El derecho al buen trato y a la proteccion contra todo tipo de discriminación

Esta investigación se encuentra basada en la situación de reconocimiento y vulneración de los derechos de los niños y niñas, fundamentalmente el derecho al buen trato y a la protección contra todo tipo de discriminación, desarrollada en el Centro Educativo Padre Damián - Sagrados Corazones de Dosquebradas con los niños y niñas del grado quinto. La cual tuvo como objetivo central transformar con los niños y niñas la situación de reconocimiento o vulneración de dicho derecho, para plantear conjuntamente unas propuestas para mejorar sus vivencias. Identificando primero que todo los conocimientos previos que ellos tenían sobre sus derechos en donde se aplico una encuesta inicial denominada diagnostico inicial, de esta manera se pudo analizar las situaciones concretas donde reconocieron sus derechos y como estos se les vulneran; y a partir de esto se eléboro conjuntamente con los niños y niñas una propuesta Por último se contrasto el diagnostico inicial y el diagnóstico final para este se aplico nuevamente la encuesta inicial con el fin de conocer que transformaciones se dieron en las concepciones de los niños y niñas acerca de sus derechos. En el proyecto de investigación se realizó un análisis cuantitativo y cualitativo, con una metodología enmarcada en la investigación-acción participación. Dicho análisis permitió conocer las nociones los niños y niñas sobre lo que son sus derechos a partir de lo que viven en su contexto escolar y familiar, ya que es en dichos contextos donde se forman, adquiriendo conocimientos y trasformando estos. Los niños y niñas creen que la institución u organismo encargado de defender sus derechos principalmente es la familia, de allí pasa a segundo plano la escuela y finalmente el ICBF, en cuanto a los derechos más vulnerados encontramos son el derecho a la salud y a la educación expresando situaciones vividas por ellos donde se vulneran dichos derechos

EL CONSUMO DE MARIHUANA UNA REALIDAD EN LOS JÓVENES UNIVERSITARIOS

Se analizaron las diferentes circunstancias que llevaron a los jóvenes universitarios al consumo de marihuana, por lo que la unidad de análisis fueron personas de la facultad de Ciencias Sociales y la dimensión espacial fue la Universidad Nacional de Colombia sede Bogotá. Como criterio de inclusión se entrevistaron estudiantes de tercer semestre que manifestaron haber consumido marihuana por alguna vez en su vida. El enfoque fenomenológico que permitió estudiar la problemática de estos jóvenes tal y como ellos las experimentan y/o perciben, no basado en teorías. Para recolectar la información se aplicó la entrevista semiestructurada que permitieron a los informantes expresarse libremente y con ello se sumunistró información acerca de las circunstancias que los motivó a consumir este tipo de alucinógeno. Se realizaron 3 entrevistas en el que se determinó que el consumo de varios jóvenes se encuentra asociado a dificultades de tipo afectivo y emocional

Colombian consensus recommendations for diagnosis, management and treatment of the infection by SARS-COV-2/ COVID-19 in health care facilities - Recommendations from expert´s group based and informed on evidence

La Asociación Colombiana de Infectología (ACIN) y el Instituto de Evaluación de Nuevas Tecnologías de la Salud (IETS) conformó un grupo de trabajo para desarrollar recomendaciones informadas y basadas en evidencia, por consenso de expertos para la atención, diagnóstico y manejo de casos de Covid 19. Estas guías son dirigidas al personal de salud y buscar dar recomendaciones en los ámbitos de la atención en salud de los casos de Covid-19, en el contexto nacional de Colombia

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

El consumo de marihuana una realidad en los jóvenes universitarios

Se analizaron las diferentes circunstancias que llevaron a los jóvenes universitarios al consumo de marihuana, por lo que la unidad de análisis fueron personas de la facultad de Ciencias Sociales y la dimensión espacial fue la Universidad Nacional de Colombia sede Bogotá. Como criterio de inclusión se entrevistaron estudiantes de tercer semestre que manifestaron haber consumido marihuana por alguna vez en su vida. El enfoque fenomenológico que permitió estudiar la problemática de estos jóvenes tal y como ellos las experimentan y/o perciben, no basado en teorías. Para recolectar la información se aplicó la entrevista semiestructurada que permitieron a los informantes expresarse libremente y con ello se sumunistró información acerca de las circunstancias que los motivó a consumir este tipo de alucinógeno. Se realizaron 3 entrevistas en el que se determinó que el consumo de varios jóvenes se encuentra asociado a dificultades de tipo afectivo y emocional

