tag:blogger.com,1999:blog-34555966744923384042024-03-05T10:01:40.090+01:00Edublog EnfermeríaEnfermería, Embriología, Reproducción asistida, Docencia Enfermería, Matrona, Salud Sexual, Sexualidad, Género, Reproducción asistida, Facultad de Enfermería, Escuela de Enfermería, Innovación Docente, Edublog Enfermería, Blog Salud, Blogosfera sanitaria, Enfermería 2.0, Blog Universitario, Universidad de Valladolid,Salud de la mujer, Embarazo, lactancia, anticoncepción, climaterio, TIC, Flipped Classroom, ABP, PBL Edublog Enfermeríahttp://www.blogger.com/profile/06927385251109016014noreply@blogger.comBlogger206125tag:blogger.com,1999:blog-3455596674492338404.post-4526709612807628962020-12-22T21:18:00.001+01:002020-12-22T21:20:43.463+01:00¿Cuáles son las DISTINTAS PRUEBAS para la detección de la COVID-19?<p></p><div class="separator" style="clear: both; text-align: justify;">Se sintetizan distintas pruebas en la INFOGRAFÍA que podéis ver en la parte de abajo, esperamos que os sea útil. </div><div class="separator" style="clear: both; text-align: center;"><div class="separator" style="clear: both; text-align: justify;">PRUEBAS VIROLÓGICAS: Deben realizarse si se ha mantenido contacto con una persona positiva o si se presentan síntomas compatibles con la enfermedad. Hay dos tipos: </div><div class="separator" style="clear: both; text-align: justify;"><b>1. PCR: </b>es un tipo de prueba que consiste en recoger una muestra de exudado faríngeo por la nariz o boca con un hisopo. Al tratarse de una prueba con una alta sensibilidad, es capaz de detectar dosis muy pequeñas del virus. Una vez que la muestra es recogida se introduce en un tubo y se mezcla con el líquido de su interior y se envía al laboratorio obteniendo el resultado al día siguiente. Si es <b>positivo deberá guardar cuarentena domiciliaria durante 10 días </b>y mantener distanciamiento social.</div><div class="separator" style="clear: both; text-align: justify;"><b>2.Test rápido de antígenos: </b>el procedimiento de la recogida es igual que para la PCR, no obstante la muestra se mezcla con un líquido especial y se deposita en un detector, el cual mostrará un resultado positivo o negativo al cabo de 15 minutos. Si es positiva guardará cuarentena 10 días y distanciamineto social. Si es negativa seguirá las mismas recomendaciones y repetirá la prueba otra vez a los 10 días y si fuese negativa se le dará el alta. En caso de que sea positiva 10 días de cuarentena y distanciamiento social. </div><div class="separator" style="clear: both; text-align: justify;">PRUEBAS SEROLÓGICAS: <b>test rápido de anticuerpos y test ELISA</b>. La realización de este tipo de pruebas está indicada de 1 a 3 semanas desde el inicio de la enfermedad. No se deben realizar antes de los 7 días porque no será un resultado real. Este tipo de pruebas nos permiten detectar anticuerpos IgM e IgG. Recordemos que IgM es el primer anticuerpo que se produce cuando hay infección por COVID-19 en el organismo. Se puede detectar aproximadamente a partir de los 7 días tras la infección., siendo considerado un marcador de la fase aguda de la enfermedad. Las IgG se producen más tarde, aproximadamente a partir de los 14 días tras el contagi, pudiendo estar presentes también en la fase aguda de la infección. Son un marcador de que la enfermedad se ha superado o se está superando. Una vez que se ha tenido la enfermedad por COVID-19, los anticuerpos IgG permenecen circulando en la sangre pudiendo proteger a la persona contra posibles infecciones futuras. Debido a esto, la presencia o detección de anticuerpos a través de test rápido nos permitirá conocer si estamos en la fase aguda o en la fase tardía de la enfermedad, o si la hemos superado. </div><div class="separator" style="clear: both; text-align: justify;"><b>1. Test rápido de anticuerpos: </b>el procedimiento consiste en la toma de muestra de sangre capilar (a través de un pinchazo en el dedo) que se deposita en una tira reactiva y se obtiene el resultado a los 15 minutos. </div><div class="separator" style="clear: both; text-align: justify;"><b>2. Test ELISA / CLIA:</b> el procedimiento consiste en la toma de una muestra de sangre venosa que se envía al laboratorio para análisis y se obtiene el resultado en 24 horas. </div></div><br /><p></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgVa1Hh5161GtlQAvYBGloYOw7JDJa8uVNNaTsj9Z0G1IPJwP1FheD1iN2QyktZyw6giTABYN4RyCp_mQX8O4Gm9wvnWIF9gVV34gPo31WToyt5KoN_ejjSGk1iV9Vy4IYToKwtuxAFddio/s1196/Captura+de+pantalla+2020-12-22+a+las+20.49.02.png" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="1196" data-original-width="480" height="1381" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgVa1Hh5161GtlQAvYBGloYOw7JDJa8uVNNaTsj9Z0G1IPJwP1FheD1iN2QyktZyw6giTABYN4RyCp_mQX8O4Gm9wvnWIF9gVV34gPo31WToyt5KoN_ejjSGk1iV9Vy4IYToKwtuxAFddio/w552-h1381/Captura+de+pantalla+2020-12-22+a+las+20.49.02.png" width="552" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><br /></div><br /><div><br /></div>Edublog Enfermeríahttp://www.blogger.com/profile/06927385251109016014noreply@blogger.com1tag:blogger.com,1999:blog-3455596674492338404.post-54871143038153147092020-11-04T17:47:00.001+01:002020-11-04T17:47:14.063+01:00Diferencias entre CUARENTENA y AISLAMIENTO <p><span style="font-size: medium;">Conocer el significado de <b>la cuarentena y aislamiento </b>es uno de los principales objetivos para impedir la propagación del virus SARS-Cov-2 en la población, en concreto, de las enfermeras de Atención Primaria para educar y recomendar las acciones a realizar por las personas. </span></p><p><span style="font-size: medium;">En esta infografía elaborada por estudiantes de 4º de Grado en Enfermería de la Universidad de Valladolid (España), te mostramos ¿Cuáles son las diferencias entre cuarentena y aislamiento y las actuaciones para evitar la transmisión? </span></p><p><br /></p><div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiXMyEZ1xNyWMiJgIfnpjAtiuWcddhdv1OMClCcoLWgT8cyhk0M2TiVEGQpmgVULWmdJmuZXmHN3uzGD-SQzgwQC47OL3CMzhRJSyA24GgYRXUK1STStXZhfzw1e8SlePwbxiVvaPKwn6ea/s2000/Diferencias+entre+cuarentena+y+aislamiento+original+%25281%2529+%25281%2529.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="2000" data-original-width="1429" height="952" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiXMyEZ1xNyWMiJgIfnpjAtiuWcddhdv1OMClCcoLWgT8cyhk0M2TiVEGQpmgVULWmdJmuZXmHN3uzGD-SQzgwQC47OL3CMzhRJSyA24GgYRXUK1STStXZhfzw1e8SlePwbxiVvaPKwn6ea/w680-h952/Diferencias+entre+cuarentena+y+aislamiento+original+%25281%2529+%25281%2529.jpg" width="680" /></a></div><br /><div class="separator" style="clear: both; text-align: center;"><br /></div><br /><p><br /></p>Edublog Enfermeríahttp://www.blogger.com/profile/06927385251109016014noreply@blogger.com0Calle del Dr. Montero, 2-A, 47005 Valladolid, España41.650487 -4.714535413.340253163821153 -39.8707854 69.960720836178837 30.4417146tag:blogger.com,1999:blog-3455596674492338404.post-76645477941282509012020-04-03T09:08:00.000+02:002020-04-03T09:08:33.781+02:00Consejos para puérperas durante alarma COVID19<div class="container-wrapper-genially" style="max-width: 100%; min-height: 400px; position: relative;">
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<span style="font-family: inherit; font-size: large;">Las matronas de Atención Primaria de Valladolid Oeste, en estos momentos, en que los cursos de Preparación Prenatal no se pueden realizar, queremos seguir dando el mejor cuidado de salud a nuestras embarazadas y sus familias. Por eso, hemos seleccionado estas herramientas que pueden ser útiles para consulta, profundizar en tus conocimientos y para que realices correctamente tu autocuidado. Velamos por tu salud, ahora y siempre.</span></div>
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<span style="font-family: inherit; font-size: large;"> Fdo: </span></div>
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<span style="-webkit-font-smoothing: antialiased; border: 0px; box-sizing: border-box; margin: 0px; padding: 0px; vertical-align: baseline;"><span style="font-family: inherit; font-size: large;">Matronas </span></span></div>
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<span style="-webkit-font-smoothing: antialiased; border: 0px; box-sizing: border-box; margin: 0px; padding: 0px; vertical-align: baseline;"><span style="font-family: inherit; font-size: large;"> Atención Primaria Valladolid Oeste <span class="fr-emoticon fr-deletable fr-emoticon-img" style="-webkit-font-smoothing: antialiased; background: url("https://cdnjs.cloudflare.com/ajax/libs/emojione/2.0.1/assets/svg/1f637.svg"); border: 0px; box-sizing: border-box; display: inline-block; height: 1em; line-height: 1; margin: -0.1em 0.1em 0.1em; min-height: 20px; min-width: 20px; padding: 0px; vertical-align: middle; width: 1em;"> </span> </span></span></div>
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Edublog Enfermeríahttp://www.blogger.com/profile/06927385251109016014noreply@blogger.com0Valladolid, España41.652251 -4.724532099999999341.2728905 -5.3699790999999992 42.0316115 -4.0790850999999995tag:blogger.com,1999:blog-3455596674492338404.post-42483680992713851552020-02-17T09:49:00.000+01:002020-02-17T09:49:00.889+01:00TRASTORNOS DE LA RESPIRACION DURANTE EL SUEÑO EN GESTANTES <br />
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Autora post e infografía: Dra Elena Olea Fraile ( profesora e investigadora en la Universidad de Valladolid, España). Autora de vídeos Jessica Ranero Navarro ( Enfermera).<br />
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</b> <b>TRASTORNOS DE LA RESPIRACIÓN DURANTE EL SUEÑO EN EL EMBARAZO </b><br />
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Los trastornos de la respiración durante el sueño (TRS) son problemas que aparecen debido a una <b>respiración anormal mientras dormimos. </b>Las mujeres embarazadas presentan cambios anatómicos y fisiológicos que pueden favorecer la aparición de estos trastornos. Un porcentaje alto de embarazadas (66-94%) refieren algún problema relacionado con el sueño<sup style="font-family: Calibri;">1</sup><span style="font-family: "calibri"; font-size: 14.6667px;">. </span>Estos problemas aparecen durante todo el embarazo, aunque son más frecuentes en el tercer trimestre de la gestación<sup style="font-family: Calibri;">2</sup><span style="font-family: "calibri"; font-size: 14.6667px;">. </span></div>
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La apnea del sueño ( AS) es el TRS más habitual y consiste en obstrucciones repetidas de las vías aéreas superiores durante el sueño. Cuando estos episodios de apnea se repiten, puede aparecer el Síndrome de Apnea Hipopnea del Sueño ( SAHS) que se caracteriza por una excesiva somnolencia diurna, aparición de ronquidos, trastornos cardiorrespiratorios, cognitivos-conductuales, metabólicos o inflamatorios secundarios a dichas obstrucciones<sup style="font-family: Calibri;">3</sup><span style="font-family: "calibri"; font-size: 14.6667px;">.</span></div>
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El aumento de casos de apnea del sueño en el embarazo, se correlaciona estrechamente con la obesidad, pues más del 80% de las pacientes presentan un IMC<span style="font-family: "calibri"; font-size: 14.6667px;"> >25kg/m</span><sup style="font-family: Calibri;">2</sup><span style="font-family: "calibri"; font-size: 14.6667px;">. </span>También, el incremento de la edad gestacional puede influir en estos trastornos<sup style="font-family: Calibri;">4-6</sup><span style="font-family: "calibri"; font-size: 11pt;">.</span></div>
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Existe una alto porcentaje de mujeres embarazadas que refieren problemas del sueño, sin embargo menos del 20% lo consultaron con algún profesional de la salud, siendo a la matrona a la que más consultaron<sup style="font-family: Calibri;">7</sup><span style="font-family: "calibri"; font-size: 14.6667px;">.</span> </div>
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<b>PROBLEMAS DE SALUD Y COMPLICACIONES DURANTE EL EMBARAZO </b></div>
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Los problemas derivados de los TRS en el embarazo, pueden producir problemas de salud importantes en el feto y en la madre gestante. La apnea del sueño se ha asociado con una mayor probabilidad de morbilidad y mortalidad en el embarazo como hipertensión arterial, preeclampsia, eclampsia, cardiomiopatías, embolias pulmonares y diabetes mellitus gestacional<sup style="font-family: Calibri;">4</sup><span style="font-family: "calibri"; font-size: 11pt;">. </span>Estos TRS podrán afectar al feto produciendo trastornos del crecimiento, parto prematuro, bajo peso al nacer e incluso fallecimiento fetal<sup style="font-family: Calibri;">6</sup><span style="font-family: "calibri"; font-size: 11pt;">.</span> </div>
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Debido al impacto negativo que puede tener la apnea del sueño en la salud materno-fetal, se están realizando en la actualidad nuevas investigaciones para aumentar y mejorar los conocimientos sobre el tema<sup style="font-family: Verdana;"><span style="font-size: xx-small;">8</span></sup><span style="font-family: "verdana"; font-size: 12.6667px;">.</span></div>
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<b>CUIDADOS DE ENFERMERÍA </b></div>
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Es muy importante que los profesionales sanitarios reconozcan y detecten los TRS en mujeres embarazadas, dado sus graves implicaciones en la salud materno fetal. Se debe prestar especial atención a las mujeres embarazadas que presenten factores de riesgo de apnea de sueño, durante la atención perinatal, siendo aconsejable derivar al especialista para que se realice una monitorización nocturna de la saturación de oxígeno<span style="font-family: "calibri"; font-size: 11pt;">(SO</span><sub style="font-family: Calibri;">2</sub><span style="font-family: "calibri"; font-size: 11pt;">) </span>o polisomnografía (PSG) en estas pacientes. También el personal sanitario debe realizar educación para la salud<sup style="font-family: Calibri;">7</sup><span style="font-family: "calibri"; font-size: 11pt;">,</span>para dar consejos sobre la importancia de:</div>
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<li>Reducir el peso mediante control nutricional adecuado y aumento de ejercicio diario en pacientes con sobrepeso-obesidad ( el tratamiento de la obesidad puede disminuir potencialmente las morbilidades relacionadas con TRS).</li>
<li>Evitar tomar medicamentos para mejorar el sueño, sin haberlo consultado al médico.</li>
<li>Evitar tomar cafeína y comidas pesadas 2 o 3 horas antes de irse a dormir.</li>
<li>Cuidar la posición durante el sueño evitando descansar boca arriba y hacerlo mejor del lado izquierdo con las rodillas ligeramente flexionadas, utilizando cojines o almohadas para colocarse en distintas posiciones. </li>
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<b>TRATAMIENTO</b></div>
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El reconocimiento y el manejo de los trastornos del sueño prenatales puede minimizar complicaciones obstétricas y mejorar el bienestar materno-fetal. La presión positiva continúa en la vía aérea, más conocida como CPAP ( Continuous Positive Airway Pressure) que es un tratamiento seguro y eficaz de la apnea del sueño, indicado en estas pacientes antes del parto, teniendo que realizar un seguimiento regular del tratamiento durante todo el embarazo<sup style="font-family: Calibri;">9</sup><span style="font-family: "calibri"; font-size: 11pt;">.</span></div>
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También, cabe destacar que algunos autores señalan la posición de descanso durante el sueño como la causa de aproximadamente el 53-56% de las embarazadas que padecen apnea del sueño y se refieren al papel potencial que juega la terapia posicional durante el sueño de las embarazadas<sup style="font-family: Calibri;">10</sup><span style="font-family: "calibri"; font-size: 14.6667px;">.</span> </div>
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<b>REFERENCIAS BIBLIOGRÁFICAS </b></div>
