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Fotocópia
Id: 167700
Autor: Isla Pera, Pilar.
Título: Repercusiones de la diabetes en el niño y el adolescente / Impact of diabetes in children and adolescents
Fuente: Rev. Rol enferm;35(6):434-439, jun. 2012. ilus.
Idioma: es.
Resumen: La DM1 se puede presentar a cualquier edad, pero su mayor incidencia se observa en menores de 15 años, con mayor frecuencia en edad preescolar y especialmente prepuberal. Representa alrededor del 10% del total de formas de DM y constituye una de las alteraciones crónicas más frecuentes en la infancia y la adolescencia. La destrucción de las células β pancreáticas comporta un déficit absoluto de insulina en estos enfermos por lo que precisan tratamiento con insulina desde el momento del diagnóstico (AU)

DM1 can occur at any age, but its higher incidence seen in under 15 years of age with greater frequency in age preschool and especially prepuberal. It represents about 10 of the total number of forms of DM and is one of chronic disturbances more frequent in children and adolescents. The destruction of the pancreatic cells involves a total deficit of insulin in these patients by requiring treatment with insulin from the time of diagnosis (AU)
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Fotocópia
Id: 165690
Autor: Katoue, Maram Gamal; Awad, Abdelmoneim I; Al-Jarallah, Aishah; Al-Ozairi, Ebaa; Schwinghammer, Terry L.
Título: Medical and pharmacy students' attitudes towards physician-pharmacist collaboration in Kuwait
Fuente: Pharm. pract. (Granada, Internet);15(3):0-0, jul.-sept. 2017. tab.
Idioma: en.
Resumen: Objective: To assess and compare the attitudes of medical and pharmacy students towards physician-pharmacist collaboration and explore their opinions about the barriers to collaborative practice in Kuwait. Methods: A cross-sectional survey of pharmacy and medical students (n=467) was conducted in Faculties of Medicine and Pharmacy, Kuwait University. Data were collected via self-administered questionnaire from first-year pharmacy and medical students and students in the last two professional years of the pharmacy and medical programs. Descriptive and comparative analyses were performed using SPSS, version 22. Statistical significance was accepted at p<0.05. Results: The response rate was 82.4%. Respondents had overall positive attitudes towards physician-pharmacist collaboration. Pharmacy students expressed significantly more positive attitudes than medical students (p< 0.001). Medical students rated the three most significant barriers to collaboration to be: pharmacists' separation from patient care areas (n=100, 70.0%), lack of pharmacists' access to patients' medical record (n=90, 63.0%) and physicians assuming total responsibility for clinical decision-making (n=87, 60.8%). Pharmacy students' top three perceived barriers were: lack of pharmacists' access to patients' medical record (n=80, 84.2%), organizational obstacles (n=79, 83.2%), and pharmacists' separation from patient care areas (n=77, 81.1%). Lack of interprofessional education was rated the fourth-largest barrier by both medical (n=79, 55.2%) and pharmacy (n=76, 80.0%) students. Conclusions: Medical and pharmacy students in Kuwait advocate physician-pharmacist collaborative practice, but both groups identified substantial barriers to implementation. Efforts are needed to enhance undergraduate/postgraduate training in interprofessional collaboration, and to overcome barriers to physician-pharmacist collaboration to advance a team approach to patient care (AU)

