Efectos de un programa de ejercicios acuáticos para el desarrollo de la psicomotricidad en niños de 1 a 2 años (Original)

The aquatic environment is ideal for psychomotor stimulation activities with infants. The objective was: To develop psychomotor skills with children from 1 to 2 years of age from the Puerto Cumbia de Soledad-Atlántico Residential Complex through a program of aquatic exercises. It was an applied research, with a quantitative approach and a quasi-experimental design, in which 6 children participated. Initially, a Simplified Comprehensive Development Assessment Scale (ESEDI) was applied, focused on psychomotor skills; Regarding the most important results, deficiencies in gross motor skills were found in 3 children, fine motor skills in 5 and cognitive area in 2. Based on the diagnostic assessment, the program was designed and implemented in 12 sessions including activities such as: breathing exercises and apnea, floating body positions, aquatic movements with motor variables, manipulation of toys on the surface and underwater, among others; It should be noted that none of the children knew how to swim, in some activities the parents participated in the water. At the end of the program, the ESEDI was applied again, the results indicated improvements for gross motor skills in 2 children, fine motor skills in 4 and the cognitive area in 2. In conclusion, the aquatic exercise program generated positive effects in the motor area and cognitive, notably in the components related to gait, eye-hand coordination, manipulation skills, and body schema. In other areas that the ESEDI assesses, such as language and habits, no significant changes were found.El medio acuático es ideal para realizar actividades de estimulación sicomotora con los infantes. El objetivo fue desarrollar la sicomotricidad con niños de 1 a 2 años del Conjunto Residencial Puerto Cumbia de Soledad-Atlántico mediante un programa de ejercicios acuáticos. Se trató de una investigación aplicada, con enfoque cuantitativo y diseño cuasiexperimental, en la que participaron 6 niños. Inicialmente se aplicó una Escala Simplificada de Evaluación del Desarrollo Integral (ESEDI), enfocada en la sicomotricidad; en cuanto a los resultados más importantes, se encontraron deficiencias en la motricidad gruesa en 3 niños, la motricidad fina en 5 y el área cognitiva en 2. En función de la valoración diagnóstica, se diseñó e implementó, en 12 sesiones, el programa incluyendo actividades como: ejercicios de respiración y apnea, posiciones corporales de flotación, desplazamientos acuáticos con variables motoras, manipulación de juguetes en la superficie y debajo del agua, entre otras; Cabe resaltar que ninguno de los niños sabía nadar, en algunas actividades participaron los padres metidos en el agua. Al finalizar el programa, se aplicó nuevamente la ESEDI, los resultados indicaron mejorías para la motricidad gruesa en 2 niños, la motricidad fina en 4 y el área cognitiva en 2. En conclusión, el programa de ejercicios acuáticos generó efectos positivos en el área motora y cognitiva, notablemente en los componentes relacionados con la marcha, la coordinación óculo-manual, las habilidades de manipulación y el esquema corporal. En otras áreas que evalúa la ESEDI, como el lenguaje y los hábitos, no se encontraron cambios significativos

Propuesta de mejoramiento al proceso de inducción y entrenamiento, en la Corporación Colombiana de Investigación Agropecuaria Agrosavia

