Odebrecht : análisis de la calidad informativa del caso de corrupción en Semana y El Tiempo

Al final del 2016 el Departamento de Justicia de Estados Unidos destapó el escándalo de corrupción de la empresa constructora Odebrecht. En Colombia esta empresa realizó pagos corruptos para la adjudicación de contratos de obras públicas por más 100 mil millones de pesos a distintos funcionarios y servidores públicos del país. En este trabajo de grado se analizaron los estándares de la calidad de la información en el cubrimiento del caso de corrupción publicada en la revista Semana y el periódico El Tiempo en el periodo comprendido entre los meses de enero del 2017 y junio del 2018. Se identificaron los temas y agendas publicados en torno al caso, evaluamos cómo fue el tratamiento de fuentes, determinar el origen de la información en las publicaciones y aracterizamos el lenguaje periodístico utilizado. Todo esto para destacar aquellos hallazgos más importantes y representativos de la calidad periodística en ambos medios de comunicación.At the end of 2016, the Department of Justice of the United States uncovered the corruption scandal of the construction company Odebrecht. In Colombia, this company made corrupt payments for the award of public works contracts for more than 100 million pesos to public officials and servants in the country. This grade work will analyze the standards of information quality in the case of corruption and will be published in the magazine La Semana and the newspaper El Tiempo in the period between January 2017 and June 2018. identified The themes and agendas are published around the case, the treatment of the sources was evaluated, the origin of the information in the publications is determined and the journalistic language used is characterized. All this to highlight the most important and representative findings of journalistic quality in both media.Comunicador (a) SocialPregrad

Level of Family Satisfaction When Receiving Patient Reports through Video Calls

En este artículo aportamos la experiencia hospitalaria de dar informes por videollamada a los familiares de las pacientes obstétricas.Introducción: los últimos 50 años se han caracacterizado por un avance vertiginoso de la ciencia. La facilidad con que Internet puede distribuir información a usuarios geográficamente distantes en una amplia variedad de computadoras hace que sea un candidato obvio para una solución tecnológica para sistemas electrónicos de registro e informe de pacientes. Objetivo: determinar el nivel de satisfacción de familiares al recibir informes de pacientes a través de video llamadas en un hospital de tercer nivel. Métodos: se realizaron entrevistas para medir el grado de satisfacción de los familiares de agosto a noviembre de 2016 mediante una encuesta de 12 preguntas. El rango de edad fue de los 18 a los 70 años de edad. Se clasificó el nivel de estudios y parentesco. Resultados: se realizaron 465 encuestas de las que se obtuvieron 5 580 respuestas. La edad promedio fue de 37 años. Se obtuvo el tiempo promedio del informe familiar, porcentajes de confidencialidad, privacidad, emociones y los principales municipios atendidos en el Estado de México. El mayor rango de satisfacción en función de edad, nivel de estudios, y parentesco fue de 36-40 años, estudios con primaria y el esposo, respectivamente. El 92.3 % de los encuestados recibió el informe entre 2 y 3 minutos en promedio. El 98 % de los familiares perciben que el informe por medio de videollamada permite tener mayor comunicación en el trinomio médico-paciente-familiar

Evolution of COVID-19 pregnancies treated with nitazoxanide in a third-level hospital.

Background Nitazoxanide shows adequate in vitro activity against coronavirus. The aim of this study was to describe the behavior of coronavirus disease 2019 (COVID-19) in pregnant women treated with nitazoxanide. Methodology This cross-sectional study included the files of COVID-19 positive pregnant women treated with nitazoxanide 500 mg every 6 hours, levofloxacin every 12 hours, and clarithromycin 500 mg every 12 hours. Results The data of 51 women (mean age: 27.4 ± 7.2 years) were analyzed. Eleven (21.56%) patients had to receive medical attention in the intensive care unit. There were 22 (43.13%) preterm deliveries, 21 by cesarean and one by vaginal delivery. The medical attention of this population was as follows: 31 cesareans, five vaginal deliveries, nine still pregnant, two requiring manual vacuum aspiration, two ectopic pregnancies, one requiring curettage, and one requiring hysterotomy. There were seven (13.72%) cases of preeclampsia, and there were two (3.92%) deaths. Conclusion Nitazoxanide prescription could be an option against COVID-19 in pregnancy due to its safety profile

