4 research outputs found

    Elaboración de una revista ejecutiva plan de comunicación del accionar de la seguridad ciudadana para el Ministerio del Interior

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    While crime is on the rise, security is not only fighting crime but also the collective creation of a suitable and proper for the peaceful coexistence of people environment. Security is not the job of the police of the UPC, but includes all the inhabitants of the neighborhood. Good security emphasizes the work of "prevention" and "control", which is intended to demonstrate by the Executive Journal of the Communication Plan of Action by Public Safety, by which we can demonstrate the work of the Community National Police address insecurity that exists in our society, and how society can be part through the forms of protection against the factors that generate violence and insecurity. In this sense, looking at the police see that these institutions have a natural tendency to restrictive institutional and social change, as well as makes an interesting field for structural analysis.Si bien la delincuencia va en aumento, la seguridad no es sólo la lucha contra el crimen, sino también es la creación colectiva de un ambiente propicio y adecuado para la convivencia pacífica de las personas. La seguridad no es tarea exclusiva de los policías de la UPC, sino que incluye a todos los moradores del barrio. Una buena seguridad pone énfasis en las labores de “prevención” y “control”, lo cual se piensa demostrar mediante la Revista Ejecutiva del Plan de Comunicación del Accionar de la Seguridad Ciudadana, mediante la cual podamos demostrar la labor que realiza la Policía Nacional Comunitaria frente a la inseguridad que existe actualmente en nuestra sociedad, y de qué forma puede ser parte la sociedad a través de las formas de protección, contra de los factores que generan violencia e inseguridad. En este sentido, al mirar las instituciones policiales vemos que estas presentan una natural tendencia restrictiva al cambio institucional y social, lo mismo que las hace un campo interesante para el análisis estructural

    Role of age and comorbidities in mortality of patients with infective endocarditis

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    [Purpose]: The aim of this study was to analyse the characteristics of patients with IE in three groups of age and to assess the ability of age and the Charlson Comorbidity Index (CCI) to predict mortality. [Methods]: Prospective cohort study of all patients with IE included in the GAMES Spanish database between 2008 and 2015.Patients were stratified into three age groups:<65 years,65 to 80 years,and ≥ 80 years.The area under the receiver-operating characteristic (AUROC) curve was calculated to quantify the diagnostic accuracy of the CCI to predict mortality risk. [Results]: A total of 3120 patients with IE (1327 < 65 years;1291 65-80 years;502 ≥ 80 years) were enrolled.Fever and heart failure were the most common presentations of IE, with no differences among age groups.Patients ≥80 years who underwent surgery were significantly lower compared with other age groups (14.3%,65 years; 20.5%,65-79 years; 31.3%,≥80 years). In-hospital mortality was lower in the <65-year group (20.3%,<65 years;30.1%,65-79 years;34.7%,≥80 years;p < 0.001) as well as 1-year mortality (3.2%, <65 years; 5.5%, 65-80 years;7.6%,≥80 years; p = 0.003).Independent predictors of mortality were age ≥ 80 years (hazard ratio [HR]:2.78;95% confidence interval [CI]:2.32–3.34), CCI ≥ 3 (HR:1.62; 95% CI:1.39–1.88),and non-performed surgery (HR:1.64;95% CI:11.16–1.58).When the three age groups were compared,the AUROC curve for CCI was significantly larger for patients aged <65 years(p < 0.001) for both in-hospital and 1-year mortality. [Conclusion]: There were no differences in the clinical presentation of IE between the groups. Age ≥ 80 years, high comorbidity (measured by CCI),and non-performance of surgery were independent predictors of mortality in patients with IE.CCI could help to identify those patients with IE and surgical indication who present a lower risk of in-hospital and 1-year mortality after surgery, especially in the <65-year group

    Role of age and comorbidities in mortality of patients with infective endocarditis.

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    The aim of this study was to analyse the characteristics of patients with IE in three groups of age and to assess the ability of age and the Charlson Comorbidity Index (CCI) to predict mortality. Prospective cohort study of all patients with IE included in the GAMES Spanish database between 2008 and 2015.Patients were stratified into three age groups: A total of 3120 patients with IE (1327  There were no differences in the clinical presentation of IE between the groups. Age ≥ 80 years, high comorbidity (measured by CCI),and non-performance of surgery were independent predictors of mortality in patients with IE.CCI could help to identify those patients with IE and surgical indication who present a lower risk of in-hospital and 1-year mortality after surgery, especially in th

    Infective Endocarditis in Patients With Bicuspid Aortic Valve or Mitral Valve Prolapse

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