Mitigation of risk for work at hights in the building construction "arboleda" under the PMI approach

Los Accidentes de Trabajo y Enfermedades Profesionales son factores que interfieren en el desarrollo normal de la actividad empresarial, incidiendo negativamente en su productividad y por consiguiente amenazando su solidez y permanencia en el mercado; conllevando además a graves implicaciones a nivel laboral, familiar y social. n consideración de lo anterior, la alta Gerencia asume su responsabilidad en buscar y poner en práctica las medidas necesarias que contribuyen a mantener y mejorar los niveles de eficiencia en las operaciones de la Empresa y brindar a sus trabajadores un medio laboral seguro, para lo cual se propone desarrollar un Plan de mitigación de riesgos de trabajos en altura tendiente a preservar, mantener y mejorar la salud individual y colectiva de los trabajadores en sus correspondientes ocupaciones que deben ser desarrolladas en forma interdisciplinaria.Accidents and Occupational Diseases are factors that interfere in the normal course of business, negatively impacting productivity and thus threatening their solidity and permanence in the market, leading to serious implications in addition to work, family and social level. In consideration of the foregoing, Senior Management takes its responsibility to seek and implement the necessary measures to help maintain and improve levels of efficiency in the operations of the Company and provide their workers with a safe working environment, for which Plan aims to develop a risk mitigation work at height tending to preserve, maintain and improve individual and collective health of workers in their respective occupations that should be developed in an interdisciplinary way

Seroprevalência anti-Leptospira spp. anticorpos e fatores de risco em bovinos da savana tropical do oriente da Colômbia

A leptospirose é uma zoonose de distribuição ampla e endêmica na zona tropical. A condição epidemiologia da doença é complexa, intervém diferentes fatores do hospedeiro, tipo de sorovar, reservatórios, ambiente e as práticas agrícolas. Em bovinos a doenças causa danos significativos ao setor pecuário, e as condições ambientais podem influenciar a sua dinâmica. O objetivo deste estudo foi determinar a seroprevalência anti-Leptospira spp. anticorpos e os fatores de risco em bovinos na savana tropical do leste da Colômbia. Foi coletado sangue das veias coccígeas de 1.000 animais e foi utilizada a técnica MAT (Microagglutination) para a identificação do sorogrupo Autumnalis, Bataviae, Bratislava, Canicola, Copenhagen, Cynopteri, Grippotyphosa, Sejroe, Mini, Pomona, Shermani, Tarassovi, e Celledoni. Estudos de fatores de risco foram realizados de acordo com o sorovar por meio do cálculo de X2 e OR. A seroprevalência de Leptospira spp foi de 34,2% com 92,3% dos rebanhos. Pomona teve a maior frequência de 7,9%, seguida por Sejroe com 7,0% e Grippotyphosa com 6,2%. A aglutinação de anticorpos com mais de um sorovar foi observada em 102 (29,8%) das amostras, o sorogrupo com as maiores correlações foi Pomona e Harjo.Leptospirosis is a zoonotic disease in the tropical zone with a broad and endemic distribution. The condition is complex, where different host factors, serovar type, reservoirs, environment, and agricultural practices intervene. In cattle, the disease causes significant damage to the livestock sector, and the surrounding conditions can influence its dynamics. This study aimed to determine the seroprevalence of anti-Leptospira spp. antibodies and the risk factors in cattle in the tropical savannah from eastern Colombia. Blood was taken from the coccygeal veins of 1,000 animals. The MAT (Microagglutination) technique was used for the identification of the serogroup Autumnalis, Bataviae, Bratislava, Canicola, Copenhagen, Cynopteri, Grippotyphosa, Sejroe, Mini, Pomona, Shermani, Tarassovi, and Celledoni. Studies of risk factors were carried out according to the serovar through the calculation of X2 and OR. Seroprevalence of Leptospira spp. was 34.2% with 92.3% of herds. Pomona had the highest frequency of 7.9%, followed by Hardjo prajit with 7.0% and Grippotyphosa with 6.2%. Antibody agglutination with more than one serovar was seen in 102 (29.8%) samples. The serogroup with the highest correlations were Pomona and Hardjo prajit.

