Guía metodológica de hidrología aplicada a cuencas y ríos colombianos

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Formação de professores, vozes, experiências e construções a partir da prática

This reflection article, prepared by a graduate, two students, and their practice advisor, exposes constructions related to teacher training, within the framework of the practice developed from the deepening cycle of the bachelor’s degree in Early Childhood Education at the Social Crecer Foundation (Hereinafte fsc).It starts from the conceptual construction around the concept of Training, after which, three axes are exposed. First: Practice at the fsc and the relevance of reflection concerning the context in teacher training. Second: Teacher training, located in the implementation of actions related to reflection. Third: Articulations between practice and research training. A possible ideal in fsc bachelor’s practice. The constructions are associated with the process developed between 2019 and 2020, for which it is linked with presence and virtuality.El presente artículo de reflexión, elaborado por una egresada, dos estudiantes y su asesora de práctica, expone construcciones relacionadas con la formación docente, en el marco de la práctica desarrollada desde el ciclo de profundización de la Licenciatura en Educación Infantil1 en la Fundación Social Crecer (en adelante fsc). Así pues, se parte de la construcción conceptual en torno al concepto Formación, posterior a ello, se exponen tres ejes. Primero: Práctica en la fsc y la relevancia de la reflexión en relación con el contexto en la formación del maestro. Segundo: Formación del maestro, ubicada en la puesta en marcha de acciones relacionadas con la reflexión. Tercero: Articulaciones entre la práctica y la formación en investigación. Un ideal posible en la práctica de la licenciatura en la fsc. Las construcciones se articulan con el proceso desarrollado entre el 2019 y el 2020, por lo cual se liga con la presencialidad y la virtualidad.O presente artigo de reflexão, elaborado por uma graduanda, duas alunas e sua orientadora de prática, expõe construções relacionadas à formação docente, no âmbito da prática desenvolvida desde o ciclo de aprofundamento da Licenciatura em Educação Infantil na Fundação Crecer Social (em diante fsc). Assim, parte-se da construção conceitual em torno do conceito Formação, em seguida, são expostos três eixos. Primeiro: Prática na fsc e a relevância da reflexão em relação ao contexto na formação do professor. Segundo: Formação do professor, localizada na implementação de ações relacionadas à reflexão. Terceiro: Articulações entre a prática e a formação em pesquisa. Um ideal possível na prática do bacharelado fsc. As obras estão vinculadas ao processo desenvolvido entre 2019 e 2020, para o qual se vincula à presença e à virtualidade

Identification of Myocardial Insulin Resistance by Using Liver Tests: A Simple Approach for Clinical Practice

Cardiovascular risk; Myocardial insulin resistance; Non-alcoholic fatty liver diseaseRiesgo cardiovascular; Resistencia a la insulina del miocardio; Enfermedad del higado graso no alcoholicoRisc cardiovascular; Resistència a la insulina del miocardi; Malaltia del fetge gras no alcohòlicBackground: We report that myocardial insulin resistance (mIR) occurs in around 60% of patients with type 2 diabetes (T2D) and was associated with higher cardiovascular risk in comparison with patients with insulin-sensitive myocardium (mIS). These two phenotypes (mIR vs. mIS) can only be assessed using time-consuming and expensive methods. The aim of the present study is to search a simple and reliable surrogate to identify both phenotypes. Methods: Forty-seven patients with T2D underwent myocardial [18F]FDG PET/CT at baseline and after a hyperinsulinemic–euglycemic clamp (HEC) to determine mIR were prospectively recruited. Biochemical assessments were performed before and after the HEC. Baseline hepatic steatosis index and index of hepatic fibrosis (FIB-4) were calculated. Furthermore, liver stiffness measurement was performed using transient elastography. Results: The best model to predict the presence of mIR was the combination of transaminases, protein levels, FIB-4 score and HOMA (AUC = 0.95; sensibility: 0.81; specificity: 0.95). We observed significantly higher levels of fibrosis in patients with mIR than in those with mIS (p = 0.034). In addition, we found that patients with mIR presented a reduced glucose uptake by the liver in comparison with patients with mIS. Conclusions: The combination of HOMA, protein, transaminases and FIB-4 is a simple and reliable tool for identifying mIR in patients with T2D. This information will be useful to improve the stratification of cardiovascular risk in T2D.This work was supported by the Carlos III Health Institute and the European Regional Development Fund (PI16/02064, PI20/01588) and the Agency for Management of University and Research Grants (AGAUR) of Catalonia (2017SGR1303)

Diseño para el desarrollo sustentable y la habitabilidad segura e incluyente

Este libro se divide en dos partes que permiten permear en el campo de la enseñanza del diseño; la primera se enfoca en temáticas que se desprenden del diseño en la educación para la sustentabilidad; en la segunda, se identifican las tendencias del diseño como un modo de verlo y sentirlo: va desde el diseño emocional hacia uno de conservación, reúso y reparación de objetos para reducir el consumo de recursos materiales

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

Identification of Myocardial Insulin Resistance by Using Liver Tests : A Simple Approach for Clinical Practice

Background: We report that myocardial insulin resistance (mIR) occurs in around 60% of patients with type 2 diabetes (T2D) and was associated with higher cardiovascular risk in comparison with patients with insulin-sensitive myocardium (mIS). These two phenotypes (mIR vs. mIS) can only be assessed using time-consuming and expensive methods. The aim of the present study is to search a simple and reliable surrogate to identify both phenotypes. Methods: Forty-seven patients with T2D underwent myocardial [18F]FDG PET/CT at baseline and after a hyperinsulinemic-euglycemic clamp (HEC) to determine mIR were prospectively recruited. Biochemical assessments were performed before and after the HEC. Baseline hepatic steatosis index and index of hepatic fibrosis (FIB-4) were calculated. Furthermore, liver stiffness measurement was performed using transient elastography. Results: The best model to predict the presence of mIR was the combination of transaminases, protein levels, FIB-4 score and HOMA (AUC = 0.95; sensibility: 0.81; specificity: 0.95). We observed significantly higher levels of fibrosis in patients with mIR than in those with mIS (p = 0.034). In addition, we found that patients with mIR presented a reduced glucose uptake by the liver in comparison with patients with mIS. Conclusions: The combination of HOMA, protein, transaminases and FIB-4 is a simple and reliable tool for identifying mIR in patients with T2D. This information will be useful to improve the stratification of cardiovascular risk in T2D

Validación de herramientas educativas en consulta externa del Hospital San José.

