Duazary

3

Authors: Esther Secanilla-Campo

The care to early childhood begins before the baby is born. At a prenatal phase the more care the couples feel, the better birthing process, care after childbirth and development of the baby. This service attends integrally to the person, considering the physical, psychological, social and educational needs. This article analyses the evaluation of professional attention in a health and educational centre by parents who want to give birth in quality centres outside the hospital. It also delves into the professional figure of the doula. To obtain this, from a descriptive record, it has been done the analysis of responses of couples (from a previous questioner) as a documentary analysis. Theresults suggest the need to diversify and extend to the alternative quality services affording parenting guidelines during pregnancy and after childbirth as offering career support during the whole process.

5

Authors: Diana Acosta-Salazar; Patricia Lapeira-Panneflex; Ediltrudis Ramos-De La Cruz

Process Nursing Care (PAE) is a systematic tool that facilitates the scientificity of care in community practice nurse, the application of scientific method in community practice, allows nursing to provide care in logical, systematic and comprehensive reassessing interventions to achieve the proposed results. It began with the valuation of Marjory Gordon Functional Patterns and then at the stage of diagnosis and planning North American Nursing Diagnosis Association (NANDA), Nursing Interventions Classification (NIC) and Nursing Outcomes Classification (NOC) is interrelate. It is a descriptive and prospective study. Diagnosis was made by applying the instruments measuring scale of the socio-demographic characteristics, symptom questionnaire for early detection of mental disorders in the community and appreciation for functional patterns. The PAE includes more frequent diagnoses, criteria outcomes, indicators, interventions and activities to manage community issues. alteration was evidenced in patterns: Adaptation and Stress Tolerance, Self-perception-Self-concept-, Role-Relationships, sleep and rest and Perception and Health Management. A standardized NANDA-NIC-NOC can provide inter care holistic care from the perspective of community mental health with a degree of scientific nature that frames the professional work projecting the individual, family and community care.

7

Authors: Yolima Pertuz-Meza;Celenny Perez-Quintero; Yadira Pabón-Varela

Determinar los aspectos epidemiológicos relacionados con sepsis en los pacientes atendidos en las unidades de cuidados intensivos de adultos de Santa Marta. Se realizó un estudio descriptivo transversal en el año 2014; muestreo aleatorio simple, en pacientes atendidos en unidades de cuidado intensivo adulto (UCIA) en Santa Marta. Se utilizó una muestra de 100 pacientes mayores de 18 años con diagnóstico de sepsis, las variables estudiadas fueron: edad, sexo, agente causal, principales focos de infección entre otros. Como resultado se encontró que la edad promedio de los casos fue de 63, los principales microorganismos causales fueron las bacterias gram negativas con un 76%, siendo la Echerichia coli, Klebsiella pneumoniae, Pseudomona aureuginosa y Serratia marcensens las más aisladas, en segundo lugar, las bacterias gram positivas con un 20%, principalmente el Staphylococcus aureus, y por último los hongos con un 4%, siendo Candida albicans y Candida haemulonii las levaduras causantes. Los focos infecciosos más frecuentes son; el abdominal (30%), seguido del tracto urinario (22%) y la piel y tejidos blandos (18%). Se concluye que los principales agentes causales de sepsis son las bacterias gram negativas y el principal foco primario infeccioso es la sepsis de origen abdominal.

8

Authors: Maczy González-Rincón; Melvis Arteaga-Vizcaino; Ana Ruíz; Olga Briceño; Maribel Quintero; Jesús Quintero; José Ramón Urdaneta

Platelet count in peripheral blood of healthy subjects with antiplatelet drugs. 20 subjects were analized. They were distributed in two groups: subject A: 10 who received aspirin (100 mg) and B:10 with Clopidogrel (75 mg) for 7 days. In all subjects studied platelet count in peripheral blood and PRP. It found a platelet count before treatment with antiplatelet agents in peripheral blood of 258,6 ± 54,46 x 109 l and 7 days after 254 ± 41,86 x 109 l (aspirin) and 285,4 ± 70, 196,5 ± 37,90 x 109 l (Clopidogrel) respectively. In the PRP of subjects before receiving aspirin was 486,5 ± 129,54 x 109 l and after 449,2 ± 85,51 x 109 l; prior to Clopidogrel ingestion was 565,2 ± 150,41 and 592,9 ± 203,46 x 109 l after treatment. Significant differences were found only for the platelet count in the Clopidogrel Group (p < 0.05). A significant decrease in platelet count was observed in peripheral blood after administration of Clopidogrel, possibly as a result of its pharmacological mechanism. More studies are needed to assess a greater number of individuals and better measure the effect of antiplatelet agents

8

Authors: Guillermo Augusto Ceballos Ospino; Ubaldo Rodríguez De Ávila

Varios autores han encontrado relación entre el consumo de alcohol y el haber tenido relaciones sexuales en adolescentes1-4. Consumir alcohol entre los adolescentes es cada día más frecuente, tal vez por al hecho de que su consumo está más extendido y normalizado que el de otras sustancias Igualmente, se han atribuido diferentes factores para el consumo de alcohol, tales como familiares, socioeconómicos y las características inherentes a la adolescencia, así entre los familiares se han encontrado el tipo de familia, haber recibido maltrato físico, psicológico y/o sexual, ausencia de los padres por diversos motivos, bajo ingreso económico y escolaridad de los padres; el deseo de explorar de los adolescentes y tener nuevas experiencias, la relación con sus pares, ampliación de su círculo social, asistir a fiestas, discotecas, compartir en reuniones sociales en las cuales se consume alcohol; adicionalmente las diferentes campañas publicitarias en todos los medios de comunicación que exhortan al consumo de bebidas alcohólicas

9

Authors: Vicente de Jesús Aljure; Edder Armando Pulido-Arias; Jeffer Alexander Rodríguez-Monroy; María Natalia Rodríguez-Mateus; Jhon Alejandro Ramos-Hernández

Computed tomography and magnetic resonance imaging are medical diagnostic imaging techniques that provide excellent information from different infectious, traumatic or tumor processes anywhere in the body. It is identifying with them many diseases and characteristic patterns of them, one of them the ring enhancement in the central nervous system allowed. Many diseases have this imaging pattern: Glioblastoma multiforme, demyelinating syndromes, metastases, brain abscesses, cerebral toxoplasmosis, neurocysticercosis, lymphomas, and others. The objective of this article is to provide an overview of the most common diseases in imaging services, allowing its correlation with clinical features and providing aid to the clinician to establish a proper diagnosis.