10 research outputs found

    CapacitaciĂłn en habilidades gerenciales enfocada en el liderazgo y la comunicaciĂłn organizacional

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    Curso de especial interésEl objetivo del presente documento es desarrollar una capacitación en habilidades gerenciales enfocada en el liderazgo y la comunicación organizacional. La teoría estå basada en la piråmide de habilidades gerenciales de Reh, así como, en el modelo de liderazgo transformacional; obteniendo un mejor desempeño en las actividades, notando los resultados a nivel organizacional.1. Habilidades 2. Gerenciales 3. Liderazgo 4. Objetivos 5. Método 6. Presupuesto 7. Resultados 8. Discusión y Conclusiones Referencias ApéndicesPregradoPsicólog

    Carta de PsicologĂ­a No. 52

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    40 pĂĄginasCĂłmo saber cuĂĄn buena es la calidad de la educaciĂłn en Colombia? Esta es la pregunta que se formularon los expertos en mediciĂłn y pedagogĂ­a a principios de la dĂ©cada del ochenta, ante la necesidad de desarrollar indicadores que permitieran evaluar la calidad de los programas ofrecidos a lo largo del paĂ­s. A pesar de que en esa Ă©poca el Instituto Colombiano para el Fomento de la EducaciĂłn Superior (Icfes) hacĂ­a pruebas de ingreso a la educaciĂłn superior, no se evaluaba a los estudiantes en el momento de egresar para determinar la calidad de la formaciĂłn recibida en su paso por las universidades pĂșblicas (Icfes, 2019). La travesĂ­a de implementar un modelo de evaluaciĂłn de la educaciĂłn iniciĂł con pequeños muestreos en municipios de todo el paĂ­s. En estos se pretendĂ­a detectar el desarrollo de capacidades y competencias, para brindar un insumo a las instituciones de educaciĂłn y que estas pudieran diseñar estrategias para cumplir con los estĂĄndares de calidad esperados para la Ă©poca (Icfes, 2019). Una vez establecidas las primeras metodologĂ­as muestrales, el sistema adquiriĂł un carĂĄcter mĂĄs robusto que, a inicios del presente siglo, permitiĂł censar a todos los estudiantes colombianos mediante los exĂĄmenes de calidad de la educaciĂłn nacional en Colombia (Ecaes) (Icfes, 2019). Con el desarrollo de nuevas tecnologĂ­as y el mejoramiento de la cobertura de Internet en el ĂĄmbito nacional, la tarea del Icfes se ha modernizado para diligenciar digitalmente los procesos de inscripciĂłn y recaudo. En el año 2009 se instituyĂł el mecanismo de las pruebas Saber como un sistema transversal a todos los niveles educativos (Icfes, 2019).CEIPS. Pruebas Saber: mĂĄs allĂĄ de una evaluaciĂłn... 1 Camila GarzĂłn Emprendimiento: una oportunidad para el desarrollo profesional ..3 Carlos Alberto GĂłmez Rada Semilleros Semillas de Infancia. ..5 Leidy Natalia GarcĂ­a; MarĂ­a Paula GarcĂ­a; Jefferson Morales; Stiven PĂ©rez; Paola Remolina; Karol Salinas LĂ­der Juan Carlos Sarmiento Reyes RelaciĂłn entre habilidades de inhibiciĂłn y comportamiento altruista ...9 Leidy Johana Álvarez LeguizamĂłn LĂ­der: David Aguilar AnĂĄlisis estadĂ­stico de la violencia interpersonal durante los años 2015, 2016 y 2017...14 Natalia RodrĂ­guez Garnica; Paula Virginia Torres PachĂłn LĂ­der: Ever JosĂ© LĂłpez Cantera Adolescencia, juventud y el Sistema de responsabilidad penal para adolescentes (SRPA) en Colombia ...19 Xiomara GonzĂĄlez AlarcĂłn LĂ­der: JuliĂĄn Camilo Sarmiento LĂłpez Niños habitantes de calle. .22 Valentina Quevedo Modificabilidad y enseñanza de la ortografĂ­a ...26 John Alejandro Sabogal Ardila, Adriana Carolina Santos Acevedo LĂ­der: Olga Romero Errores de pensamiento: una guĂ­a prĂĄctica de conocimiento ..28 Karen Yineth Bernal Manrique, Daniela Gualtero Salazar, Jhoan SebastiĂĄn LĂłpez SepĂșlveda, Geraldine SĂĄnchez Torres LĂ­der: Olga Romero Empoderamiento lingĂŒĂ­stico en el contexto educativo ...29 MarĂ­a Fernanda Trujillo Amaya, Gabriela GutiĂ©rrez Paiba LĂ­der: Olga Romero Enseñanza de la orientaciĂłn espacial ..32 Daniela Bautista Riveros, Alexandra Forero Cruz, Diana GĂłmez Forero LĂ­der: Olga Romero SoluciĂłn de problemas, perspectivas e integraciĂłn teĂłrica... 35 Cristian RincĂłn, Valentina GĂłmez LĂ­der: Olga Romero Deterioro cognitivo leve ...37 Danna Gabriela Aguilar Velandia LĂ­der: Sandra Milena Camelo Roa Medios de comunicaciĂłn en la salud alimentaria en niños...39 Luisa Fernanda D’Achiardi GĂłmez, Laura Melissa ArĂ©valo Moreno LĂ­der: AndrĂ©s Mauricio Santacoloma SuĂĄre

