Reporte de atención clínica integral

El Proyecto de Aplicación Profesional en Atención Clínica Interdisciplinaria tuvo como objetivo general ofrecer servicios de atención y orientación profesional a los consultantes que la solicitaron para encontrar respuesta a los diferentes motivos de consulta psicológica y nutricional. Se les brindó el acompañamiento psicológico y nutricional a niños, adolescentes, adultos y familias en los siguientes escenarios: el Centro de Atención Psicológica, Centros de Desarrollo Comunitario del DIF Zapopan como DIF Arenales Tapatíos, DIF Santa María del Pueblito, DIF Santa Ana Tepetitlán Centro Polanco, Bufete Jurídico Clínica Ignacio Ellacuría y Clínica Nutricia. El proyecto ofreció principalmente espacios de atención en modalidad presencial y algunos en línea, donde se atendieron problemáticas tales como: consecuencias tras vivir la Pandemia de Covid-19, diferentes tipos de violencia, TCAS, problemas relacionales, depresión, ideación suicida, situaciones postraumáticas, y complicaciones en el desarrollo de una vida saludable tanto en los aspectos nutricionales como en el acceso a la justicia. Asimismo, se describen los múltiples aprendizajes tanto personales como profesionales, a través de las experiencias e intervenciones a lo largo del Proyecto de Aplicación Profesional.ITESO, A.C

Primer reporte de Peltophorus polymitus Boheman (Coleoptera: Curculionidae) en tres especies de Agave (Asparagaceae) en México/ First report of Peltophorus polymitus Boheman (Coleoptera: Curculionidae) on three species of Agave (Asparagaceae) in Mexico.

Peltophorus polymitus Boheman (Coleoptera: Curculionidae) is recorded for the first time attacking Agave tequilana Weber var. Azul in Jalisco and Agave cupreata Trel. & Berger and Agave angustifolia Haw., in Guerrero. The variety of damages to Agave plants caused by this weevil are described

A proposal for sentiment analysis on twitter for tourism-based applications

International Conference on New Trends in Intelligent Software Methodology Tools, and Techniques (SoMeT_18) (17th, 2018, Granada, Spain

Analysis of the variation of the compressibility index (Cc) of volcanic clays and its application to estimate subsidence in lacustrine areas

An analysis of the deformation conditions of lacustrine materials deposited at three sites in the volcanic valley of the Mexico City is presented. Currently geotechnical studies assume that compressibility of granular materials decreases in depth due to the lithostatic load. That means that the deeper the sample the more rigid is supposed to be, this assumption should be demonstrated by a decreased Compression Index (Cc) in depth. Studies indicate that Mexico City clays exhibit brittle behaviour, and have high water content, low shear strength and variable Cc values. Furthermore, groundwater withdrawal below the city causes a differential decrease in pore pressure, which is related to the physical properties of granular materials (hydraulic conductivity, grain size distribution) and conditions of formation. Our results show that Cc for fine grain materials (lacustrine) can be vertically variable, particularly when soils and sediments are the product of different volcanic materials. Lateral and vertical variations in the distribution of the fluvio-lacustrine materials, especially in basins with recent volcanic activity, may be assessed by Cc index variations. These variations can also be related to differential deformation, nucleation and propagation of fractures and need to be considered when modelling land subsidence

Carbon Sequestration in Protected Areas: A Case Study of an Abies religiosa (H.B.K.) Schlecht. et Cham Forest

The effects of global climate change have highlighted forest ecosystems as a key element in reducing the amount of atmospheric carbon through photosynthesis. The objective of this study was to estimate the amount of carbon content and its percentage capture in a protected Abies religiosa forest in which the study area was zoned with satellite image analysis. Dendrometric and epidometric variables were used to determine the volume and increase of aerial biomass, and stored carbon and its capture rate using equations. The results indicate that this forest contains an average of 105.72 MgC ha−1, with an estimated sequestration rate of 1.03 MgC ha−1 yr−1. The results show that carbon capture increasing depends on the increase in volume. Therefore, in order to achieve the maximum yield in a forest, it is necessary to implement sustainable forest management that favors the sustained use of soil productivity

