Cumplimiento del documento técnico organización de círculos de adultos mayores I nivel, dirección de redes integradas de salud, Lima norte

The objective of this research was to determine the compliance of the organization of the circle of older adults of the first level of health care, according to the technical document RM N ° 756-2014 / MINSA, in the districts of Comas and San Martín de la DIRIS Lima North. The methodology used was of a basic type, a quantitative, descriptive, non- experimental approach. A virtual survey was used of 40 health professionals responsible for the elderly life stage of the first level health establishments in the jurisdictional area of the DIRIS Lima Norte. The results obtained in relation to the optimal compliance with the technical document, was 40%, it meets the basic requirements for the development of the activities of the circle; while 55% comply with the operational actions; and in organization it was 50%; Thus, in management, 45% plan and schedule their activities, only 20% indicate that they go through monitoring and evaluation; It is concluded that health professionals have an identification with this population group and despite the difficulties they carry out activities and of the total number of surveys, 50% regularly comply with the regulations.La presente investigación tuvo como objetivo, determinar el cumplimiento de la organización del círculo de personas adultas mayores del primer nivel de atención de salud, según el documento técnico RM N° 756-2014/MINSA, en los distritos de Comas y San Martín de la DIRIS Lima Norte. La metodología utilizada fue de tipo básico, enfoque cuantitativo, descriptivo no experimental, se utilizó una encuesta virtual a 40 profesionales de salud responsables de la etapa de vida adulto mayor de los establecimientos de salud del primer nivel del ámbito jurisdiccional de la DIRIS Lima Norte. Los resultados que se obtuvieron en relación con el óptimo cumplimiento del documento técnico, fue el 40%, cumple con los requerimientos básicos para el desarrollo de las actividades del círculo; mientras que el 55% cumple con las acciones de funcionamiento; y en organización resultó el 50%; es así que en gestión el 45% planifica y programa sus actividades, solo el 20% indican que pasan por un monitoreo y evaluación; se concluye que los profesionales de salud tienen una identificación con este grupo poblacional y a pesar de las dificultades desarrollan actividades y del total de encuestas un 50% hace un cumplimiento regular de la normativa

Evaluation of capacity building in disaster risk management in sanitary neighbors between the years 2015 - 2020

El objetivo de la investigación fue determinar el nivel del fortalecimiento de las capacidades en gestión del riesgo de desastres en los vecinos Sanisidrinos entre los años 2015 al 2020, de tipo básica, de enfoque cuantitativo, de diseño no experimental, de nivel descriptivo comparativo, de corte transversal. La muestra estuvo conformada por 232 registros digitales relacionados con el fortalecimiento de capacidades en gestión del riesgo de desastres en los vecinos Sanisidrinos desde el 2015 al 2020. Como instrumento se utilizó la ficha de revisión documentaria las cuales fueron procesadas a través del análisis de datos. Para la evaluación del fortalecimiento de capacidades en gestión del riesgo de desastres en la Municipalidad de San Isidro en el periodo 2015-2020, se consideraron tres dimensiones: planificación, ejecución y evaluación. Teniendo como resultado, que la planificación y la ejecución en el periodo 2015-2019, manifestaron un nivel de “deficiente”, y el 2020 obtuvieron un nivel de “eficiente”. Respecto a la dimensión evaluación dio como resultado un nivel de deficiente, en el periodo 2015-2020. Concluyendo que en las tres dimensiones el fortalecimiento de capacidades en gestión de riesgos y desastres de la Municipalidad de San Isidro durante el periodo 2015-2020, se encuentra en un nivel de “deficiente”. The objective of the research was to determine the level of capacity-building in disaster risk management in the San Salvador neighbors between the years 2015 and 2020, of a basic type, of a quantitative approach, of a non-experimental design, of a comparative descriptive level, of cross-section. The sample consisted of 232 digital records related to the strengthening of capacities in disaster risk management in the residents of San Salvador from 2015 to 2020. The document review form was used as an instrument, which were processed through data analysis. For the evaluation of capacity building in disaster risk management in the Municipality of San Isidro in the period 2015-2020, three dimensions were considered: planning, execution and evaluation. As a result, planning and execution in the period 2015-2019 showed a level of "deficient", and in 2020 they obtained a level of "efficient". Regarding the evaluation dimension, it resulted in a deficient level, in the period 2015-2020. Concluding that in the three dimensions the strengthening of capacities in risk and disaster management of the Municipality of San Isidro during the period 2015-2020, is at a “deficient” level