Extinction risk, reconstructed catches and management of chondrichthyan fishes in the Western Central Atlantic Ocean

Chondrichthyan fishes are among the most threatened vertebrates on the planet because many species have slow life histories that are outpaced by intense fishing. The Western Central Atlantic Ocean, which includes the Greater Caribbean, is a hotspot of chondrichthyan biodiversity and abundance, but has been characterized by extensive shark and ray fisheries and a lack of sufficient data for effective management and conservation. To inform future research and management decisions, we analysed patterns in chondrichthyan extinction risk, reconstructed catches and management engagement in this region. We summarized the extinction risk of 180 sharks, rays and chimaeras, including 66 endemic and 14 near-endemic species, using contemporary IUCN Red List assessments. Over one-third (35.6%) were assessed as Vulnerable, Endangered or Critically Endangered, primarily due to overfishing. Reconstructed catches from 1950 to 2016 peaked in 1992, then declined by 40.2% thereafter. The United States, Venezuela and Mexico were responsible for most catches in the region and hosted the largest proportions of the regional distributions of threatened species, largely due to having extensive coastal habitats in their Exclusive Economic Zones. The quantity and taxonomic resolution of fisheries landings data were poor in much of the region, and national-level regulations varied widely across jurisdictions. Deepwater fisheries represent an emerging threat, although many deepwater chondrichthyans currently have refuge beyond the depths of most fisheries. Regional collaboration as well as effective and enforceable management informed by more complete fisheries data, particularly from small-scale fisheries, are required to protect and recover threatened species and ensure sustainable fisheries

Estudios de caso: una mirada desde la investigación cualitativa para el aula

: figuras, tablas ; 28 cm.El programa de Mercadeo y Publicidad, por medio del sello editorial de publicaciones de Areandina, colabora en la realización de los objetivos de la Fundación Universitaria del Área Andina, trabajando constantemente en la consecución de un proyecto educativo institucional acorde a la normatividad del país y a las necesidades del siglo XXI, fortaleciendo el aprendizaje constante y permanente a lo largo de la vida de sus estudiantes.Consideraciones generales.-- Pregunta de investigación.-- Objetivo de investigación.-- Justificación.-- Marco referencial.-- Metodología.-- Resultados.-- Conclusiones.-- Recomendaciones.-- Bibliografía.Fundación Universitaria del Área Andin

El bosque seco tropical en Colombia

Más de cuarenta investigadores nacionales e internacionales de más de 20 instituciones contribuyeron a este libro que recoge el estado del conocimiento sobre la biodiversidad, el estado de fragmentación y transformación, y la restauración del bosque seco en Colombia. Sin duda nos quedaron por fuera investigadores e instituciones que realizan un trabajo muy valioso en el BST. Con este libro queremos extenderles la invitación a ellos y a todos los demás interesados en BST para que continúen el trabajo en este ecosistema que es clave para la conservación de la biodiversidad y la provisión de servicios ecosistémicos en áreas secas de Colombia. Sobretodo porque hasta ahora empezamos a entender la importancia ecológica de estos ecosistemas.Bogotá, D. C.Instituto de Investigación de Recursos Biológicos Alexander von Humbold

Effects of pre-operative isolation on postoperative pulmonary complications after elective surgery: an international prospective cohort study an international prospective cohort study