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<span lang="EN-US" style="font-size: 10pt;">1.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><span lang="EN-US" style="font-size: 10pt;">Santiago JR, Nolledo MS, Kinzler W, Santiago TV. Sleep and sleep disorders in pregnancy. Ann Intern Med. 2001; 134(5): 396- 408.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 10pt;">2.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><span lang="EN-US" style="font-size: 10pt;">Facco FL, Kramer J, Ho KH, Zee PC, Grobman WA. Sleep disturbances in pregnancy. Obstet Gynecol, 2010; 115 (1): 77-83.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 10pt;">3.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><span lang="ES" style="font-size: 10pt;">DURÁN-CANTOLLA J, COLS Y GRUPO ESPAÑOL DE SUEÑO(GES). Consenso Nacional sobre el SAHS. </span><span lang="EN-US" style="font-size: 10pt;">Arch Bronconeumol 2005; 41: 12-29<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 10pt;">4.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><span lang="EN-US" style="font-size: 10pt;">Louis JM, Mogos MF, Salemi JL, Redline S, Salihu HM. Obstructive Sleep Apnea and Severe Maternal-Infant Morbidity/Mortality in the United States, 1998-2009. Sleep. 2014;37(5):843-9.<o:p></o:p></span></div>
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<span lang="EN-US" style="font-family: "calibri"; font-size: 10pt;">5.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><span lang="EN-US" style="font-family: "calibri"; font-size: 10pt;">Pien GW, Pack AI, Jackson N, Maislin G, Macones GA, Schwab RJ. Risk factors for sleep-disordered breathing in pregnancy. Thorax. 2014 Apr;69(4):371-7<o:p></o:p></span></div>
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<span lang="ES" style="font-size: 10pt; line-height: 15.3333px;">6.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><span lang="ES" style="font-size: 10pt; line-height: 15.3333px;">Ramírez Guirado A and Morales Rodríguez A. Trastornos de la respiración asociados al sueño durante el embarazo. Rev. Cubana Obstet Ginecol vol. 40 no.4 Ciudad de la Habana oct-dic.2014<o:p></o:p></span></div>
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<span lang="ES" style="font-family: "calibri"; font-size: 10pt;">7.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><span lang="ES" style="font-family: "calibri"; font-size: 10pt;">Álvarez-Aguilar D, Valero-Roncero J, Pérez-Rodríguez E, Sánchez-Márquez G. Trastornos del sueño durante el embarazo. Matronas Prof. 2010; 11 (1): 11-17<o:p></o:p></span></div>
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<span lang="EN-US" style="font-size: 10pt; line-height: 15.3333px;">8.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><span lang="ES" style="font-size: 10pt; line-height: 15.3333px;">Almendros I, Martínez-Ros P, Farré N, Rubio-Zaragoza M, Torres M Gutiérrez-Bautista ÁJ, Carrillo-Poveda JM, Sopena-Juncosa JJ, Gozal D, Gonzalez-Bulnes A, Farré R. </span><span lang="ES" style="font-size: 10pt; line-height: 15.3333px;">Placental oxygen transfer reduces hypoxia-reoxygenation swings in fetal blood in a sheep model of gestational sleep apnea. </span><span lang="EN-US" style="font-size: 10pt; line-height: 15.3333px;">J Appl Physiol (1985). 2019 Sep 1;127(3):745-752. doi: 10.1152/japplphysiol.00303.2019. Epub 2019 Aug 1.<o:p></o:p></span></div>
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<span lang="ES" style="font-size: 10pt;">9.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><span lang="EN-US" style="font-size: 10pt;">Christian Guilleminault*, Martina Kreutzer, Judy L. Chang. Pregnancy, sleep disordered breathing and treatment with nasal continuous positive airway pressure. Dormir med. 2004; 5 (1.):43-51</span><span lang="ES" style="font-size: 10pt;"><o:p></o:p></span></div>
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<span lang="ES">10.<span style="font-family: "times new roman"; font-size: 7pt; font-stretch: normal; line-height: normal;"> </span></span><span lang="EN-US" style="font-size: 10pt;">Morong S, Hermsen B, de Vries N. Sleep-disordered breathing in pregnancy: a review of the physiology and potential role for positional therapy. Sleep Breath Schlaf Atm. 2014 Mar;18(1):31-7.</span><span lang="ES"><o:p></o:p></span></div>
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<br />Edublog Enfermeríahttp://www.blogger.com/profile/06927385251109016014noreply@blogger.com047005, Av. Ramón y Cajal, 7, 47003 Valladolid, España41.6546215 -4.71740610000006216.132586999999997 -46.026000100000061 67.176656 36.591187899999937tag:blogger.com,1999:blog-3455596674492338404.post-54342516049410123132020-02-09T21:09:00.000+01:002020-02-09T22:00:26.180+01:00Twitter para el aprendizaje <div style="text-align: justify;">
En este curso debatiremos algunos TEMAS para conseguir un aprendizaje más reflexivo y colaborativo. El primer debate sobre el <b>taller de Mutilación Genital Femenina </b>del pasado jueves 6 de febrero 2020, en Twitter, en el que se utilizó #MGF #UvaEduca. Marta Alonso y Pedro Campuzano, de Médicos del Mundo, nos enseñaron que en la actualidad, se sigue mutilando a niñas, y que en España también hay riesgo de MGF en población inmigrante, sobre todo cuando visitan su país de origen. La educación es la clave para que se comprenda esta violación de <a href="https://www.un.org/es/universal-declaration-human-rights/" rel="nofollow" target="_blank">los Derechos Humanos </a>que se comete a manos de familiares que como costumbre, en su cultura, siguen practicándola. Es necesario que se cambien estas tradiciones en defensa de la salud y la igualdad de género de niñas y mujeres en todo el mundo. Este es uno de los <a href="https://www.un.org/sustainabledevelopment/es/objetivos-de-desarrollo-sostenible/" rel="nofollow" target="_blank">Objetivos del Desarrollo Sostenible,</a> el nº 5: EQUIDAD DE GÉNERO. </div>
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Sabemos que a todos nos cuesta al principio participar en las redes sociales. Así que queremos felicitar a las alumnas de enfermería que <b>compartieron sus reflexiones en Twitter</b>, y a todos los estudiantes, matronas y profesores que acudieron al taller, muchas gracias por vuestra asistencia. </div>
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Os esperamos en el próximo <a href="https://youtu.be/UVok5L7L-iE" rel="nofollow" target="_blank">debate en Twitter</a> <b>el próximo lunes 17 de febrero 2020, utilizaremos para el debate: @EdublogEnf #SSRempatía #Uvaeduca @Aspaym_CyL y el TEMA será sexualidad y discapacidad,</b> por eso tenemos que tener empatía para ponernos en los zapatos del otro. De hecho, la clase se titula "ponte en mis zapatos" ¡Nos vemos!</div>
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Edublog Enfermeríahttp://www.blogger.com/profile/06927385251109016014noreply@blogger.com0tag:blogger.com,1999:blog-3455596674492338404.post-53844801046626499762020-02-03T07:30:00.000+01:002020-02-03T07:30:00.644+01:00ENFERMERÍA EN SALUD SEXUAL Y REPRODUCTIVA <div style="width: 100%;">
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Edublog Enfermeríahttp://www.blogger.com/profile/06927385251109016014noreply@blogger.com2Valladolid, España41.652251 -4.724532100000033141.2728905 -5.369979100000033 42.0316115 -4.0790851000000332tag:blogger.com,1999:blog-3455596674492338404.post-77162965879729722952019-11-25T08:31:00.000+01:002019-12-11T18:40:47.008+01:00Innovación docente. Experiencias en la Facultad Enfermería UVA<div style="text-align: center;">
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<i><span style="color: blue; font-size: large;">"Si uno considera los cambios como una amenaza, nunca innovará"</span></i></div>
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<span style="font-size: large;">Hoy vamos a hablar de innovación docente, de los proyectos que estamos implementando y de la motivación que se genera cuando ves cambios y mejoras en la enseñanza-aprendizaje de los estudiantes. La innovación genera <b>cambios </b>de materiales, métodos, contenidos o de contextos de la enseñanza. Debe mejorar la calidad de la enseñanza, aportar valor y ser relevante aportando a la institución educativa y a los grupos de interés externos. Todos percibimos que el mundo está cambiando a pasos acelerados y la educación no es una excepción. Ahora se presentan nuevos retos formativos y profesionales para las enfermeras y por eso nos estamos implicando, presentando proyectos de innovación educativa en las convocatorias de la Universidad de Valladolid y además, nos adherimos a la campaña internacional <a href="https://enfermeriauva.blogspot.com/2018/03/enfermeria-ahora-nursing-now.html" target="_blank">Nursing Now "Enfermería Ahora" </a> <b>porque ahora es el momento, y las enfermeras/os y las matronas necesitan una formación de calidad. </b></span></div>
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<span style="font-size: large;">La gamificación, Evaluación ECOE, Simulación Clínica, Píldoras formativas, Flipped Classroom, guías para Trabajos Fin de Grado, Internacionalización, Aprendizaje Basado en Problemas, la Web 2.0 aplicada a la educación... tienen enorme potencial. Por eso, h</span><span style="font-size: large;">emos compartido estos días resultados de nuestros proyectos y hemos conocido experiencias de proyectos de otras facultades y de otras disciplinas.</span><br />
<span style="font-size: large;">Compartimos este vídeo y esperamos vuestros comentarios ¿ y tú qué piensas sobre innovación?</span></div>
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Edublog Enfermeríahttp://www.blogger.com/profile/06927385251109016014noreply@blogger.com1Valladolid, España41.652251 -4.724532100000033141.2728905 -5.369979100000033 42.0316115 -4.0790851000000332tag:blogger.com,1999:blog-3455596674492338404.post-17991506863760952692019-10-26T14:51:00.000+02:002019-10-26T15:09:46.106+02:00Determinantes Sociales de Salud <div style="text-align: justify;">
<span style="font-size: large;">En este post queremos destacar la visión integral del paciente desde la atención primaria. Como si nos pusiéramos unas gafas de aumento, veremos más allá, al atender la salud y la enfermedad de las personas. La definición de la <a href="https://www.who.int/social_determinants/es/" target="_blank">Organización Mundial de la Salud </a> nos recuerda que los determinantes sociales son las circunstancias en las que las personas nacen, crecen, viven, trabajan y envejecen. Son el resultado de la distribución del dinero, el poder y los recursos en el mundo y explican la mayor parte de inequidades sanitarias. Porque los más pobres viven menos y suelen enfermar más. </span></div>
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<span style="font-size: large;">El campo de los determinantes sociales de la salud es quizás uno de los más complejos y desafiantes. Se trata de los aspectos claves de la vida y las circunstancias laborales de las personas y de sus estilos de vida. Se interesa por el efecto que ejercen sobre la salud las políticas sociales y económicas y también por los beneficios que pueden aportar los esfuerzos invertidos en el campo de las políticas sanitarias. </span></div>
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<a href="https://www.mscbs.gob.es/profesionales/saludPublica/prevPromocion/promocion/desigualdadSalud/docs/hechosProbados.pdf" target="_blank"><span style="font-size: large;">Existen evidencias científicas como:</span></a></div>
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<li><span style="font-size: large;">Las circunstancias económicas y sociales asociadas a la pobreza afectan a la salud de por vida. A menor nivel social, menor esperanza de vida.</span></li>
<li><span style="font-size: large;">Las circunstancias que provocan estrés, preocupan a las personas, les crean ansiedad y les hacen sentirse incapaces de salir adelante, perjudican la salud y pueden causar una muerte prematura.</span></li>
<li><span style="font-size: large;">Un buen comienzo en la vida significa apoyar a las madres y a los niños y niñas: el desarrollo temprano y la educación ejercen un impacto sobre la salud que dura toda la vida.</span></li>
<li><span style="font-size: large;">La vida es corta donde su calidad es pobre. La pobreza, la marginación social y la discriminación cuestan vidas porque provocan privaciones y resentimiento.</span></li>
<li><span style="font-size: large;">El estrés en el trabajo eleva el riesgo de enfermedad. Las personas que tienen un mayor control sobre su trabajo están más sanas.</span></li>
<li><span style="font-size: large;">La amistad, las buenas relaciones sociales y unas sólidas redes de apoyo mejoran la salud en el hogar, en el trabajo y en la comunidad.</span></li>
<li><span style="font-size: large;">El consumo de drogas es una respuesta a la desintegración social y además, contribuye a acentuar las desigualdades en el ámbito de la salud</span></li>
<li><span style="font-size: large;">Una buena dieta y un suministro de comida adecuado constituyen dos de los factores más determinantes en la promoción de la salud y el bienestar. Una carencia de comida o la falta de variedad provocan desnutrición y enfermedades carenciales. Un consumo excesivo (considerado también como malnutrición) contribuye al desarrollo de enfermedades cardiovasculares, diabetes, cáncer, enfermedades oculares degenerativas, obesidad y caries dental. </span></li>
<li><span style="font-size: large;">Un sistema de transporte saludable implica conducir menos y caminar y pedalear más contando con el respaldo de un sistema transporte público mejorado.</span></li>
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<span style="font-size: large;">En los equipos de atención primaria contamos con la figura del Trabajador Social. En el siguiente vídeo Merche y María nos contarán cuáles son algunas de sus funciones. Nuestro agradecimiento a sus pacientes y nuestras compañeras trabajadores sociales que trabajan con todo el equipo de salud y mano a mano con nosotras, las enfermeras y las matronas. </span><br />
<span style="font-size: large;">Autora: Carolina González Hernando.</span></div>
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Edublog Enfermeríahttp://www.blogger.com/profile/06927385251109016014noreply@blogger.com0tag:blogger.com,1999:blog-3455596674492338404.post-90776021927760022332019-10-01T20:24:00.000+02:002019-10-01T20:24:14.268+02:00El día a día de una matrona de atención primaria<div style="text-align: center;">
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<span lang="ES" style="font-size: 10.0pt; line-height: 107%;"><br /></span><span lang="ES" style="font-size: 10.0pt; line-height: 107%;">Matronas que participaron en este vídeo: Anne Prunel Bacharach (CS Olmedo) y Lucía Valdivieco Abad (CS Rioseco)</span><br />
<span lang="ES" style="font-size: 10.0pt; line-height: 107%;">Imágenes en el post: Asociación de Matronas de Canadá <o:p></o:p></span><br />
<span lang="ES" style="font-size: 10.0pt; line-height: 107%;">Autora del post: Carolina González Hernando</span></div>
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<span lang="ES" style="color: black; font-family: "arial"; font-size: 12.0pt; font-weight: normal; line-height: 115%;">Como hemos visto en los vídeos anteriores, en Sanidad de Castilla y León, las matronas están integradas <a href="https://enfermeriauva.blogspot.com/2019/02/el-rol-de-la-matrona-en-atencion.html" target="_blank">en los equipos de atención primaria</a>, tanto en ciudades como en zonas rurales. Son profesionales de la salud que brindan atención primaria durante el embarazo, acompañamiento y atención durante el parto y el postparto. También cuidan la salud de las mujeres y familias a lo largo del ciclo vital, en el área de la salud sexual y reproductiva durante la adolescencia, edad adulta, el climaterio y durante la vejez en al área de ginecología. </span></h2>
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<span lang="ES" style="color: black; font-family: "arial"; font-size: 12.0pt; font-weight: normal; line-height: 115%;">En los últimos años, la figura de la matrona, partera o enfermera obstétrica está tomando mayor relevancia a nivel mundial. Según datos del <a href="https://www.unfpa.org/es/parter%C3%ADa" target="_blank">Fondo de las Naciones Unidas </a>de la Población, estos profesionales cualificados pueden ayudar a reducir la mortalidad maternal y neonatal alrededor del 66%.</span></h2>
