3 research outputs found
Intervención fonoaudiológica centrada en los procesos de lectura y escritura en un grupo de niños y adolescentes en riesgo de deserción escolar
The present investigation is the result of a research exercise - training activity developed under the interagency agreement between the Universidad del Valle and the Instituto Colombiano deBienestar Familiar ICBF- Cali , through the Soñadores al Piso program, that provides care to children and adolescents in situations of street life. This study had three purposes: (1) identify support needs in communication, specifically in the processes of reading and writing of a group of children in the municipality of Cali, in the setting named “comuna 20” participants from this experience, (2) develop, implement and track the proposed intervention developed speech therapy to children and (3) finally sought to describe the influence of the intervention speech therapy from a holistic perspective of the subject and its context, to support the literacy needs identified in the group of participating children.Some of the results showed significant progress in transforming both the texts produced, as in communicative practices and social relations of children who took part in this experience. La presente investigación es resultado de un ejercicio de investigación - acción formativa desarrollada en el marco del convenio interinstitucional entre la Universidad del Valle y el InstitutoColombiano de Bienestar Familiar- Seccional Valle, a través del programa Soñadores al Piso5 que brinda atención a niños, niñas y adolescentes en situación de vida en calle. Este estudio tuvo tres propósitos fundamentales: (1) Identificar las necesidades de apoyo en la comunicación, específicamente en los procesos de lectura y escritura de un grupo de niños6 de la comuna 20 de Cali participantes de la experiencia, (2) diseñar, ejecutar y hacer seguimiento a la propuesta de intervención fonoaudiológica desarrollada con los niños y (3) finalmente se buscó describir la influencia de la intervención fonoaudiológica desde una perspectiva integral del sujeto y su contexto, para el apoyo a las necesidades de lectura y escritura identificadas en el grupo de niños participantes.Algunos de los resultados evidenciaron un avance significativo tanto en la transformación de los textos producidos, como en las prácticas comunicativas y las relaciones sociales de los niños que hicieron parte de esta experiencia.
Características comunicativas de los sujetos con esquizofrenia y los factores del contexto (familiar y grupo apoyo) que influyen en la participación comunitaria de dichos sujetos, asistentes al grupo de apoyo de salud mental del Centro de Salud de Siloé E.S.E. ladera, comuna 20 Santiago de Cali.
El presente trabajo de investigación aborda la participación comunitaria de los sujetos con esquizofrenia, asistentes al grupo de apoyo de salud mental del Centro de Salud de Siloé E.S.E. Ladera, comuna 20 de Santiago de Cali identificando la manera cómo influyen las características comunicativas y las características del sujeto con esquizofrenia, así como, los factores del contexto (familiar y grupo de apoyo) en el que dicha población se encuentra inmersa
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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