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Rafael Conde

    Rafael Conde

    Treatment for pulmonary arterial hypertension and chronic thromboembolic pulmonary hypertension in Latin America differs between countries, with regard to disease etiology, health insurance coverage, and drug availability. A group of... more
    Treatment for pulmonary arterial hypertension and chronic thromboembolic pulmonary hypertension in Latin America differs between countries, with regard to disease etiology, health insurance coverage, and drug availability. A group of experts from Latin America, met to share regional experiences and propose possible lines of collaboration. The available evidence, regional clinical practice data, and the global context of the proceedings of the 6th World Symposium on Pulmonary Hypertension, held in Nice, France, in February 2018, were analyzed. Here, we discuss some priority concepts identified that could guide transnational interaction and research strategies in Latin America: (1) despite being evidence‐based, the 6th World Symposium on Pulmonary Hypertension proceedings may not be applicable in Latin American countries; (2) proactive identification and diagnosis of patients in Latin America is needed; (3) education of physicians and standardization of appropriate treatment for pulmo...
    Ferrero Conde, R. (2007). Desarrollo de un CRM ("Customer Relationship Management") para pocket pc. http://hdl.handle.net/10251/32040.Archivo delegad
    Hallazgos preliminares del ensayo clínico multicéntrico de evaluación de la seguridad de la aspiración supraglótica continua
    Evidencia de respondedores y no-respondedores al tratamiento con medicamentos específicos de hipertensión arterial pulmonar en Colombia
    Los síntomas de pacientes con hipertensión pulmonar de grupo 1 ó 4 son malos predictores de su gravedad
    In 2014, 0.3% of the total population in Colombia was living with HIV/AIDS. The data currently available regarding the costs of these patients are very limited. To estimate the societal costs of patients with HIV/AIDS in Bogotá, Colombia.... more
    In 2014, 0.3% of the total population in Colombia was living with HIV/AIDS. The data currently available regarding the costs of these patients are very limited. To estimate the societal costs of patients with HIV/AIDS in Bogotá, Colombia. This study is a quantitative, cross-sectional cost-of-illness study. Costs were assessed with a prevalence-based, bottom-up approach. The data of 124 patients were collected from their medical records in a Bogotá hospital and a questionnaire was developed to measure other health care costs, as well as patient and family costs. Subgroup analyses were performed according to sex, age, Centers for Disease Control and Prevention classification, and CD4 count (cluster of differentiation 4). The mean annual cost per patient with HIV/AIDS was estimated at $11,505 ± 18,658 (2014 US dollars). The larger part was attributable to drug costs (a mean annual cost of $8,616, 75% of the total), whereas productivity costs represented a mean annual cost of $1,044 (10...
    Sensors, combined with intelligent systems, can enhance the quality of the Telecare services deployed at home, improving the capability for detection of risk situations and the users care. However, there are no specific studies that... more
    Sensors, combined with intelligent systems, can enhance the quality of the Telecare services deployed at home, improving the capability for detection of risk situations and the users care. However, there are no specific studies that evaluate this kind of Telecare systems by professionals that work in a Telecare center. This paper shows the results of an assessment of the current satisfaction and future expectations of the Telecare professionals when using advanced Telecare solutions deployed at home. The study has been conducted through structured interviews with 24 Telecare experts working in the Telecare center of the Spanish Red Cross for attending alarm calls for elderly people. The interviews had the support of the TALISMAN Telecare system that is a next-generation Telecare service deployed in the accessible digital home of Universidad Politécnica de Madrid. All participants showed overall satisfaction with TALISMAN and their intention to use it. Results showed that perceived u...
    Resumen La tuberculosis (TB) es la causa más frecuente de muerte por un microorganismo bacteriano específico, causando 1,3 millones de muertes al año.  Las alteraciones inmunológicas juegan un papel importante en su desarrollo (1-2). ... more
    Resumen La tuberculosis (TB) es la causa más frecuente de muerte por un microorganismo bacteriano específico, causando 1,3 millones de muertes al año.  Las alteraciones inmunológicas juegan un papel importante en su desarrollo (1-2).  Actualmente las causas de inmunosupresión que favorecen el desarrollo de la (TB) son la infección por el virus del VIH, la desnutrición y el envejecimiento.  La diabetes mellitus tipo 2 (DM) presenta una pérdida de la inmunidad, aumentando el riesgo de infección y el desarrollo de enfermedad tuberculosa o su reactivación endógena (3). Los macrófagos tienen un papel protagónico en este proceso debido al deterioro en la capacidad de fagocitosis, opsonización, producción anómala de peróxido de hidrógeno (H2O2) y mal funcionamiento de receptores Fc para el complemento C3; todos estos mecanismos contribuyen a la respuesta, control y destrucción del M. tuberculosis. La pérdida de estas funciones en las personas diabéticas favorece una creciente asociación co...
    To assess the impact of comorbidities (CMs) on costs, utilities and health-related quality of life (HRQOL) among HIV patients in Colombia. A cross-sectional study was conducted among 138 HIV patients at an outpatient clinic in Bogotá to... more
    To assess the impact of comorbidities (CMs) on costs, utilities and health-related quality of life (HRQOL) among HIV patients in Colombia. A cross-sectional study was conducted among 138 HIV patients at an outpatient clinic in Bogotá to assess their costs, utilities (EQ5D-5L) and HRQOL (EQ-VAS). CMs and other covariates were gathered from patient records. Multiple regression models were conducted to assess the impact of CMs. Of all patients, 72% experienced CMs; of these, half experienced ≥2 CMs (N=49). CMs had a statistically significant impact on utilities when the EQ5D-5L (P=0.022) was applied among patient with ≥2 CMs. No statistical significance was found for the impact of CMs on costs. This study suggests that having multiple CMs significantly influences utility, and CMs have some impact on HRQOL measured using the EQ-VAS but this effect is at the border of significance. No significant impact was observed on costs.
    The purpose of developing e-Government is to make public administrations more efficient and transparent and to allow citizens to more comfortably and effectively access information. Such benefits are even more important to people with a... more
    The purpose of developing e-Government is to make public administrations more efficient and transparent and to allow citizens to more comfortably and effectively access information. Such benefits are even more important to people with a physical disability, allowing them to reduce waiting times in procedures and travel. However, it is not in widespread use among this group, as they not only harbor the same fears as other citizens, but also must cope with the barriers inherent to their disability. This research proposes a solution to help persons with disabilities access e-Government services. This work, in cooperation with the Spanish Federation of Spinal-Cord Injury Victims and the Severely Disabled, includes the development of a portal specially oriented towards people with disabilities to help them locate and access services offered by Spanish administrations. Use of the portal relies on digital authentication of users based on X.509, which are found in identity cards of Spanish ...
    ABSTRACT
    A presença do roteiro cinematográfico como obra autônoma tem sido sempre problematizado no cinema e por outros campos como o teatro e a literatura. Para o cinema, o roteiro sempre foi um elemento de passagem, algumas vezes negado como... more
    A presença do roteiro cinematográfico como obra autônoma tem sido sempre problematizado no cinema e por outros campos como o teatro e a literatura. Para o cinema, o roteiro sempre foi um elemento de passagem, algumas vezes negado como origem da verdadeira autoria do filme e outras questionado como elemento de controle sobre a vocação documentária do filme. Nas irrestritas formas de escrita do roteiro, para além da aceitação de seu status de obra pronta, podemos encontrar diferentes poéticas e subjetividades diante das inúmeras formas de encenar o filme.