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<span lang="ES" style="color: black; font-family: "arial"; font-size: 12.0pt; font-weight: normal; line-height: 115%;">También destaca en los <a href="https://www.un.org/sustainabledevelopment/es/" target="_blank">Objetivos del Desarrollo Sostenible</a>, la Organización Mundial de la Salud con la <a href="http://www.undp.org/content/undp/es/home/sustainable-development-goals.html" target="_blank">Agenda 2030</a> </span><span style="font-family: "arial"; font-size: 12pt;">pretende no sólo garantizar la supervivencia, si no empoderar a las mujeres y a sus hijos para transformar las comunidades, por lo que las matronas deben asumir mayor <a href="https://news.un.org/es/story/2018/05/1432862" target="_blank">responsabilidad y liderazgo</a> tanto en su formación como en el cuidado que dan a las mujeres que atienden. </span></div>
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<span lang="ES" style="color: black; font-family: "arial"; font-size: 12.0pt; line-height: 107%;">En esta etapa se resuelven infinidad de <span style="mso-spacerun: yes;"> </span>dudas que plantean los futuros padres. Muchas parejas quieren conocer qué precauciones deberán seguir para que su hijo nazca sano. Aunque todo el equipo de atención primaria intervenga en estas actividades de promoción de la salud y prevención, la matrona será el profesional referente que <span style="mso-spacerun: yes;"> </span>le recomendará la profilaxis con ácido fólico al menos 2 meses antes del embarazo, <span style="mso-spacerun: yes;"> </span>le explicará <span style="mso-spacerun: yes;"> </span>el ciclo menstrual ( fase fértil e infértil), cuándo se deberá realizar una prueba de embarazo, le hará <span style="mso-spacerun: yes;"> </span>una entrevista clínica por si padecen alguna enfermedad y si fuese preciso le dará recomendaciones sobre hábitos tóxicos como el consumo de alcohol y tabaco, <span style="mso-spacerun: yes;"> </span>y comprobará la correcta vacunación de la mujer.</span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="ES" style="color: black; font-family: "arial"; font-size: 12.0pt; line-height: 115%;">El cuidado prenatal<o:p></o:p></span></b></div>
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<span lang="ES" style="color: black; font-family: "arial"; font-size: 12.0pt; line-height: 115%;">Las matronas brindan atención del embarazo, realizan las actividades <span style="mso-spacerun: yes;"> </span>de <span style="mso-spacerun: yes;"> </span>control y seguimiento del embarazo, control de peso, de tensión arterial, del estado emocional de la embarazada, del bienestar fetal<span style="mso-spacerun: yes;"> </span>e impartirán educación para la salud durante la consulta y durante los cursos de preparación al parto o educación prenatal. En cuanto la mujer sepa que está embarazada deberá asistir a la consulta de su matrona para ser atendida cuanto antes. El embarazo de mujeres sanas es controlado por las matronas, que tienen <span style="mso-spacerun: yes;"> </span>una función autónoma y siguen los protocolos conjuntos con el equipo de salud ( médico de familia, enfermera y obstetra) pero la matrona será el profesional de referencia durante el cuidado prenatal. <o:p></o:p></span></div>
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<span lang="ES" style="color: black; font-family: "arial"; font-size: 12.0pt; line-height: 115%;"><br />
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<b style="mso-bidi-font-weight: normal;"><span lang="ES" style="color: black; font-family: "arial"; font-size: 12.0pt; line-height: 115%;">La atención al parto </span></b><span lang="ES" style="color: black; font-family: "arial"; font-size: 12.0pt; line-height: 115%;">suele<b style="mso-bidi-font-weight: normal;"> </b><span style="mso-spacerun: yes;"> </span>ser en el<span style="mso-spacerun: yes;"> </span>hospital <span style="mso-spacerun: yes;"> </span>y<span style="mso-spacerun: yes;"> </span>el acompañamiento lo realizará <span style="mso-spacerun: yes;"> </span>su matrona. <span style="mso-spacerun: yes;"> </span>Si la mujer decidiese<span style="mso-spacerun: yes;"> </span>tener su parto en domicilio, será atendida también por una matrona pero en este caso de forma privada. La atención del parto normal lo hará una matrona que es el profesional de referencia sin embargo, <span style="mso-spacerun: yes;"> </span>será el médico especialista en ginecología y obstetricia el que atienda a la mujer en caso de alguna desviación de la normalidad del parto.<o:p></o:p></span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjklNCtOlpRpm7C-xS7V6dlWesABoWUoXvjzk4oNfgyum6lmgKqjkP6cpLS5Jo_cpcY3pUHHEdR2SnVv74Adgpgopg2_yassfehQfbHb9p4DVJlv_63OlJqhmrK0887NXuEVTf5B8Cx3fxA/s1600/choice-of-birth-setting-389x400.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="400" data-original-width="389" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjklNCtOlpRpm7C-xS7V6dlWesABoWUoXvjzk4oNfgyum6lmgKqjkP6cpLS5Jo_cpcY3pUHHEdR2SnVv74Adgpgopg2_yassfehQfbHb9p4DVJlv_63OlJqhmrK0887NXuEVTf5B8Cx3fxA/s200/choice-of-birth-setting-389x400.jpg" width="194" /></a></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="ES" style="color: black; font-family: "arial"; font-size: 12.0pt; line-height: 115%;">El cuidado del postparto y lactancia <o:p></o:p></span></b></div>
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<span lang="ES" style="color: black; font-family: "arial"; font-size: 12.0pt; line-height: 115%;">Cuando la mujer reciba el alta hospitalaria, <span style="mso-spacerun: yes;"> </span>que suele ser a los 2 días tras un parto normal o 4 días tras una cesárea, regresará al domicilio siguiendo de nuevo los cuidados pautados por la matrona de atención primaria que revisará a la mujer del postparto entre los 4 a 10 días. Es fundamental <span style="mso-spacerun: yes;"> </span>observar la toma de lactancia materna si ésta es la alimentación que recibe el recién nacido, pues la matrona es experta en lactancia materna y <span style="mso-spacerun: yes;"> </span>podrá guiar a la madre para que la lactancia materna sea exitosa.<o:p></o:p></span></div>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhJMo8H4TZ7ae162-I61vHIibev-i_rsQa5bNgxlKR2GGPox1ZHLzkgyb7sPDvSLC93S23cRaxAwKIxlLyt-vnrrnVDoIBtq9RaBzl5Mbo8PYBa_IIqqTTIUomjiq9vxP_BoIkJtTQfyrb9/s1600/postnatal-care-400x400.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" data-original-height="400" data-original-width="400" height="200" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhJMo8H4TZ7ae162-I61vHIibev-i_rsQa5bNgxlKR2GGPox1ZHLzkgyb7sPDvSLC93S23cRaxAwKIxlLyt-vnrrnVDoIBtq9RaBzl5Mbo8PYBa_IIqqTTIUomjiq9vxP_BoIkJtTQfyrb9/s200/postnatal-care-400x400.jpg" width="200" /></a></div>
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<span style="background: white; color: #333333; font-family: "arial"; font-size: 12.0pt; line-height: 115%;">Las matronas creen que toda persona tiene derecho a ser responsable de tomar decisiones sobre su propio cuidado. Las matronas<span style="mso-spacerun: yes;"> </span>le animan <span style="mso-spacerun: yes;"> </span>a participar plenamente en la planificación de su propio cuidado y en el cuidado de su recién nacido. Las consultas programan suficiente tiempo durante sus visitas para una discusión significativa y para responder sus preguntas. <span style="mso-spacerun: yes;"> </span>Las mujeres puede acudir a su matrona de atención primaria en su centro de salud <span style="mso-spacerun: yes;"> </span>pidiendo cita a través del teléfono o a través<span style="mso-spacerun: yes;"> </span>del servicio de Admisión. </span><span style="font-family: "arial"; font-size: 12.0pt; line-height: 115%;"><o:p></o:p></span></div>
<!--EndFragment--><br />Edublog Enfermeríahttp://www.blogger.com/profile/06927385251109016014noreply@blogger.com1tag:blogger.com,1999:blog-3455596674492338404.post-9570854378204189962019-09-16T10:35:00.000+02:002019-09-16T10:39:05.192+02:00Aprendizaje Servicio (ApS) en Enfermería Comunitaria <div style="width: 100%;">
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<span style="color: #222222; font-family: "arial"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-TRAD;">El video recopila algunas actividades realizadas en el marco de la implementación de un Programa de intervención comunitaria, basado en la estrategia pedagógica del Aprendizaje en el Servicio o Aprender Sirviendo (ApS), en el que participaron estudiantes de octavo semestre de la Licenciatura en Enfermería de la ENEO-UNAM. <o:p></o:p></span></div>
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<span style="color: #222222; font-family: "arial"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-TRAD;">Se observan intervenciones de educación para la salud en niños, adolescentes, adultos mayores y personas con discapacidad intelectual, incluido un taller de primeros auxilios. Además, muestra el desarrollo de la campaña denominada: Tlalpan limpio. Tlalpan es una alcaldía al sur de la Ciudad de México que se caracteriza por sus amplias áreas de reserva natural, cañadas y ríos urbanos. <o:p></o:p></span></div>
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<span style="color: #222222; font-family: "arial"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-TRAD;">Dicha campaña de limpieza se realizó gracias a la gestión de los estudiantes ante las autoridades locales, vecinos de la comunidad y una asociación civil, quienes contribuyeron con distintas actividades para la realización de la limpieza del Río San Buenaventura. Dando cuenta del gran potencial de acción y organización que tienen los estudiantes, cuando asumen un compromiso social de aprender sirviendo.<o:p></o:p></span></div>
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<span style="color: #222222; font-family: "arial"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-TRAD;">Aparece agradeciendo una autoridad local, la alcaldesa Patricia Aceves Pastrana quien reconoce el trabajo realizado y terminamos con la porra universitaria, el tradicional ¡Goya!<o:p></o:p></span><br />
<span style="color: #222222; font-family: "arial"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-TRAD;"><br /></span>
<span style="color: #222222; font-family: "arial"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-TRAD;">Autor: Maestro Mario Uriel Morales. Profesor de la Escuela Nacional de Enfermería y Obstetricia. </span><br />
<span style="color: #222222; font-family: "arial"; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: ES-TRAD;">Universidad Nacional Autónoma de México. ENEO-UNAM </span></div>
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Edublog Enfermeríahttp://www.blogger.com/profile/06927385251109016014noreply@blogger.com0Camino Viejo to Xochimilco and, Viad. Tlalpan, Huipulco, 14370 Ciudad de México, México19.291783 -99.15077500000001-4.80978 -140.459369 43.393345999999994 -57.842181000000011tag:blogger.com,1999:blog-3455596674492338404.post-80873896872517825032019-09-09T10:14:00.000+02:002019-09-09T10:15:14.885+02:00Museo Anatómico de la UVA<iframe allow="accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture" allowfullscreen="" frameborder="0" height="315" src="https://www.youtube.com/embed/E-TCWjULVmo" width="560"></iframe><!--[if gte mso 9]><xml> <o:OfficeDocumentSettings> <o:AllowPNG/> </o:OfficeDocumentSettings> </xml><![endif]--> <!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves/> <w:TrackFormatting/> <w:HyphenationZone>21</w:HyphenationZone> <w:PunctuationKerning/> <w:ValidateAgainstSchemas/> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:DoNotPromoteQF/> <w:LidThemeOther>ES</w:LidThemeOther> <w:LidThemeAsian>X-NONE</w:LidThemeAsian> <w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> <w:DontGrowAutofit/> <w:SplitPgBreakAndParaMark/> <w:EnableOpenTypeKerning/> <w:DontFlipMirrorIndents/> <w:OverrideTableStyleHps/> </w:Compatibility> <m:mathPr> <m:mathFont m:val="Cambria Math"/> <m:brkBin m:val="before"/> <m:brkBinSub m:val="--"/> <m:smallFrac m:val="off"/> <m:dispDef/> <m:lMargin m:val="0"/> <m:rMargin m:val="0"/> <m:defJc m:val="centerGroup"/> <m:wrapIndent m:val="1440"/> <m:intLim m:val="subSup"/> <m:naryLim m:val="undOvr"/> </m:mathPr></w:WordDocument> </xml><![endif]--><!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="false"
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<i style="font-family: arial;">Autor: Dr.Pedro Martín Villamor </i><br />
<span style="font-family: "arial";"><i><br /></i></span>
<span style="font-family: "arial"; font-size: 12pt;">El Museo Anatómico de la Universidad de Valladolid forma parte del</span><span style="font-family: "arial"; font-size: 12pt;"> </span><a href="http://www.uva.es/export/sites/uva/6.vidauniversitaria/6.01.cultura/6.01.05.museos/index.html" style="font-family: arial; font-size: 12pt;" target="_blank">MUVA</a><span style="font-family: "arial"; font-size: 12pt;">, que gestiona colecciones con valor histórico, artístico o científico pertenecientes a la Universidad. Entre ellas están los objetos, instrumental y modelos anatómicos naturales y artificiales destinados al estudio y la docencia de la Anatomía, </span><span style="font-family: "arial"; font-size: 12pt;"> </span><span style="font-family: "arial"; font-size: 12pt;">reunidos desde hace más de cien años por el Departamento Anatómico de la Universidad de Valladolid. </span><span style="font-family: "arial"; font-size: 12pt;"> </span></div>
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<span lang="ES" style="font-family: "arial"; font-size: 12.0pt; line-height: 115%;">Dado el escaso sitio disponible, los fondos de este museo están repartidos en dos espacios cerrados: el Anfiteatro López Prieto y la sala denominada específicamente Museo Anatómico, además de vitrinas y expositores situados provisionalmente en pasillos. <o:p></o:p></span></div>
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<span lang="ES" style="font-family: "arial"; font-size: 12.0pt; line-height: 115%;">Las colecciones más interesantes son:</span></div>
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<span style="font-family: "arial"; font-size: 12pt;">Por un lado están los modelos anatómicos, verdaderas esculturas en cera, que reproducen fielmente las disecciones hechas por anatomistas de París, Viena, Bolonia, Madrid… algunas de las cuales datan de la segunda mitad del siglo XIX. A menudo se utilizaban huesos o pelo natural para dar más realismo a las figuras. Hay también modelos en escayola, arcilla, cartón y más recientemente, en plástico.</span></div>
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<span lang="ES" style="font-family: "arial"; font-size: 12.0pt; line-height: 115%;">Otra colección destacable es la destinada al instrumental y las técnicas anatómicas en donde, además de aparataje utilizado en las disecciones y preparación de modelos para la docencia se pueden ver<span style="mso-spacerun: yes;"> </span>piezas naturales sometidas a técnicas de parafinación, corrosión, plastinación o inclusiones en resina. <o:p></o:p></span></div>
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<span lang="ES" style="font-family: "arial"; font-size: 12.0pt; line-height: 115%;">La amplia sección de osteología es fundamental para el estudio de la anatomía comparada y de las modificaciones evolutivas de diferentes especies. Cuenta con más de 500 cráneos y 200 esqueletos de mamíferos, aves, reptiles y<span style="mso-spacerun: yes;"> </span>anfibios entre los que llaman la atención, por su tamaño, los cráneos de elefante, rinoceronte o hipopótamo y por su envergadura, el esqueleto completo de una joven jirafa.<span style="mso-spacerun: yes;"> </span>Es muy interesante la colección de cráneos de primates, de las mejores de Europa, donde se puede observar desde el cráneo de un <i>T</i><i style="mso-bidi-font-style: normal;">iti pigmeo</i>, del tamaño de una moneda de 2 euros, hasta la familia de los grandes simios entre los que nos encontramos los humanos.<o:p></o:p></span></div>
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<span lang="ES" style="font-family: "arial"; font-size: 12.0pt; line-height: 115%;">Hay, además, antiguos botes de farmacia, instrumental quirúrgico y oftalmológico y un sinfín de curiosidades que invitan al que viene por primera vez a repetir la visita de forma más pausada.</span></div>
