4 research outputs found
GuĂa Digital Básica Acerca de la TerminologĂa Inglesa Estandarizada en la Gerencia de Proyectos
El proyecto se basĂł en la necesidad que tienen las empresas a nivel mundial de contar con profesionales preparados en gerencia de proyectos para cumplir sus objetivos estratĂ©gicos. Esta situaciĂłn impulsĂł a la elaboraciĂłn de una guĂa digital básica acerca de la terminologĂa inglesa estandarizada en la gerencia de proyectos, que complementĂł el proceso de enseñanza de los estudiantes de pregrado de la Facultad de Ciencias Sociales y Empresariales de la Universidad Piloto de Colombia. Al finalizar el proyecto se pudo apreciar que la elaboraciĂłn de la guĂa fue una idea viable para complementar el desarrollo de los cursos y brindĂł un beneficio intelectual y econĂłmico al cliente con las matrĂculas en los cursos de especializaciĂłn en Gerencia de Proyectos.The project was based on the need for companies worldwide to have professionals trained in
Project Management to meet their strategic objectives. This situation prompted the development
of a basic digital guide on standardized English terminology in Project Management, which
complemented the teaching process of undergraduate students from the Faculty of Social and
Business Sciences at Universidad Piloto de Colombia. At the end of the project, it was possible
to observe that the making of the guide was a viable idea to complement the development of the
courses and provided an intellectual and economic benefit to the client with the student
enrollment in the specialization courses in Project Management
¡Atención Poli, con la vista en el riesgo! cuentos para seguritos
El contar historias o el storytelling, aparece como una herramienta para autores que no solo buscan el conectar de forma más autĂ©ntica con sus lectores; sino que buscan ir más allá al comprender cĂłmo el cerebro procesa esta poderosa forma de comunicaciĂłn. (Suzuki, W., FeliĂş-MĂłjer, M., Hasson, U., Yehuda, R., & Zarate, J. 2018). Esta nueva forma de contar algo, es presentada aquĂ, en la primera compilaciĂłn de cuentos como resultado de trabajos de mĂłdulos que tratan sobre el cuerpo humano, donde el estudio y la comprensiĂłn de la forma cĂłmo funciona nuestro organismo, es uno de los principales objetivos. Además, surge como estrategia pedagĂłgica, que precisamente busca incentivar el desarrollo de la creatividad de los estudiantes dentro de mĂłdulos que contienen un importante abordaje de temas y conceptos como base para su desarrollo, mĂłdulos que, al incluir un alto contenido teĂłrico, se presentan como retos para que sus temas sean interiorizados por los estudiantes. De este modo, cuando se acude a el uso de la creatividad a travĂ©s del storytelling, donde se expresan ideas relacionadas con el cuerpo humano, los cuentos realizados por estudiantes aquĂ presentes logran mostrar cĂłmo emplean dichos conocimientos adquiridos, organizan ideas y crean cuentos que permiten al lector recrease, conociendo diferentes aspectos sobre nuestro cuerpo y a su vez dejándose llevar por la imaginaciĂłn de los autores
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