Desarrollo de un sistema web aplicando la norma de accesibilidad para personas con discapacidad visual INEN-ISO/IEC 40500. Caso aplicativo liga deportiva cantonal Tisaleo.

El presente trabajo de titulación tuvo como finalidad evaluar la accesibilidad y tiempo de la información requeridos para la ejecución de procesos mediante el desarrollo de sistema web para la gestión de eventos deportivos para la Liga Deportiva Cantonal Tisaleo aplicando la norma de accesibilidad para personas con discapacidad visual INEN-ISO/IEC 40500. Se realizó un estudio de la norma INEN-ISO/IEC 40500 para identificar los estándares a tener en cuenta para la accesibilidad de la información, se describió cómo se lleva a cabo cada uno de los procesos de gestión de eventos deportivos, determinando en el tiempo que transcurre en cada uno de ellos. Estos tiempos se los obtuvieron mediante una entrevista aplicada a los directivos de la institución. Para guiar el desarrollo del sistema se utilizó la metodología SCRUM la cual permitió realizar pequeños entregables de la aplicación, se implementó la tecnología Java Server Faces (JSF), las mismas que se integraron con la librería de componentes primefaces; para lograr persistencia de la información se utilizó PostgreSQL como sistema gestor de base de datos (SGBD). Se realizó el análisis de resultados en base a la prueba estadística T que permitió el análisis de medias, en base a la duración de los procesos de manera automática y manual en minutos determinando una mejora del 65.14% en tiempo. Además, se realizó el análisis de accesibilidad del sistema para medir el cumplimiento de la norma dando un resultado del 62% de accesibilidad. Por los resultados obtenidos en cuanto a disminución de tiempos y análisis de accesibilidad se recomienda que el sistema sea implantado en otras ligas deportivas.The purpose of the present titling work was to evaluate the accessibility and time of the information required for the execution of processes through the development of a web system for the management of sporting events for the Tisaleo Cantonal Sports League applying the accessibility rule for people with visual disabilities INEN-ISO/IEC 40500. To accomplish this aim a study of the norm INEN-ISO/IEC 40500 was made to identify certain standards to take into account for the accessibility of the information, it was described how each one of the sports events management processes are performed, emphasizing the time each of them spends. These times were obtained through an interview applied to the managers of the institution. To guide the development of the system, the SCRUM methodology was used, which allowed to make small deliverables of the application, and the Java Server Faces technology (JSF) was implemented as well, which were integrated with the library of primefaces components; for the storage of information, PostgreSQL was used as a database management system (DBMS). The analysis of results was made based on the statistical test T that allowed the analysis of means, based on the duration of the processes autonomously and manually in minutes, determining an improvement of the 65.14% in time. In addition, the accessibility analysis of the system was performed to measure compliance with the standard, giving a result of the 62% of accessibility. Due to the results obtained in terms of time reduction and accessibility analysis, it is recommended to implement the system in other sports leagues

Identidad de Género de Jóvenes Trans: Perpetuación y Pérdida de Privilegios Patriarcales

This critical study aimed to show whether discursive constructions of gender identity of trans young people in the process of transition contribute or not to the repetition of normative patterns prevailing in Chilean society. The research is located in the city of Valparaiso, which from 2017 to the present ranks first place in Chile for homo-lesbo-bi-transphobic discrimination. The in-depth interview was used as a data collection technique, which were analyzed using the three-dimensional method of critical discourse analysis proposed by Norman Fairclough. The results reveal that the discourses of trans young people do contribute to the repetition of normative gender patterns, and there is a constant tension in their transition process, since they are aware of the oppression that gender binarism imposes on them, expressing resistance and emancipation against it. However, it is difficult for them to get rid of the gender mandates that make them transition to binary identities in most of the cases investigated. In addition, they recognize the maintenance of patriarchal privileges when transitioning from a female to a male corporeality, as well as the loss of them in the transition from a male to a female corporeality.Este estudio de carácter crítico se orienta a evidenciar si las construcciones discursivas de identidad de género de jóvenes trans en proceso de transición, uso o no a la repetición de pautas normativas imperantes en la sociedad chilena. La investigación se encuentra en la ciudad de Valparaíso que desde 2017 a la actualidad ocupa los primeros lugares en Chile de discriminación homo-lesbo-bi-transfóbica. Se utilizó la entrevista en profundidad como técnica de recogida de datos, los que fueron analizados el método tridimensional de análisis crítico del discurso propuesto por Norman Fairclough. Los resultados develan que los discursos de jóvenes trans sí necesitan a la repetición de pautas normativas de género, existiendo una tensión constante en su proceso de transición, puesto que son conscientes de la opresión que les imprime el binarismo de género, expresando resistencia y emancipación frente a él. Sin embargo, les es dificultoso desprenderse de los mandatos de género que los hacen transitar en la mayoría de los casos investigados a identidades binarias. Además, reconocen la mantención de los privilegios patriarcales al transitar de una corporalidad femenina a una masculina, como la pérdida de los mismos en el tránsito de una corporalidad masculina a una femenina

Impact of COVID-19 on cardiovascular testing in the United States versus the rest of the world

