Calidad de la Consejería Sobre Métodos Anticonceptivos Post Eventos Obstétricos en Usuarias del Departamento de Gineco - obstetricia del Hospital Regional Escuela Asunción Juigalpa Febrero del 2016

La siguiente investigación se realizó con la finalidad de evaluar la calidad de la consejería sobre métodos anticonceptivos post eventos obstétricos en usuarias del departamento de Gineco obstetricia del Hospital Escuela Asunción de Juigalpa durante el mes de febrero del 2016. El presente estudio es de tipo descriptivo de corte transversal, el universo estuvo constituido por 350 usuarias del departamento de Gineco obstetricia del Hospital Escuela Asunción, obteniéndose una muestra de 50 usuarias externas y 2 usuarios internos que fueron escogidas de acuerdo a los criterios de inclusión del estudio y su muestreo fue no probabilístico por conveniencia representando el 12.4% del universo. Las edades de las usuarias en orden de frecuencia estuvieron comprendidas los grupos etarios de 20-34 años, seguida de las menores de 20 años, tenían una educación de primaria, seguida de las de secundaria y universitarias, cuya ocupación era amas de casa, acompañada y del área rural. La percepción que tuvieron a cerca de la calidad de atención según el componente estructural fue valorada como regular en un 56% por las usuarias externas, en un 100% del observador como buena y por los usuarios interno buena en un 100%. El componente proceso según la percepción de las usuarias externas y los usuarios internos es buena en un 72% y en un 100% respectivamente. La satisfacción podemos ver que el 82% de las usuarias externas están satisfechas con la atención recibida y un 100% de los usuarios internos están satisfechos con su trabaj

Toxicity test of a dental commercial composite

Background: International rules must be followed for testing biosecurity in dental materials. A new brand of restorative material appeared in the market and regulations indicated that it should be tested for toxicity. Objectives: The aim of this study was to determine the 90-day sub chronic toxicity of one triethylene glycol dimethacrylate containing composite (MEDENTAL Light-Cure Composite™) orally administered to rats according to Organization for Economic Co-Operation and Development no. 48 guidelines and the requirements specified in the ISO 10993-11. Material and Methods: Wistar rats ate the polymerized composite during 90 days and were observed to determine changes in their behavior, eye and skin signs and other attitudes such as aggressiveness, posture, walking and response to handling. After 90 days were sacrificed to ascertain blood alterations, we did special hematological tests and assessed microscopic slides from 33 different organs. Results: We recorded no significant changes in clinical behavior of the animals. Microscopic review of the H&E stained slides obtained from the analyzed organs showed no abnormal inflammatory or cytological changes and all hematological special tests were within normal limits. Conclusions: Results of this study show that under our experimental conditions the MEDENTAL Light-Cure Composite™ does not produce inflammatory or cytological changes suggestive of toxicit

La gestión de la ciencia en el Instituto de Investigaciones de Sanidad Vegetal y su contribución a la protección del medio ambiente y la sostenibilidad de los sistemas agrícolas cubanos

