Caracterización social y laboral del egresado profesional en ejercisio del programa de trabajo social de la Corporación Universitaria Minuto de Dios seccional Bello, de las cohortes producidas desde el año 2007 al primer semestre de 2011

El presente informe corresponde a la investigación “Caracterización laboral y social del egresado profesional en ejercicio, del programa de Trabajo Social de la Corporación Universitaria Minuto de Dios, Seccional Bello, de las 9 cohortes producidas entre el año 2007 y primer semestre del 2011” El estudio responde a la iniciativa generada por la Corporación Universitaria Minuto de Dios Seccional Bello, ante la necesidad de valorar el impacto (influencia y aporte) del programa de pregrado de Trabajo Social. El estudio de seguimiento se hizo con de 44 egresados que cumplían con todos los requisitos para la muestra, sus objetivos derivan del propósito de conocer e indagar aspectos como su proyección social de la Universidad; su inserción en el mercado laboral, el desempeño profesional específico, las realizaciones y los reconocimientos alcanzados testimonian la calidad de la formación recibida. Por todo ello, el examen minucioso de sus condiciones de trabajo, de sus trayectorias laborales, académicas y sociales constituyen valiosos indicadores sobre la calidad de las carreras ofrecidas y fuente importante de reflexión para la Universidad misma

Caracterización social y laboral del egresado profesional en ejercisio del programa de trabajo social de la Corporación Universitaria Minuto de Dios seccional Bello, de las cohortes producidas desde el año 2007 al primer semestre de 2011

El presente informe corresponde a la investigación “Caracterización laboral y social del egresado profesional en ejercicio, del programa de Trabajo Social de la Corporación Universitaria Minuto de Dios, Seccional Bello, de las 9 cohortes producidas entre el año 2007 y primer semestre del 2011” El estudio responde a la iniciativa generada por la Corporación Universitaria Minuto de Dios Seccional Bello, ante la necesidad de valorar el impacto (influencia y aporte) del programa de pregrado de Trabajo Social. El estudio de seguimiento se hizo con de 44 egresados que cumplían con todos los requisitos para la muestra, sus objetivos derivan del propósito de conocer e indagar aspectos como su proyección social de la Universidad; su inserción en el mercado laboral, el desempeño profesional específico, las realizaciones y los reconocimientos alcanzados testimonian la calidad de la formación recibida. Por todo ello, el examen minucioso de sus condiciones de trabajo, de sus trayectorias laborales, académicas y sociales constituyen valiosos indicadores sobre la calidad de las carreras ofrecidas y fuente importante de reflexión para la Universidad misma

Sistema de gestión de la seguridad y salud en el trabajo de la empresa MAN&TEC

MAN & TEC es una empresa dedicada a prestar Servicios técnicos industriales y de mantenimiento. Dentro del desarrollo de sus actividades se observó que, al momento de llevar a cabo sus responsabilidades, los empleados deben realizar trabajos en alturas. Como resultado de lo anterior, exponen su vida. Por esto y para minimizar el riesgo, el trabajador debe estar afiliado a una ARL y a una AFP y contar con el curso avanzado de alturas. Además, la empresa deberá entregar a los empleados los elementos de protección personal tales como cascos, arneses, líneas de posicionamiento, salva caídas troll o arrestador y conector doble con absorbedor de choque. Todos estos elementos son cruciales para el personal que trabaja en alturas ya que, si no se cumple con la documentación y los EPP, estos empleados no podrían realizar su trabajo. Todas las recomendaciones deben ser tenidas en cuenta ya que el principal objetivo es velar por la seguridad de cada empleado y evitar accidentes laborales. Para finalizar, la persona encargada del SG-SST deberá asegurarse que las personas que realizan trabajos en alturas tengan la afiliación al orden día, estén anclados de la forma correcta y que los implementos herramientas y materiales estén perfectas condiciones, teniendo en cuenta que es una actividad de alto riesgo y al mínimo detalle deficiente puede ocasionar la muerte del empleado.MAN & TEC is a company dedicated to providing industrial technical and maintenance services. Within the development of its activities, it was observed that, at the time of carrying out their responsibilities, employees must perform work at heights. As a result, they expose their lives. To minimize the risk, employees must be affiliated with an ARL and an AFP and have an advanced course on heights. In addition, the company must provide employees with personal protection elements such as helmets, harnesses, positioning lines, troll fall arresters and double connectors with shock absorbers. All these elements are crucial for the personnel working at heights because, if the documentation and PPE (Personal Protective Equipment) are not complied with, these employees would not be able to perform their jobs. All recommendations must be taken into account since the main objective is to ensure the safety of each employee and to avoid work-related accidents. Finally, the person in charge of the OSHMS (Occupational Safety and Health Management Systems) must ensure that the people who work at heights have their affiliations up to date, that they are anchored correctly, and that the tools and materials are in perfect conditions, taking into account that this is a high-risk activity, and the slightest missed detail can result in the death of employees

