Estudios y diseños para la construcción de viviendas VIS en el Municipio de Sogamoso - Boyacá

La tesis presentada tiene como propósito la elaboración de estudios y diseños para construir (20) veinte viviendas VIS en el municipio de Sogamoso – Boyacá. Una vez se conozcan los resultados del análisis jurídico del predio y el estudio de suelos, se procederá con la elaboración de los diseños arquitectónicos y estructurales con el fin de obtener la aprobación por parte de nuestro patrocinador. Lo anterior con el fin de que nuestro cliente sea el encargado de contratar la empresa que cumpla con los requisitos técnicos, jurídicos y financieros para la construcción del proyecto elaborado por nuestra empresa. Adicionalmente se brindará la información necesaria para que nuestro cliente pueda presentar el proyecto ante el Ministerio de Vivienda con el fin de que sea incluido en la lista de proyectos que brindan cierre financiero mediante el subsidio Mi Casa Ya. El proyecto no solo busca generar ganancias para la empresa que ejecutará las viviendas, sino que adicionalmente generará empleos en la región y garantizará viviendas dignas para los habitantes del municipio de Sogamoso – Boyacá, De acuerdo con el artículo 51 de la constitución política el cual consagró el derecho de todos los colombianos a tener una vivienda digna, estableciendo que el estado es quien fija las condiciones necesarias para hacer efectivo este derecho y promueve planes de vivienda de interés social, sistemas adecuados por financiación a largo plazo y formas asociativas de ejecución de estos programas de viviendas.The purpose of the thesis presented is to prepare studies and designs to build (20) twenty VIS homes in the municipality of Sogamoso - Boyacá. Once the results of the legal analysis of the property and the soil study are known, we will proceed with the elaboration of the architectural and structural designs in order to obtain the approval of our sponsor. The foregoing in order for our client to be in charge of hiring the company that meets the technical, legal and financial requirements for the construction of the project prepared by our company. Additionally, the necessary information will be provided so that our client can present the project to the Ministry of Housing in order to study the possibility of accessing the homes through the Mi Casa Ya subsidy. The project not only seeks to generate profits for the company that will execute the houses, but also to generate jobs in the regions and guarantee decent housing for the inhabitants of the municipality of Sogamoso - Boyacá, in accordance with article 51 of the political constitution which I consecrate the right of all Colombians to have a decent home, establishing that the state is the one who sets the necessary conditions to make this right effective and promotes social interest housing plans, adequate systems for long-term financing and associative forms of execution of these housing programs

Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries

Background Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)