La misión del INISAV es Contribuir a la disminución de los riesgos y pérdidas por plagas sin afectar al ambiente sobreuna base sostenible. Su gestión se basa en un modelo de ciencia centrado en el entorno, caracterizado por 4 etapas: laplanificación de las investigaciones, la ejecución, la validación y su adopción en la práctica agrícola. Se describen 3resultados principales de investigación, relativos al Programa de Lucha Biológica (PLB), los Programas de Manejo dePlagas (PMP) y la Eliminación del uso del Bromuro de Metilo (EBM). Se diseñó e implementó la red nacional de 251Laboratorios para la Reproducción de Entomófagos y Entomopatógenos (CREE), 4 plantas para la producción de bioplaguicídas y la generación de 13 productos biológicos y sus tecnologías. Además fueron generalizados Programas deManejo de Plagas en más de 25 cultivos para sistemas convencionales y agroecológicos y la adopción de PMP destinadosa sustituir el bromuro de metilo. Los impactos de los resultados al medio ambiente, la producción agropecuaria, la economía del país, y las comunidades rurales, se demuestran con la reducción de importaciones de plaguicidas químicos, de40 000 t en 1974, a cerca de 3000 t en el 2014. En 1988 el área cultivable beneficiada con bioproductos era de 300 000ha y en el 2014 ascendió a 1 354 000 ha. La eliminación de 80 t de bromuro de metilo en tabaco, 35 t en el resto de lossectores, la reducción de aplicaciones de otros agroquímicos, la incorporación del control biológico y otras medidas demanejo, se consideran la base fundamental para la sostenibilidad en los cultivos. En la actualidad en el 72% del área totalsembrada se realizan aplicaciones de plaguicidas en PMP, de éstas, el 38% solo con biológicos, en el 34% se combinanbiológicos y químicos y en el 28% restante, se aplican otras alternativas fitosanitarias en PMP.La misión del INISAV es Contribuir a la disminución de los riesgos y pérdidas por plagas sin afectar al ambiente sobreuna base sostenible. Su gestión se basa en un modelo de ciencia centrado en el entorno, caracterizado por 4 etapas: laplanificación de las investigaciones, la ejecución, la validación y su adopción en la práctica agrícola. Se describen 3resultados principales de investigación, relativos al Programa de Lucha Biológica (PLB), los Programas de Manejo dePlagas (PMP) y la Eliminación del uso del Bromuro de Metilo (EBM). Se diseñó e implementó la red nacional de 251Laboratorios para la Reproducción de Entomófagos y Entomopatógenos (CREE), 4 plantas para la producción de bioplaguicídas y la generación de 13 productos biológicos y sus tecnologías. Además fueron generalizados Programas deManejo de Plagas en más de 25 cultivos para sistemas convencionales y agroecológicos y la adopción de PMP destinadosa sustituir el bromuro de metilo. Los impactos de los resultados al medio ambiente, la producción agropecuaria, la economía del país, y las comunidades rurales, se demuestran con la reducción de importaciones de plaguicidas químicos, de40 000 t en 1974, a cerca de 3000 t en el 2014. En 1988 el área cultivable beneficiada con bioproductos era de 300 000ha y en el 2014 ascendió a 1 354 000 ha. La eliminación de 80 t de bromuro de metilo en tabaco, 35 t en el resto de lossectores, la reducción de aplicaciones de otros agroquímicos, la incorporación del control biológico y otras medidas demanejo, se consideran la base fundamental para la sostenibilidad en los cultivos. En la actualidad en el 72% del área totalsembrada se realizan aplicaciones de plaguicidas en PMP, de éstas, el 38% solo con biológicos, en el 34% se combinanbiológicos y químicos y en el 28% restante, se aplican otras alternativas fitosanitarias en PMP

Floristic, ecological and ethnobotanical aspects of Mammillaria deherdtiana subsp. dodsonii (Cactaceae), an endemic and threatened plant

Antecedentes y Objetivos: En Oaxaca, México, se reportan 26 especies del género Mammillaria; siete de ellas endémicas. Mammillaria deherdtiana subsp. dodsonii está catalogada como amenazada. Los objetivos del trabajo fueron describir las características demográficas, reproductivas y aspectos etnobotánicos de su uso, así como los aspectos florísticos y bioclimáticos de las localidades estudiadas. Métodos: En enero de 2015 se encontraron dos localidades de Mammillaria deherdtiana subsp. dodsonii en la Sierra Norte. Entre enero y marzo se ubicaron cinco transectos de 5 m2 en una de ellas, en los cuales se registró el número de individuos, se establecieron categorías de tamaño y se obtuvo la estructura poblacional. Para la marcha floral se eligieron diez flores y cada dos horas se registró el diámetro de la apertura del perianto. Se registraron las especies de plantas vasculares que crecían cerca de ella y se obtuvieron datos de las variables climáticas. Se entrevistó a los pobladores para documentar el conocimiento y uso que le dan a esta cactácea.Resultados clave: La estructura poblacional es multimodal. Los individuos juveniles conforman 65% y los adultos reproductivos 33% en la localidad estudiada. La antesis dura siete horas; se observó dicogamia y hercogamia, lo cual indica un sistema de cruza xenógamo. La subespecie es reconocida con nombres en español y zapoteco y es usada de manera ocasional como alimento, medicina y ornamento. Se registraron 15 especies pertenecientes al bosque de Pinus y Abies. Las preferencias ambientales de la subespecie son temperaturas de 9.6-12.7 °C y precipitación de 1009-1405 mm.Conclusiones: El sistema de cruza xenógamo resulta preocupante por la observación de un solo visitante floral. La presencia de cerdas y espinas radiales sugiere adaptaciones morfofisiológicas de esta subespecie al frío. Se sugiere profundizar en la presencia y efectividad de los polinizadores y en la dinámica de reclutamiento de la subespecie.Background and Aims: In Oaxaca, Mexico, 26 species of the genus Mammillaria are reported, seven of them being endemic. Mammillaria deherdtiana subsp. dodsonii is listed as threatened. The objectives of this paper were to describe the demographic, reproductive and ethnobotanical aspects of its use, as well as the floristic and bioclimatic aspects of the studied localities.Methods: In January 2015, two localities of Mammillaria deherdtiana subsp. dodsonii were found in the Sierra Norte. Between January and March, five transects of 5 m2 were located in one of them, in which the number of individuals was recorded, size categories were established, and the population structure was obtained. For the flowering process, ten flowers were chosen, and the perianth diameter was recorded every two hours. The vascular plants surrounding the sampled site were recorded and data on climatic variables were obtained. The inhabitants were interviewed to document the local knowledge and uses of this cactus.Key results: The population structure is multimodal. Juvenile individuals make up 65% and reproductive adults 33% in the studied locality. Anthesis lasts seven hours; dichogamy and hercogamy were observed, indicating a xenogamous breeding system. The subspecies is recognized with names in Spanish and Zapotec and is occasionally used as food, medicine, and ornament. Fifteen species belonging to the Pinus and Abies forest were recorded. The environmental preferences of the subspecies are temperatures of 9.6-12.7 °C, and precipitation of 1009-1405 mm.Conclusions: The xenogamous breeding system is worrisome due to the observation of just one floral visitor. The presence of bristles and radial spines in this subspecies suggests morphophysiological adaptations to cold. It is advisable to delve into the presence and effectiveness of pollinators and the recruitment dynamics of the subspecies