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<span lang="ES" style="font-family: "arial"; font-size: 12.0pt; line-height: 115%;">Este interesante museo está ubicado en el Edificio de Ciencias de la Salud, que acoge las Facultades de Medicina y Enfermería;<span style="mso-spacerun: yes;"> </span>es de acceso gratuito y abre sus puertas de lunes a viernes de 10 a 14 horas y de 16 a 18 horas</span></div>
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<span lang="ES" style="font-family: "arial"; font-size: 12.0pt; line-height: 115%;">Dirección: <a href="https://goo.gl/maps/h4g5xEfNujCdWcD88" target="_blank">C/ Ramón y Cajal 7. 47005, Valladolid </a></span></div>
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Edublog Enfermeríahttp://www.blogger.com/profile/06927385251109016014noreply@blogger.com0tag:blogger.com,1999:blog-3455596674492338404.post-54017494442096110392019-07-08T10:03:00.001+02:002019-07-09T19:27:04.390+02:00Cesárea ( vídeo + elementos interactivos)<div style="width: 100%;">
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Edublog Enfermeríahttp://www.blogger.com/profile/06927385251109016014noreply@blogger.com0Calle Dulzaina, 2, 47012 Valladolid, España41.6296788 -4.713748799999962116.1076443 -46.022342799999961 67.1517133 36.594845200000037tag:blogger.com,1999:blog-3455596674492338404.post-41725810802271489512019-06-10T07:30:00.000+02:002019-06-04T20:35:11.521+02:00Vacuna de la tosferina en embarazo <div style="text-align: center;">
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<span style="font-size: large;"><span style="font-family: inherit;"><span style="line-height: 115%;">La tos ferina es una infección bacteriana aguda de las vías respiratorias superiores provocada por los bacilos Gram negativos <i>Bordetella Pertusis.</i> Es una enfermedad común en la infancia y antes de la introducción de la vacuna ( en el año 1.965) causaba una elevada mortalidad infantil. La tos ferina es altamente contagiosa y a pesar de la disminución de las formas graves, tras la introducción de la vacuna, la circulación de <i>B.Pertusis </i>nunca se ha interrumpido, a diferencia de otras enfermedades infecciosas.</span></span></span><br />
<span style="font-size: large;"><span style="font-family: inherit;"><span style="line-height: 115%;">La tos ferina se transmite por vía aérea al toser, estornudar, reir e incluso hablar. Aunque al principio es similar a un catarro (fase catarral que dura 1-2 semanas), después se producen ataques de tos (fase paroxística) que dificultan la respiración del niño pudiendo causar complicaciones graves en lactantes y menores de un año, incluso la muerte. </span></span></span></div>
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<span style="font-size: large;"><span style="font-family: inherit;"><span style="line-height: 115%;"><b>La vacunación </b>de la mujer embarazada tiene como objetivo proteger al recién nacido frente a la infección. En el último trimestre de gestación se produce un mayor paso de anticuerpos de la madre al feto a través de la placenta que permite protección al recién nacido hasta que se le administre la 1ª dosis de la vacuna ( a los 2 meses). Se trata de una vacuna segura en el embarazo, recomendada por distintas sociedades científicas. La pauta de vacunación consiste en administrar una dosis de la vacuna <b>entre las 27 y 36 semanas</b> del embarazo.</span></span></span></div>
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<span style="font-family: inherit;"><span style="font-size: large;"><span style="line-height: 115%;">En Castilla y León <a href="https://www.saludcastillayleon.es/profesionales/es/vacunaciones/vacunacion-infantil/calendario-vacunacion-infantil-castilla-leon-2019" target="_blank">en 2019,</a> la vacuna de la tos ferina está incluida en el <b>calendario vacunal infantil </b>a los 2, 4, 6 meses y a los 6 años combinada con otras vacunas. </span></span></span><br />
<span style="font-family: inherit;"><span style="font-size: large;"><span style="line-height: 115%;">A las gestantes que administramos <a href="https://www.blogger.com/blogger.g?blogID=3455596674492338404#editor/target=post;postID=4172581080227148951" target="_blank">Boostrix</a> ( </span></span></span><span style="font-size: large;">DTPa Difteria Tetanos Pertusis acelular):</span><br />
<span style="font-family: inherit;"><span style="font-size: large;"><span style="line-height: 115%;">-La vacuna se administra en el deltoides, mejor del brazo derecho( por si le duele después, duerma en decúbito lateral izquierdo)</span></span></span><br />
<span style="font-family: inherit;"><span style="font-size: large;"><span style="line-height: 115%;">-Si hay que administrar <a href="https://www.msssi.gob.es/ciudadanos/proteccionSalud/vacunaciones/docs/Vacunacion_Tosferina_Embarazadas.pdf" target="_blank">la vacuna antigripal</a>(durante la campaña de vacunación) se puede poner simultáneamente en diferentes brazos</span></span></span><br />
<span style="font-family: inherit;"><span style="font-size: large;"><span style="line-height: 115%;">-No se debe utilizar alcohol como antiséptico, pues inactiva algunas vacunas</span></span></span><span style="font-family: inherit; font-size: large;"> </span><br />
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mso-tstyle-colband-size:0;
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mso-para-margin-right:0cm;
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</style> <![endif]--><span style="font-size: small;"><span style="font-family: "times" , "times new roman" , serif;"><b><span style="color: red; line-height: 115%;"><span style="color: black;">Bibliografía:</span></span></b></span></span></div>
<ol><span style="font-size: small;"><span style="font-family: "times" , "times new roman" , serif;"> </span></span>
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</style> <![endif]--><span style="font-size: small;"><span style="font-family: "times" , "times new roman" , serif;"><span style="line-height: 115%;">Asociación Española de Pediatría. Comité Asesor de Vacunas. Calendario de Vacunaciones de la AEP. </span><span lang="EN-US" style="line-height: 115%;">[Online].; 2015 [cited 30 Octubre 2015. Available from: </span><span style="line-height: 115%;"><a href="http://vacunasaep.org/profesionales/calendario-de-vacunaciones-de-la-aep-2015#cambios"><span lang="EN-US">http://vacunasaep.org/profesionales/calendario-de-vacunaciones-de-la-aep-2015#cambios</span></a></span></span></span></li>
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</style> <![endif]--> </span></span><span style="mso-ansi-language: EN-US; mso-no-proof: yes;"><span lang="EN-US">Lakshmi Sukumaran Mea. Association of Tdap Vaccination With Acute Events and Adverse Birth Outcomes Among Pregnant Women With Prior Tetanus-Containing Immunizations. </span></span><span style="mso-no-proof: yes;">JAMA. 2015 Octubre; 314(15) disponible en:</span> <span style="mso-no-proof: yes;"><a href="http://jama.jamanetwork.com/article.aspx?articleid=2463256">http://jama.jamanetwork.com/article.aspx?articleid=2463256</a><span style="mso-tab-count: 1;"> </span></span><br />
<span style="line-height: 115%;"><span lang="EN-US"> </span></span></li>
<li><span style="font-size: small;"><span style="font-family: "times" , "times new roman" , serif;">Grupo de Trabajo Tos Ferina 2012 de la Ponencia de Programa y Registro de Vacunaciones.Revisión del programa de vacunación frente a tos ferina en España.Comisión de SaludPública del Consejo Interterritorial del Sistema Nacional de Salud. Ministerio de Sanidad,Servicios Sociales e Igualdad, 2013.</span></span></li>
<span style="font-size: small;"><span style="font-family: "times" , "times new roman" , serif;"> </span></span>
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</style> <![endif]--><span style="line-height: 115%;">Dirección General de Salud Pública. Vacunación de las embarazadas frente a la tosferina en la Comunidad Valenciana "protejamos a los lactantes frente a la tos ferina". </span><span lang="EN-US" style="line-height: 115%;">[Online]. [cited 30 octubre 2015. Available from: </span><span style="line-height: 115%;"><a href="http://portalcecova.es/output/files/VAC_EMBARAZADAS_FRENTE_TOS_FERINA_CCVV.pdf"><span lang="EN-US">http://portalcecova.es/output/files/VAC_EMBARAZADAS_FRENTE_TOS_FERINA_CCVV.pdf</span></a></span></span></span></span></li>
<span style="font-size: small;"><span style="font-family: "times" , "times new roman" , serif;"> </span></span>
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</style> <![endif]--><span style="line-height: 115%;"> Grupo de Trabajo de Perinatología de la Sociedad de Obstetricia y Ginecología de la Comunidad Valenciana.Recomendaciones sobre vacunación de las embarazadas contra la tos ferina. </span><span lang="EN-US" style="line-height: 115%;">[Online].; 2014 [cited 30 Octubre 2015. Available from: </span><span style="line-height: 115%;"><a href="http://www.sogcv.com/archivos/RECOMENDACIONES_SOGCV_TOSFERINA.pdf"><span lang="EN-US">http://www.sogcv.com/archivos/RECOMENDACIONES_SOGCV_TOSFERINA.pdf</span></a></span> </span></span></span></li>
<span style="font-size: small;"><span style="font-family: "times" , "times new roman" , serif;"> </span></span>
<li><span style="font-size: small;"><span style="font-family: "times" , "times new roman" , serif;">Grupo de Trabajo tos ferina 2015 de la Ponencia de Programa y Registro de Vacunaciones. Adenda al programa de vacunación frente a tos ferina en España: vacunación en el embarazo. Comisión de Salud Pública del Consejo Interterritorial del Sistema Nacional de Salud. Ministerio de Sanidad, Servicios Sociales e Igualdad, 2015 </span></span></li>
<span style="font-size: small;"><span style="font-family: "times" , "times new roman" , serif;"> </span></span>
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</style> <![endif]--><span style="mso-no-proof: yes;">Gervás J. Tos ferina. 2014. En Cataluña se vacunará a las embarazadas(semana 27-36) para que transmitan inmunidad al recién nacido. </span><span lang="EN-US" style="mso-ansi-language: EN-US; mso-no-proof: yes;">[Online].; 2015 [cited 30 Octubre 2015. Available from: </span><span style="mso-no-proof: yes;"><a href="http://equipocesca.org/wp-content/uploads/2014/01/Tos-ferina.-2014.-.pdf"><span lang="EN-US" style="mso-ansi-language: EN-US;">http://equipocesca.org/wp-content/uploads/2014/01/Tos-ferina.-2014.-.pdf</span></a></span><span lang="EN-US" style="mso-ansi-language: EN-US; mso-no-proof: yes;">.</span> </span></span></li>
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<!--[if gte mso 9]><xml> <o:OfficeDocumentSettings> <o:RelyOnVML/> <o:AllowPNG/> </o:OfficeDocumentSettings> </xml><![endif]--><!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves/> <w:TrackFormatting/> <w:DoNotShowRevisions/> <w:DoNotPrintRevisions/> <w:DoNotShowInsertionsAndDeletions/> <w:DoNotShowPropertyChanges/> <w:HyphenationZone>21</w:HyphenationZone> <w:PunctuationKerning/> <w:ValidateAgainstSchemas/> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:DoNotPromoteQF/> <w:LidThemeOther>ES</w:LidThemeOther> <w:LidThemeAsian>X-NONE</w:LidThemeAsian> <w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> <w:DontGrowAutofit/> <w:SplitPgBreakAndParaMark/> <w:DontVertAlignCellWithSp/> <w:DontBreakConstrainedForcedTables/> <w:DontVertAlignInTxbx/> <w:Word11KerningPairs/> <w:CachedColBalance/> </w:Compatibility> <m:mathPr> <m:mathFont m:val="Cambria Math"/> <m:brkBin m:val="before"/> <m:brkBinSub m:val="--"/> <m:smallFrac m:val="off"/> <m:dispDef/> <m:lMargin m:val="0"/> <m:rMargin m:val="0"/> <m:defJc m:val="centerGroup"/> <m:wrapIndent m:val="1440"/> <m:intLim m:val="subSup"/> <m:naryLim m:val="undOvr"/> </m:mathPr></w:WordDocument> </xml><![endif]--><i>Post escrito el 03/04/2016 y actualizado en junio de 2019</i>Edublog Enfermeríahttp://www.blogger.com/profile/06927385251109016014noreply@blogger.com0Valladolid, España41.652251 -4.724532100000033141.2728905 -5.369979100000033 42.0316115 -4.0790851000000332tag:blogger.com,1999:blog-3455596674492338404.post-71250196842120623402019-05-27T12:27:00.000+02:002019-05-27T12:44:10.959+02:00Banco de Leche. Procesamiento de la leche materna<div style="text-align: center;">
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<span lang="ES" style="color: black; font-family: "arial"; font-size: 14.0pt; line-height: 150%;">La leche donada debe ser procesada para garantizar su seguridad microbiológica, eliminando la presencia de bacterias contaminantes y de virus patógenos. El tratamiento utilizado por la mayoría de los Bancos de Leche es la pasteurización mediante el método Holder, el cual se caracteriza por someter a la leche materna a una temperatura de 62.5°C durante 30 minutos para después enfriarla rápidamente en menos de 15 minutos hasta 4ºC. Con el objetivo de garantizar su seguridad, se realiza un análisis microbiológico de la leche una vez pasteurizada. Asimismo, se analiza el contenido de proteínas, grasa, lactosa y energía. Esto permite seleccionar la leche nutricionalmente más adecuada para los recién nacidos que la recibirán. Después de este proceso la leche se congela y se almacena hasta su distribución.<o:p></o:p></span></div>
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<span lang="ES" style="color: black; font-family: "arial"; font-size: 14.0pt; line-height: 150%;">En este vídeo los profesionales del BLMCYL nos explican los procesos que se realizan con la leche materna donada en un banco de leche, desde que la mujer donante realiza la extracción hasta que es enviada a los hospitales para su administración al recién nacido receptor.</span><span lang="ES" style="color: black; font-family: "arial"; font-size: 12.0pt; line-height: 150%;"> <o:p></o:p></span><br />
<span lang="ES" style="color: black; font-family: "arial"; font-size: 14.0pt; line-height: 150%;">AUTORA DEL POST: Dra. Carmen María Samaniego </span></div>
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Edublog Enfermeríahttp://www.blogger.com/profile/06927385251109016014noreply@blogger.com1Valladolid, España41.652251 -4.724532100000033141.2728905 -5.369979100000033 42.0316115 -4.0790851000000332tag:blogger.com,1999:blog-3455596674492338404.post-76605930541305365282019-05-19T08:30:00.000+02:002019-05-19T11:43:25.653+02:00Testimonios de las madres donantes de leche<div style="text-align: center;">
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<span style="font-family: "times new roman"; font-size: 14pt; line-height: 150%;">El día <b>19 de mayo se celebra el Día Mundial de la Donación de
Leche Humana.</b> Con esta celebración los Bancos de Leche manifiestan y
agradecen la generosidad y el esfuerzo de las mujeres donantes que permiten que
aquellos recién nacidos prematuros o enfermos hospitalizados que no disponen de
leche de su propia madre puedan ser beneficiados de la alimentación con leche
materna donada durante su ingreso hospitalario.</span><span style="font-family: "times new roman"; font-size: 11pt; line-height: 150%;"><o:p></o:p></span></div>
<div class="MsoNormal" style="background: white; line-height: 150%; text-align: justify;">
<span style="font-family: "times new roman"; font-size: 14pt; line-height: 150%;">En este vídeo cuatro donantes del Banco de Leche Materna de Castilla y
León nos cuentan su experiencia con la donación de leche y cuáles fueron sus
motivaciones para donar.</span></div>
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<span style="font-family: "times new roman"; font-size: 14pt; line-height: 150%;">
Algunas de las razones que dan las madres donantes son: la sobreabundancia de
su propia leche, más de la que demandan sus hijos; la concienciación de que hay
niños muy necesitados de esta leche a los que su madre, por los motivos que
sea, no puede amamantar; o incluso como una ayuda dentro del proceso de
duelo perinatal cuando pierden a su hijo y deciden donar la leche que su cuerpo
ha producido.</span></div>
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<span style="font-family: "times new roman"; font-size: 14pt; line-height: 150%;">Esta leche tiene una importancia casi vital para los niños
hospitalizados, recuerda una de las donantes que, además, es pediatra
neonatóloga. Otra de las donantes hace hincapié en que mientras su hijo estaba
ingresado en neonatos tuvo contacto con madres que se encontraban muy