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Fotocópia
Id: 165685
Autor: Dawood, Omar Thanoon; Hassali, Mohamed Azmi; Saleem, Fahad; Ibrahim, Inas Rifaat; Abdulameer, Aseel Hadi; Jasim, Hanan Hussein.
Título: Assessment of health seeking behaviour and self-medication among general public in the state of Penang, Malaysia
Fuente: Pharm. pract. (Granada, Internet);15(3):0-0, jul.-sept. 2017. tab.
Idioma: en.
Resumen: Background: Patients' behaviour in making decisions regarding health is currently changing from passive recipients to recipients who play an active role in taking action to control their health and taking self-care initiatives. Objectives: This study was conducted to evaluate the health seeking behaviour among general public and its associated factors; and to evaluate the medicine taking behaviour in public and the practice of self-medication. Methods: A cross-sectional study was undertaken among general public in Penang Island, Malaysia. A convenience sampling of 888 participants successfully completed the survey. Self-administered questionnaires were distributed among the residents in the north east of Penang Island. Results: This study showed that most of the participants chose to consult the physician when they experience any health problems (66.7%), followed by self-medication (20.9%). The first action for consulting the physician was significantly predicted by Malay respondents and retired people (OR 3.05, 95% CI 1.04-8.89). The prevalence of self-medication was 54%. The practice of self-medication was significantly associated with Chinese participants, educated people, people with alone living status and people with more self-care orientation. Conclusion: Increasing the awareness of the public about the rational choice of getting medical assistance is a very important issue to control their health. A health education program is needed to increase the awareness about the use of medicines among the general public and to enable them to make the right decisions relating to health problems (AU)

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Fotocópia
Id: 165262
Autor: Kim, Yaungho; Lee, HakGweon.
Título: Association of Health Risk Perception and Physical Activity among Adolescents / Asociación de la percepción del rieso para la salud y la actividad física entre los adolescentes
Fuente: Rev. psicol. deport;26(supl.3):45-50, 2017. tab.
Idioma: en.
Resumen: The current study was to identify health risk perceptions and perception bias in adolescents. Moreover, the study investigated the relationship of risk perceptions with physical activity. A total of 625 adolescents (314 male and 311 female) were voluntarily participated from the Nowon district, geographically located in northern Seoul. In order to measure health risk perceptions a Korean version of self-other risk judgments profile and leisure time exercise questionnaire were used. Results indicated that the study participants, regardless of gender and age, tend to underestimate their vulnerability to the majority of health risk events. The finding revealed that there were significant differences in perception bias toward to health risks by gender and the physical activity level. Furthermore, it is revealed that risk perceptions are directly associated with physical activity participation. The significance of this study lies in the fact that it made a unique contribution to the existing knowledge in exercise and health psychology on relationship between risk perceptions and physical activity (AU)

El presente estudio tuvo como objetivo identificar las percepciones del riesgo para la salud y el sesgo de percepción en adolescentes. Además, el estudio investigó la relación entre las percepciones de riesgo y la actividad física. De forma voluntaria, participaron un total de 625 adolescentes (314 hombres y 311 mujeres) del distrito de Nowon, geográficamente ubicado en el norte de Seúl. Con el fin de medir las percepciones de riesgo sobre la salud se utilizó una versión coreana del perfil de juicios de riesgo self-other y el cuestionario de ejercicio de tiempo libre. Los resultados indicaron que los participantes del estudio, independientemente del sexo y la edad, tienden a subestimar su vulnerabilidad a la mayoría de los. El hallazgo reveló que había diferencias significativas en el sesgo de percepción hacia los riesgos de salud por género y el nivel de actividad física. Además, se revela que las percepciones de riesgo están directamente asociadas con la participación en la actividad física. La importancia de este estudio reside en el hecho de que hizo una contribución única al conocimiento existente en el ejercicio y la psicología de la salud sobre la relación entre las percepciones de riesgo y la actividad física (AU)
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Fotocópia
Id: 162157
Autor: Potard, Catherine; Caballero, Emmanuelle; Courtois, Robert.
Título: Determinants of condom use among young adults: the role of preparatory behavioral strategies in the theory of planned behavior / Determinantes del uso del condón en adultos jóvenes: el papel de las estrategias conductuales preparatorias en la teoría del comportamiento planificado
Fuente: Psicol. conduct;25(1):111-128, 2017. tab, graf.
Idioma: en.
Resumen: This study tested a modified version of the theory of planned behavior (TPB) in condom use that incorporated preparatory behavioral strategies (PBS) in a sample of French young adults (n= 350, Mean age= 22.31, SD= 2.49, Age range= 18-30 yrs.) This extended model was able to explain 42% of the variance of behavioral intention and 44% of condom use. In accordance with the TPB, condom use was predicted by intention. Perceived behavioral control (PBC), entourage norms and attitudes were significant predictors of intention, whereas socio-cultural norms had no effect on intention but had a direct effect on behavior. Intention had a direct influence on condom use and was also influenced by PBS, especially active PBS. The effect of PBC on condom use was significantly related through active PBS. The current study provides support for the importance of planning strategies to improve compliance with condom use in young adults (AU)

