Corresponsabilidad y fortalecimiento de vínculos afectivos en las familias de madres adolescentes de los barrios Campo Madrid de Bucaramanga y Remolino de la Plata Huila

El presente estudio tiene como objetivo lograr la socialización de la importancia de la corresponsabilidad y fortalecimiento de vínculos afectivos en los barrios Campo Madrid, de Bucaramanga-Santander y Remolino, de La Plata Huila, con el propósito de contribuir a disminuir las causas y consecuencias de los altos índices de embarazos en adolescentes, mediante un proyecto de intervención dinámico, aplicando la investigación de tipo deductivo con enfoque cualitativo. Los resultados obtenidos indican que las principales causas del elevado número de embarazos adolescentes a nivel regional, nacional y en las comunidades objeto de estudio son falencias en la corresponsabilidad social y debilidades en los vínculos afectivos de las familias, causa común de otras problemáticas como drogadicción, deserción escolar, delincuencia y aumento de la pobreza en general constituyéndose en un cirulo vicioso. En este escenario, desde el enfoque de la psicología comunitaria el fortalecimiento de la corresponsabilidad y los vínculos afectivos deben ser tratados desde la familia, con la familia y para la familia para potencializar la capacidad de autogestión de la comunidad en la resolución de sus problemáticas socioeconómicas y culturales, solo de esta forma es posible construir el cambio eficaz y permanente. Por tanto, se recomienda realizar investigaciones relacionadas con el tema, que creen nuevas estrategias para lograr la apropiación de la comunidad de la solución de sus necesidades y el diseño del proyecto de vida de sus hijos en equidad, solidaridad, responsabilidad y amor, a través de la educación en valores impartida por los padres y tutores.The objective of this study is to achieve the socialization of the importance of co- responsibility and strengthening of affective bonds in the neighborhoods of Campo Madrid, Bucaramanga-Santander and Remolino, La Plata Huila, with the purpose of contributing to reduce the causes and consequences of the high rates of teenage pregnancies, through a dynamic intervention project, applying deductive research with a qualitative approach. The results obtained indicate that the main causes of the high number of adolescent pregnancies at the regional and national levels and in the communities under study are shortcomings in social co-responsibility and weaknesses in the affective ties of families, a common cause of other problems such as drug addiction, school desertion, delinquency and increase in poverty in general, constituting a vicious circle. In this scenario, from the community psychology approach, the strengthening of co- responsibility and affective bonds must be treated from the family, with the family and for the family to potentiate the self-management capacity of the community in solving its socioeconomic problems. and cultural, only in this way is it possible to build effective and permanent change. Therefore, it is recommended to carry out research related to the subject, which creates new strategies to achieve the appropriation of the community of the solution of their needs and the design of the life project of their children in equity, solidarity, responsibility and love, through of education in values taught by parents and guardians

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