Infraestructura y servicios hospitalarios de Tacna: una revisión histórica

El presente estudio realizó una revisión historiográfica sobre la  producción arquitectónica hospitalaria en Tacna y los servicios de salud que se brindaron, lo más completa y rigurosa posible; en un horizonte temporal comprendido entre los años 1840 y 1955. Se realizó un examen a la producción historiográfica mediante la búsqueda bibliográfica, considerando estudios y documentos publicados entre 1869 y 2018. Se seleccionaron 21 estudios. Se analizaron las distintas aportaciones que han realizado los diferentes autores que han tratado el tema, ello permitió una actualización del conocimiento de esta importante producción arquitectónica hospitalaria en Tacna. Se verificó que la infraestructura de salud, compuesta por el Hospital San Ramón y  el Hospital Hipólito Unanue, es resultado directo del desarrollo de los modelos hospitalarios que se desarrollaron en el mundo y en el Perú en el periodo estudiado. Se puede concluir que la estructura edilicia de estos periodos responde directamente a las necesidades sanitarias que se daban. Esto incidió fundamentalmente en el tratamiento formal, funcional y del espacio en la infraestructura hospitalaria estudiada

El color de la infraestructura hospitalaria en el bienestar de las personas

En el presente estudio se realizó una revisión bibliográfica, lo más completa y rigurosa posible, sobre el color de la infraestructura hospitalaria y su relación con la salud. Para la búsqueda bibliográfica se consideraron estudios y documentos referidos al tema. Se analizaron experiencias de sus aplicaciones y aportaciones de diferentes autores; esto permitió una revisión analítica sobre la aplicación y el uso del color, así como su impacto en la psicología humana. Se puede concluir que el color en la temática de la salud influye en la percepción y el bienestar de las personas porque brinda tranquilidad y esperanza de vida

Hydroclimate of the Andes Part I: Main Climatic Features

The Andes is the longest cordillera in the world and extends from northern South America to the southern extreme of the continent (from 11°N to 53°S). The Andes runs through seven countries and is characterized by a wide variety of ecosystems strongly related to the contrasting climate over its eastern and western sides, as well as along its latitudinal extension. This region faces very high potential impacts of climate change, which could affect food and water security for about 90 million people. In addition, climate change represents an important threat on biodiversity, particularly in the tropical Andes, which is the most biodiverse region on Earth. From a scientific and societal view, the Andes exhibits specific challenges because of its unique landscape and the fragile equilibrium between the growing population and its environment. In this manuscript, we provide an updated review of the most relevant scientific literature regarding the hydroclimate of the Andes with an integrated view of the entire Andes range. This review paper is presented in two parts. Part I is dedicated to summarize the scientific knowledge about the main climatic features of the Andes, with emphasis on mean large-scale atmospheric circulation, the Andes-Amazon hydroclimate interconnections and the most distinctive diurnal and annual cycles of precipitation. Part II, which is also included in the research topic “Connecting Mountain Hydroclimate Through the American Cordilleras,” focuses on the hydroclimate variability of the Andes at the sub-continental scale, including the effects of El Niño-Southern Oscillation.Fil: Espinoza, Jhan Carlo. Universite Grenoble Alpes; FranciaFil: Garreaud, René. Universidad de Chile. Facultad de Ciencias Físicas y Matemáticas; ChileFil: Poveda, Germán. Universidad Nacional de Colombia. Sede Medellin; ColombiaFil: Arias, Paola A.. Universidad de Antioquia; ColombiaFil: Molina Carpio, Jorge. Universidad Mayor de San Andrés; BoliviaFil: Masiokas, Mariano Hugo. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mendoza. Instituto Argentino de Nivología, Glaciología y Ciencias Ambientales. Provincia de Mendoza. Instituto Argentino de Nivología, Glaciología y Ciencias Ambientales. Universidad Nacional de Cuyo. Instituto Argentino de Nivología, Glaciología y Ciencias Ambientales; ArgentinaFil: Viale, Maximiliano. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mendoza. Instituto Argentino de Nivología, Glaciología y Ciencias Ambientales. Provincia de Mendoza. Instituto Argentino de Nivología, Glaciología y Ciencias Ambientales. Universidad Nacional de Cuyo. Instituto Argentino de Nivología, Glaciología y Ciencias Ambientales; ArgentinaFil: Scaff, Lucia. University of Saskatchewan; Canad

Hydroclimate of the Andes Part II: Hydroclimate Variability and Sub-Continental Patterns

