artículos 2016 vol 21 by Silvia Alonso Paz
El desarrollo de la comunicación científica es un elemento básico para todos los estudiantes univ... more El desarrollo de la comunicación científica es un elemento básico para todos los estudiantes universitarios en la actualidad, pues la dinámica de la sociedad requiere comunicar con coherencia y cohesión los resultados de la investigación. El objetivo del artículo es socializar la experiencia de cómo potenciar la comunicación científica oral en los estudiantes de Medicina Veterinaria y Zootecnia de la Universidad Central “Marta Abreu” de Las Villas. Para el desarrollo del trabajo se utilizaron métodos del nivel empírico como la observación y la revisión bibliográfica. Se realizó una prueba pedagógica de entrada a los estudiantes de primer y cuarto años que cursaban la carrera de Medicina Veterinaria y Zootecnia en dicha universidad, en el curso académico 2013-2014; esta evidenció carencias en la comunicación científica oral de los estudiantes. Para erradicar los problemas detectados se elaboraron e implementaron acciones didácticas que perfeccionaran este tipo de comunicación en los estudiantes muestreados. Actualmente los estudiantes valoran de manera positiva la importancia social y cultural que tiene en la actividad científico-investigativa la comunicación científica oral.
Papers by Silvia Alonso Paz
Enunciación, 2016
El desarrollo de la comunicacion cientifica es un elemento basico para todos los estudiantes univ... more El desarrollo de la comunicacion cientifica es un elemento basico para todos los estudiantes universitarios en la actualidad, pues la dinamica de la sociedad requiere comunicar con coherencia y cohesion los resultados de la investigacion. El objetivo del articulo es socializar la experiencia de como potenciar la comunicacion cientifica oral en los estudiantes de Medicina Veterinaria y Zootecnia de la Universidad Central “Marta Abreu” de Las Villas. Para el desarrollo del trabajo se utilizaron metodos del nivel empirico como la observacion y la revision bibliografica. Se realizo una prueba pedagogica de entrada a los estudiantes de primer y cuarto anos que cursaban la carrera de Medicina Veterinaria y Zootecnia en dicha universidad, en el curso academico 2013-2014; esta evidencio carencias en la comunicacion cientifica oral de los estudiantes. Para erradicar los problemas detectados se elaboraron e implementaron acciones didacticas que perfeccionaran este tipo de comunicacion en los ...
European Respiratory Journal, Sep 1, 2013
Number: 2106 Publication Number: P285 Abstract Group: 12.2. Ethic and Economics Keyword 1: COPD -... more Number: 2106 Publication Number: P285 Abstract Group: 12.2. Ethic and Economics Keyword 1: COPD -management Keyword 2: No keyword Keyword 3: No keyword Title: Optimizing chronic obstructive pulmonary disease (COPD) diagnosis and management to reduce healthcare costs: Systematic review and modeling Ms.
![Research paper thumbnail of [Validation Inspection of prescription drugs in Spain: Current situation from a health professional perspective after its introduction in electronic form.]](https://images.weserv.nl/?url=https%3A%2F%2Fa.academia-assets.com%2Fimages%2Fblank-paper.jpg&q=12&output=webp&max-age=110)
Atencion Primaria, Nov 10, 2012
To assess the current situation of the inspection validation of prescriptions (IVP) in Spain sinc... more To assess the current situation of the inspection validation of prescriptions (IVP) in Spain since the introduction of the electronic procedure (EP) from the healthcare professionals' perspective. Observational, cross sectional study, in two phases; combining qualitative and quantitative techniques. Primary Care (PC), Secondary Care (SC) and the health care management sector. Primary care physicians (PCPs), endocrinologists, medical inspectors, pharmacists and health Authorities of Autonomous Communities (AACC). Semi-structured surveys and Computer Assisted Telephone Interviewing. The IVP presents three modalities in Spain: manual, electronics and electronics linked to electronic prescription. The participants of the same level of management perceive in a similar way the purpose of the IVP, and there exist differences between the different levels of interviewed managers. Differences exist in the situation of EP between AACC. It is more implemented in primary care (PC) than in specialized (63% vs 37%), with similar degree in urban and rural areas. Six of 17 AACC presented a public access to the corresponding legislation. The IVP is perceived as a tool for the economic control in expenditure on drugs and as additional administrative load in PC. The rhythm of implementation of EP differs between AACC as well as the access to the regulation.
