The aim of our study is to evaluate the influence of several factors such as age, wanted pregnancy, education level, etc, on final stages pregnant women’s attitude and perception of pregnancy. A ...cross-sectional descriptive study was carried out with over 36 weeks pregnant women undergoing routine cardiotocographic check-ups in the Foetal Welfare outpatients unit at the Maternity-Children’s hospital (Ciudad de Jaén Hospital). Kumar et al’s attitude and maternal adaptation questionnaire (1984) was used. The results obtained suggest that a wanted pregnancy is closely linked to a high degree of satisfaction throughout pregnancy, that marital status has a determinant influence on wanted pregnancies, and that affection showed by pregnant women’s partners increases proportionally to the number of pregnancies.
Los profesionales que forman parte de los establecimientos de salud de Perú, durante la pandemia de COVID-19 han presentado trastornos mentales como consecuencia del trabajo que ha causado en ellos ...desgaste en sus funciones sociales y familiares. Estos efectos han incidido notablemente en sus competencias para ejercer funciones propias del ejercicio profesional. Se ha visto afectada su capacidad de pensamiento y razonamiento, emocional y psicomotora que son herramientas útiles para ejercer su labor a cabalidad en cada institución. Diversos estudios demuestran también que la salud mental de la población viene sufriendo deterioro en el tiempo de la pandemia, lo cual constituye un relevante problema de salud pública por atender. El presente estudio de caso emplea un método inductivo de enfoque mixto, es decir, para el enfoque cualitativo se utilizó una guía de análisis documental y para la parte cuantitativa se utilizó un cuestionario de 10 preguntas. El diseño planteado corresponde a un estudio de caso. Este estudio tiene por objetivo analizar el estado de salud mental del profesional de salud expuesto a situaciones estresantes en el tiempo de pandemia. Como conclusiones se ha obtenido que respecto al diagnóstico de COVID-19, el 66,5% refiere no haber sido diagnosticado; mientras que el 33,5%, sí. En cuanto a la dimensión actitudes hacia sí mismo, el 36,2% siempre acepta sus errores y limitaciones frente al cuidado del paciente; mientras que el 34%, con bastante frecuencia; el 25,7%, algunas veces; el 3,1%, casi nunca y el 1,1%, nunca. En base a las dificultades para establecer relaciones interpersonales profundas y satisfactorias con algunas personas del ambiente laboral, el 24,8% refiere que nunca; el 34,3%, casi nunca; el 27,5%, algunas veces; el 11%, con bastante frecuencia y el 2,4%, siempre. El 89.6% de los profesionales encuestados refieren haber experimentado emociones disfuncionales tales como la frustración, soledad, ansiedad, enojo, incertidumbre y miedo, es por ello que se recomienda la implementación de políticas adecuadas con el fin de prevenir y monitorear la salud mental del profesional de salud; de igual forma, también se recomienda incorporar una guía de intervención con técnicas adecuadas para ser aplicada al profesional de enfermería con miras a mejorar su salud mental.
La ausencia de datos epidemiológicos homogéneos y fiables sobre la violencia doméstica constituye una limitación importante para la toma de decisiones públicas en materia de ayuda a estas víctimas. ...Por ello, y partiendo de la obligatoriedad del personal sanitario de declarar los casos de violencia doméstica en adultos ante la autoridad judicial, en la Comunidad Valenciana se ha establecido un modelo unificado, de fácil cumplimentación, para declarar estas lesiones. Desde junio a octubre de 2005 se han recibido y procesado 500 casos de violencia doméstica, emitidos mayoritariamente por medicos de atención primaria (68%). Los casos se dan sobre todo en mujeres, en jóvenes (edad entre 20 y 39 años), con estado civil de casados o convivientes en pareja y con estudios primaries o secundarios. El tipo de lesión más frecuente es la física y psicológica (62%) y en el 83% de los casos hay al menos un antecedente previo de maltrato.
The lack of homogeneous and reliable epidemiological data on domestic violence greatly limits public decision making on the help that should be provided to victims of this form of abuse. Health professionals are obliged to report cases of domestic violence in adults to the judicial authorities and a unified, easily completed model for reporting injuries from domestic violence has been established in the Autonomous Community of Valencia. From June to October 2005, 500 cases of domestic violence were received and processed, most of which were reported by primary care physicians (68%). Cases of domestic violence occurred mainly in young women (aged, 20-39 years), either married or cohabiting, and with primary or secondary level education. The most frequent findings were physical injury or psychological damage (62%). Eighty-three percent of victims had at least one antecedent of abuse.
