Protocolo De Atención Psicosocial denominado “El Faro de Paz” orientado al Fortalecimiento de la Convivencia Escolar en la Institución Educativa Comercial del Norte, de la ciudad de Popayán

Anexo 1. Entrevista a: Directivos, docentes, administrativos, auxiliares, Anexo 2. Sistematización de entrevistas, Anexo 3. - Grupos focales Tres jornadas Institución Comercial del Norte, Anexo 4. - Sistematización de Grupos, Anexo 5. - Meta-plan con padres de familia canal Meet, Anexo 6. - Meta-plan con Estudiantes canal Meet, Anexo 7. Portada Protocolo de Atención Psicosocial El Faro de Paz, Anexo 8. Página de inicio, Blog de Convivencia Escolar El Faro de Paz, Anexo 9. Jornada de socialización protocolo construido, Anexo 10. Jornada de evaluación matriz FARO, Anexo 11. Oficio de entrega de insumos a la I. E. Comercial del NorteEl proyecto aplicado de atención psicosocial “El Faro de Paz” realizado para fortalecer el programa de convivencia escolar de la Institución Educativa Comercial del Norte de Popayán, inició en 2020 con un estado del arte y de la revisión del Manual de Convivencia del plantel. Luego, bajo el enfoque diferencial (psicología diferencial, grupos etarios, género, etnia, etc.) y la metodología participativa, se efectuaron entrevistas adaptadas a miembros de todas las jornadas de la Institución; esto permitió un diagnóstico contextualizado sobre las causas y tipos de conflicto escolar, factores psicosociales de riesgo y factores protectores. Además, de considerar el contexto socio económico de la población estudiantil, se detectaron: falta de apoyo desde la escuela, trato irrespetuoso, cansancio, débil apoyo familiar, el consumo de sustancias psico activas, como las más relevantes e incidentes en la convivencia escolar de la institución. Los hallazgos fueron presentados a la comunidad educativa junto con las percepciones sobre convivencia escolar que tienen los estudiantes de cada jornada y la identificación de elementos con los que cuenta el Colegio y de los que carece, para atenderla de manera integral. Al tiempo, se le sensibilizó sobre la ley 1620 de 2013 que reglamenta el tema, y con ello inició la construcción participativa del protocolo empleando el Meta-plan. El protocolo construido, fue presentado a la comunidad educativa para su evaluación. Ajustado, se entregó a la institución educativa como cartilla digital anclada al blog de Convivencia Escolar “El Faro de Paz” que también fue entregado como producto del presente proyecto.The applied psychosocial care project "El Faro de Paz" carried out to strengthen the school coexistence program of the Educational Institution “Comercial del Norte” of Popayán, began in 2020 with a state of the art and the revision of the Coexistence Manual. Then, under the differential approach (differential psychology, age groups, gender, ethnicity, etc.) and the participatory methodology, interviews adapted to members of all the Institution's sessions were carried out; This allowed for a contextualized diagnosis of the causes and types of school conflict, psychosocial risk factors and protective factors. In addition, considering the socio-economic context of the student population, the following were detected: lack of support from school, disrespectful treatment, fatigue, weak family support, the consumption of psychoactive substances, as the most relevant and incidents in the school coexistence of the institution. The findings were presented to the educational community together with the perceptions of school coexistence that students have on each day and the identification of elements that the School has and those that it lacks, to attend it in an integral way. At the same time, he was made aware of Law 1620 of 2013 that regulates the issue, and with this he began the participatory construction of the protocol using the Meta-plan. The constructed protocol was presented to the educational community for evaluation. Adjusted, it was delivered to the educational institution as a digital booklet anchored to the School Coexistence blog "El Faro de Paz" which was also delivered as a product of this project

A case of dengue type 3 virus infection imported from Africa to Italy, October 2009.

