11 research outputs found
Metodología aplicada en un conflicto ambiental entre PEMEX y las comunidades chontales
El presente artículo sugiere la metodología aplicada en un conflicto de contaminación ambiental en las comunidades chontales derivado de la explosión del pozo Terra 123 con la empresa de PEMEX, en Nacajuca, Tabasco.This article suggests the methodology applied in a conflict of environmental pollution in the Chontales communities derived from the explosion of the well Terra 123 with the company of PEMEX, in Nacajuca, Tabasco.Facultad de Humanidades y Ciencias de la Educació
A Large Multicenter Prospective Study of Community-Onset Healthcare Associated Bacteremic Urinary Tract Infections in the Era of Multidrug Resistance: Even Worse than Hospital Acquired Infections?
Introduction: Healthcare-associated (HCA) infections represent a growing public health problem. The aim of this study was to compare community-onset healthcare associated (CO-HCA) bacteremic urinary tract infections (BUTI) and hospital-acquired (HA)-BUTI with special focus on multidrug resistances (MDR) and outcomes. Methods: ITUBRAS-project is a prospective multicenter cohort study of patients with HCA-BUTI. All consecutive hospitalized adult patients with CO-HCA-BUTI or HA-BUTI episode were included in the study. Exclusion criteria were: patients < 18 years old, non-hospitalized patients, bacteremia from another source or primary bacteremia, non-healthcare-related infections and infections caused by unusual pathogens of the urinary tract. The main outcome variable was 30-day all-cause mortality with day 1 as the first day of positive blood culture. Logistic regression was used to analyze factors associated with clinical cure at hospital discharge and with receiving inappropriate initial antibiotic treatment. Cox regression was used to evaluate 30-day all-cause mortality. Results: Four hundred forty-three episodes were included, 223 CO-HCA-BUTI. Patients with CO-HCA-BUTI were older (p < 0.001) and had more underlying diseases (p = 0.029) than those with HA-BUTI. The severity of the acute illness (Pitt score) was also higher in CO-HCA-BUTI (p = 0.026). Overall, a very high rate of MDR profiles (271/443, 61.2%) was observed, with no statistical differences between groups. In multivariable analysis, inadequate empirical treatment was associated with MDR profile (aOR 3.35; 95% CI 1.77–6.35), Pseudomonas aeruginosa (aOR 2.86; 95% CI 1.27–6.44) and Charlson index (aOR 1.11; 95% CI 1.01–1.23). Mortality was not associated with the site of acquisition of the infection or the presence of MDR profile. However, in the logistic regression analyses patients with CO-HCA-BUTI (aOR 0.61; 95% CI 0.40–0.93) were less likely to present clinical cure. Conclusion: The rate of MDR infections was worryingly high in our study. No differences in MDR rates were found between CO-HCA-BUTI and HA-BUTI, in the probability of receiving inappropriate empirical treatment or in 30-day mortality. However, CO-HCA-BUTIs were associated with worse clinical cure. © 2021, The Author(s)
Incidence, Clinical Characteristics and Management of Inflammatory Bowel Disease in Spain : Large-Scale Epidemiological Study
(1) Aims: To assess the incidence of inflammatory bowel disease (IBD) in Spain, to describe the main epidemiological and clinical characteristics at diagnosis and the evolution of the disease, and to explore the use of drug treatments. (2) Methods: Prospective, population-based nationwide registry. Adult patients diagnosed with IBD-Crohn's disease (CD), ulcerative colitis (UC) or IBD unclassified (IBD-U)-during 2017 in Spain were included and were followed-up for 1 year. (3) Results: We identified 3611 incident cases of IBD diagnosed during 2017 in 108 hospitals covering over 22 million inhabitants. The overall incidence (cases/100,000 person-years) was 16 for IBD, 7.5 for CD, 8 for UC, and 0.5 for IBD-U; 53% of patients were male and median age was 43 years (interquartile range = 31-56 years). During a median 12-month follow-up, 34% of patients were treated with systemic steroids, 25% with immunomodulators, 15% with biologics and 5.6% underwent surgery. The percentage of patients under these treatments was significantly higher in CD than UC and IBD-U. Use of systemic steroids and biologics was significantly higher in hospitals with high resources. In total, 28% of patients were hospitalized (35% CD and 22% UC patients, p < 0.01). (4) Conclusion: The incidence of IBD in Spain is rather high and similar to that reported in Northern Europe. IBD patients require substantial therapeutic resources, which are greater in CD and in hospitals with high resources, and much higher than previously reported. One third of patients are hospitalized in the first year after diagnosis and a relevant proportion undergo surgery
Correction : Chaparro et al. Incidence, Clinical Characteristics and Management of Inflammatory Bowel Disease in Spain: Large-Scale Epidemiological Study. J. Clin. Med. 2021, 10, 2885
The authors wish to make the following corrections to this paper [...]