Esta investigación está basada en la inducción y entrenamiento, de la Corporación, Colombiana de Investigación Agropecuaria Agrosavia, lo cual cuenta con 13 centros de investigación ubicados en diferentes ciudades y cuenta con más de 2.000 trabajadores donde queremos mejorar cada una de las acciones que se puedan desarrollar dentro de la Corporación para los trabajadores, ya que ellos están enfocados en diferentes partes del país, por lo tanto queremos que la Corporación brinde un acompañamiento adecuado para el fortaleciendo de los puestos de trabajos y lograr obtener personas idóneas que lleven un buen acompañamiento a cada a uno de los productores de cada zona garantizando un educado alistamiento con un aprendizaje Dentro de nuestro objetivo principal se propone una propuesta de mejora al proceso de inducción y entrenamiento de la Corporación Colombiana de Investigación Agropecuaria Agrosavia, con el fin de facilitar la adaptación y productividad de los colaboradores a las diferentes exigencias del mercado; se ha desglosado igualmente cuatro objetivos específicos donde se realiza un diagnóstico empresarial al área de talento humano a través de la herramienta DOFA, también se realiza un cuadro comparativo donde se identifica qué acciones se están realizando desde el proceso de inducción y entrenamiento y que acciones se espera que se desarrollen, así mismo se estructura la propuesta para desarrollar el plan de inducción y capacitación y por último se hace un modelo de gestión del conocimiento tecnológico, que facilite la transmisión de información, conocimientos y habilidades a los colaboradores.This research is based on the induction and training of the corporation, Colombiana de Investigation Agropecuaria Agrosavia, which has 13 research centers located in different cities and has more than 2,000 workers where we want to improve each of the actions that can be develop within the Corporation for the workers, since they are focused on different parts of the business, therefore we want the Corporation to provide adequate support for the strengthening of jobs and to obtain suitable people who carry a good accompaniment to each to one of the producers in each area, guaranteeing an educated enlistment with an apprenticeship Within our main objective, a proposal to improve the induction and training process of the Colombian Agricultural Research Corporation Agrosavia is proposed, in order to facilitate the adaptation and productivity of the collaborators to the different market demands; Four specific objectives have also been broken down where a business diagnosis is made to the human talent area through the SWOT tool, a comparative table is also made where it is identified what actions are being carried out from the induction and training process and what actions are He hopes that they will be developed, likewise the proposal is structured to develop the induction and training plan and finally a technological knowledge management model is made, which facilitates the transmission of information, knowledge and skills to collaborators

Search for dark matter produced in association with bottom or top quarks in √s = 13 TeV pp collisions with the ATLAS detector

A search for weakly interacting massive particle dark matter produced in association with bottom or top quarks is presented. Final states containing third-generation quarks and miss- ing transverse momentum are considered. The analysis uses 36.1 fb−1 of proton–proton collision data recorded by the ATLAS experiment at √s = 13 TeV in 2015 and 2016. No significant excess of events above the estimated backgrounds is observed. The results are in- terpreted in the framework of simplified models of spin-0 dark-matter mediators. For colour- neutral spin-0 mediators produced in association with top quarks and decaying into a pair of dark-matter particles, mediator masses below 50 GeV are excluded assuming a dark-matter candidate mass of 1 GeV and unitary couplings. For scalar and pseudoscalar mediators produced in association with bottom quarks, the search sets limits on the production cross- section of 300 times the predicted rate for mediators with masses between 10 and 50 GeV and assuming a dark-matter mass of 1 GeV and unitary coupling. Constraints on colour- charged scalar simplified models are also presented. Assuming a dark-matter particle mass of 35 GeV, mediator particles with mass below 1.1 TeV are excluded for couplings yielding a dark-matter relic density consistent with measurements

La voz de octubre

Decidimos detenernos en la pregunta que indaga por la emoción. ¿Cuál fue la emoción que experimentamos con el suceso y qué sentimiento la describe? La pregunta por la emoción y el sentimiento que la nombra es la pregunta que surge de lo vivido, que por su fuerza se trasforma en una vivencia, cuyo significado tejido con las posibles respuestas será duradero. Nos preguntamos, entonces, ¿qué fue lo que sentimos durante lo vivido? ¿Qué produjo en nuestro espíritu esos 12 días? Nos detuvimos en la pregunta, teníamos que hospedarnos en ella, hundirnos en su vacío y quebrar ahí cualquier certeza previa, cualquier respuesta mecánica que la aniquile. Detenerse en la cadencia de la pregunta nos devuelve a nuestra circunstancia de indigencia, de seres que aparecimos en el cosmos sin respuestas. Solo desde allí es posible el surgimiento de la voluntad que imagine las respuestas que tejan el sentido de nuestra vida, de los acontecimientos que la constituyen y nos proyecten un destino común

Prospective cohort study of incidence and risk factors for catheter-associated urinary tract infections in 145 intensive care units of 9 Latin American countries: INICC findings