Este estudio evaluó una versión modificada de la teoría del comportamiento planificado (TPB) que incorpora estrategias de preparación conductual, en el uso del condón, en una muestra de adultos jóvenes franceses (n= 350; edad: M= 22,31; DT= 2,49; rango= 18-30 años). Este modelo fue capaz de explicar el 42% de la varianza de la intención conductual y el 44% del uso del condón. De acuerdo con la TPB, la intención predijo el uso del condón. El control conductual percibido (PBC), el conjunto de normas y las actitudes eran predictores significativos de la intención, mientras que las normas socioculturales no tuvieron un efecto en la intención pero sí en el comportamiento. La intención tuvo una influencia directa en el uso del condón y también fue influenciada por el PBS, especialmente el PBS activo. El efecto de la PBC en el uso del condón ser relacionó de forma significativa con las PBS activas. Este estudio aporta pruebas sobre la importancia de las estrategias de planificación para mejorar el cumplimiento del uso del condón entre los adultos jóvenes (AU)
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Texto completo SciELO España
Id: 161876
Autor: Gatt, Ingrid; West, Lorna M; Calleja, Neville; Briffa, Charles; Cordina, Maria.
Título: Psychometric properties of the Belief about Medicines Questionnaire (BMQ) in the Maltese language
Fuente: Pharm. pract. (Granada, Internet);15(1):0-0, ene.-mar. 2017. tab.
Idioma: en.
Resumen: Background: Investigating beliefs about medicines has been of interest over the past years, with studies aiming to better understand theoretical reasons behind development of such beliefs. Objective: This study aimed to produce a culturally and contextually appropriate version of the Beliefs about Medicines Questionnaire (BMQ) in the Maltese language and to assess its psychometric properties. Methods: Medication beliefs were evaluated using the BMQ which is divided into two sections: BMQ-General (sub-scales: Overuse and Harm, 4 items per sub-scale) and BMQ-Specific (sub-scales: Necessity and Concerns, 5 items per sub-scale). Following translation/back translation, the Maltese version of the BMQ was applied to patients having asthma, diabetes, cardiovascular disease or depression who attended out-patients' clinics at the main state general hospital in Malta between June and September 2013. Cronbach's alpha coefficient, alpha, was used to determine internal consistency of the BMQ and Principal Component Analysis using Varimax rotation with Kaiser normalisation was carried out to analyse component loading of the items on the respective sub-scales. Results: The Maltese version of the BMQ showed acceptable internal consistency for the harm scale (alpha=0.56), the necessity scale (alpha=0.73) and the concerns scale (alpha=0.66), however the overuse scale gave poor internal consistency (alpha=0.48) due to the item on natural remedies which posed some difficulty in the Maltese sample. The final solution for Principal Component Analysis yielded a four-factor structure representing the 4 sub-scales of the BMQ, with results being comparable to previous studies out in different languages. Conclusion: The Maltese version of the BMQ was found to have acceptable psychometric properties for the beliefs about medicines in the Maltese population (AU)

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Fotocópia
Id: 159537
Autor: Martinez-Moragon, E; Entrenas, LM; Plaza, V; Quirce, S.
Título: Actitudes y barreras en el asma inicialmente no controlada en España. Estudio Abanico / Attitudes and barriers uncontrolled asthma in Spain. Abanico study
Fuente: Rev. clín. esp. (Ed. impr.);217(1):60-62, ene.-feb. 2017. graf.
Idioma: es.
Resumen: No disponible

