Propuesta de mejora para la integración del equipo de salud en el código azul en áreas críticas adulto

DANIEL GARCIA NAVARRETE (2023, [Otro, Trabajo terminal, especialidad])

La presente investigación se realizará en un hospital de segundo nivel de atención de la ciudad de Cuernavaca, el código azul es un sistema de alarma que existe en la mayoría de los hospitales, está conformado por un equipo multidisciplinario de salud que se encuentra capacitado y es convocado de manera inmediata con funciones previamente asignadas para poder intervenir de forma oportuna, eficaz y con calidad a pacientes en paro cardiopulmonar. Este trabajo de investigación propone la integración del equipo de salud en código azul.

Se menciona como fue la historia de la formación de los grupos de reanimación cardiopulmonar y la organización del código azul; fue el primer modelo de estos sistemas y ha demostrado un impacto positivo en la morbimortalidad de los pacientes, la conexión de la teórica Patricia Benner de principiante a experto, se describe como se vive un código azul en el área hospitalaria, la necesidad de estructurar tarjetas que identifique que rol tiene cada uno de los integrantes del código azul, el personal de salud tiene que tener capacidad de reconocer la emergencia del evento, realizando oportunamente las intervenciones del código azul. Metodología adecuada para esta investigación: se decidió un estudio de tipo cuantitativo, longitudinal, observacional, cuasiexperimental y de intervención educativa, será dirigido a todo profesional de salud; área médica, enfermería, camilleros, residentes, pasantes y estudiantes de ambas profesiones de los diferentes turnos que laboran en las áreas críticas del hospital. Se pretende aplicar dos instrumentos de evaluación diagnóstica y de habilidades previo a la capacitación curso- taller con la finalidad de fortalecer los conocimientos y habilidades y posteriormente aplicar los mismos instrumentos de evaluación final. Se implementará un pizarrón en cada servicio, donde describa el rol de la actividad que tendrá cada integrante que conforme el equipo de código azul, así mismo se proporcionará el manual de procedimientos de código azul, guía de práctica clínica impresa que se ubicaran en un lugar estratégico para su consulta y gafetes que describa la función que le corresponde a cada uno de los miembros.

This research will be carried out in a second level care hospital in the city of Cuernavaca. The code blue is an alarm system that exists in most hospitals; it is made up of a multidisciplinary health team that is trained and immediately summoned with previously assigned functions in order to intervene in a timely, effective and quality manner in patients in cardiopulmonary arrest. This research work proposes the integration of the health team in code blue.

It mentions the history of the formation of cardiopulmonary resuscitation groups and the organization of the code blue; it was the first model of these systems and has shown a positive impact on patient morbidity and mortality, the connection of the theorist Patricia Benner from beginner to expert, it describes how a code blue is experienced in the hospital area, the need to structure cards that identify the role of each of the members of the code blue, the health personnel must have the ability to recognize the emergency event, performing timely interventions of the code blue. Appropriate methodology for this research: a quantitative, longitudinal, observational, quasi-experimental, quasi-experimental and educational intervention study was decided, and it will be directed to all health professionals; medical area, nursing, orderlies, residents, interns and students of both professions of the different shifts that work in the critical areas of the hospital. It is intended to apply two diagnostic and skills evaluation instruments prior to the training course-workshop in order to strengthen knowledge and skills and then apply the same instruments for the final evaluation. A blackboard will be implemented in each service, describing the role of the activity that each member of the code blue team will have, as well as the code blue procedure manual, printed clinical practice guide that will be placed in a strategic place for consultation and badges that describe the function that corresponds to each of the members.

MEDICINA Y CIENCIAS DE LA SALUD CIENCIAS MÉDICAS código azul, integración, equipos de respuesta rápida, personal de salud, paro cardiopulmonar. code blue, integration, rapid response teams, health personnel, cardiopulmonary arrest.

Diseño de una red de dispositivos inalámbricos para monitorear la calidad del aire en interiores

FRIDA JENNY DE LA ROSA ANDRADE (2023, [Tesis de maestría])

No cabe duda de que la contaminación ambiental siempre a existido, y es una consecuencia

producida por las diferentes actividades que el ser humano ha realizado a lo largo de su

desarrollo y evolución tecnológica, por lo que conlleva a muchas repercusiones en la

integridad física del ambiente. Las actividades de desarrollo, como la construcción, el

transporte y la fabricación, no solo agotan los recursos naturales, sino que también producen

una gran cantidad de desechos que conducen a la contaminación del aire, el agua, el suelo y

los océanos, dando pie a los problemas más preocupantes del ser humano, tal es el caso del

calentamiento global, las lluvias acidas. Hoy en día la contaminación del aire se considera

un tema de gran importancia puesto que, es uno de los principales problemas en las zonas

más urbanizadas del mundo, y se encuentra presente tanto en los países desarrollados como

en los no desarrollados, por ello surge la necesidad de conocer que tan contaminado se

encuentra el aire que se respira.

El estándar de calidad del aire es una táctica para establecer las condiciones del aire desde un

grado de pureza, hasta una calidad critica perjudicial para el deterioro de la salud humana,

haciendo referencia a la cantidad de contaminación presente en el aire, definiéndola ya sea

de alta calidad con un nivel bajo de contaminación o una mala calidad con un nivel elevado

de concentración de contaminación en el aire.

En este proyecto se diseñará una Red de dispositivos inalámbricos para el análisis y

monitoreo de la calidad del aire en interiores, con la finalidad de fungir como un medidor de

contaminación que le permita a las personas darse cuenta de que tan contaminados están sus

hogares. Por tal motivo en el desarrollo de este proyecto se hará uso de un microcontrolador

Arduino IDE, un Node-red y un phpMyadmin para el análisis y monotoreo constante de

diversos gases como CO, CO2, metano, nitrógeno y O2. Cabe mencionar que este escrito se

ha dividido en 4 capítulos en los cuales se explica detalladamente todos y cada uno de los

procesos llevado a cabo para la elaboración y el desarrollo de este proyecto.