In October 2009, a traveller returning from Africa to Italy was hospitalised with symptoms suggestive of a haemorrhagic fever of unknown origin. The patient was immediately placed in a special biocontainment unit until laboratory investigations confirmed the infection to be caused by a dengue serotype 3 virus. This case reasserts the importance of returning travellers as sentinels of unknown outbreaks occurring in other countries, and highlights how the initial symptoms of dengue fever resemble those of other haemorrhagic fevers, hence the importance of prompt isolation of patients until a final diagnosis is reached

Surgical site infections in Italian Hospitals: a prospective multicenter study

<p>Abstract</p> <p>Background</p> <p>Surgical site infections (SSI) remain a major clinical problem in terms of morbidity, mortality, and hospital costs. Nearly 60% of SSI diagnosis occur in the postdischarge period. However, literature provides little information on risk factors associated to in-hospital and postdischarge SSI occurrence. A national prospective multicenter study was conducted with the aim of assessing the incidence of both in-hospital and postdisharge SSI, and the associated risk factors.</p> <p>Methods</p> <p>In 2002, a one-month, prospective national multicenter surveillance study was conducted in General and Gynecological units of 48 Italian hospitals. Case ascertainment of SSI was carried out using standardized surveillance methodology. To assess potential risk factors for SSI we used a conditional logistic regression model. We also reported the odds ratios of in-hospital and postdischarge SSI.</p> <p>Results</p> <p>SSI occurred in 241 (5.2%) of 4,665 patients, of which 148 (61.4%) during in-hospital, and 93 (38.6%) during postdischarge period. Of 93 postdischarge SSI, sixty-two (66.7%) and 31 (33.3%) were detected through telephone interview and questionnaire survey, respectively. Higher SSI incidence rates were observed in colon surgery (18.9%), gastric surgery (13.6%), and appendectomy (8.6%). If considering risk factors for SSI, at multivariate analysis we found that emergency interventions, NNIS risk score, pre-operative hospital stay, and use of drains were significantly associated with SSI occurrence. Moreover, risk factors for total SSI were also associated to in-hospital SSI. Additionally, only NNIS, pre-operative hospital stay, use of drains, and antibiotic prophylaxis were associated with postdischarge SSI.</p> <p>Conclusion</p> <p>Our study provided information on risk factors for SSI in a large population in general surgery setting in Italy. Standardized postdischarge surveillance detected 38.6% of all SSI. We also compared risk factors for in-hospital and postdischarge SSI, thus providing additional information to that of the current available literature. Finally, a large amount of postdischarge SSI were detected through telephone interview. The evaluation of the cost-effectiveness of the telephone interview as a postdischarge surveillance method could be an issue for further research.</p

Molecular Epidemiology of a Pseudomonas aeruginosa Hospital Outbreak Driven by a Contaminated Disinfectant-Soap Dispenser

Background and Objective: Pseudomonas aeruginosa infection represents a main cause of morbidity and mortality among immunocompromised patients. This study describes a fatal epidemic of P. aeruginosa that occurred in a hematology unit in Italy. Methods: Retrospective cohort study, prospective surveillance, auditing, extensive testing on healthcare workers and environmental investigation were performed to define the dynamics and potential causes of transmission. RAPD, macrorestriction analyses and sequence typing were used to define relationships between P. aeruginosa isolates. Results: Eighteen cases of infection were identified in the different phases of the investigation. Of these, five constitute a significant molecular cluster of infection. A P. aeruginosa strain with the same genetic fingerprint and sequence type (ST175) as clinical isolates strain was also isolated from a heavily contaminated triclosan soap dispenser. Discussion and Conclusions: Our results are consistent with the hypothesis that patients became indirectly infected, e.g., during central venous catheter handling through contaminated items, and that the triclosan soap dispenser acted as a common continuous source of P. aeruginosa infection. Since P. aeruginosa is intrinsically unsusceptible to triclosan, the use of triclosan-based disinfectant formulations should be avoided in those healthcare settings hosting patients at high risk of P

Association between <i>Pseudomonas aeruginosa</i> infection and selected characteristics.

<p>IRR =  incidence rate ratio; 95% CI = 95% confidence interval; HSCT =  hematopoietic stem cell transplant.</p>a<p>IRR is reported for 10 years increment of age.</p>b<p>IRR is reported for 10 days increment of exposure.</p

Epidemic curve.

<p>The diagram shows the 10 incident cases (with respective codes) identified throughout the 16 time fractions (T1–T16) of the retrospective cohort study. Red and blue squares denote died and survived patients, respectively. The incidence rate per 1000 person-days with 95% CI and the total time at risk is reported for each time fraction.</p

Time-line of the tasks.

<p>For each of the task the time and type of activity have been specified.</p

Overall epidemiological outcomes at the end of the outbreak, according to the assumption that case 8 was the index case and the soap dispenser the actual environmental reservoir.

<p>Overall epidemiological outcomes at the end of the outbreak, according to the assumption that case 8 was the index case and the soap dispenser the actual environmental reservoir.</p

Characteristics of patients included in the study.

a<p>IQR, interquartile range.</p