Zonificación de la susceptibilidad y la amenaza relativa por movimientos en masa escala 1:100.000. Plancha 148 San Carlos. Producto

2014 ◽  
Author(s):  
Servicio Geológico Colombiano SGC
Keyword(s):  
San Carlos

A descriptive study of patients with adrenocortical carcinoma treated in hospital clinico san carlos (HCSC) over the last 20 years

2018 ◽  
Author(s):  
Elvira Barrio ◽  
Elvira Ramos ◽  
Paz de Miguel ◽  
J. Angel Diaz ◽  
Concepcion Sanabria ◽  
...  
Keyword(s):  
Adrenocortical Carcinoma ◽  
Descriptive Study ◽  
San Carlos

Debate y reforma del método de estudios en la Real Universidad de San Carlos de Guatemala del Siglo XVIII

2011 ◽  
Author(s):  
Adriana Álvarez-Sánchez
Keyword(s):  
San Carlos

Este artículo reconstruye el proceso de reforma del método de estudios de la Real Universidad de San Carlos de Guatemala en el siglo XVIII. Por medio de los documentos producidos por la propia institución, de informes de las autoridades civiles y eclesiásticas, y de las órdenes reales, se analiza el debate en torno a la crítica hecha al estudio general por parte de un fraile dominico.Esta reforma se limitó a reconocer oficialmente las modificaciones que los catedráticos llevaban años practicando, mismas que se dieron dentro de la doctrina común de las universidades hispánicas. Más allá de una Ilustración americana, los cambios obedecieron, en parte, a las pugnas políticas y académicas de la capitanía general y de sus letrados.

San Carlos de Guatemala. Universidad pública o universidad conventual

2010 ◽  
Author(s):  
Leticia Pérez-Puente
Keyword(s):  
San Carlos

El artículo tiene por objetivo reflexionar sobre las circunstancias en que se inscribió la solicitud que hiciera el obispo Enríquez de Rivera para la fundación de la Universidad de San Carlos de Guatemala y mostrar las diferencias que, a consideración de aquél prelado, existían entre las universidades reales, llamadas también públicas, y las conventuales.Finalmente, el trabajo propone que la creación de la Universidad de San Carlos, así como la desaparición de las universidades conventuales en América, se debieron a las transformaciones que a finales del siglo XVII sufrió la organización eclesiástica indiana, debido al creciente secularismo y al auge que entonces alcanzaron las catedrales americanas.

scholarly journals There and back again: analyzing the effect of outpatient readmission on the quality of life of patients attending a rheumatology clinic

2021 ◽  
Vol 13 ◽  
pp. 1759720X2110348
Author(s):  
Alfredo Madrid-García ◽  
Isabel Montuenga-Fernández ◽  
Judit Font-Urgelles ◽  
Leticia León-Mateos ◽  
Esperanza Pato ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Outpatient Clinic ◽  
Outpatient Setting ◽  
P Value ◽  
Marginal Effect ◽  
Rheumatology Clinic ◽  
Related Quality ◽  
Health Related ◽  
San Carlos

Aims: The aim of this study was to assess the effect of “outpatient readmissions” on the health-related quality of life (HR-QoL) of outpatients from a rheumatology clinic, meaning the effect of the patient’s return to the outpatient clinic after having received care and been discharged. Methods: We conducted an observational longitudinal retrospective study, with patients selected from the Hospital Clínico San Carlos Musculoskeletal cohort, based on having received at least one discharge from the outpatient clinic and having returned (readmission) at least once after the discharge. The main outcomes were the patients’ baseline HR-QoL (measured on the first visit of each episode) and the ΔHR-QoL (difference between the HR-QoL in the last and the first visit of each episode). Successive episodes of admission and readmission were chronologically ordered, paired and analyzed using nested linear mixed models, nested by patients and by admission–readmission tandem. We carried out bivariable and multivariable analyses to assess the effect of demographic, clinical, treatment and comorbidity-related variables in both main outcomes. Results: For the first main outcome, 5887 patients (13,772 episodes) were analyzed. Based on the multivariable level, readmission showed no significant marginal effect on the baseline HR-QoL ( p-value = 0.17). Conversely, when analyzing the ΔHR-QoL, we did observe a negative and significant marginal effect ( p-value = 0.028), meaning that readmission was associated with a lower gain in the HR-QoL during the follow-up, compared with the previous episode. Conclusion: In the outpatient setting, readmission exerts a deleterious effect in patients undergoing this process. Identification of outpatients more likely to be readmitted could increase the value of the care provided.

scholarly journals Predictors of health-related quality of life in musculoskeletal disease patients: a longitudinal analysis

2021 ◽  
Vol 13 ◽  
pp. 1759720X2110340
Author(s):  
Alfredo Madrid-García ◽  
Leticia León-Mateos ◽  
Esperanza Pato ◽  
Juan A Jover ◽  
Benjamín Fernández-Gutiérrez ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Musculoskeletal Diseases ◽  
Work Capacity ◽  
Health Related Quality ◽  
Clinical Predictors ◽  
Related Quality ◽  
Health Related ◽  
Classification Index ◽  
San Carlos

Introduction: Rheumatic and musculoskeletal diseases (RMDs) have a significant impact on patients’ health-related quality of life (HRQoL) exacerbating disability, reducing independence and work capacity, among others. Predictors’ identification affecting HRQoL could help to place efforts that minimize the deleterious impact of these conditions on patients’ wellbeing. This study evaluates the influence of demographic and clinical predictors on the HRQoL of a cohort of RMD patients, measured using the Rosser classification index (RCI). Methods: We included patients attending the Hospital Clínico San Carlos (HCSC) rheumatology outpatient clinic from 1 April 2007 to 30 November 2017. The primary outcome was the HRQoL assessed in each of the patient’s visits using the RCI. Demographic and clinical variables extracted from a departmental electronic health record (EHR) were used as predictors: RMD diagnoses, treatments, comorbidities, and averaged HRQoL values from previous periods (for this last variable, values were imputed if no information was available). Association between predictors and HRQoL was analyzed using penalized generalized estimating equations (PGEEs). To account for imputation bias, the PGEE model was repeated excluding averaged HRQoL predictors, and common predictors were considered. Discussion: A total of 18,187 outpatients with 95,960 visits were included. From 410 initial predictors, 19 were independently associated with patients’ HRQoL in both PGEE models. Chronic kidney disease (CKD), an episode of prescription of third level analgesics, monoarthritis, and fibromyalgia diagnoses were associated with worse HRQoL. Conversely, the prescription in the previous visit of acid-lowering medication, colchicine, and third level analgesics was associated with better HRQoL. Conclusion: We have identified several diagnoses, treatments, and comorbidities independently associated with HRQoL in a cohort of outpatients attending a rheumatology clinic.

A 3-year airborne pollen and fungal spores record in San Carlos de Bariloche, Patagonia, Argentina

Aerobiologia ◽  
2006 ◽  
Vol 22 (4) ◽  
pp. 247-257 ◽  
Author(s):  
Maria Martha Bianchi ◽  
Susana Ester Olabuenaga
Keyword(s):  
Airborne Pollen ◽  
Fungal Spores ◽  
San Carlos

The human factors of the sport and recreational fishery of San Carlos de Bariloche, Rio Negro, Argentina

2000 ◽  
Vol 49 (2) ◽  
pp. 141-153 ◽  
Author(s):  
P.H Vigliano ◽  
G Lippolt ◽  
A Denegri ◽  
M Alonso ◽  
P Macchi ◽  
...  
Keyword(s):  
Human Factors ◽  
Rio Negro ◽  
Recreational Fishery ◽  
San Carlos
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