Determinación de los Factores Que Inciden en la Alfabetización Financiera en Mujeres en Condición de Vulnerabilidad, Para Bucaramanga y su Área Metropolitana, Colombia

El rol de las mujeres en la sociedad, a lo largo de los años ha estado condicionado por diversos factores, uno de ellos corresponde al acceso a la educación, en donde la alfabetización financiera juega un papel significativo pues es quien determina en gran medida el bienestar financiero de las personas. Es así como el objetivo de la investigación consiste en determinar qué factores inciden en la alfabetización financiera de las mujeres en condición de vulnerabilidad del área metropolitana de Bucaramanga en Colombia. Adicionalmente, se pretende establecer qué factores influyen sobre el conocimiento, comportamiento y actitud financiera y, qué tan lejos se encuentran dichas métricas respecto a las medidas en diferentes países pertenecientes a la Organización para la Cooperación y el Desarrollo Económico (OCDE). Por consiguiente, se realiza una revisión de literatura, desarrollando una herramienta de medición a través de la cual se recopilan y analizan los datos por medio de un software estadístico, que permite correlacionar las variables y los factores introducidos respecto a los objetivos planteados, para finalmente obtener cuales variables socioeconómicas, de conocimiento, comportamiento y actitud, determinan el nivel de alfabetización financiera de la población objetivo.   The role of women in society, over the years, has been conditioned by various factors, one of which corresponds to access to education, where financial literacy plays a significant role, since it is what determines well-being to a great extent. people's finances. Thus, the objective of the research is to determine what factors affect the financial literacy of women in vulnerable conditions in the metropolitan area of ​​Bucaramanga. In addition, it seeks to establish what factors influence knowledge, behavior and financial attitude and how far these metrics are with respect to the measures in different countries belonging to the organization for cooperation and economic development. Therefore, a literature review is carried out, a measurement tool is developed through which data is collected and analyzed through statistical software that allows correlating the variables and factors introduced with respect to the objectives set, to Finally, to obtain which socioeconomic variables, of knowledge, behavior and attitude, determine the level of financial literacy of the target population

Determinación de los Factores que Inciden en la Alfabetización Financiera en Mujeres en Condición de Vulnerabilidad: Caso Bucaramanga, Colombia

El rol de las mujeres en la sociedad, a lo largo de los años ha estado condicionado por diversos factores, uno de ellos corresponde al acceso a la educación, en donde la alfabetización financiera juega un papel significativo. Es así como el objetivo de la investigación consiste en determinar qué factores inciden en la alfabetización financiera de las mujeres en condición de vulnerabilidad del área metropolitana de Bucaramanga en Colombia. Adicionalmente, se pretende establecer qué factores influyen sobre el conocimiento, comportamiento y actitud financiera y, qué tan lejos se encuentran dichas métricas respecto a las medidas en diferentes países pertenecientes a la Organización para la Cooperación y el Desarrollo Económico (OCDE). Por consiguiente, se realiza una revisión de literatura, desarrollando una herramienta de medición para la recopilación y análisis de datos por medio de un software estadístico, que permite analizar las variables y los factores considerados. A partir de lo anterior, se logró identificar que, las mujeres en condición de vulnerabilidad de la población objeto de estudio cuentan con un nivel básico de Alfabetización Financiera, recomendando fortalecer el mismo a partir de programas de formación específicos, que les permita gestionar adecuadamente sus recursos, debido a la limitación de estos.   The role of women in society over the years has been conditioned by various factors, one of which is access to education, where financial literacy plays a significant role. The objective of the research is to determine what factors influence the financial literacy of vulnerable women in the metropolitan area of Bucaramanga in Colombia. In addition, it is intended to establish which factors influence knowledge, behavior, and financial attitude and how far these metrics are from measures in different countries belonging to the Organisation for Economic Cooperation and Development (OECD). Therefore, a literature review is performed, developing a measurement tool for the collection and analysis of data through statistical software, which allows for analyzing the variables and factors considered. Based on the foregoing, it was possible to identify that women in vulnerable situations in the population under study have a basic level of financial literacy, recommending that it be strengthened through specific training programs, to enable them to manage their resources properly, given their limited resources

Determinación de los Factores Que Inciden en la Alfabetización Financiera en Mujeres en Condición de Vulnerabilidad, Para Bucaramanga y su Área Metropolitana, Colombia