Leadership styles and administrative management in principals of public educational institutions in northern Peru

Usando un diseño no experimental de corte transversal y de tipo correlacional se analiza la relación entre las variables de estilos de liderazgo y gestión administrativa en instituciones educativas públicas en la provincial de Chiclayo en el norte peruano. Se han usado dos tipos de instrumentos, el primero es una adaptación del Cuestionario de identificación de estilos de liderazgo (CIELID) de Dante (2012) y el segundo es una escala de medición de la gestión administrativa. Los instrumentos han sido debidamente validados y sometidos a las pruebas de confiabilidad. La población está conformada por 540 docentes de instituciones relevantes en número y posicionamiento de la zona de estudio, de los cuales se ha tomado una muestra no probabilística de 30 docentes. Los resultados evidencian la existencia de una relación directa, significativa y moderada entre las variables liderazgo transformacional y transaccional y la gestión administrativa, mientras que el estilo de liderazgo laissez faire tiene una relación inversa con la gestión administrativa.Using a non-experimental cross-sectional and correlational design, the relationship between the variables of leadership styles and administrative management in public educational institutions in the province of Chiclayo in northern Peru was analyzed. Two types of instruments have been used, the first is an adaptation of the Questionnaire for the Identification of Leadership Styles (CIELID) by Dante (2012) and the second is a scale for measuring administrative management. The instruments have been duly validated and subjected to reliability tests. The population is made up of 540 teachers from relevant institutions in number and positioning in the study area, from which a non-probabilistic sample of 30 teachers was taken. The results show the existence of a direct, significant and moderate relationship between the transformational and transactional leadership variables and administrative management, while the laissez faire leadership style has an inverse relationship with administrative managemen

Impacto de la red de cuidado integral de salud para personas con discapacidad en el marco de pandemia covid-19

The objective of this research was to determine the impact of the Comprehensive Care Network for People with Disabilities in the COVID-19 pandemic in three executing agencies nationwide. The study has a quantitative approach, basic type, non-experimental design, descriptive and cross-sectional level. The results of the research determined the favorable impact of the Comprehensive Care Network, obtaining the highest percentages: 34% of those attended were adults and 33% were elderly, 48% of whom were severely disabled. 3.5% were considered as confirmed COVID-19 cases (44 People with disabilities-PCD) and 97% as No COVID-19 (1403 PCD). The most requested health care was affiliation to SIS 66% and certificate of disability to 64%. In social support, the non-contributory pension (371 PCD) obtained the greatest demand, of which 52% were from Lima and 40% requested food (297 PCD) from Ancash. It was determined that the Comprehensive Care Network for people with disabilities contributed to the well-being of this vulnerable population of DIRESA Tumbes, Ancash and DIRIS Lima Centro.La presente investigación tuvo como objetivo, determinar el impacto de la Red de Cuidado Integral para Personas con discapacidad, en la pandemia por COVID-19 en tres ejecutoras a nivel nacional. El estudio es de enfoque cuantitativo, tipo básico, diseño no experimental, nivel descriptivo y transversal. Los resultados de la investigación determinaron el impacto favorable de la Red de cuidados integrales, obteniéndose los mayores porcentajes: 34% de atendidos fueron adultos y 33% adultos mayores, siendo 48% con discapacidad severa. El 3.5% fueron considerados como casos confirmado COVID- 19(44 Personas con discapacidad-PCD) y el 97% como No COVID-19(1403 PCD). La atención de salud más solicitada fue afiliación al SIS 66% y para certificado de discapacidad al 64%. En apoyo social obtuvo mayor demanda la pensión no contributiva (371 PCD) de los cuales el 52 % fueron de Lima y solicitaron alimentos (297 PCD) procedente 40% de Ancash. Se determinó que la Red de Cuidado integral para personas con discapacidad contribuyó en el bienestar de esta población vulnerable de DIRESA Tumbes, Ancash y DIRIS Lima Centro

Connected Insulin Pens and Caps : An Expert's Recommendation from the Area of Diabetes of the Spanish Endocrinology and Nutrition Society (SEEN)