Purpose: Identify urinary catheter (UC)-associated urinary tract infections (CAUTI) incidence and risk factors (RF) in Latin American Countries. Methods: From 01/01/2014 to 02/10/2022, we conducted a prospective cohort study in 145 ICUs of 67 hospitals in 35 cities in nine Latin American countries: Argentina, Brazil, Colombia, Costa Rica, Dominican Republic, Ecuador, Mexico, Panama, and Peru. To estimate CAUTI incidence, we used the number of UC-days as the denominator, and the number of CAUTIs as numerator. To estimate CAUTI RFs, we analyzed the following 10 variables using multiple logistic regression: gender, age, length of stay (LOS) before CAUTI acquisition, UC-days before CAUTI acquisition, UC-device utilization (DU) ratio, UC-type, hospitalizationtype, ICU type, facility ownership, and time period. Results: 31,631 patients, hospitalized for 214,669 patient-days, acquired 305 CAUTIs. The pooled CAUTI rate per 1000 UC-days was 2.58, for those using suprapubic catheters, it was 2.99, and for those with indwelling catheters, it was 2.21. The following variables were independently associated with CAUTI: age, rising risk 1% yearly (aOR = 1.01; 95% CI 1.01–1.02; p < 0.0001 female gender (aOR = 1.28; 95% CI 1.01–1.61; p = 0.04), LOS before CAUTI acquisition, rising risk 7% daily (aOR = 1.07; 95% CI 1.06–1.08; p < 0.0001, UC/DU ratio (aOR = 1.14; 95% CI 1.08–1.21; p < 0.0001, public facilities (aOR = 2.89; 95% CI 1.75–4.49; p < 0.0001. The periods 2014–2016 and 2017–2019 had significantly higher risks than the period 2020–2022. Suprapubic catheters showed similar risks as indwelling catheters. Conclusion: The following CAUTI RFs are unlikely to change: age, gender, hospitalization type, and facility ownership. Based on these findings, it is suggested to focus on reducing LOS, UC/DU ratio, and implementing evidence-based CAUTI prevention recommendations.Revisión por pare

Multinational prospective cohort study of incidence and risk factors for central line-associated bloodstream infections in ICUs of 8 Latin American countries

Background: Our objective was to identify central line (CL)-associated bloodstream infections (CLABSI) rates and risk factors in Latin-America. Methods: From January 1, 2014 to February 10, 2022, we conducted a multinational multicenter prospective cohort study in 58 ICUs of 34 hospitals in 21 cities in 8 Latin American countries (Argentina, Brazil, Colombia, Costa Rica, Dominican Republic, Ecuador, Mexico, Panama). We applied multiple-logistic regression. Outcomes are shown as adjusted-odds ratios (aOR). Results: About 29,385 patients were hospitalized during 92,956 days, acquired 400 CLABSIs, and pooled CLABSI rate was 4.30 CLABSIs per 1,000 CL-days. We analyzed following 10 variables: Gender, age, length of stay (LOS) before CLABSI acquisition, CL-days before CLABSI acquisition, CL-device utilization (DU) ratio, CL-type, tracheostomy use, hospitalization type, intensive care unit (ICU) type, and facility ownership, Following variables were independently associated with CLABSI: LOS before CLABSI acquisition, rising risk 3% daily (aOR=1.03;95%CI=1.02-1.04; P < .0001); number of CL-days before CLABSI acquisition, rising risk 4% per CL-day (aOR=1.04;95%CI=1.03-1.05; P < .0001); publicly-owned facility (aOR=2.33;95%CI=1.79-3.02; P < .0001). ICU with highest risk was medical-surgical (aOR=2.61;95%CI=1.41-4.81; P < .0001). CL with the highest risk were femoral (aOR=2.71;95%CI=1.61-4.55; P < .0001), and internal-jugular (aOR=2.62;95%CI=1.82-3.79; P < .0001). PICC (aOR=1.25;95%CI=0.63-2.51; P = .52) was not associated with CLABSI risk. Conclusions: Based on these findings it is suggested to focus on reducing LOS, CL-days, using PICC instead of femoral or internal-jugular; and implementing evidence-based CLABSI prevention recommendations.Revisión por pare