frustradas por no poder amamantar a sus hijos, lo que hizo que se decidiera a
ayudar a estos niños donando la leche que a ella le sobraba. Esta historia se
repite: decidir donar aquella leche que sobra y el niño no necesita parece ser
una de las principales razones que impulsa a las madres a donar. Otra de las
donantes se pregunta qué iba a hacer con la leche sobrante y, sonriente, nos
dice que lógicamente no iba a tirarla, por lo que decidió donarla para que
otros niños pudieran beneficiarse de ella como el suyo propio. El caso de la
última donante es un poco distinto a los anteriores, ya que su decisión de
donar su leche vino dada tras la muerte de su hija. Ella había estado sacándose
leche con la esperanza de que su hija, Julia, pudiera llegar a tomarla a algún
día y, como no pudo ser, decidió donarla, considerándolo el granito de arena que
su hija puso en su breve paso por el mundo para ayudar a otros niños. Para ella
la donación de su leche materna tuvo una gran importancia a nivel
psicológico. </span></div>
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<span style="font-family: "times new roman"; font-size: 14pt; line-height: 150%;">Al hablar del proceso de donación de leche casi todas las donantes
hacen hincapié en que, al principio, todo el tema de la higiene les echaba
ligeramente para atrás, considerando que igual podía ser en cierto modo
complicado. Sin embargo, ellas mismas nos cuentan que, una vez que te pones a
ello, resulta mucho más sencillo de lo que parecía. Que aunque es algo que
requiere su tiempo, es cuestión de incluirlo en tu rutina y, poco a poco,
habituarte a ello. En general todas nos hablan de su experiencia de una forma
satisfactoria, conscientes de que se trata de un gesto solidario para poder
ayudar a niños que se encuentran en una situación especial de vulnerabilidad.</span><span style="font-family: "times new roman"; font-size: 11pt; line-height: 150%;"><o:p></o:p></span></div>
<!--EndFragment--><b style="font-family: times; font-size: 14pt; text-align: justify;">Recurso para compartir en redes sociales:</b></div>
<!--EndFragment--><br />
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Edublog Enfermeríahttp://www.blogger.com/profile/06927385251109016014noreply@blogger.com0tag:blogger.com,1999:blog-3455596674492338404.post-67808760784339755842019-05-13T07:30:00.000+02:002019-05-13T12:45:45.296+02:00¿Qué es un Banco de Leche?<div style="text-align: center;">
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UnhideWhenUsed="true" Name="toc 1"/> <w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 2"/> <w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 3"/> <w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 4"/> <w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 5"/> <w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 6"/> <w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 7"/> <w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 8"/> <w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 9"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal Indent"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="footnote text"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation text"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="header"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="footer"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index heading"/> <w:LsdException Locked="false" Priority="35" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="caption"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="table of figures"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="envelope address"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="envelope return"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="footnote reference"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation reference"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="line number"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="page number"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="endnote reference"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="endnote text"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="table of authorities"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="macro"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="toa heading"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 4"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 5"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 4"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 5"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 4"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 5"/> <w:LsdException Locked="false" Priority="10" QFormat="true" Name="Title"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Closing"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Signature"/> <w:LsdException Locked="false" Priority="1" SemiHidden="true"
UnhideWhenUsed="true" Name="Default Paragraph Font"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 4"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 5"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Message Header"/> <w:LsdException Locked="false" Priority="11" QFormat="true" Name="Subtitle"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Salutation"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Date"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Heading"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Block Text"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Hyperlink"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="FollowedHyperlink"/> <w:LsdException Locked="false" Priority="22" QFormat="true" Name="Strong"/> <w:LsdException Locked="false" Priority="20" QFormat="true" Name="Emphasis"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Document Map"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Plain Text"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="E-mail Signature"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Top of Form"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Bottom of Form"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal (Web)"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Acronym"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Address"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Cite"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Code"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Definition"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Keyboard"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Preformatted"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Sample"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Typewriter"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Variable"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal Table"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation subject"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="No List"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 4"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 4"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 5"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 4"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 5"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 6"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 7"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 8"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 4"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 5"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 6"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 7"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 8"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Contemporary"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Elegant"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Professional"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Balloon Text"/> <w:LsdException Locked="false" Priority="39" Name="Table Grid"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Theme"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Level 1"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Level 2"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Level 3"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Level 4"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Level 5"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Level 6"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Level 7"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Level 8"/> <w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Level 9"/> <w:LsdException Locked="false" SemiHidden="true" Name="Placeholder Text"/> <w:LsdException Locked="false" Priority="1" QFormat="true" Name="No Spacing"/> <w:LsdException Locked="false" Priority="60" Name="Light Shading"/> <w:LsdException Locked="false" Priority="61" Name="Light List"/> <w:LsdException Locked="false" Priority="62" Name="Light Grid"/> <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1"/> <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2"/> <w:LsdException Locked="false" Priority="65" Name="Medium List 1"/> <w:LsdException Locked="false" Priority="66" Name="Medium List 2"/> <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1"/> <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2"/> <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3"/> <w:LsdException Locked="false" Priority="70" Name="Dark List"/> <w:LsdException Locked="false" Priority="71" Name="Colorful Shading"/> <w:LsdException Locked="false" Priority="72" Name="Colorful List"/> <w:LsdException Locked="false" Priority="73" Name="Colorful Grid"/> <w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 1"/> <w:LsdException Locked="false" Priority="61" Name="Light List Accent 1"/> <w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 1"/> <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 1"/> <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 1"/> <w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 1"/> <w:LsdException Locked="false" SemiHidden="true" Name="Revision"/> <w:LsdException Locked="false" Priority="34" QFormat="true"
Name="List Paragraph"/> <w:LsdException Locked="false" Priority="29" QFormat="true" Name="Quote"/> <w:LsdException Locked="false" Priority="30" QFormat="true"
Name="Intense Quote"/> <w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 1"/> <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 1"/> <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 1"/> <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 1"/> <w:LsdException Locked="false" Priority="70" Name="Dark List Accent 1"/> <w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 1"/> <w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 1"/> <w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 1"/> <w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 2"/> <w:LsdException Locked="false" Priority="61" Name="Light List Accent 2"/> <w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 2"/> <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 2"/> <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 2"/> <w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 2"/> <w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 2"/> <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 2"/> <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 2"/> <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 2"/> <w:LsdException Locked="false" Priority="70" Name="Dark List Accent 2"/> <w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 2"/> <w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 2"/> <w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 2"/> <w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 3"/> <w:LsdException Locked="false" Priority="61" Name="Light List Accent 3"/> <w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 3"/> <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 3"/> <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 3"/> <w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 3"/> <w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 3"/> <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 3"/> <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 3"/> <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 3"/> <w:LsdException Locked="false" Priority="70" Name="Dark List Accent 3"/> <w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 3"/> <w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 3"/> <w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 3"/> <w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 4"/> <w:LsdException Locked="false" Priority="61" Name="Light List Accent 4"/> <w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 4"/> <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 4"/> <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 4"/> <w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 4"/> <w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 4"/> <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 4"/> <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 4"/> <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 4"/> <w:LsdException Locked="false" Priority="70" Name="Dark List Accent 4"/> <w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 4"/> <w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 4"/> <w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 4"/> <w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 5"/> <w:LsdException Locked="false" Priority="61" Name="Light List Accent 5"/> <w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 5"/> <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 5"/> <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 5"/> <w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 5"/> <w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 5"/> <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 5"/> <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 5"/> <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 5"/> <w:LsdException Locked="false" Priority="70" Name="Dark List Accent 5"/> <w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 5"/> <w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 5"/> <w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 5"/> <w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 6"/> <w:LsdException Locked="false" Priority="61" Name="Light List Accent 6"/> <w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 6"/> <w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 6"/> <w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 6"/> <w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 6"/> <w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 6"/> <w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 6"/> <w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 6"/> <w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 6"/> <w:LsdException Locked="false" Priority="70" Name="Dark List Accent 6"/> <w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 6"/> <w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 6"/> <w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 6"/> <w:LsdException Locked="false" Priority="19" QFormat="true"
Name="Subtle Emphasis"/> <w:LsdException Locked="false" Priority="21" QFormat="true"
Name="Intense Emphasis"/> <w:LsdException Locked="false" Priority="31" QFormat="true"
Name="Subtle Reference"/> <w:LsdException Locked="false" Priority="32" QFormat="true"
Name="Intense Reference"/> <w:LsdException Locked="false" Priority="33" QFormat="true" Name="Book Title"/> <w:LsdException Locked="false" Priority="37" SemiHidden="true"
