10 research outputs found

    La Gestión de la Extensión en las Universidades Públicas Mexicanas.: Polisemia y heterogeneidad de la función sustantiva

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    En el contexto de las universidades públicas, es importante la realización investigaciones que centren su atención en el análisis orientado a la reflexión epistémica con una mirada crítica que dote de pertinencia y efectividad a la función de extensión que, de forma integral, articula acciones en beneficio de la sociedad. El presente artículo evidencia que las IES públicas, en México, han desarrollado actividades de extensión universitaria desde los enfoques empresarial, social y cultural y que cada orientación ha tenido un grado de desarrollo como resultado de diversos factores de su entorno y de los fines y las políticas particulares de las instituciones de educación superior, ya sean de carácter social o empresarial o ambas

    Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

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    Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

    L’affirmation du tequila, référence identitaire, succès commercial et première « Indication Géographique » du Mexique

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    During the last decades, tequila has become important as an identity reference officially recognized for the creation of a « geographical Identity », as well as for the considerable development of its consumption. Slowly, tequila becomes one of the world’s best known drinks, even if it’s mainly drank in Mexico and the United States. This fact comes along with a very important change in the ownership of its main enterprises which practically all now belong to non Mexicans. A very great effort has been done as well in the control of the quality and origin of the product, effort in which the « Consejo Regulador del Tequila » plays a mayor part

    L’affirmation du tequila, référence identitaire, succès commercial et première « Indication Géographique » du Mexique

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    Les dernières décennies ont vu l’affirmation du tequila, à la fois comme une référence identitaire officiellement reconnue par la création d’une « Identité géographique », mais également par le développement considérable de sa consommation. Le tequila devient progressivement un des alcools parmi les plus connus dans le monde, même si sa consommation reste avant tout le fait du Mexique et des Etats-Unis. Cette affirmation s’accompagne d’une mutation très importante dans la propriété des entreprises les plus importantes, pratiquement toutes passées sous le contrôle de non-Mexicains. Un effort très important a été effectué en parallèle dans le contrôle de la qualité et de l’origine du produit, effort dans lequel le « Consejo Regulador del Tequila » occupe une place centrale.Los últimos decenios han visto el tequila afirmarse a la vez como referencia identitaria oficialmente reconocida por la creación de una « Identidad geográfica » pero igualmente por el desarrollo considerable de su consumo. Progresivamente, el tequila se convierte en uno de los alcoholes entre los más conocidos en el mundo, aun cuando se consuma principalmente en México y Estados Unidos. Esta afirmación viene acompañada de una mutación muy importante en la propiedad de las empresas más importantes que ya pasaron casi todas bajo el control de no-mexicanos. Un esfuerzo muy importante ha sido efectuado paralelamente en el control de calidad y origen del producto, esfuerzo en el cual el « Consejo Regulador del Tequila » ocupa un lugar central.During the last decades, tequila has become important as an identity reference officially recognized for the creation of a « geographical Identity », as well as for the considerable development of its consumption. Slowly, tequila becomes one of the world’s best known drinks, even if it’s mainly drank in Mexico and the United States. This fact comes along with a very important change in the ownership of its main enterprises which practically all now belong to non Mexicans. A very great effort has been done as well in the control of the quality and origin of the product, effort in which the « Consejo Regulador del Tequila » plays a mayor part

    Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study (Intensive Care Medicine, (2021), 47, 2, (160-169), 10.1007/s00134-020-06234-9)

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    The original version of this article unfortunately contained a mistake. The members of the ESICM Trials Group Collaborators were not shown in the article but only in the ESM. The full list of collaborators is shown below. The original article has been corrected
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