with respect to prior use of biologics has a significant effect after correcting for disease severity and phenotype at baseline using interpretable machine learning. Patients' data from SUSTAIN, a retrospective multicenter single-arm cohort study, were used. Disease phenotype, baseline laboratory data, and prior treatment characteristics were documented. Clinical remission was defined as the Harvey Bradshaw Index <= 4 and was tracked longitudinally. Drug durability was defined as the time until a patient discontinued treatment. A total of 439 participants from 60 centers were included and a total of 20 baseline covariates considered. Less exposure to previous biologics had a positive effect on remission, even after controlling for baseline disease severity using a non-linear, additive, multivariable model. Additionally, age, body mass index, and fecal calprotectin at baseline were found to be statistically significant as independent negative risk factors for both remission and drug survival, with further risk factors identified for remission

    Correction : Chaparro et al. Incidence, Clinical Characteristics and Management of Inflammatory Bowel Disease in Spain: Large-Scale Epidemiological Study. J. Clin. Med. 2021, 10, 2885

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    The authors wish to make the following corrections to this paper [...]

    Incidence, Clinical Characteristics and Management of Inflammatory Bowel Disease in Spain : Large-Scale Epidemiological Study

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    (1) Aims: To assess the incidence of inflammatory bowel disease (IBD) in Spain, to describe the main epidemiological and clinical characteristics at diagnosis and the evolution of the disease, and to explore the use of drug treatments. (2) Methods: Prospective, population-based nationwide registry. Adult patients diagnosed with IBD-Crohn's disease (CD), ulcerative colitis (UC) or IBD unclassified (IBD-U)-during 2017 in Spain were included and were followed-up for 1 year. (3) Results: We identified 3611 incident cases of IBD diagnosed during 2017 in 108 hospitals covering over 22 million inhabitants. The overall incidence (cases/100,000 person-years) was 16 for IBD, 7.5 for CD, 8 for UC, and 0.5 for IBD-U; 53% of patients were male and median age was 43 years (interquartile range = 31-56 years). During a median 12-month follow-up, 34% of patients were treated with systemic steroids, 25% with immunomodulators, 15% with biologics and 5.6% underwent surgery. The percentage of patients under these treatments was significantly higher in CD than UC and IBD-U. Use of systemic steroids and biologics was significantly higher in hospitals with high resources. In total, 28% of patients were hospitalized (35% CD and 22% UC patients, p < 0.01). (4) Conclusion: The incidence of IBD in Spain is rather high and similar to that reported in Northern Europe. IBD patients require substantial therapeutic resources, which are greater in CD and in hospitals with high resources, and much higher than previously reported. One third of patients are hospitalized in the first year after diagnosis and a relevant proportion undergo surgery

    Gestión del conocimiento. Perspectiva multidisciplinaria. Volumen 17

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    El libro “Gestión del Conocimiento. Perspectiva Multidisciplinaria”, Volumen 17 de la Colección Unión Global, es resultado de investigaciones. Los capítulos del libro, son resultados de investigaciones desarrolladas por sus autores. El libro es una publicación internacional, seriada, continua, arbitrada, de acceso abierto a todas las áreas del conocimiento, orientada a contribuir con procesos de gestión del conocimiento científico, tecnológico y humanístico. Con esta colección, se aspira contribuir con el cultivo, la comprensión, la recopilación y la apropiación social del conocimiento en cuanto a patrimonio intangible de la humanidad, con el propósito de hacer aportes con la transformación de las relaciones socioculturales que sustentan la construcción social de los saberes y su reconocimiento como bien público

    Factores que originan la rotación del personal auxiliar de odontología / Factors causing Dental Assistant Turnover

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    Objetivo: Identificar los factores que originan la rotación del personal auxiliar de odontología. Métodos: Se llevó a cabo un estudio cualitativo. La población estudiada fue el personal auxiliar de odontología de dos clínicas privadas ubicadas en el norte y sur de Bogotá, Colombia. Se llevaron a cabo cuatro entrevistas semiestructuradas en profundidad de manera individual y presencial. Para el diseño del cuestionario se agruparon las preguntas en seis categorías: información personal, información laboral, ambiente y área de trabajo, rol y relaciones, motivaciones y reconocimientos, y percepción. Las entrevistas fueron grabadas y posteriormente transcritas. Se analizó el contenido de cada una de ellas seleccionando las respuestas más relevantes por cada categoría. Resultados: Se identificaron cuatro categorías de análisis: condiciones laborales, socialización en el lugar de trabajo, entorno familiar y falta de incentivos, las cuales consolidan las principales causas de rotación del personal auxiliar de odontología. Conclusiones: Las condiciones laborales son el principal factor causante de la rotación del personal auxiliar. Otros factores importantes son la ausencia de incentivos, las malas relaciones entre auxiliares y sus jefes inmediatos y los problemas de armonización entre el trabajo y las necesidades del contexto familiar.Objective: To identify factors causing turnover among dental assistants. Method: A qualitative study was carried out. The population of study was dental auxiliary personnel of two clinics in the north and south zones in Bogota, Colombia. Four individual in-person in-depth semi-structured interviews were conducted. The questionnaire included questions in six categories: personal information, job information, environment and work space, role and relations, motivations and recognitions, and perception. The interviews were recorded and transcribed. After content analysis, findings included the most relevant answers in each category. Results: The study identified four categories working conditions, socialization in the work place, family context and lack of incentives to describe the main reasons of turnover among dental assistants. Conclusions: Working conditions are the main cause of turnover. Other factors are absence of incentives, poor relations between assistants and supervisors, and difficulty to balance work requirements and family context