Objectives: This study sought to quantify and compare the decline in volumes of cardiovascular procedures between the United States and non-US institutions during the early phase of the coronavirus disease-2019 (COVID-19) pandemic. Background: The COVID-19 pandemic has disrupted the care of many non-COVID-19 illnesses. Reductions in diagnostic cardiovascular testing around the world have led to concerns over the implications of reduced testing for cardiovascular disease (CVD) morbidity and mortality. Methods: Data were submitted to the INCAPS-COVID (International Atomic Energy Agency Non-Invasive Cardiology Protocols Study of COVID-19), a multinational registry comprising 909 institutions in 108 countries (including 155 facilities in 40 U.S. states), assessing the impact of the COVID-19 pandemic on volumes of diagnostic cardiovascular procedures. Data were obtained for April 2020 and compared with volumes of baseline procedures from March 2019. We compared laboratory characteristics, practices, and procedure volumes between U.S. and non-U.S. facilities and between U.S. geographic regions and identified factors associated with volume reduction in the United States. Results: Reductions in the volumes of procedures in the United States were similar to those in non-U.S. facilities (68% vs. 63%, respectively; p = 0.237), although U.S. facilities reported greater reductions in invasive coronary angiography (69% vs. 53%, respectively; p < 0.001). Significantly more U.S. facilities reported increased use of telehealth and patient screening measures than non-U.S. facilities, such as temperature checks, symptom screenings, and COVID-19 testing. Reductions in volumes of procedures differed between U.S. regions, with larger declines observed in the Northeast (76%) and Midwest (74%) than in the South (62%) and West (44%). Prevalence of COVID-19, staff redeployments, outpatient centers, and urban centers were associated with greater reductions in volume in U.S. facilities in a multivariable analysis. Conclusions: We observed marked reductions in U.S. cardiovascular testing in the early phase of the pandemic and significant variability between U.S. regions. The association between reductions of volumes and COVID-19 prevalence in the United States highlighted the need for proactive efforts to maintain access to cardiovascular testing in areas most affected by outbreaks of COVID-19 infection

Centro de registro, adopción, rescate y entrenamiento de la fauna urbana de la ciudad de Ibarra

El proyecto trata sobre dar una solución efectiva al problema de los perros y gatos que se encuentran en las calles de Ibarra, dedicando un espacio sostenible para la recuperación, adopción y atención de los mismos, permitiendo así que los animales tengan una nueva oportunidad de vida. Para enfrentar el problema se necesita la intervención de varias disciplinas relacionadas con el buen trato animal, ya que de nada serviría proponer una solución que resuelva por un determinado tiempo el problema si después reaparece con más fuerza, volviéndose un ciclo interminable. Como parte de la solución se propone el diseño de un centro de registro, adopción y rescate de la fauna urbana de la ciudad.The project deals with providing an effective solution to the problem of dogs and cats that are found on the streets of Ibarra, dedicating a sustainable space for their recovery, adoption and care, thus allowing the animals to have a new chance at life. . In order to face the problem, the intervention of various disciplines related to good animal treatment is needed, since it would be useless to propose a solution that would solve the problem for a certain time if it later reappeared with more force, becoming an endless cycle. As part of the solution, the design of a center for the registration, adoption and rescue of the urban fauna of the city is proposed.ARQUITECTUR

Descubriendo genes en insuficiencia cardiaca. Reporte de caso

Presentamos el caso de una paciente de 64 años de edad, sin antecedentes previos, con hallazgos compatibles por clínica e imagen de insuficiencia cardiaca por miocardiopatía dilatada, en quien el estudio genético identificó la variante c.955C>G del gen DSP, que codifica la producción de desmoplaquina. La paciente recibió tratamiento farmacológico y cardiodesfibrilador implantable, con mejoría clínica y funcional sustancial a dos años de seguimiento

SARS-CoV-2 detection and sequencing in heart tissue associated with myocarditis and persistent arrhythmia: A case report

Background: SARS-CoV-2 uses the human cell receptor angiotensin-converting enzyme (ACE2). ACE2 is widely present in the cardiovascular system including the myocardium and the conduction system. COVID-19 patients that present severe symptoms have been reported to have complications involving myocardial injuries caused by the virus. Here we report the detection of SARS-CoV-2 by whole genome sequencing in the endocardium of a patient with severe bradycardia. Case presentation: We report a case of a 34-year-old male patient with COVID-19 tested by PCR, he started with gastrointestinal symptoms, however, he quickly deteriorated his hemodynamic state by means of myocarditis and bradycardia. After performing an endocardium biopsy, it was possible to identify the presence of SARS-CoV-2 in the heart tissue and to sequence its whole genome using the ARTIC-Network protocol and a modified tissue RNA extraction method. The patient’s outcome was improved after a permanent pacemaker was implanted. Conclusions: It was possible to identify a SARS-CoV-2 clade 20A in the endocardium of the reported patient

Reduction of cardiac imaging tests during the COVID-19 pandemic: The case of Italy. Findings from the IAEA Non-invasive Cardiology Protocol Survey on COVID-19 (INCAPS COVID)