Eficacia de la embolización de las arterias prostáticas en el tratamiento de los síntomas del tracto urinario bajo asociados a hiperplasia benigna de la próstata. Reporte preliminar

Objetivos: Determinar la eficacia de la embolización de las arterias prostáticas en el tratamiento de los pacientes con síntomas del tracto urinario bajo asociados a hiperplasia prostática benigna.Material y métodos: Estudio descriptivo, tipo reporte de casos, prospectivo. Se realizó embolización de arterias prostáticas (EAP) a 10 pacientes, 7 de los cuales tenían síntomas del tracto urinario bajo asociado a hiperplasia benigna de próstata (STUB/HBP) moderados y severos, refractarios a tratamiento médico durante 6 meses y 3 portadores de sonda vesical permanente; la edad promedio fue 69,4 ± 8,04 años. Se evaluaron a los pacientes antes de la EAP (tiempo 0), y a los meses 1, 3 y 6; el éxito se valoró por: disminución del volumen de la próstata (VP): >10%, mejora del puntaje internacional de síntomas prostáticos (IPSS), flujo urinario máximo (Qmáx):>15 ml/seg, índice internacional de función eréctil (IIEF)sin variación o aumento en 10%,disminución del residuo post-miccional (RPM)>20% y efectos adversos: ≤2 eventos. Resultados: La EAP fue técnicamente exitosa en el 100% de pacientes. Las tasas de éxito clínico al mes 6 fueron: Disminución del VP en 40% (p=0,0009), APE en 15% (p=0,0464) y el IPSS mejoró en 63% (p=0,0010). No hubo variaciones significativas en el IIEF-15 [reducción del puntaje en 12,1% (p=0,1157)], el Qmáx[se incrementó en 80% (p=0,1088)] y en la reducción del RPM [se redujo en 25% (p= 0,6177)]. No se presentó complicaciones mayores durante el estudio. Conclusiones: La EAP es una opción de tratamiento para mejorar los parámetros críticos de los STUB/HBP sin afectar la función sexual