    Atrasentan and renal events in patients with type 2 diabetes and chronic kidney disease (SONAR): a double-blind, randomised, placebo-controlled trial

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    Background: Short-term treatment for people with type 2 diabetes using a low dose of the selective endothelin A receptor antagonist atrasentan reduces albuminuria without causing significant sodium retention. We report the long-term effects of treatment with atrasentan on major renal outcomes. Methods: We did this double-blind, randomised, placebo-controlled trial at 689 sites in 41 countries. We enrolled adults aged 18–85 years with type 2 diabetes, estimated glomerular filtration rate (eGFR)25–75 mL/min per 1·73 m 2 of body surface area, and a urine albumin-to-creatinine ratio (UACR)of 300–5000 mg/g who had received maximum labelled or tolerated renin–angiotensin system inhibition for at least 4 weeks. Participants were given atrasentan 0·75 mg orally daily during an enrichment period before random group assignment. Those with a UACR decrease of at least 30% with no substantial fluid retention during the enrichment period (responders)were included in the double-blind treatment period. Responders were randomly assigned to receive either atrasentan 0·75 mg orally daily or placebo. All patients and investigators were masked to treatment assignment. The primary endpoint was a composite of doubling of serum creatinine (sustained for ≄30 days)or end-stage kidney disease (eGFR <15 mL/min per 1·73 m 2 sustained for ≄90 days, chronic dialysis for ≄90 days, kidney transplantation, or death from kidney failure)in the intention-to-treat population of all responders. Safety was assessed in all patients who received at least one dose of their assigned study treatment. The study is registered with ClinicalTrials.gov, number NCT01858532. Findings: Between May 17, 2013, and July 13, 2017, 11 087 patients were screened; 5117 entered the enrichment period, and 4711 completed the enrichment period. Of these, 2648 patients were responders and were randomly assigned to the atrasentan group (n=1325)or placebo group (n=1323). Median follow-up was 2·2 years (IQR 1·4–2·9). 79 (6·0%)of 1325 patients in the atrasentan group and 105 (7·9%)of 1323 in the placebo group had a primary composite renal endpoint event (hazard ratio [HR]0·65 [95% CI 0·49–0·88]; p=0·0047). Fluid retention and anaemia adverse events, which have been previously attributed to endothelin receptor antagonists, were more frequent in the atrasentan group than in the placebo group. Hospital admission for heart failure occurred in 47 (3·5%)of 1325 patients in the atrasentan group and 34 (2·6%)of 1323 patients in the placebo group (HR 1·33 [95% CI 0·85–2·07]; p=0·208). 58 (4·4%)patients in the atrasentan group and 52 (3·9%)in the placebo group died (HR 1·09 [95% CI 0·75–1·59]; p=0·65). Interpretation: Atrasentan reduced the risk of renal events in patients with diabetes and chronic kidney disease who were selected to optimise efficacy and safety. These data support a potential role for selective endothelin receptor antagonists in protecting renal function in patients with type 2 diabetes at high risk of developing end-stage kidney disease. Funding: AbbVie

    Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

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    Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≀0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

    The other in me: memories of the project Artistic Encounters for Peace, Forgiveness and Reconciliation

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    El proyecto 'Encuentros artĂ­sticos para la paz, el perdĂłn y la reconciliaciĂłn de la IE Fe y AlegrĂ­a - Soacha para Vivir Mejor' es un proyecto social de la Facultad de Artes en asociaciĂłn con la Oficina para el Fomento de la Responsabilidad Social de la Pontifica Universidad Javeriana que tiene como eje central aportar desde la expresiĂłn artĂ­stica a la construcciĂłn de paz en Soacha. Los acercamientos se desarrollan desde una metodologĂ­a participativa, colaborativa y horizontal en la que se puedan establecer, junto con profesores del IE Fe y AlegrĂ­a Soacha para Vivir Mejor, escenarios de cocreaciĂłn, empoderamiento y reconocimiento del otro, el yo y el territorio, todo esto apelando al carĂĄcter de expresiĂłn solidaria que fundamenta las artes (artes visuales, artes escĂ©nicas, mĂșsica y escrituras creativas).Bogot

    NEOTROPICAL CARNIVORES: a data set on carnivore distribution in the Neotropics

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    Mammalian carnivores are considered a key group in maintaining ecological health and can indicate potential ecological integrity in landscapes where they occur. Carnivores also hold high conservation value and their habitat requirements can guide management and conservation plans. The order Carnivora has 84 species from 8 families in the Neotropical region: Canidae; Felidae; Mephitidae; Mustelidae; Otariidae; Phocidae; Procyonidae; and Ursidae. Herein, we include published and unpublished data on native terrestrial Neotropical carnivores (Canidae; Felidae; Mephitidae; Mustelidae; Procyonidae; and Ursidae). NEOTROPICAL CARNIVORES is a publicly available data set that includes 99,605 data entries from 35,511 unique georeferenced coordinates. Detection/non-detection and quantitative data were obtained from 1818 to 2018 by researchers, governmental agencies, non-governmental organizations, and private consultants. Data were collected using several methods including camera trapping, museum collections, roadkill, line transect, and opportunistic records. Literature (peer-reviewed and grey literature) from Portuguese, Spanish and English were incorporated in this compilation. Most of the data set consists of detection data entries (n = 79,343; 79.7%) but also includes non-detection data (n = 20,262; 20.3%). Of those, 43.3% also include count data (n = 43,151). The information available in NEOTROPICAL CARNIVORES will contribute to macroecological, ecological, and conservation questions in multiple spatio-temporal perspectives. As carnivores play key roles in trophic interactions, a better understanding of their distribution and habitat requirements are essential to establish conservation management plans and safeguard the future ecological health of Neotropical ecosystems. Our data paper, combined with other large-scale data sets, has great potential to clarify species distribution and related ecological processes within the Neotropics. There are no copyright restrictions and no restriction for using data from this data paper, as long as the data paper is cited as the source of the information used. We also request that users inform us of how they intend to use the data

    Reproducibility of fluorescent expression from engineered biological constructs in E. coli

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    We present results of the first large-scale interlaboratory study carried out in synthetic biology, as part of the 2014 and 2015 International Genetically Engineered Machine (iGEM) competitions. Participants at 88 institutions around the world measured fluorescence from three engineered constitutive constructs in E. coli. Few participants were able to measure absolute fluorescence, so data was analyzed in terms of ratios. Precision was strongly related to fluorescent strength, ranging from 1.54-fold standard deviation for the ratio between strong promoters to 5.75-fold for the ratio between the strongest and weakest promoter, and while host strain did not affect expression ratios, choice of instrument did. This result shows that high quantitative precision and reproducibility of results is possible, while at the same time indicating areas needing improved laboratory practices.Peer reviewe

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

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    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 &lt; 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)
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