Undoubtedly, technological advances have revolutionised diabetes management in recent years. The development of advanced closed hybrid loop insulin pumps or continuous glucose monitoring (CGM) systems, among others, have increased the quality of life and improved glycaemic control of people with diabetes. However, only some patients have access to such technology, and only some want to use it. CGM has become much more widespread, but in terms of insulin delivery, most people with type 1 diabetes (T1D) and almost all people with type 2 diabetes (T2D) on insulin therapy are treated with multiple-dose insulin injections (MDI) rather than an insulin pump. For these patients, using connected insulin pens or caps has shown benefits in reducing missed insulin injections and promoting correct administration over time. In addition, using these devices improves the quality of life and user satisfaction. The integration of insulin injection and CGM data facilitates both users and the healthcare team to analyse glucose control and implement appropriate therapeutic changes, reducing therapeutic inertia. This expert's recommendation reviews the characteristics of the devices marketed or in the process of being marketed and their available scientific evidence. Finally, it suggests the profile of users and professionals who would benefit most, the barriers to its generalisation and the changes in the care model that implementing these devices can bring with it

Long-term outcomes of the global tuberculosis and COVID-19 co-infection cohort

Background: Longitudinal cohort data of patients with tuberculosis (TB) and coronavirus disease 2019 (COVID-19) are lacking. In our global study, we describe long-term outcomes of patients affected by TB and COVID-19. Methods: We collected data from 174 centres in 31 countries on all patients affected by COVID-19 and TB between 1 March 2020 and 30 September 2022. Patients were followed-up until cure, death or end of cohort time. All patients had TB and COVID-19; for analysis purposes, deaths were attributed to TB, COVID-19 or both. Survival analysis was performed using Cox proportional risk-regression models, and the log-rank test was used to compare survival and mortality attributed to TB, COVID-19 or both. Results: Overall, 788 patients with COVID-19 and TB (active or sequelae) were recruited from 31 countries, and 10.8% (n=85) died during the observation period. Survival was significantly lower among patients whose death was attributed to TB and COVID-19 versus those dying because of either TB or COVID-19 alone (p<0.001). Significant adjusted risk factors for TB mortality were higher age (hazard ratio (HR) 1.05, 95% CI 1.03-1.07), HIV infection (HR 2.29, 95% CI 1.02-5.16) and invasive ventilation (HR 4.28, 95% CI 2.34-7.83). For COVID-19 mortality, the adjusted risks were higher age (HR 1.03, 95% CI 1.02-1.04), male sex (HR 2.21, 95% CI 1.24-3.91), oxygen requirement (HR 7.93, 95% CI 3.44-18.26) and invasive ventilation (HR 2.19, 95% CI 1.36-3.53). Conclusions: In our global cohort, death was the outcome in >10% of patients with TB and COVID-19. A range of demographic and clinical predictors are associated with adverse outcomes

The Athena X-ray Integral Field Unit: a consolidated design for the system requirement review of the preliminary definition phase

The Athena X-ray Integral Unit (X-IFU) is the high resolution X-ray spectrometer, studied since 2015 for flying in the mid-30s on the Athena space X-ray Observatory, a versatile observatory designed to address the Hot and Energetic Universe science theme, selected in November 2013 by the Survey Science Committee. Based on a large format array of Transition Edge Sensors (TES), it aims to provide spatially resolved X-ray spectroscopy, with a spectral resolution of 2.5 eV (up to 7 keV) over an hexagonal field of view of 5 arc minutes (equivalent diameter). The X-IFU entered its System Requirement Review (SRR) in June 2022, at about the same time when ESA called for an overall X-IFU redesign (including the X-IFU cryostat and the cooling chain), due to an unanticipated cost overrun of Athena. In this paper, after illustrating the breakthrough capabilities of the X-IFU, we describe the instrument as presented at its SRR, browsing through all the subsystems and associated requirements. We then show the instrument budgets, with a particular emphasis on the anticipated budgets of some of its key performance parameters. Finally we briefly discuss on the ongoing key technology demonstration activities, the calibration and the activities foreseen in the X-IFU Instrument Science Center, and touch on communication and outreach activities, the consortium organisation, and finally on the life cycle assessment of X-IFU aiming at minimising the environmental footprint, associated with the development of the instrument. Thanks to the studies conducted so far on X-IFU, it is expected that along the design-to-cost exercise requested by ESA, the X-IFU will maintain flagship capabilities in spatially resolved high resolution X-ray spectroscopy, enabling most of the original X-IFU related scientific objectives of the Athena mission to be retained. (abridged).Comment: 48 pages, 29 figures, Accepted for publication in Experimental Astronomy with minor editin

The Athena X-ray Integral Field Unit: a consolidated design for the system requirement review of the preliminary definition phase