Nefrectomía laparoscópica en un hospital general

Objective: To  report the findings of laparoscopic nephrectomies in patients with malignant, benignant and donor conditions. Methods: A retrospective case series carried-out at Cayetano Heredia Hospital between August 2013 and May 2019. Patients with non-functioning kidneys of any etiology and contra lateral kidney functioning were included. Patients with severe pionephrosis were excluded. Demographic, clinical, body mass index, etiology of the nonfunctioning kidney, conversion rate, laterality, operating time, histopathology of the resected kidneys, complications, need for blood transfusion, hospital stay and clinical evolution. Results: 70 patients were evaluated; in 39 (55.8%) a simple laparoscopy for benign entities was performed; in 23 (32.8%) a radical nephrectomy for cancer was performed and in 8 (11.4%) a laparoscopy was performed for living donors. In 7 patients the laparoscopic procedure converted into open surgery. Mean operating time was 188.94 ± 33.41 min.  Main histopathological findings were chronic pyelonephritis and renal carcinoma. Complications by Clavien classification were: Grade I: 21(30%), II: 9(12.8%) and V: 1(1.4%). Mean hospital stay was 4.66 ± 2.97 days; 85.7% had good clinical evolution. Conclusion: Laparoscopic nephrectomy for benign and malignant conditions as well as for kidney donors is a minimally invasive technique which is reproducible, safe, effective and therefore represents an alternative to open surgery.Objetivo: Describir los resultados de la nefrectomía laparoscópica en pacientes con riñones excluidos benignos, malignos y de donantes.  Material y métodos: Estudio de serie de casos, retrospectivo, realizado en el Hospital Cayetano Heredia entre agosto del 2013 y mayo del 2019. Se incluyeron pacientes con riñones no funcionantes de cualquier etiología y riñón contralateral funcionante. Se excluyendo pacientes con pionefrosis severa. Se registraron sus características clínicas, demográficas, índice de masa corporal, etiología del riñón no funcionante, tasa de conversión, lateralidad, tiempo operatorio, histopatología de los riñones intervenidos, complicaciones, necesidad de transfusión, estancia hospitalaria y evolución de los pacientes intervenidos. Resultados: Se evaluaron 70 pacientes; en 39 (55,8%) se realizó nefrectomía laparoscópica simple por patología benigna, en 23 (32,8%) nefrectomía radical laparoscópica por cáncer y en 8 (11,4%) nefrectomía laparoscópica donante vivo. En 7 pacientes se tuvo que convertir a cirugía abierta. La media del tiempo operatorio fue 188,94 ± 33,41 min. Los resultados histopatológicos fueron pielonefritis crónica y carcinoma renal. No hubo variaciones clínicamente significativas en los niveles de hemoglobina, hematocrito, urea, creatinina. Las complicaciones según clasificación de Clavien: Grado I: 21(30%), II: 9(12,8%) y V: 1(1,4%). La media del tiempo de hospitalización fue 4,66 ± 2,97 días, con buena evolución postoperatoria en el 85,7% de los pacientes. Conclusión: La nefrectomía laparoscópica para riñones excluidos de patología benigna como maligna y de donantes de riñón, es una técnica mínimamente invasiva, reproducible, segura, efectiva y una alternativa a la cirugía abierta

