Implementación de software en la enseñanza de ingeniería: una experiencia en la Universidad Tecnológica Nacional Facultad Regional Venado Tuerto - Argentina

The results of a 3-year (2016-20018) research Project, on the application of the SolidWorks® software package in the areas of mechanics, heat and fluids and electromagnetism of the Electromechanical Engineering of the Venado Tuerto Regional Faculty of the National Technological University, Argentina, is reported. The model of Technological Pedagogical Content Knowledge (TPACK) has been used to guide professors in the integration of these technologies in classroom practices. A selection and ranking of contents of the courses that were dictated to the professors of the mentioned areas has been made. In order to quantify professors' perception, a questionnaire was used as an evaluation instrument that takes into account the motivation of them in this new teaching strategy. The student’s response to the incorporation of software was also preliminarily evaluated.Este trabajo reporta resultados obtenidos en el marco de un proyecto de investigación de 3 años de duración (2016–2018), que tiene como objetivo general la aplicación del paquete de software SolidWorks® en el área de Mecánica, Calor y Fluidos y Electromagnetismo, de Ingeniería Electromecánica de la Facultad Regional Venado Tuerto de la Universidad Tecnológica Nacional de Argentina. Se ha utilizado el modelo del conocimiento tecnológico pedagógico del contenido (TPACK), para orientar a los docentes en la integración de estas tecnologías en las prácticas áulicas. Se ha realizado una selección y jerarquización de contenidos de los cursos de formación que fueron dictados a los docentes de las áreas mencionadas. A los fines de cuantificar la percepción de los docentes, se utilizó como instrumento de evaluación un cuestionario que tiene en consideración su motivación en esta nueva estrategia de enseñanza. La respuesta del alumnado ante la incorporación de software fue también preliminarmente evaluada

Jugamos y enseñamos el ajedrez urbano

Trabajo presentado en el Gaudi. Taller Mediterráneo 5 B. Córdoba, Argentina. 2015Intentamos enseñar arquitectura, ó más precisamente compartir nuestros aprendizajes de investigación proyectual. Somos un poco activistas culturales: circulamos ideas. La ciudad es nuestro objeto didáctico. Y nos preguntamos: ¿Se puede conciliar la construcción de la ciudad con la construcción y ejercicio efectivo de la ciudadanía? Nos gusta pensar el mundo desde el proyecto. Toda nuestra praxis, rizomática por necesidad, está tensada en explorar la conciencia del límite. Últimamente nos interesan las infraestructuras como arquitecturas y el espesor del suelo como material de proyecto. En nuestras ciudades, en la de Córdoba en particular, la noción de Proyecto Urbano, expresa realidades y concepciones sobre la ciudad absolutamente contradictorias, según se trate de operaciones públicas, privadas o de gestión mixta. Así, podemos registrar Proyectos Urbanos de inclusión y de exclusión. Y básicamente una práctica de Proyectos Urbanos inconclusos. Es más, la noción misma de Proyecto Urbano no está instalada en nuestro medio, salvo como sinónimo de un gran emprendimiento, las más de las veces de enclave selectivo o de un tipo de obra pública. De hecho, el debate implícito tanto en las oficinas de planificación urbana, como en los propios ámbitos académicos, muchas veces pareció ser, confusamente, entre plan y proyecto, entre regulación pública y desregulación privatista. En esta época compleja para la gestión de la ciudad es necesario que las políticas públicas corrijan las "asimetrías" de segregación socio espacial y los "daños colaterales" de la ciudad cómo sólo mercado.Fil: Cohen, Alejandro. Universidad Nacional de Córdoba. Facultad de Arquitectura, Urbanismo y Diseño. Cátedra Arquitectura 5 B. Taller Mediterráneo; ArgentinaFil: Giraudo, Leandro. Universidad Nacional de Córdoba. Facultad de Arquitectura, Urbanismo y Diseño. Cátedra Arquitectura 5 B. Taller Mediterráneo; ArgentinaFil: Fiorito, Marcelo. Universidad Nacional de Córdoba. Facultad de Arquitectura, Urbanismo y Diseño. Cátedra Arquitectura 5 B. Taller Mediterráneo; ArgentinaFil: Díaz Terreno, Fernando. Universidad Nacional de Córdoba. Facultad de Arquitectura, Urbanismo y Diseño. Cátedra Arquitectura 5 B. Taller Mediterráneo; ArgentinaFil: Margherit, Germán. Universidad Nacional de Córdoba. Facultad de Arquitectura, Urbanismo y Diseño. Cátedra Arquitectura 5 B. Taller Mediterráneo; ArgentinaFil: Nanzer, Cristian Arturo. Universidad Nacional de Córdoba. Facultad de Arquitectura, Urbanismo y Diseño. Cátedra Arquitectura 5 B. Taller Mediterráneo; ArgentinaFil: Oshiro, Pablo Eugenio. Universidad Nacional de Córdoba. Facultad de Arquitectura, Urbanismo y Diseño. Cátedra Arquitectura 5 B. Taller Mediterráneo; ArgentinaEstudios Urbanos (Planeamiento y Desarrollo

