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97.180  Articles
1 of 9.718 pages  |  10  records  |  more records»
El estudio de la variabilidad en caracteres categóricos rara vez es abordado. A partir de un enfoque menos usado de la variabilidad en variables cuantitativas, el de la disparidad, distinto al de la dispersión que, por ejemplo, proporciona la varianza, se... see more

Impacto de la capacitación en la mejora continua de la calidad del diagnóstico citológico / The effect of technical training for the continuous improvement of the quality in cytological diagnosisImpacto de la capacitación en la mejora continua de la calidad del diagnóstico citológico / The effect of technical training for the continuous improvement of the quality in cytological diagnosisLos indicadores generales de la eficacia en los programas de prevención del cáncer cervical se mantienen altos en nuestro país. Objetivos: Evaluar el impacto de la capacitación técnica en la mejora continua del diagnóstico citológico del cuello uterino en el Hospital "Abel Santamaría Cuadrado", período 2005-2007. Diseño: Se realizó un estudio de intervención-acción para medir el efecto de la capacitación en la calidad del diagnóstico de los citotecnólogos, medido mediante la correlación entre un primer diagnóstico emitido por el personal técnico y un segundo por un especialista en Anatomía Patológica, de una muestra de 22864 citologías. Se utilizaron las variables de concordancia en general y por el tipo de lesión, y aplicó la estadística descriptiva para variables cualitativas categóricas, expresadas en frecuencias absolutas y relativas porcentuales. Las comparaciones de frecuencias se verificaron mediante el estadígrafo de Ji cuadrado al 95 % de confianza y la prueba de kappa para la correlación entre observadores. Resultados. Se encontró un incremento de la concordancia en el 2007 con relación al periodo 2005-2006, resultado altamente significativo (X2 = 75.0; gdl = 1; p = 0.00000001). La concordancia de acuerdo al diagnóstico se incrementó con la excepción del NIC-III. Conclusión. Se comprobó que la capacitación influyó en la mejoría continua de la calidad del diagnóstico citológico. Palabras clave: cáncer/prevención, citología,diagnóstico. ABSTRACT In our country general indicators to assess the effectiveness of Programs for the Prevention of Cervical Cancer keep high. Objectives: To evaluate the effects of the technical training for the continuous improvement of cytological diagnosis of the cervical cancer at "Abel Santamaria Cuadrado" University Hospital, during 2005-2007. Design: An intervention-action research was conducted in order to assess the effectiveness of the technical training process for improving quality in the diagnosis performed by the technicians of the specialty, measured through the correlation between the first diagnosis issued by technical personnel and a second one by the Pathologist, taken from a sample of 22864 cytologies. General concordance and the type of lesion were the variables used, applying descriptive statistics for categorical qualitative variables expressed in absolute frequencies and relative percentages. Frequency comparisons were verified by means of a chi square test, 95% of confidence and Kappa test for the correlation among observers. Results: An enhancement of concordance was found in 2007 in relation to the period of 2005-2006, highly significant (X2 = 75.0; gdl =1; p = 0.00000001). Concordance regarding the diagnosis increased, except in NIC-III. Conclusion: It was proved that technical training process influenced on the continuous improvement of the quality for cytological diagnosis. Key words: cancer/prevention, cytology, diagnosis.

ABSTRACT In our country general indicators to assess the effectiveness of Programs for the Prevention of Cervical Cancer keep high. Objectives: To evaluate the effects of the technical training for the continuous improvement of cytological diagnosis o... see more

In this paper we present a number of issues to be taken into account in assessing the marketing qualitative variables. Thus, the opinions, the preferences, the attitudes, etc. of the consumers are qualitative variables whose measurement requires the use o... see more

In this paper, ordered categorical variables are used to compare between linear and nonlinear interactions of fixed covariate and latent variables Bayesian structural equation models. Gibbs sampling method is applied for estimation and model comparison. H... see more

The goal of this research is analyzing the impact of politics on business and economy in Turkey. How influencial are political factors for managers with respect to accretion of the companies? What is the dimension of political consciousness of managers an... see more

El profesional de la educación tiene un gran compromiso social: la formación de sus educandos para enfrentar el proyecto de vida; desde esa perspectiva, el docente de instituciones de educación superior (IES) debe mantener un alto grado de motivación, ent... see more

AbstractObjective: To investigatethe level of knowledge, attitude, and behaviour of midwives to emergency contraception in Indonesia.Methods: This study used a cross-sectional design. Subjects were midwives who worked in the  District CipondohTangera... see more

Objective: The research evaluated the differences in formatting of adverse drug reaction (ADR) information in drug monographs in commonly used drug information (DI) databases.Methods: A cross-sectional analysis of formatting of ADR information for twenty ... see more

AbstractObjective: To investigatethe level of knowledge, attitude, and behaviour of midwives to emergency contraception in Indonesia.Methods: This study used a cross-sectional design. Subjects were midwives who worked in the  District CipondohTangera... see more

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