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

The Research Journey as a Challenge Towards New Trends

The academic community of the department of Risaralda, in its permanent interest in evidencing the results of the research processes that are carried out from the Higher Education Institutions and as a product of the VI meeting of researchers of the department of Risaralda held in November 2021 presents its work: “The journey of research as a challenge towards new trends”, which reflects the result of the latest research and advances in different lines of knowledge in Agricultural Sciences, Health Sciences, Social Sciences and Technology and Information Sciences, which seek to solve and meet the demands of the different sectors. This work would not have been possible without the help of each of the teachers, researchers and authors who presented their articles that make up each of the chapters of the book, to them our gratitude for their commitment, dedication and commitment, since their sole purpose is to contribute from the academy and science to scientific and technological development in the search for the solution of problems and thus contribute to transform the reality of our society and communities. We also wish to extend our gratitude to the institutions of the Network that made this publication possible: UTP, UCP, UNAD, UNIREMINGTON; UNISARC, CIAF, Universidad Libre, Uniclaretiana, Fundación Universitaria Comfamiliar and UNIMINUTO, institutions that in one way or another allowed this work to become a reality, which we hope will be of interest to you.Preface............................................................................................................................7 Chapter 1. Technologies and Engineering Towards a humanization in Engineering using soft skills in training in Engineers.............................................................................................................11 Omar Iván Trejos Buriticá1, Luis Eduardo Muñoz Guerrero Innovative materials in construction: review from a bibliometric analysis....................................................................................................................27 Cristian Osorio Gómez, Daniel Aristizábal Torres, Alejandro Alzate Buitrago, Cristhian Camilo Amariles López Bibliometric review of disaster risk management: progress, trends, and challenges.........................................................................................................51 Alejandro Alzate Buitrago, Gloria Milena Molina Vinasco. Incidence of land coverage and geology, in the unstability of lands of the micro-basin of the Combia creek, Pereira, Risaralda....................................73 Alejandro Alzate Buitrago, Daniel Aristizábal Torres. Chapter 2. Arts, Humanities, and Social Sciences Training experience with teachers teaching mathematics using the inquiry methodology ...............................................................................................95 Vivian Libeth Uzuriaga López, Héctor Gerardo Sánchez Bedoya. Interpretation of the multiple representations of the fears associated to the boarding of limited visual patients in the elective I students’ written productions and low vision ...................................................................................113 Eliana Bermúdez Cardona, Ana María Agudelo Guevara, Caterine Villamarín Acosta. The relevance of local knowledge in social sciences............................................131 Alberto Antonio Berón Ospina, Isabel Cristina Castillo Quintero. Basic education students’ conceptions of conflict a view from the peace for the education....................................................................................................143 Astrid Milena Calderón Cárdenas,Carolina Aguirre Arias, Carolina Franco Ossa, Martha Cecilia Gutiérrez Giraldo, Orfa Buitrago. Comprehensive risk prevention in educational settings: an interdisciplinary and socio-educational approach ............................................................................163 Olga María Henao Trujillo, Claudia María López Ortiz. Chapter 3. Natural and Agricultural Sciences Physicochemical characterization of three substrates used in the deep bedding system in swine .......................................................................................175 Juan Manuel Sánchez Rubio, Andrés Felipe Arias Roldan, Jesús Arturo Rincón Sanz, Jaime Andrés Betancourt Vásquez. Periodic solutions in AFM models........................................................................187 Daniel Cortés Zapata, Alexander Gutiérrez Gutiérrez. Phenology in flower and fruit of Rubus glaucus benth. Cv. Thornless in Risaralda: elements for phytosanitary management .........................................199 Shirley Palacios Castro, Andrés Alfonso Patiño Martínez, James Montoya Lerma, Ricardo Flórez, Harry Josué Pérez. Socio-economic and technical characterization of the cultivation of avocado (Persea americana) in Risaralda..............................................................217 Andrés Alfonso Patiño Martínez, Kelly Saudith Castañez Poveda, Eliana Gómez Correa. Biosecurity management in backyard systems in Santa Rosa de Cabal, Risaralda................................................................................................................227 Julia Victoria Arredondo Botero, Jaiver Estiben Ocampo Jaramillo, Juan Sebastián Mera Vallejo, Álvaro de Jesús Aranzazu Hernández. CONTENTS Physical-chemical diagnosis of soils in hillside areas with predominance of Lulo CV. La Selva production system in the department of Risaralda.............241 Adriana Patricia Restrepo Gallón, María Paula Landinez Montes, Jimena Tobón López. Digestibility of three concentrates used in canine feeding....................................271 María Fernanda Mejía Silva, Valentina Noreña Sánchez, Gastón Adolfo Castaño Jiménez. Chapter 4. Economic, Administrative, and Accounting Sciences Financial inclusion in households from socioeconomic strata 1 and 2 in the city of Pereira ..................................................................................................285 Lindy Neth Perea Mosquera, Marlen Isabel Redondo Ramírez, Angélica Viviana Morales. Internal marketing strategies as a competitive advantage for the company Mobilautos SAS de Dosquebradas........................................................................303 Inés Montoya Sánchez, Sandra Patricia Viana Bolaños, Ana María Barrera Rodríguez. Uses of tourist marketing in the tourist sector of the municipality of Belén de Umbría, Risaralda.............................................................................................319 Ana María Barrera Rodríguez, Paola Andrea Echeverri Gutiérrez, María Camila Parra Buitrago, Paola Andrea Martín Muñoz, Angy Paola Ángel Vélez, Luisa Natalia Trejos Ospina. Territorial prospective of Risaralda department (Colombia), based on the SDGS...............................................................................................................333 Juan Guillermo Gil García, Samanta Londoño Velásquez. Chapter 5. Health and Sports Sciences Performance evaluation in times of pandemic. What do medical students think?.......................................................................................................353 Samuel Eduardo Trujillo Henao, Rodolfo A. Cabrales Vega, Germán Alberto Moreno Gómez. The relevance of the therapist’s self and self-reference in the training of psychologists.....................................................................................................371 Maria Paula Marmolejo Lozano, Mireya Ospina Botero. Habits related to oral health which influence lifestyle of elder people in a wellness center for the elderly in Pereira 2020. .............................................387 Isadora Blanco Pérez, Olga Patricia Ramírez Rodríguez, Ángela María Rincón Hurtado. Analysis of the suicide trend in the Coffee Region in Colombia during the years 2012-2018 ..............................................................................................405 Germán Alberto Moreno Gómez, Jennifer Nessim Salazar, Jairo Franco Londoño, Juan Carlos Medina Osorio. Hind limb long bone fractures in canines and felines...........................................419 María Camila Cruz Vélez, Valentina Herrera Morales, Alba Nydia Restrepo Jiménez, Lina Marcela Palomino, Gabriel Rodolfo Izquierdo Bravo. Prevalence of overweight and obesity in children in the rural and urban area of Risaralda....................................................................................................439 Angela María Álvarez López, Angela Liceth Pérez Rendón, Alejandro Gómez Rodas, Luis Enrique Isaza Velásquez. Chapter 6. Architecture, Design and Advertising The artisan crafts of Risaralda, characteristics, importance, and risks within the Colombian Coffee Cultural Landscape, CCCL....................................457 Yaffa Nahir Ivette Gómez Barrera, Javier Alfonso López Morales

