Papers by Yesenia Camacho
La Ley 1014, en la accion de fomentar la cultura del emprendimiento, constituye un Marco Instituc... more La Ley 1014, en la accion de fomentar la cultura del emprendimiento, constituye un Marco Institucional, en el se establece la Red Regional de Emprendimiento, cuya estructura esta integrada por once entidades e instituciones de Orden Departamental y Municipal, que hacen las veces de organismos de apoyo para la promocion y ejecucion del edicto; estos organismos tienen como funcion primordial implementar una seria de actividades y estrategias, bajo un modelo de sostenibilidad e innovacion; que permita generar mayores oportunidades de bienestar y progreso al Departamento del Meta, mediante el emprendimiento. Esto se realiza con el fin de que las personas dirijan su atencion a la idea de ser empresarios, viendo esto como un proyecto de vida y foco de desarrollo y crecimiento personal y social. De tal manera el trabajo de investigacion se realizo con el fin de evaluar la gestion de los organismos de apoyo en el proposito de fomentar la cultura del emprendimiento en la ciudad de Villavicen...
La seguridad del paciente se ha convertido en un aspecto importante y fundamental para las instit... more La seguridad del paciente se ha convertido en un aspecto importante y fundamental para las instituciones prestadoras de salud teniendo en cuenta que su objetivo principal es brindar atenciones seguras, protegiendo la integridad de los pacientes, sus familiares y el personal que labora dentro de ellas. El programa de seguridad del paciente busca disminuir eventos adversos que puede conllevar a la presencia de incidentes y accidentes, donde por malas practicas y procedimientos por parte de los funcionarios acarren danos irreversibles generando alteraciones en la prestacion del servicio. Es por ello que se hace importante identificar las fortalezas y debilidades que tiene el programa; a su vez conocer las amenazas y oportunidades evidenciadas en la institucion buscando siempre aportar a una mejor calidad en el sistema de salud.
Neurology, 2002
To evaluate the predictive utility of self-reported and informant-reported functional deficits in... more To evaluate the predictive utility of self-reported and informant-reported functional deficits in patients with mild cognitive impairment (MCI) for the follow-up diagnosis of probable AD. Methods: The Pfeffer Functional Activities Questionnaire (FAQ) and Lawton Instrumental Activities of Daily Living (IADL) Scale were administered at baseline. Patients were followed at 6-month intervals, and matched normal control subjects (NC) were followed annually. Results: Self-reported deficits were higher for patients with MCI than for NC. At baseline, self-and informantreported functional deficits were significantly greater for patients who converted to AD on follow-up evaluation than for patients who did not convert, even after controlling for age, education, and modified Mini-Mental State Examination scores. While converters showed significantly more informant-than self-reported deficits at baseline, nonconverters showed the reverse pattern. Survival analyses further revealed that informant-reported deficits (but not self-reported deficits) and a discrepancy score indicating greater informant-than self-reported functional deficits significantly predicted the development of AD. The discrepancy index showed high specificity and sensitivity for progression to AD within 2 years. Conclusions: These findings indicate that in patients with MCI, the patient's lack of awareness of functional deficits identified by informants strongly predicts a future diagnosis of AD. If replicated, these findings suggest that clinicians evaluating MCI patients should obtain both self-reports and informant reports of functional deficits to help in prediction of long-term outcome.
International Journal of Geriatric Psychiatry, 2003
Background There is little information on the efficacy and side effects of antidepressant treatme... more Background There is little information on the efficacy and side effects of antidepressant treatment in elderly patients with combined depression and cognitive impairment without dementia (DEP-MCI), and it is unclear if cognitive performance improves with antidepressant response in these patients. Methods In 39 elderly DEP-MCI patients, changes in depression and cognitive impairment were evaluated with open sertraline treatment up to 200 mg/day for 12 weeks. Results Of the 26 completers, 17 were responders and nine were non-responders. Diagnostic subtype of depression was unrelated to response. ANCOVA on WAIS-R digit symbol percent change scores revealed a significant effect for responder status (F ¼ 5.59, p < 0.03), and age (F ¼ 0.24, p < 0.64) and education (F ¼ 1.64, p < 0.22) were not significant covariates. From pre-trial to post-trial, responders improved in WAIS-R digit symbol percent change scores (Mean À10% SD 24) while non-responders declined (Mean 14% SD 18; t ¼ 2.60, p < 0.02). Other neuropsychological measures were unrelated to response. Percent change in HRSD scores showed significant inverse correlations with percent change in several cognitive measures. Conclusions DEP-MCI patients showed moderate clinical response to sertraline treatment. When responders were compared to non-responders, cognitive improvement was limited to one measure of attention and executive function. Overall, there was little cognitive improvement with antidepressant treatment. The findings indirectly suggest that lack of improvement in cognition following treatment of depression in DEP-MCI patients may be associated with increased risk of meeting diagnostic criteria for dementia during follow-up.
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Papers by Yesenia Camacho