Análisis de los formatos más utilizados para compartir noticias falsas en Facebook

The Pew Research Center report in 2016 points out, the social media with 67% of users around the world is Facebook and the most accessed by users for news. This article presents an overview regarding the current journalism crisis identifying the fakes news spread by social media. This qualitative paper includes bibliography research, content analysis techniques, and virtual ethnography. As a result, the most frequent formats identified to share fakes news throughout social media are four. Additionally, users hardly discern untrue news presented by video or pictures. Moreover, visual and audiovisual formats consume high rates is detected in netizens which reading, listening habits are lack or do not skimming and scanning the news properly entailing a misinformation buckle.Según el estudio de 2016 del Pew Research Center, señala que Facebook es la red social a nivel mundial con el (67%) de usuarios y a la que mayor se acede para obtener información de noticias. Este artículo se centra en la crisis actual del periodismo a partir de identificar la difusión de noticias falsas. En la investigación bibliográfica, de corte cualitativa, emplea técnicas de análisis de contenido y etnografía virtual. Los resultados muestran los cuatro formatos más utilizados para compartir noticias falsas a través de las redes sociales la gran parte de usuarios no puede identificar el contenido de imágenes o videos falsos. Se detecta un alto índices de consumo de estos formatos por parte de los internautas quienes tienen el hábito de no leer/ escuchar / ver todo el contenido de una noticia y la mayoría solo revisa el titular, comenta y comparte, viralizando y coadyuvando a la desinformación.&nbsp

NUEVO ESPACIO RADIOFÓNICO COMUNITARIO VIA STREAMMING: POST - PANDEMIA

La emergencia sanitaria Covid-19 sumió a la sociedad mundial en confinamiento absoluto. Las interacciones sociales quedaron relegadas a espacios virtuales mediante dispositivos y la información oficial quedo a manos de los medios de comunicación nacional. Sin embargo,  mucha  información  era  tergiversada  o  solo  correspondían  a  las  grandes ciudades,  dejando  a  un  lado  a  las  pequeñas  comunidades.  Si  bien,  los  dirigentes cantonales hicieron lo posible por mantener a sus habitantes informados a través de medios digitales, las localidades vulnerable y población no-nativos digitales debieron afrontar dificultades para acceder a la información. El proyecto se presenta como una posible vía para acortar la brecha tecno-comunicacional de los sectores rurales y reactivar desarrollo económico – social por medio de la implementación de un radio vía streaming que además se conecte a las bases acústicas que poseen los espacios públicos de los cantones. De esta forma, integrar a todos los entes sociales en igualdad de acceso a la información. Además, permite crear espacios de desarrollo pre-profesional para los estudiantes de la carrera de comunicación social de la Universidad Técnica de Babahoyo, quienes serán los encargados del funcionamiento de la radio. &nbsp

NUEVO ESPACIO RADIOFÓNICO COMUNITARIO VIA STREAMMING: POST - PANDEMIA

La emergencia sanitaria Covid-19 sumió a la sociedad mundial en confinamiento absoluto. Las interacciones sociales quedaron relegadas a espacios virtuales mediante dispositivos y la información oficial quedo a manos de los medios de comunicación nacional. Sin embargo,  mucha  información  era  tergiversada  o  solo  correspondían  a  las  grandes ciudades,  dejando  a  un  lado  a  las  pequeñas  comunidades.  Si  bien,  los  dirigentes cantonales hicieron lo posible por mantener a sus habitantes informados a través de medios digitales, las localidades vulnerable y población no-nativos digitales debieron afrontar dificultades para acceder a la información. El proyecto se presenta como una posible vía para acortar la brecha tecno-comunicacional de los sectores rurales y reactivar desarrollo económico – social por medio de la implementación de un radio vía streaming que además se conecte a las bases acústicas que poseen los espacios públicos de los cantones. De esta forma, integrar a todos los entes sociales en igualdad de acceso a la información. Además, permite crear espacios de desarrollo pre-profesional para los estudiantes de la carrera de comunicación social de la Universidad Técnica de Babahoyo, quienes serán los encargados del funcionamiento de la radio. &nbsp

Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries

Background Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)

Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries

© 2021 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 licenseBackground: 80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative outcomes in breast, colorectal, and gastric cancer surgery in hospitals worldwide, focusing on the effect of disease stage and complications on postoperative mortality. Methods: This was a multicentre, international prospective cohort study of consecutive adult patients undergoing surgery for primary breast, colorectal, or gastric cancer requiring a skin incision done under general or neuraxial anaesthesia. The primary outcome was death or major complication within 30 days of surgery. Multilevel logistic regression determined relationships within three-level nested models of patients within hospitals and countries. Hospital-level infrastructure effects were explored with three-way mediation analyses. This study was registered with ClinicalTrials.gov, NCT03471494. Findings: Between April 1, 2018, and Jan 31, 2019, we enrolled 15 958 patients from 428 hospitals in 82 countries (high income 9106 patients, 31 countries; upper-middle income 2721 patients, 23 countries; or lower-middle income 4131 patients, 28 countries). Patients in LMICs presented with more advanced disease compared with patients in high-income countries. 30-day mortality was higher for gastric cancer in low-income or lower-middle-income countries (adjusted odds ratio 3·72, 95% CI 1·70–8·16) and for colorectal cancer in low-income or lower-middle-income countries (4·59, 2·39–8·80) and upper-middle-income countries (2·06, 1·11–3·83). No difference in 30-day mortality was seen in breast cancer. The proportion of patients who died after a major complication was greatest in low-income or lower-middle-income countries (6·15, 3·26–11·59) and upper-middle-income countries (3·89, 2·08–7·29). Postoperative death after complications was partly explained by patient factors (60%) and partly by hospital or country (40%). The absence of consistently available postoperative care facilities was associated with seven to 10 more deaths per 100 major complications in LMICs. Cancer stage alone explained little of the early variation in mortality or postoperative complications. Interpretation: Higher levels of mortality after cancer surgery in LMICs was not fully explained by later presentation of disease. The capacity to rescue patients from surgical complications is a tangible opportunity for meaningful intervention. Early death after cancer surgery might be reduced by policies focusing on strengthening perioperative care systems to detect and intervene in common complications. Funding: National Institute for Health Research Global Health Research Unit

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

© 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licenseBackground: Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide. Methods: A multimethods analysis was performed as part of the GlobalSurg 3 study—a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital. Findings: Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3·85 [95% CI 2·58–5·75]; p<0·0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63·0% vs 82·7%; OR 0·35 [0·23–0·53]; p<0·0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer. Interpretation: Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised. Funding: National Institute for Health and Care Research