Nitazoxanide as an early treatment to reduce the intensity of COVID‑19 outbreaks among health personnel

The use of nitazoxanide has previously yielded successful results in vitro against the coronavirus. The aim of the present study was to examine the efficacy of the use of nitazoxanide at an early stage among healthcare workers exhibiting symptoms of COVID‑19. This was a prospective study carried out in 2020. Healthcare personnel who presented with COVID‑19 symptoms, in different 3 hospitals were invited to take Paramix (nitazoxanide), 500 mg orally, every 6 h for 2 days and then 500 mg twice a day for 4 days. To compare the hospitalization percentage, a group of healthcare workers with a respiratory viral infection without COVID‑19 criteria were also followed‑up. Over a period of 3 months, 150 healthcare workers (111 women and 39 men) presented respiratory symptoms with COVID‑19 criteria (mean age, 36±10.6 years; range, 18‑68 years). Only one female medical doctor, one nurse and one male from the auxiliary services had to be hospitalized and one death was registered It was thus concluded that nitazoxanide yielded successful results in vitro against previous coronavirus and may prove to be useful against SARS‑CoV‑2 as an early intervention to avoid complications, decreasing the expected number of hospitalizations among infected healthcare workers.Liomont Laboratories S.A. de C.V. kindly provided the drug Paramix (nitazoxanide

Autogenic Training Relaxation Helping Postpartum Mothers to Achieve Successful Breastfeeding on Early Lactation Period

Introduction: The numbers of breastfeeding failures are mostly caused by mothers` disbelief to themselves. One method that can be done to overcome these problems in accordance with the self-care nursing theory is the autogenic training relaxation. This method teaches mothers to be self-sufficient in building a positive intention and motivation to help the process of breastfeeding. This study aimed to examine the influence of autogenic training relaxation to the effectiveness of breastfeeding and the enhancement of breast milk volume on maternal postpartum. Method: By using an experimental posttest only-non equivalent control group design, 26 samples were taken based on the criteria and divided into two groups by matching technuiqe. autogenic training was given through MP3 Player for 3 weeks. Post-test observation conducted on the third week by home visit. Via Christi Breastfeeding Assessment Tool Jan Riordan modifications used to assess the effectiveness of breastfeeding, and to measure the milk ejection volume, used weighing test using electronic baby scales. Data were analyzed using one-tailed independent t test with α ≤ 0.05. Result: The analysis showed that mothers who did autogenic training relaxation could breastfeed more effectively and had greater average volume of milk ejection than the control group (p = 0.000 and p = 0.001). Discussion: It can be concluded that autogenic relaxation training techniques affect the effectiveness of breastfeeding and breast milk volume. These results can be considered that autogenic training as an intervention in program of support for breastfeeding mothers

LA U INVESTIGA: Revista Científica. Facultad Ciencias de la Salud. Volumen 3. Número 1

Los ámbitos de investigación expuestos en este número corresponden a salud, educación, comunicación; temática relacionados íntimamente con la problemática social, que trata de visibilizarla a través de la difusión científica. Desde una visión de caso clínico, como son aquellos artículos investigados en los centros asistenciales del país; o de análisis colectivo evidente en los artículos elaborados por académicos de la Universidad Técnica del Norte.• Adenoma pleomorfo metastásico a mama y pulmón. • Evaluación clínica y atención temprana de la potencialidad cerebromotriz innata en los recién nacidos vivos con factores de riesgo neonatal del hospital general San Vicente de Paúl. • Embarazo ectopico cervical a proposito de un caso • Ganglio centinela en cáncer de mama uso de azul patente en unidades de segundo nivel. • Morbimortalidad en recién nacidos pretérminos menores de 36 semanas, hospital IESS Ibarra año 2014. • Ruptura esplénica asociada con preeclampsia severa presentacion de un caso. • Enfermedad de Addison de etiología tuberculosa: presentación de caso clínico. • Estado de la independencia funcional en personas con discapacidad del cantón Otavalo. • Síntesis analítica sobre las bondades medicinales de la jícama (smallanthus sonchifolius) 2015. • Prevención de infecciones puerperales con Churiyuyo (kalanchoe pinnata), una experiencia de las parteras tradicionales en Napo Ecuador. • Valoración de las habilidades comunicativas en la relación fisioterapeuta paciente. • Objeto de aprendizaje móvil en el aula, para estudiantes de la carrera de Nutrición y salud comunitaria, Universidad Técnica del Norte. • Infecciones de vías urinarias asociadas a catéter vesical en mujeres embarazadas. Hospital San Vicente de Paúl, 2015. • Proceso enfermero en la satisfacción de las necesidades básicas en usuario colecistectomizado. • Satisfacción laboral de los profesionales de enfermerí