We aimed to determine the impact of pre-operative isolation on postoperative pulmonary complications after elective surgery during the global SARS-CoV-2 pandemic. We performed an international prospective cohort study including patients undergoing elective surgery in October 2020. Isolation was defined as the period before surgery during which patients did not leave their house or receive visitors from outside their household. The primary outcome was postoperative pulmonary complications, adjusted in multivariable models for measured confounders. Pre-defined sub-group analyses were performed for the primary outcome. A total of 96,454 patients from 114 countries were included and overall, 26,948 (27.9%) patients isolated before surgery. Postoperative pulmonary complications were recorded in 1947 (2.0%) patients of which 227 (11.7%) were associated with SARS-CoV-2 infection. Patients who isolated pre-operatively were older, had more respiratory comorbidities and were more commonly from areas of high SARS-CoV-2 incidence and high-income countries. Although the overall rates of postoperative pulmonary complications were similar in those that isolated and those that did not (2.1% vs 2.0%, respectively), isolation was associated with higher rates of postoperative pulmonary complications after adjustment (adjusted OR 1.20, 95%CI 1.05–1.36, p = 0.005). Sensitivity analyses revealed no further differences when patients were categorised by: pre-operative testing; use of COVID-19-free pathways; or community SARS-CoV-2 prevalence. The rate of postoperative pulmonary complications increased with periods of isolation longer than 3 days, with an OR (95%CI) at 4–7 days or ≥ 8 days of 1.25 (1.04–1.48), p = 0.015 and 1.31 (1.11–1.55), p = 0.001, respectively. Isolation before elective surgery might be associated with a small but clinically important increased risk of postoperative pulmonary complications. Longer periods of isolation showed no reduction in the risk of postoperative pulmonary complications. These findings have significant implications for global provision of elective surgical care. We aimed to determine the impact of pre-operative isolation on postoperative pulmonary complications after elective surgery during the global SARS-CoV-2 pandemic. We performed an international prospective cohort study including patients undergoing elective surgery in October 2020. Isolation was defined as the period before surgery during which patients did not leave their house or receive visitors from outside their household. The primary outcome was postoperative pulmonary complications, adjusted in multivariable models for measured confounders. Pre-defined sub-group analyses were performed for the primary outcome. A total of 96,454 patients from 114 countries were included and overall, 26,948 (27.9%) patients isolated before surgery. Postoperative pulmonary complications were recorded in 1947 (2.0%) patients of which 227 (11.7%) were associated with SARS-CoV-2 infection. Patients who isolated pre-operatively were older, had more respiratory comorbidities and were more commonly from areas of high SARS-CoV-2 incidence and high-income countries. Although the overall rates of postoperative pulmonary complications were similar in those that isolated and those that did not (2.1% vs 2.0%, respectively), isolation was associated with higher rates of postoperative pulmonary complications after adjustment (adjusted OR 1.20, 95%CI 1.05–1.36, p = 0.005). Sensitivity analyses revealed no further differences when patients were categorised by: pre-operative testing; use of COVID-19-free pathways; or community SARS-CoV-2 prevalence. The rate of postoperative pulmonary complications increased with periods of isolation longer than 3 days, with an OR (95%CI) at 4–7 days or ≥ 8 days of 1.25 (1.04–1.48), p = 0.015 and 1.31 (1.11–1.55), p = 0.001, respectively. Isolation before elective surgery might be associated with a small but clinically important increased risk of postoperative pulmonary complications. Longer periods of isolation showed no reduction in the risk of postoperative pulmonary complications. These findings have significant implications for global provision of elective surgical care

Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries

© 2021 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 licenseBackground: 80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative outcomes in breast, colorectal, and gastric cancer surgery in hospitals worldwide, focusing on the effect of disease stage and complications on postoperative mortality. Methods: This was a multicentre, international prospective cohort study of consecutive adult patients undergoing surgery for primary breast, colorectal, or gastric cancer requiring a skin incision done under general or neuraxial anaesthesia. The primary outcome was death or major complication within 30 days of surgery. Multilevel logistic regression determined relationships within three-level nested models of patients within hospitals and countries. Hospital-level infrastructure effects were explored with three-way mediation analyses. This study was registered with ClinicalTrials.gov, NCT03471494. Findings: Between April 1, 2018, and Jan 31, 2019, we enrolled 15 958 patients from 428 hospitals in 82 countries (high income 9106 patients, 31 countries; upper-middle income 2721 patients, 23 countries; or lower-middle income 4131 patients, 28 countries). Patients in LMICs presented with more advanced disease compared with patients in high-income countries. 30-day mortality was higher for gastric cancer in low-income or lower-middle-income countries (adjusted odds ratio 3·72, 95% CI 1·70–8·16) and for colorectal cancer in low-income or lower-middle-income countries (4·59, 2·39–8·80) and upper-middle-income countries (2·06, 1·11–3·83). No difference in 30-day mortality was seen in breast cancer. The proportion of patients who died after a major complication was greatest in low-income or lower-middle-income countries (6·15, 3·26–11·59) and upper-middle-income countries (3·89, 2·08–7·29). Postoperative death after complications was partly explained by patient factors (60%) and partly by hospital or country (40%). The absence of consistently available postoperative care facilities was associated with seven to 10 more deaths per 100 major complications in LMICs. Cancer stage alone explained little of the early variation in mortality or postoperative complications. Interpretation: Higher levels of mortality after cancer surgery in LMICs was not fully explained by later presentation of disease. The capacity to rescue patients from surgical complications is a tangible opportunity for meaningful intervention. Early death after cancer surgery might be reduced by policies focusing on strengthening perioperative care systems to detect and intervene in common complications. Funding: National Institute for Health Research Global Health Research Unit