UnhideWhenUsed="true" Name="Bibliography"/> <w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="TOC Heading"/> <w:LsdException Locked="false" Priority="41" Name="Plain Table 1"/> <w:LsdException Locked="false" Priority="42" Name="Plain Table 2"/> <w:LsdException Locked="false" Priority="43" Name="Plain Table 3"/> <w:LsdException Locked="false" Priority="44" Name="Plain Table 4"/> <w:LsdException Locked="false" Priority="45" Name="Plain Table 5"/> <w:LsdException Locked="false" Priority="40" Name="Grid Table Light"/> <w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light"/> <w:LsdException Locked="false" Priority="47" Name="Grid Table 2"/> <w:LsdException Locked="false" Priority="48" Name="Grid Table 3"/> <w:LsdException Locked="false" Priority="49" Name="Grid Table 4"/> <w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark"/> <w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful"/> <w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful"/> <w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 1"/> <w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 1"/> <w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 1"/> <w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 1"/> <w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 1"/> <w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 1"/> <w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 1"/> <w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 2"/> <w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 2"/> <w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 2"/> <w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 2"/> <w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 2"/> <w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 2"/> <w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 2"/> <w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 3"/> <w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 3"/> <w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 3"/> <w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 3"/> <w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 3"/> <w:LsdException Locked="false" Priority="51"
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<b><span style="font-family: "times new roman"; font-size: 14.0pt; line-height: 150%;">Un Banco de Leche Materna</span></b><span style="font-family: "times new roman"; font-size: 14.0pt; line-height: 150%;"> es un centro especializado responsable de la promoción y apoyo a la lactancia materna, donde la leche humana donada por madres seleccionadas se recibe, procesa, analiza, almacena y posteriormente distribuye a los centros hospitalarios para alimentar a recién nacidos hospitalizados que no disponen de leche suficiente de su propia </span><span style="font-family: "times new roman"; font-size: 14pt;">madre. Al mismo tiempo los bancos de leche suponen un gran apoyo para las estrategias de promoción de la lactancia materna, contribuyendo así a una mejora de la salud materno- infantil en la población general.</span></div>
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<span style="font-family: "times new roman"; font-size: 14.0pt; line-height: 150%;">- Selección de las donantes y seguimiento de la donación<o:p></o:p></span></div>
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<span style="font-family: "times new roman"; font-size: 14.0pt; line-height: 150%;">- Recolección y conservación de la leche donada<o:p></o:p></span></div>
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<span style="font-family: "times new roman"; font-size: 14.0pt; line-height: 150%;">-Pasteurización y realización de análisis de control de calidad y microbiológicos<o:p></o:p></span></div>
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<span style="font-family: "times new roman"; font-size: 14.0pt; line-height: 150%;">-Distribución a los centros hospitalarios, para su administración a recién nacidos hospitalizados bajo prescripción médica<o:p></o:p></span></div>
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<span style="font-family: "times new roman"; font-size: 14.0pt; line-height: 150%;">Es importante destacar que los <b>Bancos de Leche Humana </b>disponen de controles que garantizan la seguridad, la calidad y la trazabilidad de la leche materna donada y procesada. La estricta selección de donantes, la recogida y el almacenamiento de la leche en condiciones óptimas y su pasteurización y análisis previo al consumo, garantizan la seguridad y calidad de la leche materna donada. Asimismo, se garantiza la trazabilidad del procedimiento desde la donante hasta el receptor.<o:p></o:p></span></div>
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<span style="font-family: "times new roman"; font-size: 14.0pt; line-height: 150%;">En los últimos años se ha extendido la distribución de leche materna fuera del ámbito de los Bancos de Leche a través de Internet. Esta práctica expone a los receptores de la misma a importantes riesgos de salud, ya que reciben leche materna sin control de la salud de las donantes ni del procedimiento.<o:p></o:p></span></div>
<!--EndFragment--><i style="text-align: center;"><span style="font-family: "times" , "times new roman" , serif; font-size: large;">"Dona leche, comparte salud"</span></i><br />
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<span style="font-family: "times" , "times new roman" , serif; font-size: large;"><i> <b>Autora:</b> Dra. Carmen María Samaniego Fernandez. Coordinadora del Banco de Leche de Castilla y León.</i></span><br />
<span style="font-family: "times" , "times new roman" , serif; font-size: large;"><i> Neonatóloga en Hospital del Río Hortega </i></span><br />
<span style="font-family: "times" , "times new roman" , serif; font-size: large;"><i><br /></i></span><span style="font-family: "times" , "times new roman" , serif; font-size: large;"><br /></span><br />
<span style="font-family: "times" , "times new roman" , serif; font-size: large;">Recurso para compartir con las madres en RRSS:</span></div>
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Edublog Enfermeríahttp://www.blogger.com/profile/06927385251109016014noreply@blogger.com0tag:blogger.com,1999:blog-3455596674492338404.post-37482168765720164022019-05-06T07:30:00.000+02:002019-05-06T07:51:03.563+02:00Muerte perinatal( 2ª parte)<div style="text-align: center;">
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Name="List Continue 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Message Header"/>
<w:LsdException Locked="false" Priority="11" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Salutation"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Date"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Heading"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Block Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Hyperlink"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="FollowedHyperlink"/>
<w:LsdException Locked="false" Priority="22" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Document Map"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Plain Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="E-mail Signature"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Top of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Bottom of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal (Web)"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Acronym"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Address"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Cite"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Code"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Definition"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Keyboard"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Preformatted"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Sample"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Typewriter"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Variable"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal Table"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation subject"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="No List"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Contemporary"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Elegant"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Professional"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Balloon Text"/>
<w:LsdException Locked="false" Priority="39" Name="Table Grid"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Theme"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Level 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Level 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Level 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Level 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Level 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Level 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Level 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Level 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Level 9"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" QFormat="true"
Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" QFormat="true"
Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" QFormat="true"
Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" QFormat="true"
Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" QFormat="true"
Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" QFormat="true"
Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" SemiHidden="true"
UnhideWhenUsed="true" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="TOC Heading"/>
<w:LsdException Locked="false" Priority="41" Name="Plain Table 1"/>
<w:LsdException Locked="false" Priority="42" Name="Plain Table 2"/>
<w:LsdException Locked="false" Priority="43" Name="Plain Table 3"/>
<w:LsdException Locked="false" Priority="44" Name="Plain Table 4"/>
<w:LsdException Locked="false" Priority="45" Name="Plain Table 5"/>
<w:LsdException Locked="false" Priority="40" Name="Grid Table Light"/>
<w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 3"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 4"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 4"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 4"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 4"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 5"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 5"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 5"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 5"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 5"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 6"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 6"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 6"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 6"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 6"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="46" Name="List Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="List Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="List Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 3"/>
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Message Header"/>
<w:LsdException Locked="false" Priority="11" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Salutation"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Date"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Heading"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Block Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Hyperlink"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="FollowedHyperlink"/>
<w:LsdException Locked="false" Priority="22" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Document Map"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Plain Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="E-mail Signature"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Top of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Bottom of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal (Web)"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Acronym"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Address"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Cite"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Code"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Definition"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Keyboard"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Preformatted"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Sample"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Typewriter"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Variable"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal Table"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation subject"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="No List"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Contemporary"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Elegant"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Professional"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Balloon Text"/>
<w:LsdException Locked="false" Priority="39" Name="Table Grid"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Theme"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Level 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Level 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Level 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Level 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Level 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Level 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Level 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Level 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Level 9"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" QFormat="true"
Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" QFormat="true"
Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" QFormat="true"
Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" QFormat="true"
Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" QFormat="true"
Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" QFormat="true"
Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" SemiHidden="true"
UnhideWhenUsed="true" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="TOC Heading"/>
<w:LsdException Locked="false" Priority="41" Name="Plain Table 1"/>
<w:LsdException Locked="false" Priority="42" Name="Plain Table 2"/>
<w:LsdException Locked="false" Priority="43" Name="Plain Table 3"/>
<w:LsdException Locked="false" Priority="44" Name="Plain Table 4"/>
<w:LsdException Locked="false" Priority="45" Name="Plain Table 5"/>
<w:LsdException Locked="false" Priority="40" Name="Grid Table Light"/>
<w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 3"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 4"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 4"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 4"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 4"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 5"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 5"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 5"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 5"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 5"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 6"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 6"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 6"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 6"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 6"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="46" Name="List Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="List Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="List Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 2"/>
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</div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="ES" style="font-family: "arial"; font-size: 12.0pt; line-height: 150%;">Esta entrada completa una entrada
anterior, que si no has visto te recomiendo leer antes que esta (<a href="https://enfermeriauva.blogspot.com/2019/02/el-duelo-perinatal.html">https://enfermeriauva.blogspot.com/2019/02/el-duelo-perinatal.html</a>).<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="ES" style="font-family: "arial"; font-size: 12.0pt; line-height: 150%;">En esta ocasión vamos a centrarnos
en la atención al duelo desde una óptica profesional. En primer lugar, ¿qué
factores van a condicionar el duelo de la familia que atendamos? <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l0 level1 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="ES" style="font-family: "wingdings"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="ES" style="font-family: "arial"; font-size: 12.0pt; line-height: 150%;">Factores psicológicos.