    Factores que originan la rotación del personal auxiliar de odontología

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    Objective: To identify factors causing turnover among dental assistants. Method: A qualitative study was carried out. The population of study was dental auxiliary personnel of two clinics in the north and south zones in Bogota, Colombia. Four individual in-person in-depth semi-structured interviews were conducted. The questionnaire included questions in six categories: personal information, job information, environment and work space, role and relations, motivations and recognitions, and perception. The interviews were recorded and transcribed. After content analysis, findings included the most relevant answers in each category. Results: The study identified four categories working conditions, socialization in the work place, family context and lack of incentives to describe the main reasons of turnover among dental assistants. Conclusions: Working conditions are the main cause of turnover. Other factors are absence of incentives, poor relations between assistants and supervisors, and difficulty to balance work requirements and family context.Objetivo: Identificar los factores que originan la rotación del personal auxiliar de odontología. Métodos: Se llevó a cabo un estudio cualitativo. La población estudiada fue el personal auxiliar de odontología de dos clínicas privadas ubicadas en el norte y sur de Bogotá, Colombia. Se llevaron a cabo cuatro entrevistas semiestructuradas en profundidad de manera individual y presencial. Para el diseño del cuestionario se agruparon las preguntas en seis categorías: información personal, información laboral, ambiente y área de trabajo, rol y relaciones, motivaciones y reconocimientos, y percepción. Las entrevistas fueron grabadas y posteriormente transcritas. Se analizó el contenido de cada una de ellas seleccionando las respuestas más relevantes por cada categoría. Resultados: Se identificaron cuatro categorías de análisis: condiciones laborales, socialización en el lugar de trabajo, entorno familiar y falta de incentivos, las cuales consolidan las principales causas de rotación del personal auxiliar de odontología. Conclusiones: Las condiciones laborales son el principal factor causante de la rotación del personal auxiliar. Otros factores importantes son la ausencia de incentivos, las malas relaciones entre auxiliares y sus jefes inmediatos y los problemas de armonización entre el trabajo y las necesidades del contexto familiar

    Factores que originan la rotación del personal auxiliar de odontología / Factors causing Dental Assistant Turnover

    No full text
    Objetivo: Identificar los factores que originan la rotación del personal auxiliar de odontología. Métodos: Se llevó a cabo un estudio cualitativo. La población estudiada fue el personal auxiliar de odontología de dos clínicas privadas ubicadas en el norte y sur de Bogotá, Colombia. Se llevaron a cabo cuatro entrevistas semiestructuradas en profundidad de manera individual y presencial. Para el diseño del cuestionario se agruparon las preguntas en seis categorías: información personal, información laboral, ambiente y área de trabajo, rol y relaciones, motivaciones y reconocimientos, y percepción. Las entrevistas fueron grabadas y posteriormente transcritas. Se analizó el contenido de cada una de ellas seleccionando las respuestas más relevantes por cada categoría. Resultados: Se identificaron cuatro categorías de análisis: condiciones laborales, socialización en el lugar de trabajo, entorno familiar y falta de incentivos, las cuales consolidan las principales causas de rotación del personal auxiliar de odontología. Conclusiones: Las condiciones laborales son el principal factor causante de la rotación del personal auxiliar. Otros factores importantes son la ausencia de incentivos, las malas relaciones entre auxiliares y sus jefes inmediatos y los problemas de armonización entre el trabajo y las necesidades del contexto familiar.Objective: To identify factors causing turnover among dental assistants. Method: A qualitative study was carried out. The population of study was dental auxiliary personnel of two clinics in the north and south zones in Bogota, Colombia. Four individual in-person in-depth semi-structured interviews were conducted. The questionnaire included questions in six categories: personal information, job information, environment and work space, role and relations, motivations and recognitions, and perception. The interviews were recorded and transcribed. After content analysis, findings included the most relevant answers in each category. Results: The study identified four categories working conditions, socialization in the work place, family context and lack of incentives to describe the main reasons of turnover among dental assistants. Conclusions: Working conditions are the main cause of turnover. Other factors are absence of incentives, poor relations between assistants and supervisors, and difficulty to balance work requirements and family context
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