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Texto completo SciELO España
Id: 157639
Autor: Fernández-Prada, María; Ramos-Martín, Pedro; Madroñal-Menéndez, Jaime; Martínez-Ortega, Carmen; González-Cabrera, Joaquín.
Título: Diseño y validación de un cuestionartio sobre vacunación en estudiantes de ciencias de la salud / Design and validation of a questionnaire on vaccination in students of health sciences, Spain
Fuente: Rev. esp. salud pública;90:0-0, 2016. tab, graf.
Idioma: es.
Resumen: Fundamentos: Las tasas de vacunación en estudiantes de Ciencias de la Salud que realizan prácticas en los contextos hospitalarios son bajas, al igual que en el colectivo sanitario en general, y es necesario explorar sus causas. El objetivo principal fue diseñar y validar un cuestionario para conocer las actitudes y las conductas de los estudiantes de medicina y enfermería sobre la vacunación de enfermedades inmunoprevenibles. Métodos: La muestra se compuso de 646 alumnos/as de medicina y enfermería de la Universidad de Oviedo, Asturias. El muestreo fue de tipo incidental. Tras un proceso de validación de contenido, se diseñó un cuestionario con 24 ítems que englobaba actitudes y conductas/intenciones de conductas. Se realizaron análisis de fiabilidad (alfa ordinal) y validez interna (análisis factorial exploratorio mediante el método de análisis paralelo), además de ANOVAS y un modelo mediacional. Resultados: El análisis factorial exploratorio arrojó una solución de 2 factores que explicó el 48,8% de la varianza total. El alfa ordinal para la puntuación total fue 0,92. Hubo diferencias según el curso en las dimensiones de actitudes (F5,447=3,728;p<0,003) y de conocimientos (F5,448=65,59;p<0,001) pero no en las conductas/intenciones de conductas (F5,461=1,680;p<0,138). Las actitudes fueron una variable moduladora entre los conocimientos y las conductas/intenciones de conductas (B efecto indirecto=0,15; SE=0,3; IC95% :0,09-0,19). Conclusiones: Se dispone de un cuestionario con suficiente fiabilidad y validez interna. Las puntuaciones en actitudes y conocimientos son mayores según el curso. Las actitudes actúan como variable moduladora entre los conocimientos y las conductas/intenciones de conductas (AU)