Personalidad, estado de salud mental previo y tras la muerte perinatal,
inteligencia, capacidad de afrontamiento, capacidad de establecer vínculos
afectivos.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l0 level1 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="ES" style="font-family: "wingdings"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="ES" style="font-family: "arial"; font-size: 12.0pt; line-height: 150%;">Factores
personales. Otros duelos pasados o actuales, otros factores estresantes intercurrentes,
valores y creencias.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l0 level1 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="ES" style="font-family: "wingdings"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="ES" style="font-family: "arial"; font-size: 12.0pt; line-height: 150%;">Factores de
la relación con el feto o bebé. Deseo o no de ser madre/padre, expectativas
sobre el futuro hijo.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l0 level1 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="ES" style="font-family: "wingdings"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="ES" style="font-family: "arial"; font-size: 12.0pt; line-height: 150%;">Factores
ligados al fallecimiento: duelo anticipado o no, muerte repentina o esperada,
circunstancias específicas, decisión de IVE por malformaciones.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l0 level1 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="ES" style="font-family: "wingdings"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="ES" style="font-family: "arial"; font-size: 12.0pt; line-height: 150%;">Factores sociales:
apoyo social, pareja o no, relación con esa pareja, ritos funerarios (el
entierro es obligatorio a partir de los 180 días de vida fetal), nivel
socioeconómico.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; mso-list: l0 level1 lfo1; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="ES" style="font-family: "wingdings"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="ES" style="font-family: "arial"; font-size: 12.0pt; line-height: 150%;">Factores fisiológicos:
salud física, descanso, alimentación, medicamentos y drogas.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="ES" style="font-family: "arial"; font-size: 12.0pt; line-height: 150%;">Además de los recursos que os
facilitamos en la entrada anterior (libros, asociaciones, webs, proyectos), los
profesionales disponemos de otras herramientas como son las escalas con las que
valorar el duelo de los familiares ante una muerte perinatal.<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="ES" style="font-family: "arial"; font-size: 12.0pt; line-height: 150%;">La Perinatal Grief Scale, en su
versión validada para España, se trata de una escala positiva (peor a más
puntos) que evalúa el duelo de un individuo que ha sufrido una pérdida
perinatal. <o:p></o:p></span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; mso-list: l1 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="ES" style="font-family: "wingdings"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="ES" style="font-family: "arial"; font-size: 12.0pt; line-height: 150%;">Una
puntuación >7 en los ítems 1-4 indica un duelo activo.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l1 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="ES" style="font-family: "wingdings"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="ES" style="font-family: "arial"; font-size: 12.0pt; line-height: 150%;">Una
puntuación >41 en los ítems 5-16 indica posible duelo complicado.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; mso-list: l1 level1 lfo2; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="ES" style="font-family: "wingdings"; font-size: 12.0pt; line-height: 150%;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="ES" style="font-family: "arial"; font-size: 12.0pt; line-height: 150%;">Una
puntuación >48 en el total de la escala indica duelo de alta intensidad. <o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="ES" style="font-family: "arial"; font-size: 12.0pt; line-height: 150%;"><o:p> </o:p></span><span style="font-family: "arial"; font-size: 12pt;">Os dejamos una imagen de esta
escala, pincha sobre ella:</span></div>
<div class="separator" style="clear: both; text-align: center;">
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<b style="mso-bidi-font-weight: normal;"><span lang="ES" style="font-family: "arial"; font-size: 12.0pt; line-height: 115%;"><br /></span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="ES" style="font-family: "arial"; font-size: 12.0pt; line-height: 115%;">Autora</span></b><span lang="ES" style="font-family: "arial"; font-size: 12.0pt; line-height: 115%;">: Mónica
Viñas Hernández. Enfermera Interna Residente de Matrona.<span style="mso-spacerun: yes;"> </span>Máster y Doctoranda en la Universidad de
Valladolid (España) <o:p></o:p></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="ES" style="font-family: "arial"; font-size: 12.0pt; line-height: 115%;">Tutora:</span></b><span lang="ES" style="font-family: "arial"; font-size: 12.0pt; line-height: 115%;"><span style="mso-spacerun: yes;"> </span>Dra. Ana Isabel Ganso Pérez. Matrona en
Hospital del Río Hortega. Tutora Principal de la Unidad Docente de Matronas de
Valladolid (España). Profesora Asociada en la Universidad de Valladolid.</span></div>
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<b>Referencias:</b></div>
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<span style="background: white; color: #222222; font-family: "arial"; font-size: 10pt;"> Cuevas, J. C. P. (2016). Adaptación transcultural y evaluación
psicométrica de la escala de duelo perinatal (Doctoral
dissertation, Universidad de Cádiz) </span><a href="https://dialnet.unirioja.es/servlet/tesis?codigo=50815" style="font-size: 11pt;">https://dialnet.unirioja.es/servlet/tesis?codigo=50815</a><span style="background: white; color: #222222; font-family: "arial"; font-size: 10pt;"> </span></div>
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<span style="background: white; color: #222222; font-family: "arial"; font-size: 10pt;"> López García de Madinabeitia, A. P.
(2011). Duelo perinatal: un secreto dentro de un misterio. </span><span style="font-size: 11pt;">Revista de la Asociación Española de
Neuropsiquiatría</span><span style="font-size: 11pt;">, </span><span style="font-size: 11pt;">31</span><span style="font-size: 11pt;">(1), 53-70.</span></div>
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<span style="background: white; color: #222222; font-family: "arial"; font-size: 10.0pt;"><span style="mso-spacerun: yes;"> </span>Rengel, C. (2010). Plan de cuidados de
enfermería para la pérdida perinatal y el aborto. </span><span style="mso-bidi-font-style: italic;">Rev Enferm Docente</span><span style="-webkit-text-stroke-width: 0px; float: none; font-variant-caps: normal; font-variant-ligatures: normal; orphans: 2; text-decoration-color: initial; text-decoration-style: initial; widows: 2; word-spacing: 0px;">, </span><span style="mso-bidi-font-style: italic;">91</span><span style="-webkit-text-stroke-width: 0px; float: none; font-variant-caps: normal; font-variant-ligatures: normal; orphans: 2; text-decoration-color: initial; text-decoration-style: initial; widows: 2; word-spacing: 0px;">(2), 37-43</span><span style="mso-fareast-font-family: "Times New Roman";"><o:p></o:p></span></div>
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<span style="background: white; color: #222222; font-family: "arial"; font-size: 10.0pt;"><span style="mso-spacerun: yes;"> </span>Santos-Redondo, P., Yáñez-Otero, A.,
& Al-adib Mendiri, M. (2015). Atención profesional a la pérdida y el duelo
durante la maternidad. <span style="mso-bidi-font-style: italic;">Gobierno
de Extremadura. Servicio Extremeño de Salud </span></span><a href="https://www.elpartoesnuestro.es/sites/default/files/recursos/documents/libro_duelo_ses.pdf">https://www.elpartoesnuestro.es/sites/default/files/recursos/documents/libro_duelo_ses.pdf</a><span style="font-family: "arial"; font-size: 12pt;"> </span></div>
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<div style="background: #9CC2E5; border: solid windowtext 1.0pt; mso-background-themecolor: accent1; mso-background-themetint: 153; mso-border-alt: solid windowtext .5pt; mso-element: para-border-div; padding: 1.0pt 4.0pt 1.0pt 4.0pt;">
<div class="MsoNormal" style="background: #9CC2E5; border: none; line-height: 150%; mso-background-themecolor: accent1; mso-background-themetint: 153; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 1.0pt 4.0pt 1.0pt 4.0pt; padding: 0cm; text-align: justify;">
<span lang="ES" style="font-family: "arial"; font-size: 14.0pt; line-height: 150%;">La Educación Maternal o Preparación Prenatal es una importante actividad de PROMOCIÓN DE LA SALUD y PREVENCIÓN que se realiza en Atención Primaria de Salud. Es parte integrante y complementaria de la atención al embarazo. Se puede realizar de forma individual, en consulta o <b style="mso-bidi-font-weight: normal;">dirigida a grupos de embarazadas y sus parejas. En este caso, durante el tercer trimestre del embarazo. <o:p></o:p></b></span></div>
<div class="MsoNormal" style="background: #9CC2E5; border: none; line-height: 150%; mso-background-themecolor: accent1; mso-background-themetint: 153; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 1.0pt 4.0pt 1.0pt 4.0pt; padding: 0cm; text-align: justify;">
<span lang="ES" style="font-family: "arial"; font-size: 14.0pt; line-height: 150%;">Consiste en impartir CLASES TEÓRICAS para mejorar los conocimientos sobre el embarazo, parto, puerperio y lactancia y CLASES PRÁCTICAS que incluye gimnasia, relajación y técnicas respiratorias<o:p></o:p></span></div>
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<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div style="background: #F4B083; border: solid windowtext 1.0pt; mso-background-themecolor: accent2; mso-background-themetint: 153; mso-border-alt: solid windowtext .5pt; mso-element: para-border-div; padding: 1.0pt 4.0pt 1.0pt 4.0pt;">
<div class="MsoNormal" style="background: #F4B083; border: none; line-height: 150%; mso-background-themecolor: accent2; mso-background-themetint: 153; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 1.0pt 4.0pt 1.0pt 4.0pt; padding: 0cm; text-align: justify;">
<span lang="ES" style="font-family: "arial"; font-size: 14.0pt; line-height: 150%;">La responsable de los grupos de PREPARACIÓN PRENATAL es la matrona, ya que es la enfermera especialista con formación específica en esta materia y es un recurso del que dispone la mayoría de los Equipos de Atención Primaria. Sería conveniente la intervención de otros profesionales como: enfermeras, médicos de familia a pediatras. <o:p></o:p></span></div>
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<span lang="ES" style="font-family: "arial"; font-size: 14.0pt; line-height: 150%;">En la organización de los grupos, es necesario que todo el equipo de salud esté implicado e informado del programa, actividades, derivación, criterios de inclusión…<o:p></o:p></span></div>
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<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div style="background: #FFD966; border: solid windowtext 1.0pt; mso-background-themecolor: accent4; mso-background-themetint: 153; mso-border-alt: solid windowtext .5pt; mso-element: para-border-div; padding: 1.0pt 4.0pt 1.0pt 4.0pt;">
<div class="MsoNormal" style="background: #FFD966; border: none; line-height: 150%; mso-background-themecolor: accent4; mso-background-themetint: 153; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 1.0pt 4.0pt 1.0pt 4.0pt; padding: 0cm; text-align: justify;">
<span lang="ES" style="font-family: "arial"; font-size: 14.0pt; line-height: 150%;">El número ideal de participantes, de embarazadas y sus parejas,<span style="mso-spacerun: yes;"> </span>es de entre 10-15 personas.<span style="mso-spacerun: yes;"> </span>Habrá que fomentar la participación de los componentes del grupo para favorecer un CAMBIO DE ACTITUD, para lograr un autocuidado y la vivencia positiva del embarazo y el parto.<o:p></o:p></span></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="ES" style="font-family: "arial"; font-size: 14.0pt; line-height: 150%;">Respecto al EJERCICIO FÍSICO, la finalidad del programa es proporcionar a la gestante los elementos necesarios para que mantenga o mejore su forma física facilitando la adaptación a los cambios progresivos. <o:p></o:p></span></div>
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<span lang="ES" style="font-family: "arial"; font-size: 14.0pt; line-height: 150%;">La embarazada será capaz de:<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="ES" style="font-family: "symbol"; font-size: 14.0pt; line-height: 150%;"><span style="mso-list: Ignore;">·</span></span><span lang="ES" style="font-family: "arial"; font-size: 14.0pt; line-height: 150%;">Adoptar las posturas y realizar los movimientos adecuados para evitar sobrecargas<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="ES" style="font-family: "symbol"; font-size: 14.0pt; line-height: 150%;"><span style="mso-list: Ignore;">·</span></span><span lang="ES" style="font-family: "arial"; font-size: 14.0pt; line-height: 150%;">Desarrollar los ejercicios para mantener o mejorar la eficacia muscular de la zona pectoral, escapular, dorsal, abdominal, perineal y bóveda plantar.<o:p></o:p></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<!--[if !supportLists]--><span lang="ES" style="line-height: 150%;"><span style="font-family: "symbol";"><span style="font-size: 14pt;">·</span></span></span><span lang="ES" style="font-family: "arial"; font-size: 14.0pt; line-height: 150%;">Practicar los ejercicios para favorecer una buena circulación de las extremidades inferiores<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="ES" style="font-family: "symbol"; font-size: 14.0pt; line-height: 150%;"><span style="mso-list: Ignore;">·</span></span><span lang="ES" style="font-family: "arial"; font-size: 14.0pt; line-height: 150%;">Realizar ejercicios de basculación, movilizaciones articulares y balanceo para dar soltura a las articulaciones y potenciar una correcta estática corporal<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="ES" style="font-family: "symbol"; font-size: 14.0pt; line-height: 150%;"><span style="mso-list: Ignore;">·</span></span><span lang="ES" style="font-family: "arial"; font-size: 14.0pt; line-height: 150%;">Efectuar movimientos respiratorios para adecuar las respiraciones al trabajo de parto<o:p></o:p></span></div>
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<br /></div>
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<span style="font-family: "arial"; font-size: 14pt;"><b>EJERCICIOS DE Psicoprofilaxis Obstétrica</b></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
