Nº 45 Enero 2017Página 1 Resultados: El 8.6% de los participantes mayores de 18 años presentó sobrepeso y el 46.5% algún grado de obesidad. El índice de masa corporal de los adultos se relacionó con las kilocalorías totales producto de la actividad física (rs=.594; p<.01) y con las subescalas ecología de la alimentación (rs=.160; p<.05) y valor nutritivo (rs=.242; p<.01). Los factores culturales no se asociaron con el índice de masa corporal (rs=.242; p>.01).
ORIGINALES
Estudio en familias: factores ambientales y culturales asociados al sobrepeso y obesidad
Conclusiones:En esta muestra el Sobrepeso/Obesidad se asoció con los factores ambientales.Palabras clave: Familia; Cultura; Ambiente; Sobrepeso; Obesidad
ABSTRACTObjective: Determine whether overweight and obesity in family members are related to environmental and cultural factors regarding the functioning of families.
Objectives: In publicly funded health systems such as the United Kingdom (UK) National Health Service (NHS), patients do not normally face the full economic cost of treatment decisions, nor are they aware of the potential cost to the system. We investigated whether patient awareness of treatment costs, either to the system or to themselves, would affect treatment choices. MethOds: 344 representative members of the UK public were recruited via an online survey panel. Respondents were required to make treatment decisions in three different health conditions (sore throat, psoriasis and sciatica). Respondents were presented with condition-specific patient decision aids (Option Grids™), each supported by: 1) no cost information, 2) cost to the NHS (drug/ procedure tariff), 3) cost to patient (drug/ procedure tariff), and 4) access cost to patient (flat cost for all options). Differences in treatment choices were explored using ANOVA. Significant differences within each health condition were subsequently explored using t-tests. Results: A significant number of respondents switched choice to the cheapest intervention when tariff costs to either the system (p< 0.05) or themselves (p< 0.01) were considered versus no cost information when choosing between treatments for psoriasis. For all three health conditions, presenting flat access costs increased the likelihood (p< 0.01) of respondents choosing the treatment option known to have the highest tariff price. cOnclusiOns: Cost information influences treatment decisions. We observed that awareness of cost to the system or to oneself encouraged the choice of lower priced treatment options, whereas flat access charges encouraged the choice of treatment known to be more expensive. Provision of cost information may therefore be important for informed decision making, and could also be a policy tool to generate cost savings for the health system.
Introducción: En diciembre de 2019, Wuhan, capital de la provincia de Hubei (China), se convirtió en el epicentro de una serie de casos de neumonía de causa desconocida. El agente biológico identificado es un betacoronavirus de ácido ribonucleico con envoltura que actualmente se denomina coronavirus de tipo 2 causante del síndrome respiratorio agudo severo. Objetivo: Desarrollar un proceso de enfermería aplicado a un paciente con el binomio coronavirus de tipo 2 causante del síndrome respiratorio agudo severo y Diabetes Mellitus 2. Metodología: Estudio de caso clínico descriptivo, se desarrolló el proceso de enfermería, la valoración fue guiada por el enfoque conceptual de Virginia Henderson, se establecieron diagnósticos, resultados e intervenciones. Presentación del caso: Masculino de 44 años de edad con coronavirus de tipo 2 causante del síndrome respiratorio agudo severo y Diabetes Mellitus 2 que ingresó a la Unidad de Cuidados Intensivos Adultos de un Hospital de Tercer Nivel de Atención. Resultados: Se identificaron los diagnósticos “Limpieza ineficaz de las vías aéreas, hipertermia y riesgo de nivel de glucemia inestable”. Conclusión: Mediante las intervenciones se alcanzaron los resultados esperados, el paciente egresó de la unidad de cuidados intensivos 18 días posteriores a su internamiento.
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