El rol de las mujeres en la sociedad, a lo largo de los años ha estado condicionado por diversos factores, uno de ellos corresponde al acceso a la educación, en donde la alfabetización financiera juega un papel significativo pues es quien determina en gran medida el bienestar financiero de las personas. Es así como el objetivo de la investigación consiste en determinar qué factores inciden en la alfabetización financiera de las mujeres en condición de vulnerabilidad del área metropolitana de Bucaramanga en Colombia. Adicionalmente, se pretende establecer qué factores influyen sobre el conocimiento, comportamiento y actitud financiera y, qué tan lejos se encuentran dichas métricas respecto a las medidas en diferentes países pertenecientes a la Organización para la Cooperación y el Desarrollo Económico (OCDE). Por consiguiente, se realiza una revisión de literatura, desarrollando una herramienta de medición a través de la cual se recopilan y analizan los datos por medio de un software estadístico, que permite correlacionar las variables y los factores introducidos respecto a los objetivos planteados, para finalmente obtener cuales variables socioeconómicas, de conocimiento, comportamiento y actitud, determinan el nivel de alfabetización financiera de la población objetivo.   The role of women in society, over the years, has been conditioned by various factors, one of which corresponds to access to education, where financial literacy plays a significant role, since it is what determines well-being to a great extent. people's finances. Thus, the objective of the research is to determine what factors affect the financial literacy of women in vulnerable conditions in the metropolitan area of ​​Bucaramanga. In addition, it seeks to establish what factors influence knowledge, behavior and financial attitude and how far these metrics are with respect to the measures in different countries belonging to the organization for cooperation and economic development. Therefore, a literature review is carried out, a measurement tool is developed through which data is collected and analyzed through statistical software that allows correlating the variables and factors introduced with respect to the objectives set, to Finally, to obtain which socioeconomic variables, of knowledge, behavior and attitude, determine the level of financial literacy of the target population

Predictive Power of the "Trigger Tool" for the detection of adverse events in general surgery: a multicenter observational validation study

Background In spite of the global implementation of standardized surgical safety checklists and evidence-based practices, general surgery remains associated with a high residual risk of preventable perioperative complications and adverse events. This study was designed to validate the hypothesis that a new “Trigger Tool” represents a sensitive predictor of adverse events in general surgery. Methods An observational multicenter validation study was performed among 31 hospitals in Spain. The previously described “Trigger Tool” based on 40 specific triggers was applied to validate the predictive power of predicting adverse events in the perioperative care of surgical patients. A prediction model was used by means of a binary logistic regression analysis. Results The prevalence of adverse events among a total of 1,132 surgical cases included in this study was 31.53%. The “Trigger Tool” had a sensitivity and specificity of 86.27% and 79.55% respectively for predicting these adverse events. A total of 12 selected triggers of overall 40 triggers were identified for optimizing the predictive power of the “Trigger Tool”. Conclusions The “Trigger Tool” has a high predictive capacity for predicting adverse events in surgical procedures. We recommend a revision of the original 40 triggers to 12 selected triggers to optimize the predictive power of this tool, which will have to be validated in future studies

Caracterización física, fisiológica, fisicoquímica y nutricional de la auyama (Cucurbita maxima) en la etapa de postcosecha cultivada en Antioquia-Colombia

Pumpkin (Cucurbita maxima), also called squash is a mass consumption fruit used in agroindustrial transformations to obtain new food products. This study aimed to evaluate the physical, physiological and physicochemical properties during a storage period of 42 days and the nutritional compounds of the freshly harvested fruit fractions. According to the CIEL*a*b* space, both the pulp and peel did not present significant changes in L* and a* values during the evaluated storage time; however, in the peel, a change in the b* values was evidenced. In addition, there was a decrease in the firmness of 10.8% in the fruit with peel and in the pulp, it was of 19.8% was observed, with a whole fruit weight loss of 2.33% and an average respiration rate of 6.9 mg CO2 kg-1h-1. According to physicochemical characteristics evaluated in the pulp, the values of pH, percentage of humidity, acidity, water activity and total soluble solids had no statistically significant changes occurred during the storage time. At the nutritional level, pumpkin is a good source of minerals, with a high concentration of potassium in all its fractions, and also has in total carotenoids (4.11±1.6 mg of β-carotene g-1 oven dry (o.d) in pulp and 6.24±2.7 mg of β-carotene g-1 (o.d) in peel). It was possible to conclude that the pumpkin has a low respiration rate, maintaining its physicochemical characteristics suitable for consumption throughout the evaluation period, presenting suitable conditions.La calabaza (Cucurbita maxima), también llamada auyama es una fruta de consumo masivo, utilizada en transformaciones agroindustriales para la obtención de nuevos productos alimenticios. Este estudio tuvo como objetivo evaluar las propiedades físicas, fisiológicas y fisicoquímica durante a un periodo de almacenamiento de 42 días y nutricionales de las fracciones del fruto recién cosechado. Para las coordenadas del color CIEL*a*b*, los valores de L* y a* tanto para la pulpa y cáscara no presentaron cambios significativos durante el tiempo de almacenamiento evaluado, pero sí presentó cambios en los valores de b* en la cáscara del fruto. Además, se observó una disminución en la firmezafuerza de 10,8% en el fruto con cáscara y en la pulpa de 19,8%, con una pérdida peso de fruto entero del 2,33% y una tasa de respiración promedio de 6,9 mg CO2 kg-1 h-1. De acuerdo a las características fisicoquímicas evaluadas en la pulpa del fruto, pH, porcentaje de humedad, acidez, actividad de agua y sólidos solubles totales no se presentaron cambios estadísticamente significativos durante el tiempo de almacenamiento. A nivel nutricional la auyama es una buena fuente de minerales, destacando la alta concentración de potasio en todas sus fracciones, y también en carotenoides totales (4,11 mg de β-caroteno g-1 (b.s.) en la pulpa y 6,24 mg de β-caroteno g-1 base seca (b.s.) en la cáscara). El fruto vegetal de la auyama bajo condiciones normales de almacenamiento presenta una baja tasa de respiración manteniendo sus características fisicoquímicas aptas para el consumo durante todo el periodo de evaluación, presentando condiciones adecuadas para el desarrollo de productos agroindustriales que permitan darle valor agregado durante el período de evaluación