PLOS ONE, 2015
To estimate the magnitude in which Parkinson&... more To estimate the magnitude in which Parkinson's disease (PD) symptoms and health- related quality of life (HRQoL) determined PD costs over a 4-year period. Data collected during 3-month, each year, for 4 years, from the ELEP study, included sociodemographic, clinical and use of resources information. Costs were calculated yearly, as mean 3-month costs/patient and updated to Spanish €, 2012. Mixed linear models were performed to analyze total, direct and indirect costs based on symptoms and HRQoL. One-hundred and seventy four patients were included. Mean (SD) age: 63 (11) years, mean (SD) disease duration: 8 (6) years. Ninety-three percent were HY I, II or III (mild or moderate disease). Forty-nine percent remained in the same stage during the study period. Clinical evaluation and HRQoL scales showed relatively slight changes over time, demonstrating a stable group overall. Mean (SD) PD total costs augmented 92.5%, from €2,082.17 (€2,889.86) in year 1 to €4,008.6 (€7,757.35) in year 4. Total, direct and indirect cost incremented 45.96%, 35.63%, and 69.69% for mild disease, respectively, whereas increased 166.52% for total, 55.68% for direct and 347.85% for indirect cost in patients with moderate PD. For severe patients, cost remained almost the same throughout the study. For each additional point in the SCOPA-Motor scale total costs increased €75.72 (p = 0.0174); for each additional point on SCOPA-Motor and the SCOPA-COG, direct costs incremented €49.21 (p = 0.0094) and €44.81 (p = 0.0404), respectively; and for each extra point on the pain scale, indirect costs increased €16.31 (p = 0.0228). PD is an expensive disease in Spain. Disease progression and severity as well as motor and cognitive dysfunctions are major drivers of costs increments. Therapeutic measures aimed at controlling progression and symptoms could help contain disease expenses.
Expert Review of Pharmacoeconomics & Outcomes Research, 2015
Parkinson&amp... more Parkinson's disease (PD) is a progressive, neurodegenerative disorder whose symptoms and manifestations greatly deteriorate the health, functional status and quality of life of patients, has severe consequences on their families and caregivers and supposes a challenge for the healthcare system and society. The aim of this paper is to comprehensively and descriptively review studies on the economic impact of the disease and interventions, analyzing major contributing factors to direct and indirect costs in PD. Cost-of-illness studies have shown that costs of PD are high, mainly due to drug, hospitalization and productivity loss, and tend to increase as the disease progresses. Studies on PD treatment have suggested that therapies for advanced PD (levodopa/carbidopa intestinal gel and apomorphine) and surgical procedures are cost-effective and cost saving, despite their high expenditures; however, further research such as on the economic impact of non-motor manifestations or on the cost-effectiveness of non-medical interventions is still needed.
Value in Health, 2014
To analyze oncologists', payers', patients', and general population´ views on the cost and value ... more To analyze oncologists', payers', patients', and general population´ views on the cost and value of new cancer treatments.
Health and Quality of Life Outcomes, 2011
Background: Despite the wide use of the Excited Component of the Positive and Negative Syndrome S... more Background: Despite the wide use of the Excited Component of the Positive and Negative Syndrome Scale (PANSS-EC) in a clinical setting to assess agitated patients, a validation study to evaluate its psychometric properties was missing. Methods: Data from the observational NATURA study were used. This research describes trends in the use of treatments in patients with acute psychotic episodes and agitation seen in emergency departments. Exploratory principal component factor analysis was performed. Spearman's correlation and regression analyses (linear regression model) as well as equipercentile linking of Clinical Global Impression of Severity (CGI-S), Agitation and Calmness Evaluation Scale (ACES) and PANSS-EC items were conducted to examine the scale's diagnostic validity. Furthermore, reliability (Cronbach's alpha) and responsiveness were evaluated. Results: Factor analysis resulted in one factor being retained according to eigenvalue ≥1. At admission, the PANSS-EC and CGI-S were found to be linearly related, with an average increase of 3.4 points (p < 0.001) on the PANSS-EC for each additional CGI-S point. The PANSS-EC and ACES were found to be linearly and inversely related, with an average decrease of 5.5 points (p < 0.001) on the PANSS-EC for each additional point. The equipercentile method shows the poor sensitivity of the ACES scale. Cronbach's alpha was 0.86 and effect size was 1.44. Conclusions: The factorial analyses confirm the unifactorial structure of the PANSS-EC subscale. The PANSS-EC showed a strong linear correlation with rating scales such as CGI-S and ACES. PANSS-EC has also shown an excellent capacity to detect real changes in agitated patients.
Atencion Primaria, May 1, 2009
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artículos 2016 vol 21 by Silvia Alonso Paz
Papers by Silvia Alonso Paz