Assessment of the consequences of caregiving in psychosis: a psychometric comparison of the Zarit Burden Interview (ZBI) and the Involvement Evaluation Questionnaire (IEQ)

Background: The Zarit Burden Interview ( ZBI) was originally developed to assess the level of subjective burden in caregivers of people with dementia. The Involvement Evaluation Questionnaire ( IEQ) is amongst the leading scales to assess caregiving consequences in severe mental illness. We aimed to compare the psychometric properties of the ZBI, a generic tool, and of the IEQ, a more specific tool to assess the consequences of caregiving in schizophrenia and related disorders. Methods: Secondary analyses of a 16- week, randomized controlled trial of a psychoeducational intervention in 223 primary caregivers of patients with schizophrenia or schizoaffective disorder. Psychometric properties ( internal consistency, convergent and discriminative validity, and sensitivity to change) were evaluated for both ZBI and IEQ. Results: Internal consistency was good and similar for both scales ( ZBI: 0.91, 95% CI: 0.89, 0.94; IEQ: 0.86, 95% CI: 0. 83, 0.89). Convergent validity was relevant for similar domains ( e. g. ZBI total score vs IEQ- tension r = 0.69, 95% CI: 0. 61, 0.75) and at least moderate for the rest of domains ( ZBI total score, personal strain and role strain vs IEQ- urging and supervision). Discriminative validity against psychological distress and depressive symptoms was good ( Area Under the Curve [ AUC]: 0.77, 95% CI: 0.71, 0.83; and 0.69, 95% CI: 0.63, 0.78 - for ZBI against GHQ- 28 and CES- D respectively; and AUC: 0.72, 95% CI: 0.65, 0.78; and 0.69, 95% CI: 0.62, 0.77 - for IEQ against GHQ- 28 and CES- D respectively). AUCs against the reference criteria did not differ significantly between the two scales. After the intervention, both scales showed a significant decrease at endpoint ( p- values < 0.001) with similar standardised effect sizes for change (- 0.36, 95% CI: - 0.58, - 0.15 - for ZBI; - 0.39, 95% CI: - 0.60, - 0.18 - for IEQ). Conclusions: Both ZBI and IEQ have shown satisfactory psychometric properties to assess caregiver burden in this sample. We provided further evidence on the performance of the ZBI as a general measure of subjective burden.The study was entirely funded by a public research grant (FIS PI10/01049, Spain)

Hyperoxemia and excess oxygen use in early acute respiratory distress syndrome : Insights from the LUNG SAFE study

Publisher Copyright: © 2020 The Author(s). Copyright: Copyright 2020 Elsevier B.V., All rights reserved.Background: Concerns exist regarding the prevalence and impact of unnecessary oxygen use in patients with acute respiratory distress syndrome (ARDS). We examined this issue in patients with ARDS enrolled in the Large observational study to UNderstand the Global impact of Severe Acute respiratory FailurE (LUNG SAFE) study. Methods: In this secondary analysis of the LUNG SAFE study, we wished to determine the prevalence and the outcomes associated with hyperoxemia on day 1, sustained hyperoxemia, and excessive oxygen use in patients with early ARDS. Patients who fulfilled criteria of ARDS on day 1 and day 2 of acute hypoxemic respiratory failure were categorized based on the presence of hyperoxemia (PaO2 > 100 mmHg) on day 1, sustained (i.e., present on day 1 and day 2) hyperoxemia, or excessive oxygen use (FIO2 ≥ 0.60 during hyperoxemia). Results: Of 2005 patients that met the inclusion criteria, 131 (6.5%) were hypoxemic (PaO2 < 55 mmHg), 607 (30%) had hyperoxemia on day 1, and 250 (12%) had sustained hyperoxemia. Excess FIO2 use occurred in 400 (66%) out of 607 patients with hyperoxemia. Excess FIO2 use decreased from day 1 to day 2 of ARDS, with most hyperoxemic patients on day 2 receiving relatively low FIO2. Multivariate analyses found no independent relationship between day 1 hyperoxemia, sustained hyperoxemia, or excess FIO2 use and adverse clinical outcomes. Mortality was 42% in patients with excess FIO2 use, compared to 39% in a propensity-matched sample of normoxemic (PaO2 55-100 mmHg) patients (P = 0.47). Conclusions: Hyperoxemia and excess oxygen use are both prevalent in early ARDS but are most often non-sustained. No relationship was found between hyperoxemia or excessive oxygen use and patient outcome in this cohort. Trial registration: LUNG-SAFE is registered with ClinicalTrials.gov, NCT02010073publishersversionPeer reviewe