Healthcare workers hospitalized due to COVID-19 have no higher risk of death than general population. Data from the Spanish SEMI-COVID-19 Registry

Aim To determine whether healthcare workers (HCW) hospitalized in Spain due to COVID-19 have a worse prognosis than non-healthcare workers (NHCW). Methods Observational cohort study based on the SEMI-COVID-19 Registry, a nationwide registry that collects sociodemographic, clinical, laboratory, and treatment data on patients hospitalised with COVID-19 in Spain. Patients aged 20-65 years were selected. A multivariate logistic regression model was performed to identify factors associated with mortality. Results As of 22 May 2020, 4393 patients were included, of whom 419 (9.5%) were HCW. Median (interquartile range) age of HCW was 52 (15) years and 62.4% were women. Prevalence of comorbidities and severe radiological findings upon admission were less frequent in HCW. There were no difference in need of respiratory support and admission to intensive care unit, but occurrence of sepsis and in-hospital mortality was lower in HCW (1.7% vs. 3.9%; p = 0.024 and 0.7% vs. 4.8%; p<0.001 respectively). Age, male sex and comorbidity, were independently associated with higher in-hospital mortality and healthcare working with lower mortality (OR 0.211, 95%CI 0.067-0.667, p = 0.008). 30-days survival was higher in HCW (0.968 vs. 0.851 p<0.001). Conclusions Hospitalized COVID-19 HCW had fewer comorbidities and a better prognosis than NHCW. Our results suggest that professional exposure to COVID-19 in HCW does not carry more clinical severity nor mortality

Evolving trends in the management of acute appendicitis during COVID-19 waves. The ACIE appy II study

Background: In 2020, ACIE Appy study showed that COVID-19 pandemic heavily affected the management of patients with acute appendicitis (AA) worldwide, with an increased rate of non-operative management (NOM) strategies and a trend toward open surgery due to concern of virus transmission by laparoscopy and controversial recommendations on this issue. The aim of this study was to survey again the same group of surgeons to assess if any difference in management attitudes of AA had occurred in the later stages of the outbreak. Methods: From August 15 to September 30, 2021, an online questionnaire was sent to all 709 participants of the ACIE Appy study. The questionnaire included questions on personal protective equipment (PPE), local policies and screening for SARS-CoV-2 infection, NOM, surgical approach and disease presentations in 2021. The results were compared with the results from the previous study. Results: A total of 476 answers were collected (response rate 67.1%). Screening policies were significatively improved with most patients screened regardless of symptoms (89.5% vs. 37.4%) with PCR and antigenic test as the preferred test (74.1% vs. 26.3%). More patients tested positive before surgery and commercial systems were the preferred ones to filter smoke plumes during laparoscopy. Laparoscopic appendicectomy was the first option in the treatment of AA, with a declined use of NOM. Conclusion: Management of AA has improved in the last waves of pandemic. Increased evidence regarding SARS-COV-2 infection along with a timely healthcare systems response has been translated into tailored attitudes and a better care for patients with AA worldwide