Cribado antihelmíntico de plantas recolectadas en la provincia de La Pampa

Haemonchus spp. larva 111 were exposed to different concentrations of hydro-alcoholic extract of native and naturalized plant of La Pampa province,with the objective to evaluare the larvicidal effect. The vegetable extracts were provided by the plant extract bank of the research and development centre (CIDEF) of the Faculty ofVeterinary Medicine at the National University of La Pampa. The Haemonchus spp. was cultured from faces of infected ovine maintained in confinement to avoid contamination.The larvas were provided by the Parasitology and Parasitic Diseases course at the Faculty ofVeterinary Medicine at the National University of La Pampa. Out of 53 vegetable hydroalcoholic extract proven, 20 inhibit completely the larva motility, 18 have hardly effect and 15 did not have any effect.Haemonchus spp. larva III were exposed to different concentrations of hydro-alcoholic extract of native and naturalized plant of La Pampa province,with the objective to evaluate the larvicidal effect. The vegetable extracts were provided by the plant extract bank of the research and development centre (CIDEF) of the Faculty ofVeterinary Medicine at the National University of La Pampa. The Haemonchus spp. was cultured from faces of infected ovine maintained in confinement to avoid contamination.The larvas were provided by the Parasitology and Parasitic Diseases course at the Faculty of Veterinary Medicine at the National University of La Pampa. Out of 53 vegetable hydroalcoholic extract proven, 20 inhibit completely the larva motility, 18 have hardly effect and 15 did not have any effec

Estudio aerobiológico de la diversidad polínica y su potencial alergénico en el oasis del sur de Mendoza, Argentina