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<!--[if !supportLists]--><span lang="ES" style="font-family: "arial"; font-size: 14.0pt; line-height: 150%;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="ES" style="font-family: "arial"; font-size: 14.0pt; line-height: 150%;">EJERCICIOS CIRCULATORIOS<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="ES" style="font-family: "arial"; font-size: 14.0pt; line-height: 150%;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="ES" style="font-family: "arial"; font-size: 14.0pt; line-height: 150%;">DESBLOQUEO PELVIS<span style="mso-spacerun: yes;"> </span>En cuatro tiempos 1.Inspirar al subir la pierna doblada al frente, la gira hacia fuera. 2.Espirar estirando la pierna lo más posible 3.Inspirar con la pierna flexionada de nuevo al frente 4 expirar bajando la pierna hacia el suelo. <o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="ES" style="font-family: "arial"; font-size: 14.0pt; line-height: 150%;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="ES" style="font-family: "arial"; font-size: 14.0pt; line-height: 150%;">ELEVACIÓN DE PELVIS 1. Inspirar levantando la pelvis arriba, contraer glúteos; expirar dejando la espalda y nalgas bien apoyadas en el suelo<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="ES" style="font-family: "arial"; font-size: 14.0pt; line-height: 150%;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="ES" style="font-family: "arial"; font-size: 14.0pt; line-height: 150%;">OBLICUOS Manos detrás de la cabeza. Inspirar flexionando las piernas hacia el abdomen, Expirar girando las dos piernas juntas y flexionadas hacia una lado. Lo mismo hacia el otro lado<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="ES" style="font-family: "arial"; font-size: 14.0pt; line-height: 150%;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="ES" style="font-family: "arial"; font-size: 14.0pt; line-height: 150%;">GATO<o:p></o:p></span></div>
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<span lang="ES" style="font-family: "arial"; font-size: 14.0pt; line-height: 150%;">Inspirar levantando la cabeza, dejando la espalda recta. Expirar bajando la cabeza, contrayendo el abdomen y arqueando la espalda<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="ES" style="font-family: "arial"; font-size: 14.0pt; line-height: 150%;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="ES" style="font-family: "arial"; font-size: 14.0pt; line-height: 150%;">HINDÚ<o:p></o:p></span></div>
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<!--[if !supportLists]--><span lang="ES" style="font-family: "arial"; font-size: 14.0pt; line-height: 150%;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><!--[endif]--><span lang="ES" style="font-family: "arial"; font-size: 14.0pt; line-height: 150%;">HOMBROS<o:p></o:p></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<!--EndFragment--><br />Edublog Enfermeríahttp://www.blogger.com/profile/06927385251109016014noreply@blogger.com0Calle Hípica, s/n, 47007 Valladolid, España41.6371943 -4.736486600000034716.115159799999997 -46.045080600000034 67.1592288 36.572107399999965tag:blogger.com,1999:blog-3455596674492338404.post-73749507611587691842019-04-08T07:30:00.000+02:002019-04-08T07:30:00.354+02:00Conoce la copa menstrual <!--[if gte mso 9]><xml> <o:OfficeDocumentSettings> <o:AllowPNG/> </o:OfficeDocumentSettings> </xml><![endif]--> <!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves/> <w:TrackFormatting/> <w:HyphenationZone>21</w:HyphenationZone> <w:PunctuationKerning/> <w:ValidateAgainstSchemas/> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:DoNotPromoteQF/> <w:LidThemeOther>ES</w:LidThemeOther> <w:LidThemeAsian>X-NONE</w:LidThemeAsian> <w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> <w:DontGrowAutofit/> <w:SplitPgBreakAndParaMark/> <w:EnableOpenTypeKerning/> <w:DontFlipMirrorIndents/> <w:OverrideTableStyleHps/> </w:Compatibility> <m:mathPr> <m:mathFont m:val="Cambria Math"/> <m:brkBin m:val="before"/> <m:brkBinSub m:val="--"/> <m:smallFrac m:val="off"/> <m:dispDef/> <m:lMargin m:val="0"/> <m:rMargin m:val="0"/> <m:defJc m:val="centerGroup"/> <m:wrapIndent m:val="1440"/> <m:intLim m:val="subSup"/> <m:naryLim m:val="undOvr"/> </m:mathPr></w:WordDocument> </xml><![endif]--><!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="false"
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<span lang="ES" style="font-family: "times new roman"; font-size: 12.0pt; line-height: 150%;">¡Hola! Mi nombre es Lidia y en este vídeo quiero que conozcáis la copa menstrual y resolver dudas que posiblemente tengáis. </span><span style="font-family: "times new roman"; font-size: 12pt;">La copa menstrual es un dispositivo que está fabricado con silicona médica reutilizable, se introduce en la vagina y recoge así el sangrado menstrual.</span></div>
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<span lang="ES" style="font-family: "times new roman"; font-size: 12.0pt; line-height: 150%;">Es un producto higiénico, económico ya que dura de 5 a 10 años, ecológica ya que evita residuos y puede estar introducido en nuestra vagina de 10 a 12 horas, dependiendo el flujo de cada persona. Podemos encontrarla en diferentes colores como el rosa para así no visualizar directamente el color de la sangre, además. existen copas que ajustan a las necesidades de cada mujer como esta que se pliega y ocupan menos que un pintalabios, siendo ideales para cualquier viaje o llevarla siempre con nosotras, o copas que se pueden quedar puestas mientras se mantienen relaciones sexuales o incluso para personas que tienen alguna discapacidad donde colocarla y retirarla es más fácil.<o:p></o:p></span></div>
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<span lang="ES" style="font-family: "times new roman"; font-size: 12.0pt; line-height: 150%;">No produce alergias ni irritaciones y se relaciona con menos infecciones, incluso con el síndrome de shock toxico si tenemos una buena higiene y elegimos la talla correcta.<o:p></o:p></span></div>
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<span lang="ES" style="font-family: "times new roman"; font-size: 12.0pt; line-height: 150%;"><b>¿Dónde puedo comprarla?</b><o:p></o:p></span></div>
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<span lang="ES" style="font-family: "times new roman"; font-size: 12.0pt; line-height: 150%;">Se puede adquirir por internet, farmacias, sex shop e incluso en supermercados y su precio oscila de 15 a 30 €, siendo a la larga mucho más barato que los tampones.<o:p></o:p></span></div>
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<span lang="ES" style="font-family: "times new roman"; font-size: 12.0pt; line-height: 150%;"><b>¿Cómo elegir la talla?</b><o:p></o:p></span></div>
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<span lang="ES" style="font-family: "times new roman"; font-size: 12.0pt; line-height: 150%;">Dependiendo las marcas encontraremos diferentes tallas, pero normalmente vienen dos tallas que podemos elegir. La pequeña esta indicada para mujeres con bajo flujo, que no hayan tenido hijos</span><br />
<span lang="ES" style="font-family: "times new roman"; font-size: 12.0pt; line-height: 150%;">( partos vaginales o cesáreas) y que no hayan mantenido relaciones sexuales, y la talla grande para el resto de las mujeres que no tengan estos requisitos. En caso de duda es mejor elegir una talla menor y escoger mejor una copa menstrual flexible y dura para que sea más fácil su apertura dentro de la vagina como esta.<o:p></o:p></span></div>
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<span lang="ES" style="font-family: "times new roman"; font-size: 12.0pt; line-height: 150%;">Además, podemos cortar la copa si estamos incomodas. Para saber si es necesario introducimos un dedo limpio dentro de la vagina hasta notar como la punta de la nariz, este es nuestro cérvix y lo comparamos con la copa y cortamos<o:p></o:p></span></div>
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<span lang="ES" style="font-family: "times new roman"; font-size: 12.0pt; line-height: 150%;"><b>¿Cómo coloco la copa menstrual?</b><o:p></o:p></span></div>
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<span lang="ES" style="font-family: "times new roman"; font-size: 12.0pt; line-height: 150%;">Lo primero que debemos hacer es hervir la copa antes y después de cada ciclo menstrual, después lavaremos nuestras manos con agua y jabón, tanto antes de colocarla como retirarla.<o:p></o:p></span></div>
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<span lang="ES" style="font-family: "times new roman"; font-size: 12.0pt; line-height: 150%;">Existen dos pliegues. El pliegue en V hace que la copa sea más pequeña y sea mas fácil introducirla sobre todo si es la primera vez que la usamos. Cogemos el borde de la copa y lo bajamos, sujetamos la copa para que no se doble y lo insertamos. Y el pliegue en C es el mas utilizado donde doblamos a la mitad la copa formando una especie de letra C y juntamos los bordes e introducimos. Si nos cuesta introducirla podemos lubricar con agua o lubricante a base de agua.<o:p></o:p></span></div>
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<span lang="ES" style="font-family: "times new roman"; font-size: 12.0pt; line-height: 150%;">Una vez introducida la copa si esta bien colocada no la notaremos, pero para comprobar que está bien situada tiraremos de su terminación y notaremos resistencia, también podemos mover de un lado hacia otro y donde no tendremos resistencia.<o:p></o:p></span></div>
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<span lang="ES" style="font-family: "times new roman"; font-size: 12.0pt; line-height: 150%;">A la hora de extraerla apretaremos nuestros músculos de la vagina y presionamos la base de la copa para quitar el vacío. La retiramos de forma recta y vertemos el contenido en el retrete. Enjuagamos con agua y jabón neutro, aunque la mejor forma de desinfectarla es hervirla entre usos en la cazuela o en recipientes de silicona que se añaden agua y se meten en el microondas 5 minutos.<span style="mso-spacerun: yes;"> </span>O pastillas esterilizadoras.<o:p></o:p></span></div>
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<span lang="ES" style="font-family: "times new roman"; font-size: 12.0pt; line-height: 150%;"><b>¿Qué es el síndrome del shock tóxico?</b><o:p></o:p></span></div>
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<span lang="ES" style="font-family: "times new roman"; font-size: 12.0pt; line-height: 150%;">Relacionamos esta enfermedad con el uso de los tampones. Esta es una enfermedad poco frecuente y que se produce sobre todo en mujeres jóvenes y se debe a llevar el tampón mas horas de las recomendadas, no cambiarlo con frecuencia o absorber mucha cantidad. Entonces os preguntareis si la copa menstrual no produce esta enfermedad.<span style="mso-spacerun: yes;"> </span>Pues bien, si realizamos las medidas de higiene como el lavado de manos antes y después de cada uso, hervirla antes y después de cada ciclo y escogiendo una talla adecuada no tendríamos posibilidad de contraerla.<o:p></o:p></span></div>
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<span lang="ES" style="font-family: "times new roman"; font-size: 12.0pt; line-height: 150%;"><b>¿Tiene algún otro beneficio?</b><o:p></o:p></span></div>
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<span lang="ES" style="font-family: "times new roman"; font-size: 12.0pt; line-height: 150%;">Aparte de la recogida de la sangre menstrual se ha demostrado que reduce las infecciones vaginales y de transmisión sexual en poblaciones de pobreza, siendo una buena alternativa a las compresas que suelen usar.<o:p></o:p></span></div>
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<span lang="ES" style="font-family: "times new roman"; font-size: 12.0pt; line-height: 150%;">Además, se puede utilizar en mujeres con fistulas vesicovaginales que son comunicaciones entre la vagina y la vejiga produciendo una fuga de orina continua, por lo que la copa recogería la orina y evitaría infecciones e irritaciones.<o:p></o:p></span></div>
<!--EndFragment--><i>Autora: Lidia de Haro Pérez</i><br />
<i>Tutora: Carolina González Hernando</i><br />
<br />Edublog Enfermeríahttp://www.blogger.com/profile/06927385251109016014noreply@blogger.com047005, Av. Ramón y Cajal, 7, 47003 Valladolid, España41.6546215 -4.71740610000006216.132586999999997 -46.026000100000061 67.176656 36.591187899999937tag:blogger.com,1999:blog-3455596674492338404.post-57583564505814708562019-03-31T15:47:00.000+02:002019-03-31T15:47:26.262+02:00TEST. EL CLIMATERIO Y LA MENOPAUSIA <div style="width: 100%;">
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Edublog Enfermeríahttp://www.blogger.com/profile/06927385251109016014noreply@blogger.com0tag:blogger.com,1999:blog-3455596674492338404.post-53572206321632839102019-03-25T07:30:00.000+01:002019-03-25T08:27:49.339+01:00Consulta telefónica de Enfermería en la Unidad de Reproducción Asistida <div style="text-align: justify;">
<span style="font-family: inherit; font-size: large;">La consulta telefónica de Enfermería en Reproducción Asistida del Hospital Clínico Universitario lleva 16 años en funcionamiento y ha atendido más de 70.000 llamadas. Se trata de una herramienta muy útil, ya que permite una comunicación cercana entre las enfermeras especialistas y los pacientes. La atención de una enfermera que conozca la patología, los tratamientos, la monitorización de los efectos adversos, el refuerzo y el apoyo al plan terapéutico y, sobre todo, el apoyo emocional, supone un gran beneficio para aquellas parejas que desean ser padres.</span></div>
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<span style="font-family: inherit; font-size: large;">La facilidad de acceso al sistema sanitario a través de los profesionales de enfermería cuando se necesite que permite una consulta telefónica es percibida de una forma muy positiva por los pacientes. Este tipo de consulta ofrece una gran comodidad a los pacientes al evitar desplazamientos y además permite que estos sientan una cercanía y un apoyo psicológico que reduce sus preocupaciones durante el proceso. </span><br />
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<span style="font-family: inherit; font-size: large;">El teléfono de la Consulta de Enfermería de la Unidad de Reproducción Asistida del Hospital Clínico Universitario es: </span><span style="font-family: inherit; font-size: large;"><b>983 42000 extensión 86664</b>, de 9 a 11 horas. </span><br />
<span style="font-family: inherit; font-size: large;">Si quieres conocer más sobre este tema <a href="https://uvadoc.uva.es/bitstream/10324/30461/1/TFG-H1225.pdf" target="_blank">haz click aquí</a> para acceder a un TFG sobre la tele-enfermería en reproducción asistida.</span></div>
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Edublog Enfermeríahttp://www.blogger.com/profile/06927385251109016014noreply@blogger.com0Av. Ramón y Cajal, 3, 47003 Valladolid, España41.6557414 -4.719396999999958116.133706899999996 -46.027990999999957 67.1777759 36.589197000000041