Background: In early 2020, COVID-19 massively hit Italy, earlier and harder than any other European country. This caused a series of strict containment measures, aimed at blocking the spread of the pandemic. Healthcare delivery was also affected when resources were diverted towards care of COVID-19 patients, including intensive care wards. Aim of the study: The aim is assessing the impact of COVID-19 on cardiac imaging in Italy, compare to the Rest of Europe (RoE) and the World (RoW). Methods: A global survey was conducted in May–June 2020 worldwide, through a questionnaire distributed online. The survey covered three periods: March and April 2020, and March 2019. Data from 52 Italian centres, a subset of the 909 participating centres from 108 countries, were analyzed. Results: In Italy, volumes decreased by 67% in March 2020, compared to March 2019, as opposed to a significantly lower decrease (p &lt; 0.001) in RoE and RoW (41% and 40%, respectively). A further decrease from March 2020 to April 2020 summed up to 76% for the North, 77% for the Centre and 86% for the South. When compared to the RoE and RoW, this further decrease from March 2020 to April 2020 in Italy was significantly less (p = 0.005), most likely reflecting the earlier effects of the containment measures in Italy, taken earlier than anywhere else in the West. Conclusions: The COVID-19 pandemic massively hit Italy and caused a disruption of healthcare services, including cardiac imaging studies. This raises concern about the medium- and long-term consequences for the high number of patients who were denied timely diagnoses and the subsequent lifesaving therapies and procedures

International Impact of COVID-19 on the Diagnosis of Heart Disease

Background: The coronavirus disease 2019 (COVID-19) pandemic has adversely affected diagnosis and treatment of noncommunicable diseases. Its effects on delivery of diagnostic care for cardiovascular disease, which remains the leading cause of death worldwide, have not been quantified. Objectives: The study sought to assess COVID-19's impact on global cardiovascular diagnostic procedural volumes and safety practices. Methods: The International Atomic Energy Agency conducted a worldwide survey assessing alterations in cardiovascular procedure volumes and safety practices resulting from COVID-19. Noninvasive and invasive cardiac testing volumes were obtained from participating sites for March and April 2020 and compared with those from March 2019. Availability of personal protective equipment and pandemic-related testing practice changes were ascertained. Results: Surveys were submitted from 909 inpatient and outpatient centers performing cardiac diagnostic procedures, in 108 countries. Procedure volumes decreased 42% from March 2019 to March 2020, and 64% from March 2019 to April 2020. Transthoracic echocardiography decreased by 59%, transesophageal echocardiography 76%, and stress tests 78%, which varied between stress modalities. Coronary angiography (invasive or computed tomography) decreased 55% (p &lt; 0.001 for each procedure). In multivariable regression, significantly greater reduction in procedures occurred for centers in countries with lower gross domestic product. Location in a low-income and lower–middle-income country was associated with an additional 22% reduction in cardiac procedures and less availability of personal protective equipment and telehealth. Conclusions: COVID-19 was associated with a significant and abrupt reduction in cardiovascular diagnostic testing across the globe, especially affecting the world's economically challenged. Further study of cardiovascular outcomes and COVID-19–related changes in care delivery is warranted

Impact of COVID-19 on Diagnostic Cardiac Procedural Volume in Oceania: The IAEA Non-Invasive Cardiology Protocol Survey on COVID-19 (INCAPS COVID)

Objectives: The INCAPS COVID Oceania study aimed to assess the impact caused by the COVID-19 pandemic on cardiac procedure volume provided in the Oceania region. Methods: A retrospective survey was performed comparing procedure volumes within March 2019 (pre-COVID-19) with April 2020 (during first wave of COVID-19 pandemic). Sixty-three (63) health care facilities within Oceania that perform cardiac diagnostic procedures were surveyed, including a mixture of metropolitan and regional, hospital and outpatient, public and private sites, and 846 facilities outside of Oceania. The percentage change in procedure volume was measured between March 2019 and April 2020, compared by test type and by facility. Results: In Oceania, the total cardiac diagnostic procedure volume was reduced by 52.2% from March 2019 to April 2020, compared to a reduction of 75.9% seen in the rest of the world (p&lt;0.001). Within Oceania sites, this reduction varied significantly between procedure types, but not between types of health care facility. All procedure types (other than stress cardiac magnetic resonance [CMR] and positron emission tomography [PET]) saw significant reductions in volume over this time period (p&lt;0.001). In Oceania, transthoracic echocardiography (TTE) decreased by 51.6%, transoesophageal echocardiography (TOE) by 74.0%, and stress tests by 65% overall, which was more pronounced for stress electrocardiograph (ECG) (81.8%) and stress echocardiography (76.7%) compared to stress single-photon emission computerised tomography (SPECT) (44.3%). Invasive coronary angiography decreased by 36.7% in Oceania. Conclusion: A significant reduction in cardiac diagnostic procedure volume was seen across all facility types in Oceania and was likely a function of recommendations from cardiac societies and directives from government to minimise spread of COVID-19 amongst patients and staff. Longer term evaluation is important to assess for negative patient outcomes which may relate to deferral of usual models of care within cardiology