This paper provides an updated review of the most relevant scientific literature related to the hydroclimate of the Andes. The Andes, the longest cordillera in the world, faces major challenges regarding climate variability and climate change, which impose several threats to sustainable development, including water supply and the sustainability of ecosystem services. This review focuses on hydroclimate variability of the Andes at a sub-continental scale. The annual water cycle and long-term water balance along the Andes are addressed first, followed by the examination of the effects of orography on convective and frontal precipitation through the study of precipitation gradients in the tropical, subtropical and extratropical Andes. In addition, a review is presented of the current scientific literature on the climate variability in the Andes at different timescales. Finally, open research questions are presented in the last section of this article.Fil: Arias, Paola A.. Universidad de Antioquia; ColombiaFil: Garreaud, René. Universidad de Chile; ChileFil: Poveda, Germán. Universidad Nacional de Colombia; ColombiaFil: Espinoza, Jhan Carlo. Universite Grenoble Alpes; FranciaFil: Molina Carpio, Jorge. Universidad Mayor de San Andrés; BoliviaFil: Masiokas, Mariano Hugo. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mendoza. Instituto Argentino de Nivología, Glaciología y Ciencias Ambientales. Provincia de Mendoza. Instituto Argentino de Nivología, Glaciología y Ciencias Ambientales. Universidad Nacional de Cuyo. Instituto Argentino de Nivología, Glaciología y Ciencias Ambientales; ArgentinaFil: Viale, Maximiliano. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Mendoza. Instituto Argentino de Nivología, Glaciología y Ciencias Ambientales. Provincia de Mendoza. Instituto Argentino de Nivología, Glaciología y Ciencias Ambientales. Universidad Nacional de Cuyo. Instituto Argentino de Nivología, Glaciología y Ciencias Ambientales; ArgentinaFil: Scaff, Lucia. University of Saskatchewan; CanadáFil: van Oevelen, Peter J.. George Mason University; Estados Unido

On the relationship between suspended sediment concentration, rainfall variability and groundwater: An empirical and probabilistic analysis for the Andean Beni River, Bolivia (2003-2016)

Fluvial sediment dynamics plays a key role in the Amazonian environment, with most of the sediments originating in the Andes. The Madeira River, the second largest tributary of the Amazon River, contributes up to 50% of its sediment discharge to the Atlantic Ocean, most of it provided by the Andean part of the Madeira basin, in particular the Beni River. In this study, we assessed the rainfall (R)-surface suspended sediment concentration (SSSC) and discharge (Q)-SSSC relationship at the Rurrenabaque station (200 m a.s.l.) in the Beni Andean piedmont (Bolivia). We started by showing how the R and Q relationship varies throughout the hydrological year (September to August), describing a counter-clockwise hysteresis, and went on to evaluate the R-SSSC and Q-SSSC relationships. Although no marked hysteresis is observed in the first case, a clockwise hysteresis is described in the second. In spite of this, the rating curve normally used (SSSC = aQb) shows a satisfactory R2 = 0.73 (p < 0.05). With regard to water discharge components, a linear function relates the direct surface flow Qs-SSSC, and a hysteresis is observed in the relationship between the base flow Qb and SSSC. A higher base flow index (Qb/Q) is related to lower SSSC and vice versa. This article highlights the role of base flow on sediment dynamics and provides a method to analyze it through a seasonal empirical model combining the influence of both Qb and Qs, which could be employed in other watersheds. A probabilistic method to examine the SSSC relationship with R and Q is also proposed. © 2019 by the authors