Spatiotemporal Characteristics of the Largest HIV-1 CRF02_AG Outbreak in Spain: Evidence for Onward Transmissions

Background and Aim: The circulating recombinant form 02_AG (CRF02_AG) is the predominant clade among the human immunodeficiency virus type-1 (HIV-1) non-Bs with a prevalence of 5.97% (95% Confidence Interval-CI: 5.41–6.57%) across Spain. Our aim was to estimate the levels of regional clustering for CRF02_AG and the spatiotemporal characteristics of the largest CRF02_AG subepidemic in Spain.Methods: We studied 396 CRF02_AG sequences obtained from HIV-1 diagnosed patients during 2000–2014 from 10 autonomous communities of Spain. Phylogenetic analysis was performed on the 391 CRF02_AG sequences along with all globally sampled CRF02_AG sequences (N = 3,302) as references. Phylodynamic and phylogeographic analysis was performed to the largest CRF02_AG monophyletic cluster by a Bayesian method in BEAST v1.8.0 and by reconstructing ancestral states using the criterion of parsimony in Mesquite v3.4, respectively.Results: The HIV-1 CRF02_AG prevalence differed across Spanish autonomous communities we sampled from (p &lt; 0.001). Phylogenetic analysis revealed that 52.7% of the CRF02_AG sequences formed 56 monophyletic clusters, with a range of 2–79 sequences. The CRF02_AG regional dispersal differed across Spain (p = 0.003), as suggested by monophyletic clustering. For the largest monophyletic cluster (subepidemic) (N = 79), 49.4% of the clustered sequences originated from Madrid, while most sequences (51.9%) had been obtained from men having sex with men (MSM). Molecular clock analysis suggested that the origin (tMRCA) of the CRF02_AG subepidemic was in 2002 (median estimate; 95% Highest Posterior Density-HPD interval: 1999–2004). Additionally, we found significant clustering within the CRF02_AG subepidemic according to the ethnic origin.Conclusion: CRF02_AG has been introduced as a result of multiple introductions in Spain, following regional dispersal in several cases. We showed that CRF02_AG transmissions were mostly due to regional dispersal in Spain. The hot-spot for the largest CRF02_AG regional subepidemic in Spain was in Madrid associated with MSM transmission risk group. The existence of subepidemics suggest that several spillovers occurred from Madrid to other areas. CRF02_AG sequences from Hispanics were clustered in a separate subclade suggesting no linkage between the local and Hispanic subepidemics

Unusual outbreak of cutaneous leishmaniasis in rural Ibagué: notification challenges

El brote de leishmaniasis cutánea ocurrió en veredas del municipio de Ibagué, ubicado en el centro-occidente de Colombia, en la región andina, coordenadas geográficas 4° 26′ 16″ N y 75° 12′ 02″ O, temperatura anual entre 25 a 28°C, a una altitud de 1.250 y 1.400m s.n.m., las precipitaciones fluctúan entre 2.000 y 3.000mm anuales. Las veredas afectadas fueron Honduras, con 133 habitantes; San Cristóbal, 214; San Francisco, 268 habitantes; Caucho Parte Alta, con 71; Charo Rico, 258, pertenecientes a la cuenca mayor del río Combeima, subcuenca del río Coello, con un clima tropical boscoso. El análisis del brote fue elaborado a partir de información epidemiológica reportada en documentos, reportes, encuestas, comités y diagnósticos. Se realizó un análisis descriptivo de los casos, considerando el tiempo y el espacio, las características sociodemográficas, las características clínicas, el diagnóstico, el tratamiento, la evolución de las lesiones y las medidas de control y prevención.Incluye referencias bibliográfica

Characterization of microbial communities in seven wetlands with different anthropogenic burden using Next Generation Sequencing in Bogotá, Colombia