Los conocimientos provenientes del campo de estudio de la Aerobiología favorecen el análisis inmunológico de los alérgenos atmosféricos procedentes de polen y esporas fúngicas. Esto posibilita conocer la carga alergénica del aire en el ambiente y de esta manera, valorar mejor la relación exposición / reacción / clínica en los pacientes en tratamiento por alergias. No existen estudios previos de este tema realizados a nivel regional ni provincial en Mendoza. Una base de datos de identificación de posibles alérgenos provenientes de la polinización de espacios verdes urbanos en la ciudad de San Rafael y General Alvear contribuye a la epidemiología ambiental sobre las afecciones alérgicas respiratorias inducidas por polen y esporas. En esta presentación damos a conocer un proyecto de investigación en Aerobiología, con el fin de generar conocimiento aerobiológico de la zona urbana del oasis del sur mendocino (San Rafael y General Alvear), que contribuye a conocer la carga alergénica proveniente de granos de polen y esporas presentes en el ambiente. Para ello, se están llevando a cabo tres líneas de trabajo que consisten en: (1) el relevamiento, localización y mapeo de la vegetación urbana en floración, (2) la elaboración de una colección de referencia palinológica, y (3) el muestreo diario de aeropartículas atmosféricas urbanas. Se presentan los resultados preliminares obtenidos desde el inicio del proyecto y se muestran las líneas de trabajo que seguirá el curso de esta investigación. A futuro, los estudios aerobiológicos permitirían el desarrollo de programas de seguimiento, prevención y control en los índices de la cantidad de polen y esporas presentes en la atmósfera. Esta herramienta puede describir el potencial alergénico en espacios urbanos sus perjuicios ambientales. De esta manera, una investigación con estas características puede ser un aporte directo a la formulación de políticas de salud pública y planificación urbana de la ciudad.Fil: Guerci, Alejandra. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad Nacional de Cuyo. Facultad de Ciencias Exactas y Naturales; Argentina. Museo Municipal de Historia Natural San Rafael - Unidad Asociada al CCT Mendoza; Argentina. Instituto de Enseñanza Superior 9-011 del Atuel; ArgentinaFil: Rojo, Leandro David. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad Nacional de Cuyo. Facultad de Ciencias Exactas y Naturales; Argentina. Museo Municipal de Historia Natural San Rafael - Unidad Asociada al CCT Mendoza; ArgentinaFil: Indiveri, Martina. Gobierno de la Provincia de Mendoza. Hospital Teodoro Schestakow.; ArgentinaFil: Nuñez Sada, Maria Florencia. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Instituto Nacional de Tecnología Agropecuaria; ArgentinaFil: Farina, Lucia. Museo Municipal de Historia Natural San Rafael - Unidad Asociada al CCT Mendoza; ArgentinaFil: Aguilar, Mariano. Universidad Nacional de Cuyo. Facultad de Ciencias Exactas y Naturales; Argentina. Instituto Nacional de Tecnología Agropecuaria; ArgentinaFil: Llano, Carina Lourdes. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Mendoza; ArgentinaFil: Lucero, A.. Universidad de Mendoza; ArgentinaFil: Negreira, Gabriel Alfredo. Instituto de Enseñanza Superior 9-011 del Atuel; ArgentinaFil: Vazquez, Maria Soledad. Universidad Tecnologica Nacional. Facultad Reg.san Rafael. Instituto de Evolucion, Ecologia Historica y Ambiente. - Consejo Nacional de Investigaciones Cientificas y Tecnicas. Centro Cientifico Tecnologico Conicet - Mendoza. Instituto de Evolucion, Ecologia Historica y Ambiente.; ArgentinaFil: Rodriguez, L. F.. Universidad Nacional de Cuyo. Facultad de Ciencias Exactas y Naturales; ArgentinaFil: Gallardo, C. A.. Universidad Nacional de Cuyo. Facultad de Ciencias Exactas y Naturales; ArgentinaFil: Giraudo, S. B.. Museo Municipal de Historia Natural San Rafael - Unidad Asociada al CCT Mendoza; ArgentinaXIV Encuentro del Centro Internacional de Ciencias de la TierraSan RafaelArgentinaCentro Internacional para Estudios de la TierraComisión Nacional de Energía AtómicaUniversidad Nacional de CuyoUniversidad Tecnológica Nacional. Facultad Regional San Rafae

Pediatric trauma and emergency surgery: an international cross-sectional survey among WSES members

Background: In contrast to adults, the situation for pediatric trauma care from an international point of view and the global management of severely injured children remain rather unclear. The current study investigates structural management of pediatric trauma in centers of different trauma levels as well as experiences with pediatric trauma management around the world. Methods: A web-survey had been distributed to the global mailing list of the World Society of Emergency Surgery from 10/2021-03/2022, investigating characteristics of respondents and affiliated hospitals, case-load of pediatric trauma patients, capacities and infrastructure for critical care in children, trauma team composition, clinical work-up and individual experiences with pediatric trauma management in response to patients´ age. The collaboration group was subdivided regarding sizes of affiliated hospitals to allow comparisons concerning hospital volumes. Comparable results were conducted to statistical analysis. Results: A total of 133 participants from 34 countries, i.e. 5 continents responded to the survey. They were most commonly affiliated with larger hospitals (> 500 beds in 72.9%) and with level I or II trauma centers (82.0%), respectively. 74.4% of hospitals offer unrestricted pediatric medical care, but only 63.2% and 42.9% of the participants had sufficient experiences with trauma care in children ≤ 10 and ≤ 5 years of age (p = 0.0014). This situation is aggravated in participants from smaller hospitals (p < 0.01). With regard to hospital size (≤ 500 versus > 500 in-hospital beds), larger hospitals were more likely affiliated with advanced trauma centers, more elaborated pediatric intensive care infrastructure (p < 0.0001), treated children at all ages more frequently (p = 0.0938) and have higher case-loads of severely injured children < 12 years of age (p = 0.0009). Therefore, the majority of larger hospitals reserve either pediatric surgery departments or board-certified pediatric surgeons (p < 0.0001) and in-hospital trauma management is conducted more multi-disciplinarily. However, the majority of respondents does not feel prepared for treatment of severe pediatric trauma and call for special educational and practical training courses (overall: 80.2% and 64.3%, respectively). Conclusions: Multi-professional management of pediatric trauma and individual experiences with severely injured children depend on volumes, level of trauma centers and infrastructure of the hospital. However, respondents from hospitals at all levels of trauma care complain about an alarming lack of knowledge on pediatric trauma management