The Athena X-ray Integral Unit (X-IFU) is the high resolution X-ray spectrometer studied since 2015 for flying in the mid-30s on the Athena space X-ray Observatory. Athena is a versatile observatory designed to address the Hot and Energetic Universe science theme, as selected in November 2013 by the Survey Science Committee. Based on a large format array of Transition Edge Sensors (TES), X-IFU aims to provide spatially resolved X-ray spectroscopy, with a spectral resolution of 2.5 eV (up to 7 keV) over a hexagonal field of view of 5 arc minutes (equivalent diameter). The X-IFU entered its System Requirement Review (SRR) in June 2022, at about the same time when ESA called for an overall X-IFU redesign (including the X-IFU cryostat and the cooling chain), due to an unanticipated cost overrun of Athena. In this paper, after illustrating the breakthrough capabilities of the X-IFU, we describe the instrument as presented at its SRR (i.e. in the course of its preliminary definition phase, so-called B1), browsing through all the subsystems and associated requirements. We then show the instrument budgets, with a particular emphasis on the anticipated budgets of some of its key performance parameters, such as the instrument efficiency, spectral resolution, energy scale knowledge, count rate capability, non X-ray background and target of opportunity efficiency. Finally, we briefly discuss the ongoing key technology demonstration activities, the calibration and the activities foreseen in the X-IFU Instrument Science Center, touch on communication and outreach activities, the consortium organisation and the life cycle assessment of X-IFU aiming at minimising the environmental footprint, associated with the development of the instrument. Thanks to the studies conducted so far on X-IFU, it is expected that along the design-to-cost exercise requested by ESA, the X-IFU will maintain flagship capabilities in spatially resolved high resolution X-ray spectroscopy, enabling most of the original X-IFU related scientific objectives of the Athena mission to be retained. The X-IFU will be provided by an international consortium led by France, The Netherlands and Italy, with ESA member state contributions from Belgium, Czech Republic, Finland, Germany, Poland, Spain, Switzerland, with additional contributions from the United States and Japan.The French contribution to X-IFU is funded by CNES, CNRS and CEA. This work has been also supported by ASI (Italian Space Agency) through the Contract 2019-27-HH.0, and by the ESA (European Space Agency) Core Technology Program (CTP) Contract No. 4000114932/15/NL/BW and the AREMBES - ESA CTP No.4000116655/16/NL/BW. This publication is part of grant RTI2018-096686-B-C21 funded by MCIN/AEI/10.13039/501100011033 and by “ERDF A way of making Europe”. This publication is part of grant RTI2018-096686-B-C21 and PID2020-115325GB-C31 funded by MCIN/AEI/10.13039/501100011033

Large expert-curated database for benchmarking document similarity detection in biomedical literature search

Document recommendation systems for locating relevant literature have mostly relied on methods developed a decade ago. This is largely due to the lack of a large offline gold-standard benchmark of relevant documents that cover a variety of research fields such that newly developed literature search techniques can be compared, improved and translated into practice. To overcome this bottleneck, we have established the RElevant LIterature SearcH consortium consisting of more than 1500 scientists from 84 countries, who have collectively annotated the relevance of over 180 000 PubMed-listed articles with regard to their respective seed (input) article/s. The majority of annotations were contributed by highly experienced, original authors of the seed articles. The collected data cover 76% of all unique PubMed Medical Subject Headings descriptors. No systematic biases were observed across different experience levels, research fields or time spent on annotations. More importantly, annotations of the same document pairs contributed by different scientists were highly concordant. We further show that the three representative baseline methods used to generate recommended articles for evaluation (Okapi Best Matching 25, Term Frequency-Inverse Document Frequency and PubMed Related Articles) had similar overall performances. Additionally, we found that these methods each tend to produce distinct collections of recommended articles, suggesting that a hybrid method may be required to completely capture all relevant articles. The established database server located at https://relishdb.ict.griffith.edu.au is freely available for the downloading of annotation data and the blind testing of new methods. We expect that this benchmark will be useful for stimulating the development of new powerful techniques for title and title/abstract-based search engines for relevant articles in biomedical research.Peer reviewe

Outcomes from elective colorectal cancer surgery during the SARS-CoV-2 pandemic

This study aimed to describe the change in surgical practice and the impact of SARS-CoV-2 on mortality after surgical resection of colorectal cancer during the initial phases of the SARS-CoV-2 pandemic