8 research outputs found

    Evaluaci√≥n prueba de habilidades pr√°cticas CCNA ‚Äď203092_34.

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    Trabajo desarrollado con la finalidad de aplicar lo aprendido durante el desarrollo del diplomado en CISCO "Desarrollo e implementación de soluciones integradas LAN/WAN"; el cual contiene algunas de las siguientes temáticas: Exploración de la red, Configuración de un sistema operativo de red, Protocolos y comunicaciones de red, Acceso a la red, Ethernet, Capa de red; Modelo OSI y Direccionamiento IP; Configuración de Sistemas de red soportados en VLANs; Enrutamiento en soluciones de red."Development and execution of integrated LAN / WAN solutions", which contains some of the following topics: Network exploration, configuration of a network operating system, Protocols and network communications, Network access, Ethernet, Network layer, OSI model and IP addressing, configuration of network systems supported in VLAN, routing in network solutions

    Características epidemiológicas del embolismo graso secundario a liposucción

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    Background: Liposuction is one of the most performed surgeries worldwide, representing 29% of cosmetic surgeries, within the complications associated with these, we have fatty embolism syndrome (SEG), a life-threatening complication that can occur during and after a surgical procedure. Methodology: a review of information regarding the epidemiological characteristics of fat embolism secondary to liposuction was carried out in databases such as PudMed, sevier, Scielo among others. Articles published between 2018 and 2023 were analyzed, language articles in English and Spanish were taken into account. Results: Colombia and Latin America lack clear statistical figures on this syndrome, because there are not many studies in this regard or a database that groups the effects of this type of procedures and the mortality associated with each of them, however, based on the few studies that exist, it is estimated that in Colombia the highest number of deaths associated with aesthetic procedures is liposuction,  having fat embolism as the main cause of death associated with adverse effects of these procedures. Conclusion: Among the surgical interventions performed, one of the main causes of death was fat embolism syndrome with 27.03%, almost all procedures were performed by a professional and most deaths occurred in the immediate postoperative periodAntecedentes: La liposucci√≥n es unas de las cirug√≠as m√°s realizadas a nivel mundial, representando el 29% de las cirug√≠as est√©ticas, dentro de las complicaciones asociadas a estas, tenemos el s√≠ndrome del embolismo graso (SEG), complicaci√≥n potencialmente mortal que puede ocurrir durante y despu√©s de un procedimiento quir√ļrgico. Metodolog√≠a: se realiz√≥ una revisi√≥n de informaci√≥n referente a las caracter√≠sticas epidemiol√≥gicas del embolismo graso secundario a liposucci√≥n en base de datos como PudMed, el sevier, Scielo entre otras. Se analizaron los art√≠culos publicados entre 2018 a 2023, se tuvo en cuenta art√≠culos de idiomas en ingl√©s y espa√Īol. Resultados: Colombia y Latinoam√©rica carecen de cifras estad√≠sticas claras sobre este s√≠ndrome, debido a que no existen muchos estudios al respecto o un base de datos que agrupe los efectos de este tipo de procedimientos y la mortalidad asociada a cada uno de ellos, sin embargo, en base a los pocos estudios que existen, se estima que en Colombia el mayor n√ļmero de muertes asociada a procedimientos est√©ticos es la liposucci√≥n, teniendo la embolia grasa como principal causa de muerte asociada a efectos adversos de estos procedimientos. Conclusi√≥n: Dentro de las intervenciones quir√ļrgicas realizadas una de las principales casusas de muerte fue el s√≠ndrome de embolismo graso con un 27,03%, casi todos los procedimientos fueron realizados por un profesional y la mayor√≠a de las muertes se presentaban en el postoperatorio inmediat

    Caminando entre huellas de Yariguíes : la gente y la ciencia en la gestión temprana de la restauración ecológica del área protegida.