Textbook outcome in urgent early cholecystectomy for acute calculous cholecystitis: results post hoc of the S.P.Ri.M.A.C.C study

Introduction: A textbook outcome patient is one in which the operative course passes uneventful, without complications, readmission or mortality. There is a lack of publications in terms of TO on acute cholecystitis. Objetive: The objective of this study is to analyze the achievement of TO in patients with urgent early cholecystectomy (UEC) for Acute Cholecystitis. and to identify which factors are related to achieving TO. Materials and methods: This is a post hoc study of the SPRiMACC study. It ́s a prospective multicenter observational study run by WSES. The criteria to define TO in urgent early cholecystectomy (TOUEC) were no 30-day mortality, no 30-day postoperative complications, no readmission within 30 days, and hospital stay ≤ 7 days (75th percentile), and full laparoscopic surgery. Patients who met all these conditions were taken as presenting a TOUEC. Outcomes: 1246 urgent early cholecystectomies for ACC were included. In all, 789 patients (63.3%) achieved all TOUEC parameters, while 457 (36.6%) failed to achieve one or more parameters and were considered non-TOUEC. The patients who achieved TOUEC were younger had significantly lower scores on all the risk scales analyzed. In the serological tests, TOUEC patients had lower values for in a lot of variables than non-TOUEC patients. The TOUEC group had lower rates of complicated cholecystitis. Considering operative time, a shorter duration was also associated with a higher probability of reaching TOUEC. Conclusion: Knowledge of the factors that influence the TOUEC can allow us to improve our results in terms of textbook outcome

Correction to: Two years later: Is the SARS-CoV-2 pandemic still having an impact on emergency surgery? An international cross-sectional survey among WSES members

Background: The SARS-CoV-2 pandemic is still ongoing and a major challenge for health care services worldwide. In the first WSES COVID-19 emergency surgery survey, a strong negative impact on emergency surgery (ES) had been described already early in the pandemic situation. However, the knowledge is limited about current effects of the pandemic on patient flow through emergency rooms, daily routine and decision making in ES as well as their changes over time during the last two pandemic years. This second WSES COVID-19 emergency surgery survey investigates the impact of the SARS-CoV-2 pandemic on ES during the course of the pandemic. Methods: A web survey had been distributed to medical specialists in ES during a four-week period from January 2022, investigating the impact of the pandemic on patients and septic diseases both requiring ES, structural problems due to the pandemic and time-to-intervention in ES routine. Results: 367 collaborators from 59 countries responded to the survey. The majority indicated that the pandemic still significantly impacts on treatment and outcome of surgical emergency patients (83.1% and 78.5%, respectively). As reasons, the collaborators reported decreased case load in ES (44.7%), but patients presenting with more prolonged and severe diseases, especially concerning perforated appendicitis (62.1%) and diverticulitis (57.5%). Otherwise, approximately 50% of the participants still observe a delay in time-to-intervention in ES compared with the situation before the pandemic. Relevant causes leading to enlarged time-to-intervention in ES during the pandemic are persistent problems with in-hospital logistics, lacks in medical staff as well as operating room and intensive care capacities during the pandemic. This leads not only to the need for triage or transferring of ES patients to other hospitals, reported by 64.0% and 48.8% of the collaborators, respectively, but also to paradigm shifts in treatment modalities to non-operative approaches reported by 67.3% of the participants, especially in uncomplicated appendicitis, cholecystitis and multiple-recurrent diverticulitis. Conclusions: The SARS-CoV-2 pandemic still significantly impacts on care and outcome of patients in ES. Well-known problems with in-hospital logistics are not sufficiently resolved by now; however, medical staff shortages and reduced capacities have been dramatically aggravated over last two pandemic years