La salud es el estado de bienestar integral, y es un derecho fundamental, por tanto la atención en salud es una estrategia que se dinamiza con el proceso de educación ya que esta es la mejor herramienta demostrada universalmente para la reducción de la incidencia y mortalidad de enfermedades, la evidencia sugiere el folleto con asesoría verbal, ya que su claridad, permite una lectura rápida las veces que sea necesario, en el presente estudio se propone aplicar un proceso de validación a las herramientas educativas. El diseño corresponde a una validación aplicada de herramientas educativas con enfoque cuantitativo, para la preparación de pacientes que requieren de procedimientos ambulatorios en las 32 especialidades de consulta externa del Hospital San José; Para esto se tuvo en cuenta la metodología que propone la Unicef, este esquema, permitió evaluar de forma sencilla y precisa la información de 21 folletos de 9 especialidades de consulta externa del Hospital San José. La metodología tiene cinco dominios, que fueron evaluados por 8 expertos y 210 pacientes, en los resultados de los expertos y la opinión de los pacientes, se coincidió en la necesidad de ajustar o buscar un equilibrio entre lo que se quiere mostrar y lo que el paciente pueda comprender. Al finalizar se concluye que los contenidos encontrados en cada uno de los folletos son adecuados y de gran relevancia para la orientación del usuario, de igual manera con la validación de esta herramienta se presenta la oportunidad de realizar una sensibilización e importancia de tener instructivos que disminuyan la cancelación de citas y procedimientos en el hospital San JoséPregradoEnfermero(a

Seminario de Investigación aplicada 2018-I

El programa de contaduría pública de la universidad piloto de Colombia seccional alto magdalena, precursor de la constante actualización de conocimientos contables, fiscales y financieros; entrega a la comunidad académica la siguiente recopilación de trabajos de grado, del periodo 2018-I, enfocados en la actualización de conceptos de las áreas anteriormente mencionadas y realizado por los estudiantes de último semestre en el marco del seminario de investigación aplicada. El mencionado seminario tuvo una duración de 160 horas asignadas de la siguiente manera: Gestión contable por parte del Contador público, especialista en gerencia de impuestos, revisoría fiscal y auditoria externa, con certificación internacional en normas internacionales de información financiera (NIIF) Argilio Acuña Gallego (40 horas), y el contador público con especialización en gerencia de proyectos y certificado internacionalmente en normas internacionales Jhon Wilson Castro Gaitán (40 horas), gestión fiscal dirigida por el contador público especialista en derecho tributario con diplomado en Normas internacionales (NIIF) Andrés Felipe Forero Gámez (40 Horas) y gestión financiera conducida por el contador público especialista en gerencia administrativa y financiera, gerencia de proyectos, certificado en normas internacionales (NIIF), con maestrías en auditoria y gestión, dirección estratégica, Carlos Armando Castaño Matallana (40 Horas). Teniendo en cuenta que el ámbito fiscal en Colombia es constantemente sometido a cambios, se presenta una guía práctica de reconocimiento, en la cual se aplican talleres teóricos – prácticos y se recopila distintos argumentos de los participantes, dando, así como resultado una monografía de conocimientos contables atreves de la investigación

Hitos demográficos del siglo XXI : migración internacional

Al hablar de la migración internacional en el contexto actual, es indispensable reconocer que la migración es parte del engranaje del sistema neoliberal y que su lectura requiere considerar sus múltiples dimensiones y diversas formas, es decir, desde las diferentes perspectivas que den cabida al análisis, la crítica y el consenso de la metodología, para poder identificar las asimetrías del desarrollo y la migración internacional en el contexto de la globalización. Pero también la globalización y la tecnología van remodelando la experiencia personal de un migrante. Estos y otros temas como migración y remesas, políticas migratorias, tratados comerciales y migración, el mercado de trabajo y el capital humano, migración y voto desde el extranjero, migración y género, migración y salud y migración y derechos humanos, son tratados en este libro

Risk Factors Associated with Mortality among Patients with COVID-19: Analysis of a Cohort of 1213 Patients in a Tertiary Healthcare Center

The presence of cardio-metabolic and respiratory comorbidities, immunosuppression, and chronic kidney disease have been associated with an increase in mortality from COVID-19. The objective of this study is to establish the risk factors associated with 30-day mortality in a cohort of hospitalized patients with COVID-19. This paper conducts a retrospective and analytical study of patients hospitalized for COVID-19 in a tertiary care center. A Cox proportional hazard analysis was performed to estimate the association of comorbidities with 30-day mortality. A total of 1215 patients with a median age of 59 years were included. In the adjusted Cox proportional hazards regression model, hypothyroidism, D-dimer ≥ 0.8 μg/mL, LHD ≥ 430 IU/L, CRP ≥ 4.83 ng/mL, and triglycerides ≥ 214 mg/dL were associated with an increased risk of death. The presence of a history of hypothyroidism and biomarkers (D-dimer, lactic dehydrogenase, CRP, and triglycerides) were associated with an increase in mortality in the studied cohort