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    El Parque Nacional Natural Serran√≠a de los Yarigu√≠es, ubicado en el sur occidente del departamento de Santander, es quiz√°s el √ļltimo relicto de bosque andino conservado que existe en la regi√≥n. Si bien, se ha avanzado en el conocimiento de su diversidad biol√≥gica, existen limitados estudios sobre su flanco oriental, donde la agricultura y la ganader√≠a han sido hist√≥ricamente las principales actividades culturales realizadas por las comunidades locales. Debido al avance en la estrategia de conservaci√≥n del √°rea protegida mediante el saneamiento predial, m√ļltiples √°reas del Parque en el que se han abandonado las actividades de uso de la tierra (p. ej.: actividades agropecuarias), representan hoy un nuevo desaf√≠o para la conservaci√≥n en procura de controlar los factores tensionantes y limitantes de estas √°reas; y es aqu√≠, donde Parques Nacionales Naturales de Colombia ha planteado la aplicaci√≥n de la restauraci√≥n ecol√≥gica como herramienta de conservaci√≥n de la biodiversidad. ECOPETROL S. A. y la Universidad Pedag√≥gica y Tecnol√≥gica de Colombia (UPTC), han aunado esfuerzos para contribuir con la conservaci√≥n del PNN Serran√≠a de Los Yarigu√≠es, a trav√©s de inversi√≥n de recursos de compensaci√≥n ambiental y presenta los primeros resultados de este trabajo a trav√©s del libro: ‚ÄúCaminando entre huellas de Yarigu√≠es: La gente y la ciencia en la gesti√≥n temprana de la restauraci√≥n ecol√≥gica del √°rea protegida‚ÄĚ, que surge como una propuesta editorial del Convenio 5211740 de 2012, entre la Universidad Pedag√≥gica y Tecnol√≥gica de Colombia y ECOPETROL S.A. El libro est√° conformado por seis cap√≠tulos, escritos por 28 investigadores y expertos locales en cada una de las tem√°ticas, quienes han dedicado sus esfuerzos, tiempo y conocimiento a desarrollar esta idea, con el objetivo de avanzar en el conocimiento sobre los mecanismos y t√©cnicas de restauraci√≥n m√°s apropiadas para el √°rea protegida, en su flanco oriental, sobre el municipio de Hato. Por lo tanto, se espera que los datos cient√≠ficos registrados y el conocimiento local valorado para la restauraci√≥n, aqu√≠ expuestos, sean un primer referente en el desarrollo de nuevas iniciativas de restauraci√≥n en el sector oriental del Parque Nacional y como reconocimiento a su valor intr√≠nseco, a su belleza paisaj√≠stica, a su biodiversidad, a su gente antigua y a su gente reciente

    Design of an algorithm for the diagnostic approach of patients with joint pain

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    Background Rheumatic diseases are a reason for frequent consultation with primary care doctors. Unfortunately, there is a high percentage of misdiagnosis. Objective To design an algorithm to be used by primary care physicians to improve the diagnostic approach of the patient with joint pain, and thus improve the diagnostic capacity in four rheumatic diseases. Methods Based on the information obtained from a literature review, we identified the main symptoms, signs, and paraclinical tests related to the diagnosis of rheumatoid arthritis, spondyloarthritis with peripheral involvement, systemic lupus erythematosus with joint involvement, and osteoarthritis. We conducted 3 consultations with a group of expert rheumatologists, using the Delphi technique, to design a diagnostic algorithm that has as a starting point ‚Äújoint pain‚ÄĚ as a common symptom for the four diseases. Results Thirty-nine rheumatologists from 18 countries of Ibero-America participated in the Delphi exercise. In the first consultation, we presented 94 items to the experts (35 symptoms, 31 signs, and 28 paraclinical tests) candidates to be part of the algorithm; 74 items (25 symptoms, 27 signs, and 22 paraclinical tests) were chosen. In the second consultation, the decision nodes of the algorithm were chosen, and in the third, its final structure was defined. The Delphi exercise lasted 8 months; 100% of the experts participated in the three consultations. Conclusion We present an algorithm designed through an international consensus of experts, in which Delphi methodology was used, to support primary care physicians in the clinical approach to patients with joint pain

    Design of an algorithm for the diagnostic approach of patients with joint pain

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    New insights into the genetic etiology of Alzheimer’s disease and related dementias

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    Characterization of the genetic landscape of Alzheimer‚Äôs disease (AD) and related dementias (ADD) provides a unique opportunity for a better understanding of the associated pathophysiological processes. We performed a two-stage genome-wide association study totaling 111,326 clinically diagnosed/‚Äėproxy‚Äô AD cases and 677,663 controls. We found 75 risk loci, of which 42 were new at the time of analysis. Pathway enrichment analyses confirmed the involvement of amyloid/tau pathways and highlighted microglia implication. Gene prioritization in the new loci identified 31 genes that were suggestive of new genetically associated processes, including the tumor necrosis factor alpha pathway through the linear ubiquitin chain assembly complex. We also built a new genetic risk score associated with the risk of future AD/dementia or progression from mild cognitive impairment to AD/dementia. The improvement in prediction led to a 1.6- to 1.9-fold increase in AD risk from the lowest to the highest decile, in addition to effects of age and the APOE őĶ4 allele

    New insights into the genetic etiology of Alzheimer’s disease and related dementias

    No full text
    Characterization of the genetic landscape of Alzheimer‚Äôs disease (AD) and related dementias (ADD) provides a unique opportunity for a better understanding of the associated pathophysiological processes. We performed a two-stage genome-wide association study totaling 111,326 clinically diagnosed/‚Äėproxy‚Äô AD cases and 677,663 controls. We found 75 risk loci, of which 42 were new at the time of analysis. Pathway enrichment analyses confirmed the involvement of amyloid/tau pathways and highlighted microglia implication. Gene prioritization in the new loci identified 31 genes that were suggestive of new genetically associated processes, including the tumor necrosis factor alpha pathway through the linear ubiquitin chain assembly complex. We also built a new genetic risk score associated with the risk of future AD/dementia or progression from mild cognitive impairment to AD/dementia. The improvement in prediction led to a 1.6- to 1.9-fold increase in AD risk from the lowest to the highest decile, in addition to effects of age and the APOE őĶ4 allele
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