Kit de "supervivencia" para el paciente con diabetes.

II Plan Integral de Diabetes de Andalucía. Red de Educación Diabetológica. Palomares Ortega, Rafael en representación de la Sociedad Andaluza de Endocrinología y Nutrición.

La atención primaria de salud, mas necesaria que nunca para afrontar la inequidad

Boletín semanal para profesionales sanitarios de la Secretaría General de Salud Pública y Participación Social de la Consejería de Salud

Celebrado el I Encuentro de los Grupos Socieducativos de Atención Primaria

Boletín semanal para profesionales sanitarios de la Secretaría General de Salud Pública, Participación Social, Inclusión y Calidad de Vida de la Consejería de Salud y Bienestar Social

Núm 2, junio de 2013

Artículos destacados: Buenas prácticas en gestión clínica: Mejora en el uso de tiras para autoanálisis de glucemia capilar. Estrategia para la mejora del indicador de prescripción en receta "ïndice sintético de calidad". Identificación de puntos críticos de seguridad e información en el proceso embarazo, parto y puerperio. Planificación anticipada de decisiones en pacientes que se encuentran en una situación cínica de cronicidad avanzada o de terminalidad.

Mejora en el uso de tiras para autoanálisis de glucemia capilar

Sección "Buenas prácticas en gestión clínica"

Núm 3, julio/agosto de 2013

Artículos destacados: Buenas prácticas en gestión clínica: Mes de la diabetes. Abordaje compartido de la cefalea: Consenso Hospital Virgen de la Victoria y Hospital Regional de Málaga. Listado de verificación de procedimientos invasivos en nefrología: catéter peritoneal, catéter venoso central temporal para hemodiálisis y biopsia renal percutánea. Creación de una Unidad de Gestión Clínica de Farmacia de ámbito provincial

Planificación anticipada de las decisiones : guía de apoyo para los profesionales

Publicado en la web de la Consejería de Igualdad, Salud y Políticas Sociales: Consejería de Salud y Bienestar Social / Profesionales / Nuestro Compromiso por la Calidad / Planificación Anticipada de las Decisiones. Guía de Apoyo para profesionales / Planificación Anticipada de las Decisiones. Guía de Apoyo para profesionales )

Paciente con trastorno bipolar: proceso de enfermería.

Bipolar disorder is a chronic disease that causes abnormal shifts in mood. Although it may be infra diagnosed, a prevalence of 1-2.5% is estimated. As treatment, there is a wide range of medicines but the bests goals are achieved with a mix of psicotherapy and medicines.The following is the case of AF, Who was diagnosed of bipolar disorder 20 years ago. Along this time, he has been amitted to hospital several times. This case runs the normal course of bipolar disorder and shows that treating severe mental illness may be really complex.

Estudio piloto sobre el manejo de la fluidoterapia intravenosa en pacientes adultos de un hospital de tercer nivel.

The purpose of intravenous fluid therapy (IFT) is to maintain or restore internal equilibrium by administering fluids and/or different electrolyte components. Its correct use and the prevention of complications arising from their misuse depend on the knowledge of the medical team on this subject. We analyzed this issue in different clinical areas of a tertiary hospital. MATERIAL AND METHODS We performed a descriptive cross-sectional pilot study via a questionnaire given to physicians specializing in internal medicine (IM) and digestive system surgery (SDS) who perform clinical practice in hospital units with unit dose drug dispensing system. We designed an anonymous questionnaire with 25 questions relative to knowledge of theory and practices, as well as the opinion of physicians regarding IFT. We evaluated the association between nominal qualitative variables with the Chi-square or Fisher's exact test. The behavior of the quantitative variables was assessed using the t-student test. The analysis of the data was generated using SAS/STAT, Version 9. RESULTS 28 questionnaires were collected from 13 surgeons and 15 digestive interns. Over 40% of specialists considered further education in IFT a necessity , especially regarding its prescription (SDS: 61.54%, IM: 71.43%). No statistically significant differences were found between the specialties in terms of perceived frequency of complications associated with IFT or in the frequency indication with the exception of hypovolemic shock, which is considered to be more prevalent in gastrointestinal surgery (p = 0.046). 90% of professionals prefer an individualized prescription. Statistically significant differences in terms of scores in the area of knowledge, with IM physicians achieving the highest scores (p = 0.014). There were also differences in attitude but they are not significant (p = 0.162). Knowledge of intravenous fluid increases with years of clinical experience (Spearman correlation coefficient = 0.386, p = 0.047). CONCLUSIONS The professionals who prescribe IFT perceive the need to design IFT training programs, together with the production of guides and consensus protocols.

Estudio sobre EPOC y Atención Primaria

Study on the likelihood and prevalence of patients with copd, over a year in a family medicine consultation, during 2012 and first two months of 2013. In a query of a health center about 15oo patients every 6 months probabilistic evolution was studied according to the theory of Laplace. Analyze both the COPD, its symptoms, etiology, clinical consultation and treatment in Family Medicine.

Diferencias de género en la percepción del logro profesional en especialistas de medicina familiar y comunitaria

BACKGROUND The concept of achievement is important to study the professional development. In medicine there are gender inequalities in career. The purpose was to know and compare the professional achievement's perceptions and attributions of female and male primary care physicians in Andalusia. METHOD Qualitative study with 12 focus groups (October 2009 to November 2010). POPULATION primary care physicians. SAMPLE intentionally segmented by age, sex and health care management. Were conducted by sex: two groups with young physicians, two groups with middle aged and two with health care management. TOTAL: 32 female physician and 33 male physicians. Qualitative content analysis with Nuddist Vivo. RESULTS Female and male physicians agree to perceive internal achievements and to consider aspects inherent to the profession as external achievements. The most important difference is that female physician related professional achievement with affective bond and male physician with institutional merit. Internal attributions are more important for female physician who also highlight the importance of family, the organization of working time and work-family balance. Patients, continuing education, institutional resources and computer system are the most important attributions for male physician. CONCLUSIONS There are similarities and differences between female and male physicians both in the understanding and the attributions of achievement. The differences are explained by the gender system. The perception of achievement of the female physicians questions the dominant professional culture and incorporates new values in defining achievement. The attributions reflect the unequal impact of family and organizational variables and suggest that the female physicians would be changing gender socialization.

Guía básica de atención sanitaria. Francés, árabe, inglés, ruso

En la port..: III Plan Andaluz de Salud, II Plan de Atención Integral al Inmigrante. Publicado en en la página web de la Consejería de Igualdad, Salud y Políticas Sociales: www.juntadeandalucia.es/salud (Consejería de Igualdad, Salud y Políticas Sociales / Profesionales / Salud Pública / Promoción de la Salud / Material Publicado para Inmigrantes)