Adherence model to cervical cancer treatment in the Covid-19 era

سرطان الرحم العنقي هو مرض يفسر الضعف الذي تعاني منه النساء من حيث الصحة الإنجابية مع تأثيره على الصحة المهنية والصحة العامة , فعندما يكون معدل الانتشار في المكسيك أقل من البلدان الأعضاء الأخرى في منظمة التعاون الاقتصادي والتنمية ، فإن تأثيره على التنمية البشرية والتنمية المحلية يظهر أهمية المرض في المجتمعات أكثر من المدن حيث يبدو أن سياسات الوقاية من خلال الفحوصات الطبية تكبح هذا التوجه ، لكنها تظهر نقص الفرص والقدرات في المراكز الصحية في المناطق الريفية. لإثبات الموثوقية والصلاحية والارتباطات بين المتغيرات المذكورة في الجانب النظري فيما يتعلق بوزنهم في مستشفى عام. تم إجراء دراسة غير تجريبية ، مقطعية واستكشافية مع اختيار غير احتمالي لـ 104 مرضى من مستشفى عام في ولاية المكسيك. تم إنشاء مقياس المتغيرات النفسية والاجتماعية للالتزام بعلاج سرطان الرحم العنقي. من النموذج الهيكلي ، تم إثبات تعديل مسارات تحديد العلاقات التي تؤثر فيها المعرفة على سلوك الالتزام بالعلاج. يلاحظ حدود تصميم الدراسة وأخذ العينات وتحليلها ويوصى بتضمين المتغيرات التنظيمية والنفسية المدعومة بنظريات المنظمات ونظريات الشخصية.Cervical Uterine Cancer is a disease that explains the vulnerability in which women are in terms of reproductive health with an impact on occupational health and public health, even when in Mexico the prevalence rate is lower than the other member countries of the OECD, its impact on Human Development and Local Development shows the importance that the disease have in communities more than in cities where prevention policies through check-ups and medical examinations seem to curb the trend, but show the lack of opportunities and capacities of health centers in rural areas.   To establish the reliability, validity, and correlations between the variables reported in the literature with respect to their weighting in a public hospital. A non-experimental, cross-sectional and exploratory study was carried out with a non-probabilistic selection of 104 patients from a public hospital in the State of Mexico. The Scale of Psychosocial Variables Determinants of Adherence to Treatment of Cervical Uterine Cancer was constructed. From a structural model, it was demonstrated the adjustment of the trajectories of determining relationships in which knowledge influenced the behavior of adherence to treatment. The limits of the design, sampling and analysis of the study are noted and it is recommended to include organizational and psychological variables supported by theories of organizations and theories of personality

Enabling Risk Management and Adaptation to Climate Change through a Network of Peruvian Universities

In recent decades, Latin America (LA) has been frequently and severely affected by floods and landslides. There is an urgency for adopting Comprehensive Disaster and Climate Risk Management (CRM). In 2016, a group of Peruvian universities established a network (Gestión Integral del Riesgo de Desastres y Adaptación al Cambio Climático (GIRD-ACC)) committed to the principles of CRM. This article compiles and evaluates the network results/plans and actions. A qualitative study and a methodological strategy are reported featuring: a bibliographic/network documentary review; an account of the events that led to the start and development of the network; and a case study of a three-university network. Results show that the network can help in deepening knowledge and forging a culture of risk prevention. This is by incorporating risk management and climate change awareness in professional training and intensive activity to meet the UN Sustainable Development Goals (SDGs -11, 13, and 17). Results indicate the importance of gaining consensus (a notoriously difficult task in LA) between the authorities and the operational departments; the role of universities’ social responsibilities; incorporating sustainability and risk management themes in the mainstream curricula; and developing a network by learning from similar groupings across LA to improve CRM within universities

Epidemiología molecular y análisis filogenético de la infección por el virus del papiloma humano en mujeres con lesiones cervicales y cáncer en la región litoral del Ecuador

The aim of the present study was to gather information regarding the molecular epidemiology of Human papillomavirus (HPV) and related risk factors in a group of women with low- and high-grade cervical lesions and cancer from the coastal region of Ecuador. In addition, we studied the evolution of HPV variants from the most prevalent types and provided a temporal framework for their emergence, which may help to trace the source of dissemination within the region. We analyzed 166 samples, including 57 CIN1, 95 CIN2/3 and 14 cancer cases. HPV detection and typing was done by PCR-sequencing (MY09/MY11). HPV variants and estimation of the time to most recent common ancestor (tMRCA) was assessed through phylogeny and coalescence analysis. HPV DNA was found in 54.4% of CIN1, 74.7% of CIN2/3 and 78.6% of cancer samples. HPV16 (38.9%) and HPV58 (19.5%) were the most prevalent types. Risk factors for the development of cervical lesions/cancer were the following: three or more pregnancies (OR = 4.3), HPV infection (OR = 3.7 for high-risk types; OR = 3.5 for HPV16), among others. With regard to HPV evolution, HPV16 isolates belonged to lineages A (69%) and D (31%) whereas HPV58 isolates belonged only to lineage A. The period of emergence of HPV16 was in association with human populations (tMRCA = 91. 052 years for HPV16A and 27. 000 years for HPV16D), whereas HPV58A preceded Homo sapiens evolution (322. 257 years). This study provides novel data on HPV epidemiology and evolution in Ecuador, which will be fundamental in the vaccine era.Fil: Bedoya Pilozo, Cesar H.. Escuela Superior Politécnica del Litoral; Ecuador. Instituto Nacional de Investigaciones en Salud Pública; EcuadorFil: Medina Magües, Lex G.. Escuela Superior Politécnica del Litoral; EcuadorFil: Espinosa García, Maylen. Instituto Nacional de Investigaciones en Salud Pública; EcuadorFil: Sánchez, Martha. Instituto Nacional de Investigaciones en Salud Pública; EcuadorFil: Parrales Valdiviezo, Johanna V.. Instituto Nacional de Investigaciones en Salud Pública; EcuadorFil: Molina, Denisse. Instituto Nacional de Investigaciones en Salud Pública; EcuadorFil: Ibarra, María A.. Instituto Nacional de Investigaciones en Salud Pública; EcuadorFil: Quimis Ponce, María. Instituto Nacional de Investigaciones en Salud Pública; EcuadorFil: España, Karool. Instituto Nacional de Investigaciones en Salud Pública; EcuadorFil: Párraga Macias, Karla E.. Instituto Nacional de Investigaciones en Salud Pública; EcuadorFil: Cajas Flores, Nancy V.. Instituto Nacional de Investigaciones en Salud Pública; EcuadorFil: Solon, Orlando A.. Instituto Nacional de Investigaciones en Salud Pública; Ecuador. Universidad Agraria del Ecuador; EcuadorFil: Robalino Penaherrera, Jorge A.. Instituto Nacional de Investigaciones en Salud Pública; EcuadorFil: Chedraui, Peter. Hospital Gineco-Obstétrico Enrique C. Sotomayor; EcuadorFil: Escobar, Saul. Universidad Católica de Guayaquil; EcuadorFil: Loja Chango, Rita D.. Universidad Católica de Guayaquil; EcuadorFil: Ramirez Morán, Cecibel. Universidad Católica de Guayaquil; EcuadorFil: Espinoza Caicedo, Jasson. Universidad Católica de Guayaquil; EcuadorFil: Sánchez Giler, Sunny. Universidad Especialidades Espíritu Santo. Facultad de Ciencias Médicas; EcuadorFil: Limia, Celia M.. Instituto de Medicina Tropical Pedro Kouri; CubaFil: Alemán, Yoan. Instituto de Medicina Tropical Pedro Kouri; CubaFil: Soto, Yudira. Instituto de Medicina Tropical Pedro Kouri; CubaFil: Kouri, Vivian. Instituto de Medicina Tropical Pedro Kouri; CubaFil: Culasso, Andrés Carlos Alberto. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Nordeste; Argentina. Universidad de Buenos Aires. Facultad de Farmacia y Bioquímica. Departamento de Microbiología, Inmunología y Biotecnología. Cátedra de Virología; ArgentinaFil: Badano, Ines. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Nordeste; Argentina. Secretaría de Educación Superior, Ciencia, Tecnología e Innovación; Ecuador. Universidad Nacional de Misiones. Facultad de Ciencias Exactas, Químicas y Naturales. Laboratorio de Biología Molecular Aplicada; Argentin

The state of the Martian climate

60°N was +2.0°C, relative to the 1981–2010 average value (Fig. 5.1). This marks a new high for the record. The average annual surface air temperature (SAT) anomaly for 2016 for land stations north of starting in 1900, and is a significant increase over the previous highest value of +1.2°C, which was observed in 2007, 2011, and 2015. Average global annual temperatures also showed record values in 2015 and 2016. Currently, the Arctic is warming at more than twice the rate of lower latitudes

SARS-CoV-2 viral load in nasopharyngeal swabs is not an independent predictor of unfavorable outcome

The aim was to assess the ability of nasopharyngeal SARS-CoV-2 viral load at first patient’s hospital evaluation to predict unfavorable outcomes. We conducted a prospective cohort study including 321 adult patients with confirmed COVID-19 through RT-PCR in nasopharyngeal swabs. Quantitative Synthetic SARS-CoV-2 RNA cycle threshold values were used to calculate the viral load in log10 copies/mL. Disease severity at the end of follow up was categorized into mild, moderate, and severe. Primary endpoint was a composite of intensive care unit (ICU) admission and/or death (n = 85, 26.4%). Univariable and multivariable logistic regression analyses were performed. Nasopharyngeal SARS-CoV-2 viral load over the second quartile (≥ 7.35 log10 copies/mL, p = 0.003) and second tertile (≥ 8.27 log10 copies/mL, p = 0.01) were associated to unfavorable outcome in the unadjusted logistic regression analysis. However, in the final multivariable analysis, viral load was not independently associated with an unfavorable outcome. Five predictors were independently associated with increased odds of ICU admission and/or death: age ≥ 70 years, SpO2, neutrophils > 7.5 × 103/µL, lactate dehydrogenase ≥ 300 U/L, and C-reactive protein ≥ 100 mg/L. In summary, nasopharyngeal SARS-CoV-2 viral load on admission is generally high in patients with COVID-19, regardless of illness severity, but it cannot be used as an independent predictor of unfavorable clinical outcome