Wetlands represent key ecosystems due to their remarkable biodiversity, ecological functions and multiple ecosystem services provided. In Colombia, there are 31,702 wetlands, 13 of which are in Bogotá, capital of the country. Despite the fundamental socioecological support of these aquatic ecosystems, a tremendous loss and degradation of these ecosystems has been observed due to anthropogenic perturbations. Therefore, the aim of this study was to describe the status of seven Bogotá wetlands with variable anthropogenic interventions by measuring organoleptic, physicochemical, and microbiological parameters, using commercial kits, highly sensitive equipment, and next-generation sequencing of the 16S- and 18S-rRNA genes. Our findings describe the status of seven wetlands with different anthropogenic burden in Bogotá-Colombia where physicochemical and microbiology signals of contamination were observed. Additionally, some profiles in the composition of the microbial communities, together with certain physicochemical characteristics, may represent an insight into the environmental dynamics, where Beta Proteobacteria such as Malikia represent a potential keystone in aquatic ecosystems impacted by wastewater effluent discharges; the presence of nitrates and phosphates explain the abundance of bacteria capable of oxidizing these compounds, such as Polynucleobacter. Moreover, the presence of specific prokaryotic and eukaryotic organisms, such as Clostridium, Cryptococcus, Candida, and Naegleria, reported in one or more of the wetlands assessed here, could represent a possible pathogenic risk for human and animal health. This study performed a complete evaluation of seven Bogotá wetlands with different anthropogenic impacts for the first time, and our findings emphasize the importance of maintaining continuous monitoring of these water bodies given their remarkable ecological importance and potential spill-over of several pathogens to humans and animals

Aspectos oftalmológicos y optométricos de las comunidades indígenas visitadas por la Gran Expedición Humana.

spa: Durante el proceso de la Gran Expedición Humana se visitaron 25 asentamientos de distintos grupos indígenas y cuatro comunidades de habitantes negros. En este estudio se reportan los resultados de 5.111 individuos examinados desde el punto de vista oftalmológico y optométrico

Nos enganchamos a leer

Se desarrolla un proyecto de innovación educativa que pretende descubrir en el alumnado de forma gradual, el interés por la lectura y aprender a disfrutar de ella. El proyecto de innovación se lleva a cabo en el CRA Valle de Riaza, el cual está integrado por aulas en cinco pueblos: Milagros, Pardilla, Fuentenebro, Moradillo de Roa y Adraza de Aza. Para desarrolla el proyecto es necesario ampliar los recursos y materiales del profesorado, especialmente en las nuevas tecnologías, para facilitar el proceso de enseñanza aprendizaje. Se conecta a los niños y niñas de los distintos pueblos vía Internet, favoreciendo las relaciones entre todos los alumnos del CRA ya sea de forma presencial a través de los talleres o de forma virtual, a través de los correos electrónicos, de la página Web y de los foros. Se conoce y utiliza de forma habitual la biblioteca del centro, tanto de las propias aulas como las del resto de los pueblos, a través de Internet, para ello se elabora una biblioteca virtual con los fondos de todas las aulas del CRA en un portal o página Web específica. En el proyecto se implica a las familias y a los alumnos y alumnas de forma conjunta, tanto en la elaboración como en la explotación de los recursos que irán generando. Se crean actividades interactivas para desarrollar la afición por la lectura y en las que participa el alumnado: cuentos y actividades informáticas de animación lectora. El trabajo práctico con el alumnado en el aula consistido en primer lugar en la motivación, después un acercamiento, una implicación y la elaboración, para terminar valorando y exponiendo lo trabajado a nivel de centro. Los resultados en general han sigo satisfactorios: se ha mejorado mucho el interés y la motivación del alumnado por la lectura, consiguiendo una mayor relación e interacción entre las distintas aulas y entre el alumnado de los pueblos que forman el CRA; se ha contribuido a ampliar los recursos del centro de una forma práctica y con fuerte implicación del alumnado y del profesorado; los niños y niñas han comprobado y se han servido de la utilidad de las TIC para mejorar y motivar su aprendizaje; y finalmente se ha fomentado el trabajo en equipo, tanto a nivel de CRA entre los profesores y profesoras de las distintas aulas como entre los alumnos y alumnas.Castilla y LeónConsejería de Educación. Dirección General de Universidades e Investigación; Monasterio de Nuestra Señora de Prado, Autovía Puente Colgante s. n.; 47071 Valladolid; +34983411881; +34983411939ES

Estado del arte sobre formación universitaria

865 Páginas.La siguiente investigación tuvo como objetivo realizar un Estado del Arte sobre el tema : "Formación de Estudiantes de Psicología". Para lo cual se analizaron 204 RAI correspondientes a trabajos de grado realizados desde 1990 hasta agosto de 2001 en diez facultades de Psicología de Bogotá adscritas a Ascofapsi, y 77 RAI correspondientes a trabajos de grado realizados en cuatro programas de la Universidad de la Sabana : Enfermería, Comunicación Social y Periodismo, Administración de Empresas y Psicologí