A device submitted to shocks arriving randomly and causing damage is considered. The interarrival times follow continuous phase-type distributions. Lifetimes between shocks are affected by the number ...of cumulated shocks and they follow continuous phase-type distributions. Every shock can be fatal or not, with a probability that follows a discrete phase-type distribution. The device can support a maximum of N shocks. We calculate the distribution of the lifetime of the device in terms of the counting process of the number of shocks, and illustrate the calculations by means of a numerical application. Computational aspects are introduced. This model extends other previously considered in the literature.
La ausencia de datos epidemiológicos homogéneos y fiables sobre la violencia doméstica constituye una limitación importante para la toma de decisiones públicas en materia de ayuda a estas víctimas. ...Por ello, y partiendo de la obligatoriedad del personal sanitario de declarar los casos de violencia doméstica en adultos ante la autoridad judicial, en la Comunidad Valenciana se ha establecido un modelo unificado, de fácil cumplimentación, para declarar estas lesiones. Desde junio a octubre de 2005 se han recibido y procesado 500 casos de violencia doméstica, emitidos mayoritariamente por médicos de atención primaria (68%). Los casos se dan sobre todo en mujeres, en jóvenes (edad entre 20 y 39 años), con estado civil de casados o convivientes en pareja y con estudios primarios o secundarios. El tipo de lesión más frecuente es la física y psicológica (62%) y en el 83% de los casos hay al menos un antecedente previo de maltrato.The lack of homogeneous and reliable epidemiological data on domestic violence greatly limits public decision making on the help that should be provided to victims of this form of abuse. Health professionals are obliged to report cases of domestic violence in adults to the judicial authorities and a unified, easily completed model for reporting injuries from domestic violence has been established in the Autonomous Community of Valencia. From June to October 2005, 500 cases of domestic violence were received and processed, most of which were reported by primary care physicians (68%). Cases of domestic violence occurred mainly in young women (aged, 20-39 years), either married or cohabiting, and with primary or secondary level education. The most frequent findings were physical injury or psychological damage (62%). Eighty-three percent of victims had at least one antecedent of abuse.
The lack of homogeneous and reliable epidemiological data on domestic violence greatly limits public decision making on the help that should be provided to victims of this form of abuse. Health ...professionals are obliged to report cases of domestic violence in adults to the judicial authorities and a unified, easily completed model for reporting injuries from domestic violence has been established in the Autonomous Community of Valencia. From June to October 2005, 500 cases of domestic violence were received and processed, most of which were reported by primary care physicians (68%). Cases of domestic violence occurred mainly in young women (aged, 20-39 years), either married or cohabiting, and with primary or secondary level education. The most frequent findings were physical injury or psychological damage (62%). Eighty-three percent of victims had at least one antecedent of abuse.
There is much evidence that clotting factor concentrates (CFC), especially the so-called intermediate-purity preparations, exert an immunomodulating effect in vitro. The impact of this effect on the ...outcome of human immunodeficiency virus (HIV) infection in hemophiliacs is still controversial. In this retrospective cohort study, the effects of treatment with CFC on mortality and progression to acquired immunodeficiency syndrome (AIDS) were estimated while controlling for individual risk factors. Logistic regression and survival analysis, including the Cox proportional-hazards regression model, were performed with data from a 11-year follow-up of 225 hemophilic patients seropositive for HIV type 1 (HIV-1) of two hemophilia centers. Mortality and progression to AIDS rates were strongly associated with lower administration of CFC. After adjusting for age, a statistically significant and robust association was observed. The use of CFC was negatively associated with progression to AIDS P = .0252) and mortality P = .0033). The adjusted relative hazards of mortality and progression to AIDS rate between the most treated patients (>700 lU/kg/yr) versus the least treated (≤700 lU/kg/yr) were 0.53 (confidence limits, 0.33 to 0.86) and 0.57 (0.39 to 0.84), respectively. Although the effects of other unmeasured risk factors cannot be excluded with certainty, these results suggest that there is a negative association between treatment with CFC and progression to AIDS and mortality.