There is no doubt that environmental pollution has always existed, and is a consequence

produced by the different activities that human beings have carried out throughout their

development and technological evolution, which leads to many repercussions on the physical

integrity of the environment. Development activities such as construction, transportation and

manufacturing not only deplete natural resources but also produce a large amount of waste

leading to pollution of air, water, soil and oceans, giving rise to to the most worrying problems

of human beings, such as global warming and acid rain. Nowadays, air pollution is considered

an issue of great importance since it is one of the main problems in the most urbanized areas

of the world, and is present in both developed and undeveloped countries, which is why the

need to know how contaminated the air you breathe is.

The air quality standard is a tactic to establish air conditions from a degree of purity to a

critical quality harmful to the deterioration of human health, referring to the amount of

pollution present in the air, defining it either high quality with a low level of contamination

or poor quality with a high level of concentration of contamination in the air.

In this project, a network of wireless devices will be designed for the analysis and monitoring

of indoor air quality, with the purpose of serving as a pollution meter that allows people to

realize how polluted their homes are. For this reason, in the development of this project, an

Arduino IDE microcontroller, a Node-red and a phpMyadmin will be used for the analysis

and constant monitoring of various gases such as CO, CO2, methane, nitrogen and O2. It is

worth mentioning that this writing has been divided into 4 chapters in which each and every

one of the processes carried out for the preparation and development of this project is

explained in detail.

BIOLOGÍA Y QUÍMICA QUÍMICA Red de dispositivos inalámbricos, análisis monitoreo, calidad, riesgo, contaminación. Network of wireless devices, monitoring analysis, quality, risk, contamination.

Rapid effects of marine reserves via larval dispersal

Richard Cudney Bueno (2009, [Artículo])

Marine reserves have been advocated worldwide as conservation and fishery management tools. It is argued that they can protect ecosystems and also benefit fisheries via density-dependent spillover of adults and enhanced larval dispersal into fishing areas. However, while evidence has shown that marine reserves can meet conservation targets, their effects on fisheries are less understood. In particular, the basic question of if and over what temporal and spatial scales reserves can benefit fished populations via larval dispersal remains unanswered. We tested predictions of a larval transport model for a marine reserve network in the Gulf of California, Mexico, via field oceanography and repeated density counts of recently settled juvenile commercial mollusks before and after reserve establishment. We show that local retention of larvae within a reserve network can take place with enhanced, but spatially-explicit, recruitment to local fisheries. Enhancement occurred rapidly (2 yrs), with up to a three-fold increase in density of juveniles found in fished areas at the downstream edge of the reserve network, but other fishing areas within the network were unaffected. These findings were consistent with our model predictions. Our findings underscore the potential benefits of protecting larval sources and show that enhancement in recruitment can be manifested rapidly. However, benefits can be markedly variable within a local seascape. Hence, effects of marine reserve networks, positive or negative, may be overlooked when only focusing on overall responses and not considering finer spatially-explicit responses within a reserve network and its adjacent fishing grounds. Our results therefore call for future research on marine reserves that addresses this variability in order to help frame appropriate scenarios for the spatial management scales of interest. © 2009 Cudney-Bueno et al.

article, environmental monitoring, fishery, larva, marine environment, marine species, Mexico, mollusc, nonhuman, oceanography, prediction, animal, biology, environmental protection, food industry, geography, growth, development and aging, larva, met CIENCIAS FÍSICO MATEMÁTICAS Y CIENCIAS DE LA TIERRA CIENCIAS DE LA TIERRA Y DEL ESPACIO OCEANOGRAFÍA OCEANOGRAFÍA

Movements of scalloped hammerhead sharks (Sphyrna lewini) at Cocos Island, Costa Rica and between oceanic islands in the Eastern Tropical Pacific

Elena Nalesso (2019, [Artículo])

Many species of sharks form aggregations around oceanic islands, yet their levels of residency and their site specificity around these islands may vary. In some cases, the waters around oceanic islands have been designated as marine protected areas, yet the conservation value for threatened shark species will depend greatly on how much time they spend within these protected waters. Eighty-four scalloped hammerhead sharks (Sphyrna lewini Griffith & Smith), were tagged with acoustic transmitters at Cocos Island between 2005–2013. The average residence index, expressed as a proportion of days present in our receiver array at the island over the entire monitoring period, was 0.52±0.31, implying that overall the sharks are strongly associated with the island. Residency was significantly greater at Alcyone, a shallow seamount located 3.6 km offshore from the main island, than at the other sites. Timing of presence at the receiver locations was mostly during daytime hours. Although only a single individual from Cocos was detected on a region-wide array, nine hammerheads tagged at Galapagos and Malpelo travelled to Cocos. The hammerheads tagged at Cocos were more resident than those visiting from elsewhere, suggesting that the Galapagos and Malpelo populations may use Cocos as a navigational waypoint or stopover during seasonal migrations to the coastal Central and South America. Our study demonstrates the importance of oceanic islands for this species, and shows that they may form a network of hotspots in the Eastern Tropical Pacific. © 2019 Nalesso et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

article, Cocos Island, human, monitoring, nonhuman, resident, shark, South America, animal, Costa Rica, environmental protection, island (geological), movement (physiology), physiology, season, shark, Animals, Conservation of Natural Resources, Costa CIENCIAS FÍSICO MATEMÁTICAS Y CIENCIAS DE LA TIERRA CIENCIAS DE LA TIERRA Y DEL ESPACIO OCEANOGRAFÍA OCEANOGRAFÍA