Impact of COVID-19 on cardiovascular testing in the United States versus the rest of the world

Objectives: This study sought to quantify and compare the decline in volumes of cardiovascular procedures between the United States and non-US institutions during the early phase of the coronavirus disease-2019 (COVID-19) pandemic. Background: The COVID-19 pandemic has disrupted the care of many non-COVID-19 illnesses. Reductions in diagnostic cardiovascular testing around the world have led to concerns over the implications of reduced testing for cardiovascular disease (CVD) morbidity and mortality. Methods: Data were submitted to the INCAPS-COVID (International Atomic Energy Agency Non-Invasive Cardiology Protocols Study of COVID-19), a multinational registry comprising 909 institutions in 108 countries (including 155 facilities in 40 U.S. states), assessing the impact of the COVID-19 pandemic on volumes of diagnostic cardiovascular procedures. Data were obtained for April 2020 and compared with volumes of baseline procedures from March 2019. We compared laboratory characteristics, practices, and procedure volumes between U.S. and non-U.S. facilities and between U.S. geographic regions and identified factors associated with volume reduction in the United States. Results: Reductions in the volumes of procedures in the United States were similar to those in non-U.S. facilities (68% vs. 63%, respectively; p = 0.237), although U.S. facilities reported greater reductions in invasive coronary angiography (69% vs. 53%, respectively; p < 0.001). Significantly more U.S. facilities reported increased use of telehealth and patient screening measures than non-U.S. facilities, such as temperature checks, symptom screenings, and COVID-19 testing. Reductions in volumes of procedures differed between U.S. regions, with larger declines observed in the Northeast (76%) and Midwest (74%) than in the South (62%) and West (44%). Prevalence of COVID-19, staff redeployments, outpatient centers, and urban centers were associated with greater reductions in volume in U.S. facilities in a multivariable analysis. Conclusions: We observed marked reductions in U.S. cardiovascular testing in the early phase of the pandemic and significant variability between U.S. regions. The association between reductions of volumes and COVID-19 prevalence in the United States highlighted the need for proactive efforts to maintain access to cardiovascular testing in areas most affected by outbreaks of COVID-19 infection

Gestión del conocimiento. Perspectiva multidisciplinaria. Volumen 17

El libro “Gestión del Conocimiento. Perspectiva Multidisciplinaria”, Volumen 17 de la Colección Unión Global, es resultado de investigaciones. Los capítulos del libro, son resultados de investigaciones desarrolladas por sus autores. El libro es una publicación internacional, seriada, continua, arbitrada, de acceso abierto a todas las áreas del conocimiento, orientada a contribuir con procesos de gestión del conocimiento científico, tecnológico y humanístico. Con esta colección, se aspira contribuir con el cultivo, la comprensión, la recopilación y la apropiación social del conocimiento en cuanto a patrimonio intangible de la humanidad, con el propósito de hacer aportes con la transformación de las relaciones socioculturales que sustentan la construcción social de los saberes y su reconocimiento como bien público

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

Sulfato de magnesio versus fenitoina en la prevención de convulsiones en la enfermedad hipertensiva del embarazo

Tesis de Especialidad Presentada a la Universidad Veracruzana, Región Veracruz