A prospective study of the clinical outcomes and prognosis associated with comorbid COPD in the atrial fibrillation population

Moisés Rodríguez-Mañero,1–3,* Estrella López-Pardo,4,* Alberto Cordero,3,5 Alberto Ruano-Ravina,4 José Novo-Platas,4 María Pereira-Vázquez,1 Álvaro Martínez-Gómez,1 Javier García-Seara,1–3 Jose-Luis Martínez-Sande,1–3 Carlos Peña-Gil,1–3 Pilar Mazón,1–3 Jose María García-Acuña,1–3 Luis Valdés-Cuadrado,4,6 José Ramón González-Juanatey1–3 1Servicio de Cardiología, Hospital Universitario Santiago de Compostela, Santiago de Compostela, Spain; 2IDIS (Instituto para el Desarrollo e Integración de la Salud), Madrid, Spain; 3CIBERCV (Centro de Investigación Biomédica en Red de Enfermedades Cardiovasculares), Madrid, Spain; 4Xerencia de Xestión Integrada, Hospital Universitario Santiago de Compostela, Santiago de Compostela, Spain; 5Hospital Universitario San Juan de Alicante, Sant Joan d’Alacant, Spain; 6Servicio de Neumología, Hospital Universitario Santiago de Compostela, Santiago de Compostela, Spain *These authors contributed equally to this work Background: Patients with COPD are at higher risk of presenting with atrial fibrillation (AF). Information about clinical outcomes and optimal medical treatment of AF in the setting of COPD remains missing. We aimed to describe the prevalence of COPD in a sizeable cohort of real-world AF patients belonging to the same healthcare area and to examine the relationship between comorbid COPD and AF prognosis.Methods: Prospective analysis performed in a specific healthcare area. Data were obtained from several sources within the “data warehouse of the Galician Healthcare Service” using multiple analytical tools. Statistical analyses were completed using SPSS 19 and STATA 14.0.Results: A total of 7,990 (2.08%) patients with AF were registered throughout 2013 in our healthcare area (n=348,985). Mean age was 76.83±10.51 years and 937 (11.7%) presented with COPD. COPD patients had a higher mean CHA2DS2-VASc (4.21 vs 3.46; P=0.02) and received less beta-blocker and more digoxin therapy than those without COPD. During a mean follow-up of 707±103 days, 1,361 patients (17%) died. All-cause mortality was close to two fold higher in the COPD group (28.3% vs 15.5%; P<0.001). Independent predictive factors for all-cause mortality were age, heart failure, diabetes, previous thromboembolic event, dementia, COPD, and oral anticoagulation (OA). There were nonsignificant differences in thromboembolic events (1.7% vs 1.5%; P=0.7), but the rate of hemorrhagic events was significantly higher in the COPD group (3.3% vs 1.9%; P=0.004). Age, valvular AF, OA, and COPD were independent predictive factors for hemorrhagic events. In COPD patients, age, heart failure, vasculopathy, lack of OA, and lack of beta-blocker use were independent predictive factors for all-cause mortality.Conclusion: AF patients with COPD have a higher incidence of adverse events with significantly increased rates of all-cause mortality and hemorrhagic events than AF patients without COPD. However, comorbid COPD was not associated with differences in cardiovascular death or stroke rate. OA and beta-blocker treatment presented a risk reduction in mortality while digoxin use exerted a neutral effect. Keywords: atrial fibrillation, big data, CHA2DS2-VASc, COPD, stroke &nbsp

Tópicos en educación y humanidades. Tomo II

Se publica el segundo tomo de esta obra en el marco del recurso otorgado por la SEP-PFCE-2017 a los cuerpos académicos de la Dependencia de Educación y Humanidades (DES), de la Universidad Autónoma del Estado de México. Los trabajos son reflejo de la investigación desarrollada en diversas disciplinas de las Facultades de Lenguas, Ciencias de la Conducta y Humanidades.Publicación financiada con recursos PFCE 2017