Metodología aplicada en un conflicto ambiental entre PEMEX y las comunidades chontales
El presente artículo sugiere la metodología aplicada en un conflicto de contaminación ambiental en las comunidades chontales derivado de la explosión del pozo Terra 123 con la empresa de PEMEX, en Nacajuca, Tabasco.This article suggests the methodology applied in a conflict of environmental pollution in the Chontales communities derived from the explosion of the well Terra 123 with the company of PEMEX, in Nacajuca, Tabasco
Metodología aplicada en un conflicto ambiental entre PEMEX y las comunidades chontales
El presente artículo sugiere la metodología aplicada en un conflicto de contaminación ambiental en las comunidades chontales derivado de la explosión del pozo Terra 123 con la empresa de PEMEX, en Nacajuca, Tabasco.This article suggests the methodology applied in a conflict of environmental pollution in the Chontales communities derived from the explosion of the well Terra 123 with the company of PEMEX, in Nacajuca, Tabasco
Metodología aplicada en un conflicto ambiental entre PEMEX y las comunidades chontales
El presente artículo sugiere la metodología aplicada en un conflicto de contaminación ambiental en las comunidades chontales derivado de la explosión del pozo Terra 123 con la empresa de PEMEX, en Nacajuca, Tabasco.This article suggests the methodology applied in a conflict of environmental pollution in the Chontales communities derived from the explosion of the well Terra 123 with the company of PEMEX, in Nacajuca, Tabasco.Facultad de Humanidades y Ciencias de la Educació
Ukelelex : historia de una jota hawaiana
Convocatoria proyectos de innovación de Extremadura 2020/2021Se presenta un proyecto colaborativo de los centros IESO Sierra la Mesta de Santa Amalia (Badajoz) y el IES Maestro Gonzalo Korrea de Jaraíz de la Vera (Cáceres) que tenía la intención de crear una orquesta de ukeleles en Extremadura y abordar de manera interdisciplinar la historia de este intrumento y todas las derivaciones culturales e históricas en relación a Portugal (por ser ese instrumento una herencia de este país) y a los viajes de finales del siglo XIX al cotinente americano. Los objetivos principales de la propuesta fueron: motivar al alumnado con un nuevo instrumento; dar a conocer el ukelele y su historia, de tradición portuguesa; aprender a tocar un instrumento de manera individual y grupal; propiciar encuentros virtuales y presenciales con el fin de crear una orquesta de ukeleles estable en el tiempo e incentivar la cooperación e implicación de toda la comunidad educativa en el desarrollo del proyectoExtremaduraES
¿Puedo cerrar la ventana?
Convocatoria proyectos de innovación de Extremadura 2020/2021Se presenta un proyecto que intentaba dar soluciones a la transmisión del virus SARS-CoV-2 en el IES Santiago Apostol de Almendralejo. Ante las evidencias científicas que sostenían su transmisión por el aire se plantea la medición de CO2 y distintas estrategias de ventilación posibles que minimicen el contagio del virus y sean viables económicamente. Además, se pretende concienciar a la comunidad educativa de la importancia de la ventilación en la salud. Otros objetivos del proyecto eran: promover que el alumno sea capaz de aprender por sí mismo; trabajar utilizando las etapas del método científico que se trabajan desde todas las áreas del conocimiento: Microbiología, Química Analítica, Matemáticas, Física y Química, Plástica, Informática, etc.; fomentar y promocionar la investigación; promover el trabajo colaborativo; potenciar las metodologías activas; generar reflexión social con la que poder dar respuestas a los problemas sociales de cada momento, etc.ExtremaduraES
Revolution: Museo de las estrellas un paseo por la fama : Hollywood
Convocatoria proyectos de innovación de Extremadura 2020/2021Se describe un proyecto llevado a cabo entre 13 centros educativos extremeños que consistió en desarrollar cinco unidades de trabajo gamificadas, cinco historias detectivescas con misterios por resolver, donde se ponían a prueba las habilidades de lógica, la capacidad de observación, de concentración y de atención de los alumnos. Los objetivos principales de la propuesta fueron: promover la puesta en práctica de proyectos intercentros; impulsar pedagogías activas; desarrollar la competencia digital a través del uso de las pedagogías emergentes lo que ha permitido llevar a cabo una enseñanza presencial, híbrida y virtual y atender a la diversidadExtremaduraES