Clustering COVID-19 ARDS patients through the first days of ICU admission. An analysis of the CIBERESUCICOVID Cohort

Background Acute respiratory distress syndrome (ARDS) can be classified into sub-phenotypes according to different inflammatory/clinical status. Prognostic enrichment was achieved by grouping patients into hypoinflammatory or hyperinflammatory sub-phenotypes, even though the time of analysis may change the classification according to treatment response or disease evolution. We aimed to evaluate when patients can be clustered in more than 1 group, and how they may change the clustering of patients using data of baseline or day 3, and the prognosis of patients according to their evolution by changing or not the cluster.Methods Multicenter, observational prospective, and retrospective study of patients admitted due to ARDS related to COVID-19 infection in Spain. Patients were grouped according to a clustering mixed-type data algorithm (k-prototypes) using continuous and categorical readily available variables at baseline and day 3.Results Of 6205 patients, 3743 (60%) were included in the study. According to silhouette analysis, patients were grouped in two clusters. At baseline, 1402 (37%) patients were included in cluster 1 and 2341(63%) in cluster 2. On day 3, 1557(42%) patients were included in cluster 1 and 2086 (57%) in cluster 2. The patients included in cluster 2 were older and more frequently hypertensive and had a higher prevalence of shock, organ dysfunction, inflammatory biomarkers, and worst respiratory indexes at both time points. The 90-day mortality was higher in cluster 2 at both clustering processes (43.8% [n = 1025] versus 27.3% [n = 383] at baseline, and 49% [n = 1023] versus 20.6% [n = 321] on day 3). Four hundred and fifty-eight (33%) patients clustered in the first group were clustered in the second group on day 3. In contrast, 638 (27%) patients clustered in the second group were clustered in the first group on day 3.Conclusions During the first days, patients can be clustered into two groups and the process of clustering patients may change as they continue to evolve. This means that despite a vast majority of patients remaining in the same cluster, a minority reaching 33% of patients analyzed may be re-categorized into different clusters based on their progress. Such changes can significantly impact their prognosis

The evolution of the ventilatory ratio is a prognostic factor in mechanically ventilated COVID-19 ARDS patients

Background: Mortality due to COVID-19 is high, especially in patients requiring mechanical ventilation. The purpose of the study is to investigate associations between mortality and variables measured during the first three days of mechanical ventilation in patients with COVID-19 intubated at ICU admission. Methods: Multicenter, observational, cohort study includes consecutive patients with COVID-19 admitted to 44 Spanish ICUs between February 25 and July 31, 2020, who required intubation at ICU admission and mechanical ventilation for more than three days. We collected demographic and clinical data prior to admission; information about clinical evolution at days 1 and 3 of mechanical ventilation; and outcomes. Results: Of the 2,095 patients with COVID-19 admitted to the ICU, 1,118 (53.3%) were intubated at day 1 and remained under mechanical ventilation at day three. From days 1 to 3, PaO2/FiO2 increased from 115.6 [80.0-171.2] to 180.0 [135.4-227.9] mmHg and the ventilatory ratio from 1.73 [1.33-2.25] to 1.96 [1.61-2.40]. In-hospital mortality was 38.7%. A higher increase between ICU admission and day 3 in the ventilatory ratio (OR 1.04 [CI 1.01-1.07], p = 0.030) and creatinine levels (OR 1.05 [CI 1.01-1.09], p = 0.005) and a lower increase in platelet counts (OR 0.96 [CI 0.93-1.00], p = 0.037) were independently associated with a higher risk of death. No association between mortality and the PaO2/FiO2 variation was observed (OR 0.99 [CI 0.95 to 1.02], p = 0.47). Conclusions: Higher ventilatory ratio and its increase at day 3 is associated with mortality in patients with COVID-19 receiving mechanical ventilation at ICU admission. No association was found in the PaO2/FiO2 variation