Contemporary use of cefazolin for MSSA infective endocarditis: analysis of a national prospective cohort

Objectives: This study aimed to assess the real use of cefazolin for methicillin-susceptible Staphylococcus aureus (MSSA) infective endocarditis (IE) in the Spanish National Endocarditis Database (GAMES) and to compare it with antistaphylococcal penicillin (ASP). Methods: Prospective cohort study with retrospective analysis of a cohort of MSSA IE treated with cloxacillin and/or cefazolin. Outcomes assessed were relapse; intra-hospital, overall, and endocarditis-related mortality; and adverse events. Risk of renal toxicity with each treatment was evaluated separately. Results: We included 631 IE episodes caused by MSSA treated with cloxacillin and/or cefazolin. Antibiotic treatment was cloxacillin, cefazolin, or both in 537 (85%), 57 (9%), and 37 (6%) episodes, respectively. Patients treated with cefazolin had significantly higher rates of comorbidities (median Charlson Index 7, P <0.01) and previous renal failure (57.9%, P <0.01). Patients treated with cloxacillin presented higher rates of septic shock (25%, P = 0.033) and new-onset or worsening renal failure (47.3%, P = 0.024) with significantly higher rates of in-hospital mortality (38.5%, P = 0.017). One-year IE-related mortality and rate of relapses were similar between treatment groups. None of the treatments were identified as risk or protective factors. Conclusion: Our results suggest that cefazolin is a valuable option for the treatment of MSSA IE, without differences in 1-year mortality or relapses compared with cloxacillin, and might be considered equally effective

Evolution over Time of Ventilatory Management and Outcome of Patients with Neurologic Disease∗

OBJECTIVES: To describe the changes in ventilator management over time in patients with neurologic disease at ICU admission and to estimate factors associated with 28-day hospital mortality. DESIGN: Secondary analysis of three prospective, observational, multicenter studies. SETTING: Cohort studies conducted in 2004, 2010, and 2016. PATIENTS: Adult patients who received mechanical ventilation for more than 12 hours. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Among the 20,929 patients enrolled, we included 4,152 (20%) mechanically ventilated patients due to different neurologic diseases. Hemorrhagic stroke and brain trauma were the most common pathologies associated with the need for mechanical ventilation. Although volume-cycled ventilation remained the preferred ventilation mode, there was a significant (p &lt; 0.001) increment in the use of pressure support ventilation. The proportion of patients receiving a protective lung ventilation strategy was increased over time: 47% in 2004, 63% in 2010, and 65% in 2016 (p &lt; 0.001), as well as the duration of protective ventilation strategies: 406 days per 1,000 mechanical ventilation days in 2004, 523 days per 1,000 mechanical ventilation days in 2010, and 585 days per 1,000 mechanical ventilation days in 2016 (p &lt; 0.001). There were no differences in the length of stay in the ICU, mortality in the ICU, and mortality in hospital from 2004 to 2016. Independent risk factors for 28-day mortality were age greater than 75 years, Simplified Acute Physiology Score II greater than 50, the occurrence of organ dysfunction within first 48 hours after brain injury, and specific neurologic diseases such as hemorrhagic stroke, ischemic stroke, and brain trauma. CONCLUSIONS: More lung-protective ventilatory strategies have been implemented over years in neurologic patients with no effect on pulmonary complications or on survival. We found several prognostic factors on mortality such as advanced age, the severity of the disease, organ dysfunctions, and the etiology of neurologic disease

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

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

© 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licenseBackground: Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide. Methods: A multimethods analysis was performed as part of the GlobalSurg 3 study—a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital. Findings: Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3·85 [95% CI 2·58–5·75]; p<0·0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63·0% vs 82·7%; OR 0·35 [0·23–0·53]; p<0·0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer. Interpretation: Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised. Funding: National Institute for Health and Care Research