Impacto de la publicidad en el ?rea patrimonial de Cuenca

En el ?rea patrimonial de Cuenca se encuentran varios casos dignos de an?lisis comparativo con otras ciudades que gozan de ser Patrimonio Cultural de la Humanidad, pero que se encuentran reglamentadas bajo otras ordenanzas para la colocaci?n de r?tulos publicitarios, como es el caso de Quito y a nivel internacional Salzburgo, ciudad ubicada en Austria. Ambas ciudades se encuentran con ?reas patrimoniales en las que est?n presentes elementos a los cuales esta investigaci?n est? dirigida. Esta investigaci?n pretende realizar un an?lisis comparativo entre ciudades patrimoniales que son buenos ejemplos de c?mo se pueden implementar los r?tulos en el ?rea patrimonial. A su vez la investigaci?n se encamina a proponer ordenanzas y regulaciones para la correcta planificaci?n de la publicidad en el ?rea patrimonial de Cuenca.Magister en Comunicaci?n y Marketin

Factores asociados a la neumon?a asociada a la ventilaci?n mec?nica en una unidad de cuidados intensivos en Ibagu?, 2016.

70 p. Recurso Electr?nicoIntroducci?n: Las Infecciones Asociadas a la Atenci?n en Salud (IAAS), son complicaciones durante una atenci?n en salud, que en la mayor?a de casos son prevenibles. Dentro de estas, las Neumon?as Asociadas a la ventilaci?n Mec?nica (NAVM) son las m?s frecuentes en las Unidades de Cuidados Intensivos y generan aumento de la mortalidad de los pacientes que cursan con este evento, el cual debe ser estudiado en cada contexto espec?fico y con la mayor?a de factores posibles teniendo en cuenta su complejidad, motivo por el cual se hace necesario establecer la asociaci?n de la Neumon?a Asociada a la Ventilaci?n Mec?nica con los factores sociodemogr?ficos, Cl?nicos-patol?gicos y relacionados con la atenci?n en salud. Dise?o: Se realiz? un Estudio Observacional, anal?tico de casos y controles, que permite asegurar la temporalidad entre las asociaciones de los factores seg?n la literatura y estudiar el efecto de diferentes exposiciones relacionadas con la Neumonia Asociada a la Ventilaci?n Mec?nica. Esto permite dar mayor certeza en la identificaci?n de los factores que predisponen, facilitan y limitan la NAVM. Resultados: Para el a?o 2016 se reportaron 9 casos de Neumon?a Asociada a la Ventilaci?n Mec?nica, por lo que se incluy? el total de los pacientes con respecto a 27 controles para una relaci?n de 1:3. No se pudieron asociar significativamente ninguna de las variables agrupadas en las caracter?sticas sociodemogr?ficas, Cl?nico-Patol?gicas y relacionadas con la atenci?n en salud. Conclusiones/Recomendaciones: Se hace necesario incluir otras variables importantes como la medici?n de la Escala de Severidad APACHE, ya que es de vital importancia como factor pron?stico en los pacientes criticamente enfermos. Palabras Clave: Neumon?a Asociada al Ventilador, Infecci?n Hospitalaria, Transmisi?n de enfermedad infecciosa de profesional a paciente, Cuidados Cr?ticos.Introduction: The infections associated with the health care (IAHC), they are the result of complications that occurred during a health care situation, and most of the cases these complications could be prevented. Among these infections, pneumonia ventilatorassociated (PVA) is the most frequent case in the intensive care unit and it increased the mortality of patients that pursue this event. That it must be studied in each specific context and with the majority of the possible factors according to its complexity, therefore it is necessary to establish the relationship between the pneumonia ventilator-associated with the sociodemography factors, clinical diseases and the health care. Design: it was realized an observational study, analytical of cases and control that allows to ensure the temporary nature between the factors associated according to the literature and study the effect of different expositions related to the pneumonia ventilator-associated (PVA). This study allows to have a better certainty in the identification of the factors that predisposes, facilitates and restricts the PAV. Results: In 2016, 9 pneumonia ventilator-associated cases were reported, therefore it was included the total patients in relation to 27 controls for a 1:3 relationship. It was not possible to associate significantly none of the grouped variables in the sociodemography characteristics, clinical diseases and related to the health care. Conclusions/Recommendations: it was necessary to include another important variables like the Severity Scale measurement APACHE II, due to it is a vital importance as a prognostic factor to patients with critical care. Keywords: Peumonia Ventilator-Associated, Cross Infection, Infectious Disease Transmission, Professional-to-patient, Critical Care

Traditional cardiovascular risk factors measured prior to the onset of inflammatory polyarthritis

Background. Cardiovascular mortality is increased in patients with seropositive inflammatory polyarthritis (IP). We tested the hypothesis that the increased risk of cardiovascular disease (CVD) can be explained by elevated traditional CVD risk factor levels in persons prior to development of IP. Methods. In a population-based, prospective nested case–control study, 25?600 people aged 45–75?yr participated in a health survey, including standard CVD risk factor assessment, between the years 1993 and 1997. There were 91 incident IP cases (one-third were seropositive at presentation) identified during follow-up to the end of July 2001. Baseline CVD risk factors in the IP cases were compared with those in two age/gender-matched controls. Results. Current smokers had an odds ratio of 2.0 (95% CI 1.0–4.0) for IP. Other risk factors, including total and LDL cholesterol, systolic and diastolic blood pressure and obesity, did not differ significantly between cases and controls. Importantly, in combination, using a standard coronary disease risk score, these factors only had a modest association with future IP, and no association when analysis was restricted to the smaller number of cases who were seropositive. Conclusion. Of the traditional cardiovascular risk factors, only smoking increases CVD risk prior to the onset of IP. Therefore the increased CVD observed in these patients is likely to be a consequence of factors operating after the onset of the arthritis