Background: Immunization rates among medicine and nursing students -and among health professional in general- during hospital training are low. It is necessary to investigate the causes for these low immunization rates. The objective of this study was to design and validate a questionnaire for exploring the attitudes and behaviours of medicine and nursing students toward immunization of vaccine-preventable diseases. Methods: An instrument validation study. The sample included 646 nursing and medicine students at University of Oviedo, Spain. It was a non-ramdom sampling. After the content validation process, a 24-item questionnaire was designed to assess attitudes and behaviours/behavioural intentions. Reliability (ordinal alpha), internal validity (exploratory factor analysis by parellel analysis), ANOVA and mediational model tests were performed. Results: Exploratory factor analysis yielded two factors which accounted for 48.8% of total variance. Ordinal alpha for the total score was 0.92. Differences were observed across academic years in the dimensions of attitudes (F5.447=3.728;p<0.003) and knowledge (F5.448=65.59;p<0.001), but not in behaviours/behavioural intentions (F5.461=1.680;p<0.138). Attitudes demonstrated to be a moderating variable of knowledge and attitudes/ behavioural attitudes (Indirect effect B=0.15; SD=0.3; 95% CI:0.09-0.19). Conclusions: We developed a questionnaie based on sufficient evidence of reliability and internal validity. Scores on attitudes and knowledge increase with the academic year. Attitudes act as a moderating variable between knowledge and behaviours/behavioural intentions (AU)
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Texto completo SciELO España
Id: 156630
Autor: Casserlie, Lucas M; Dipietro Mager, Natalie A.
Título: Pharmacists' perceptions of advancing public health priorities through medication therapy management
Fuente: Pharm. pract. (Granada, Internet);14(3):0-0, jul.-sept. 2016. tab.
Idioma: en.
Resumen: Public health priorities can be addressed by pharmacists through channels such as medication therapy management (MTM) to optimize patient and population outcomes. However, no studies have specifically assessed pharmacists' perceptions of addressing public health priorities through MTM. Objective: The objective of this study was to assess pharmacists' opinions regarding the feasibility and appropriateness of addressing seven areas of public health priority through MTM services to impact public health in direct patient care settings. Methods: An anonymous 37-question electronic survey was conducted to evaluate Ohio pharmacists' opinions of advancing seven public health priorities identified from Healthy People 2020 (family planning, preconception care, smoking cessation, immunizations, nutrition/biometric wellness assessments, point-of-care testing, fall prevention) through MTM activities; to identify potential barriers; and to collect demographic information. The cross-sectional survey was sent to a random sample of 500 pharmacists registered with the Ohio State Board of Pharmacy. Results: Seventy-six pharmacists responded to the survey, resulting in a 16% response rate. On average, it took respondents 5-10 minutes to complete the survey. The majority of respondents thought that each of the seven public health priorities were «important» or «very important» to patient health; the most commonly identified areas included smoking cessation, immunizations, and fall prevention (97.5%). When asked to indicate which of the seven areas they thought they could potentially have a role to provide services through MTM, on average pharmacists picked 4 of the priority areas. Only 6.6% indicated there was no role for pharmacists to provide MTM services for any of the listed categories. Staffing, time, and reimbursement represented the most commonly perceived barriers for pharmacists in providing MTM services. Fifty-seven percent indicated an interest in learning more about MTM, with 98% of responders selecting continuing education as the preferred source. Conclusion: The majority of pharmacists indicated they could make an impact on public health priorities through MTM services (AU)

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Texto completo SciELO España
Id: 156627
Autor: Chan, Vincent; Tran, Hung.
Título: Purchasing Over-the-counter medicines from Australian pharmacy: what do the pharmacy customers value and expect?
Fuente: Pharm. pract. (Granada, Internet);14(3):0-0, jul.-sept. 2016. tab.
Idioma: en.
Resumen: Background: Over-the-counter medicines (OTC) are widely available and can be purchased without a prescription. Their availability means that a customer may choose to purchase them without the involvement of a pharmacy/pharmacist. It is important to understand customer OTC purchasing perceptions and behaviour from a pharmacy to better understand the needs and opportunities in this space. Objective: This study aimed to examine customers' key expectations and what they value when purchasing OTC and how the effect of health status/stress and perceived risks/benefits of purchasing OTCs from a pharmacy may influence their OTC shopping behaviour. Methods: Customers from two metropolitan pharmacies across two different suburbs in Brisbane, Queensland, Australia completed a self-administered questionnaire. Data collection was conducted over a six-week period. The questionnaire examined demographics, current level of health and stress, as well as a range of questions (seven-point Likert-scale) examining perceived benefits and risks, what they value, trust and expect when purchasing OTC. Results: A total of 86 customers from a broad range of demographics were captured in this study. When asked about their current health state, 41% and 23% respectively indicated that they were stressed and tense when they arrived at the pharmacy but many were feeling well (38%). Most customers strongly agreed/agreed that trust in the advice from a pharmacy (96%), trust in the products (73%), and the altruistic approach of a pharmacy (95%) were critical to them. Further, 82% and 78% respectively disagreed that time pressures or costs were concerns, despite many feeling tense and stressed when they came in. When asked where they intend to buy their future OTC, 89% indicated pharmacy instead of a supermarket. Conclusions: High levels of trust, confidence and sense of altruism and care were key factors for customers buying OTC from a pharmacy, regardless of time pressures, costs or existing levels of stress and health (AU)

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