How future surgery will benefit from SARS-COV-2-related measures: a SPIGC survey conveying the perspective of Italian surgeons

COVID-19 negatively affected surgical activity, but the potential benefits resulting from adopted measures remain unclear. The aim of this study was to evaluate the change in surgical activity and potential benefit from COVID-19 measures in perspective of Italian surgeons on behalf of SPIGC. A nationwide online survey on surgical practice before, during, and after COVID-19 pandemic was conducted in March-April 2022 (NCT:05323851). Effects of COVID-19 hospital-related measures on surgical patients' management and personal professional development across surgical specialties were explored. Data on demographics, pre-operative/peri-operative/post-operative management, and professional development were collected. Outcomes were matched with the corresponding volume. Four hundred and seventy-three respondents were included in final analysis across 14 surgical specialties. Since SARS-CoV-2 pandemic, application of telematic consultations (4.1% vs. 21.6%; p < 0.0001) and diagnostic evaluations (16.4% vs. 42.2%; p < 0.0001) increased. Elective surgical activities significantly reduced and surgeons opted more frequently for conservative management with a possible indication for elective (26.3% vs. 35.7%; p < 0.0001) or urgent (20.4% vs. 38.5%; p < 0.0001) surgery. All new COVID-related measures are perceived to be maintained in the future. Surgeons' personal education online increased from 12.6% (pre-COVID) to 86.6% (post-COVID; p < 0.0001). Online educational activities are considered a beneficial effect from COVID pandemic (56.4%). COVID-19 had a great impact on surgical specialties, with significant reduction of operation volume. However, some forced changes turned out to be benefits. Isolation measures pushed the use of telemedicine and telemetric devices for outpatient practice and favored communication for educational purposes and surgeon-patient/family communication. From the Italian surgeons' perspective, COVID-related measures will continue to influence future surgical clinical practice

Infected pancreatic necrosis: outcomes and clinical predictors of mortality. A post hoc analysis of the MANCTRA-1 international study

: The identification of high-risk patients in the early stages of infected pancreatic necrosis (IPN) is critical, because it could help the clinicians to adopt more effective management strategies. We conducted a post hoc analysis of the MANCTRA-1 international study to assess the association between clinical risk factors and mortality among adult patients with IPN. Univariable and multivariable logistic regression models were used to identify prognostic factors of mortality. We identified 247 consecutive patients with IPN hospitalised between January 2019 and December 2020. History of uncontrolled arterial hypertension (p = 0.032; 95% CI 1.135-15.882; aOR 4.245), qSOFA (p = 0.005; 95% CI 1.359-5.879; aOR 2.828), renal failure (p = 0.022; 95% CI 1.138-5.442; aOR 2.489), and haemodynamic failure (p = 0.018; 95% CI 1.184-5.978; aOR 2.661), were identified as independent predictors of mortality in IPN patients. Cholangitis (p = 0.003; 95% CI 1.598-9.930; aOR 3.983), abdominal compartment syndrome (p = 0.032; 95% CI 1.090-6.967; aOR 2.735), and gastrointestinal/intra-abdominal bleeding (p = 0.009; 95% CI 1.286-5.712; aOR 2.710) were independently associated with the risk of mortality. Upfront open surgical necrosectomy was strongly associated with the risk of mortality (p < 0.001; 95% CI 1.912-7.442; aOR 3.772), whereas endoscopic drainage of pancreatic necrosis (p = 0.018; 95% CI 0.138-0.834; aOR 0.339) and enteral nutrition (p = 0.003; 95% CI 0.143-0.716; aOR 0.320) were found as protective factors. Organ failure, acute cholangitis, and upfront open surgical necrosectomy were the most significant predictors of mortality. Our study confirmed that, even in a subgroup of particularly ill patients such as those with IPN, upfront open surgery should be avoided as much as possible. Study protocol registered in ClinicalTrials.Gov (I.D. Number NCT04747990)

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries