Estudio sobre la asociación entre nivel de actividad física y síntomas de depresión y ansiedad en estudiantes universitarios de 18 a 30 años de Lima bajo el contexto actual de distanciamiento social por COVID-19

ANTECEDENTES: La revisión de la literatura científica evidencia asociación entre el nivel de actividad física y los síntomas de depresión y ansiedad. Sin embargo, hay pocos estudios sobre dicha relación en la población universitaria, bajo el contexto actual de pandemia por COVID-19 en Lima Metropolitana-Perú. OBJETIVOS: Determinar si hay asociación entre las variables de interés. MÉTODOS: Estudio transversal basado en una encuesta online anónima distribuida por “bola de nieve” entre 189 participantes. La actividad física se evaluó mediante el cuestionario IPAQ-SF. Los síntomas de ansiedad y depresión fueron evaluados a través del cuestionario DASS-21. RESULTADOS: No se encontró asociación entre actividad física y síntomas de ansiedad (RPc = 0,89; IC al 95%: 0,50-1,58; p= 0,698 y RPa = 0,92; IC al 95%: 0,52-1,60; p= 0,776). Sin embargo, sí se encontró asociación entre actividad física y síntomas depresivos tanto en el análisis crudo (RPc = 0,50; IC al 95%: 0,27-0,92; p= 0,026) y en el ajustado por variables confusoras como la edad y carrera de medicina (RPa = 0,54; IC al 95%: 0,30-0,97; p=0,041). CONCLUSIONES: Se encontró asociación entre actividad física y síntomas depresivos en la población estudiada.BACKGROUND: A review of the scientific literature shows an association between the level of physical activity and the depression and anxiety symptoms. However, there are few studies about this relationship in college students under the current context of the COVID-19 pandemic in Metropolitan-Lima, Peru. OBJECTIVES: Determine if there is an association between the variables of interest. METHODS: A cross-sectional study based on anonymous virtual survey distributed via snow-ball sampling method was performed among 189 participants. Physical activity was assessed using the IPAQ-SF questionnaire. Anxiety and depression symptoms were evaluated through the DASS-21 questionnaire. RESULTS: No association was found between physical activity and anxiety symptoms (PR Crude = 0,89; 95% CI: 0,50-1,58; p= 0,698 y PR Adjusted = 0,92; 95% CI: 0,52-1,60; p= 0,776). However, an association was found between physical activity and depression symptoms in both the crude analysis (PR Crude = 0,50; 95% CI: 0,27-0,92; p= 0,026) and after adjusted analysis by confounder variables such as age and medical degree (PR Adjusted = 0,54; 95% CI: 0,30-0,97; p= 0,041). CONCLUSIONS: An association between physical activity and depression symptoms was found in the studied population.​Tesi

LA U INVESTIGA: Revista Científica. Facultad Ciencias de la Salud. Volumen 3. Número 1

Los ámbitos de investigación expuestos en este número corresponden a salud, educación, comunicación; temática relacionados íntimamente con la problemática social, que trata de visibilizarla a través de la difusión científica. Desde una visión de caso clínico, como son aquellos artículos investigados en los centros asistenciales del país; o de análisis colectivo evidente en los artículos elaborados por académicos de la Universidad Técnica del Norte.• Adenoma pleomorfo metastásico a mama y pulmón. • Evaluación clínica y atención temprana de la potencialidad cerebromotriz innata en los recién nacidos vivos con factores de riesgo neonatal del hospital general San Vicente de Paúl. • Embarazo ectopico cervical a proposito de un caso • Ganglio centinela en cáncer de mama uso de azul patente en unidades de segundo nivel. • Morbimortalidad en recién nacidos pretérminos menores de 36 semanas, hospital IESS Ibarra año 2014. • Ruptura esplénica asociada con preeclampsia severa presentacion de un caso. • Enfermedad de Addison de etiología tuberculosa: presentación de caso clínico. • Estado de la independencia funcional en personas con discapacidad del cantón Otavalo. • Síntesis analítica sobre las bondades medicinales de la jícama (smallanthus sonchifolius) 2015. • Prevención de infecciones puerperales con Churiyuyo (kalanchoe pinnata), una experiencia de las parteras tradicionales en Napo Ecuador. • Valoración de las habilidades comunicativas en la relación fisioterapeuta paciente. • Objeto de aprendizaje móvil en el aula, para estudiantes de la carrera de Nutrición y salud comunitaria, Universidad Técnica del Norte. • Infecciones de vías urinarias asociadas a catéter vesical en mujeres embarazadas. Hospital San Vicente de Paúl, 2015. • Proceso enfermero en la satisfacción de las necesidades básicas en usuario colecistectomizado. • Satisfacción laboral de los profesionales de enfermerí

TRY plant trait database – enhanced coverage and open access

Plant traits - the morphological, anatomical, physiological, biochemical and phenological characteristics of plants - determine how plants respond to environmental factors, affect other trophic levels, and influence ecosystem properties and their benefits and detriments to people. Plant trait data thus represent the basis for a vast area of research spanning from evolutionary biology, community and functional ecology, to biodiversity conservation, ecosystem and landscape management, restoration, biogeography and earth system modelling. Since its foundation in 2007, the TRY database of plant traits has grown continuously. It now provides unprecedented data coverage under an open access data policy and is the main plant trait database used by the research community worldwide. Increasingly, the TRY database also supports new frontiers of trait‐based plant research, including the identification of data gaps and the subsequent mobilization or measurement of new data. To support this development, in this article we evaluate the extent of the trait data compiled in TRY and analyse emerging patterns of data coverage and representativeness. Best species coverage is achieved for categorical traits - almost complete coverage for ‘plant growth form’. However, most traits relevant for ecology and vegetation modelling are characterized by continuous intraspecific variation and trait–environmental relationships. These traits have to be measured on individual plants in their respective environment. Despite unprecedented data coverage, we observe a humbling lack of completeness and representativeness of these continuous traits in many aspects. We, therefore, conclude that reducing data gaps and biases in the TRY database remains a key challenge and requires a coordinated approach to data mobilization and trait measurements. This can only be achieved in collaboration with other initiatives

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

Estudio empírico sobre el estado y tendencias de la responsabilidad social corporativa en Ecuador mediante el análisis de caso: del Cantón de Loja

Corporate Social Responsibility (CSR) in Ecuador is a new concept applied in national companies; however it is an issue that in recent years has gained prominence and established itself as a trend of business management.That is why; a case study was conducted in Loja city, this study was rough and experimental; the aim of it was to analyze the current situation regarding the implementation of CSR practices in the three sectors of the economy. For carrying out the study a survey was applied to a sample of 222 companies, the sample was calculated by the method of simple random sampling. The used instrument was a questionnaire designed by ETHOS Institute of Brazil; it was implemented and validated by the Association of Christian Businesses (ADEC) of Paraguay, for this study it was adjusted to the characteristics of the research.Also for the research secondary information was used, it was taken of Instituto Nacional de Estadisticas y Censos de Ecuador (INEC) (2013), and it shows that in Loja were 18.025 active companies. The largest sector is the tertiary, with 15.604 companies; the secondary sector with 1.500; and the primary sector with 921. Together the three sectors reached a sales level of about 1,034 million; the tertiary sector contributed 92% of total sales, with 6% secondary and primary with 2%. Similarly, the three sectors employed 48.061 workers of which 54% were men and 46% women. To achieve the objectives of this research, indicators were analyzed for each stakeholder and they were evaluated according to the fulfillment of the CSR practices. The results show that, in relation to ethical commitment indicator, the three sectors have an application of the 70% of practices; related to dialogue and engagement with stakeholders indicator the primary sector shows a 90% of application and, in general, in the twenty three indicators studied it was observed that the primary sector is the one that applies in a greatest way the different CSR practices, and the tertiary sector the lowest one. From the regression analysis it was found that the variables size, age and industry are not determining factors in implementing CSR practices.La Responsabilidad Social Corporativa (RSC) en Ecuador es un concepto de reciente aplicación,sin embargo, es un tema que en los últimos años ha ganado importancia y consolidado como una tendencia de gestión empresarial.Ante esta realidad, se efectuó un estudio de caso en el cantón Loja, de carácter aproximativo y experimental, a fin de analizar la situación actual respecto a la aplicación de las prácticas de RSC en los tres sectores económicos. Se aplicó una encuesta a 222 empresas, aplicando el método de muestreo aleatorio simple. Se utilizó un cuestionario diseñado por el instituto ETHOS de Brasil, y aplicado por la Asociación de EmpresasCristianas (ADEC) de Paraguay, éste fue ajustado a las características del lugar de investigación.El análisis efectuado con los últimos datos consolidados por el Instituto Nacional de Estadísticas y Censos de Ecuador (INEC), con información secundaria y al 2013, refleja que en Loja existían 18.025 empresas activas. El sector con mayor representatividad es el terciario, con 15.604 empresas; el sector secundario con 1.500; y, el sector primario con 921. Los tres sectores alcanzaron un nivel aproximado de ventas de 1.034 (millones dedólares), contribuyendo el sector terciario con el 92% del total, el secundario con el 6% y el primario con el 2%.; de igual forma emplearon a 48.061 personas, el 54% fueron hombres y el 46% mujeres.Los objetivos de esta investigación se alcanzaron analizando indicadores por cada grupo de interés y respectivamente fueron evaluados de acuerdo al cumplimiento de las diferentes prácticas integradas en aquellos. Los resultados reflejan que, en relación al compromiso ético, los tres sectores tienen una aplicación del 70% de las prácticas relacionadas con este indicador; el sector primario muestra un mayor diálogo e implicación con los grupos de interés, con un cumplimiento del 90%; y, con carácter general, en los veintitrés indicadores estudiados se observó que el sector primario es el que aplica en mayor medida las diferentes prácticas de RSC, y el sector terciario el de menor cumplimiento. El análisis estadístico determinó que el tamaño, edad y sector no son factores determinantes en la aplicación de la RSC

Estudio empírico sobre el estado y tendencias de la responsabilidad social corporativa en Ecuador mediante el análisis de caso: del Cantón de Loja

[Resumen] La Responsabilidad Social Corporativa (RSC) en Ecuador es un concepto de reciente aplicación,sin embargo, es un tema que en los últimos años ha ganado importancia y consolidado como una tendencia de gestión empresarial. Ante esta realidad, se efectuó un estudio de caso en el cantón Loja, de carácter aproximativo y experimental, a fin de analizar la situación actual respecto a la aplicación de las prácticas de RSC en los tres sectores económicos. Se aplicó una encuesta a 222 empresas, aplicando el método de muestreo aleatorio simple. Se utilizó un cuestionario diseñado por el instituto ETHOS de Brasil, y aplicado por la Asociación de Empresas Cristianas (ADEC) de Paraguay, éste fue ajustado a las características del lugar de investigación. El análisis efectuado con los últimos datos consolidados por el Instituto Nacional de Estadísticas y Censos de Ecuador (INEC), con información secundaria y al 2013, refleja que en Loja existían 18.025 empresas activas. El sector con mayor representatividad es el terciario, con 15.604 empresas; el sector secundario con 1.500; y, el sector primario con 921. Los tres sectores alcanzaron un nivel aproximado de ventas de 1.034 (millones de dólares), contribuyendo el sector terciario con el 92% del total, el secundario con el 6% y el primario con el 2%.; de igual forma emplearon a 48.061 personas, el 54% fueron hombres y el 46% mujeres. Los objetivos de esta investigación se alcanzaron analizando indicadores por cada grupo de interés y respectivamente fueron evaluados de acuerdo al cumplimiento de las diferentes prácticas integradas en aquellos. Los resultados reflejan que, en relación al compromiso ético, los tres sectores tienen una aplicación del 70% de las prácticas relacionadas con este indicador; el sector primario muestra un mayor diálogo e implicación con los grupos de interés, con un cumplimiento del 90%; y, con carácter general, en los veintitrés indicadores estudiados se observó que el sector primario es el que aplica en mayor medida las diferentes prácticas de RSC, y el sector terciario el de menor cumplimiento. El análisis estadístico determinó que el tamaño, edad y sector no son factores determinantes en la aplicación de la RSC.[Abstract] Corporate Social Responsibility (CSR) in Ecuador is a new concept applied in national companies; however it is an issue that in recent years has gained prominence and established itself as a trend of business management. That is why; a case study was conducted in Loja city, this study was rough and experimental; the aim of it was to analyze the current situation regarding the implementation of CSR practices in the three sectors of the economy. For carrying out the study a survey was applied to a sample of 222 companies, the sample was calculated by the method of simple random sampling. The used instrument was a questionnaire designed by ETHOS Institute of Brazil; it was implemented and validated by the Association of Christian Businesses (ADEC) of Paraguay, for this study it was adjusted to the characteristics of the research. Also for the research secondary information was used, it was taken of Instituto Nacional de Estadisticas y Censos de Ecuador (INEC) (2013), and it shows that in Loja were 18.025 active companies. The largest sector is the tertiary, with 15.604 companies; the secondary sector with 1.500; and the primary sector with 921. Together the three sectors reached a sales level of about 1,034 million; the tertiary sector contributed 92% of total sales, with 6% secondary and primary with 2%. Similarly, the three sectors employed 48.061 workers of which 54% were men and 46% women. To achieve the objectives of this research, indicators were analyzed for each stakeholder and they were evaluated according to the fulfillment of the CSR practices. The results show that, in relation to ethical commitment indicator, the three sectors have an application of the 70% of practices; related to dialogue and engagement with stakeholders indicator the primary sector shows a 90% of application and, in general, in the twenty three indicators studied it was observed that the primary sector is the one that applies in a greatest way the different CSR practices, and the tertiary sector the lowest one. From the regression analysis it was found that the variables size, age and industry are not determining factors in implementing CSR practice

Attitudes towards vaccines and intention to vaccinate against COVID-19: a cross-sectional analysis - implications for public health communications in Australia

Objective To examine SARS-CoV-2 vaccine confidence, attitudes and intentions in Australian adults as part of the iCARE Study. Design and setting Cross-sectional online survey conducted when free COVID-19 vaccinations first became available in Australia in February 2021. Participants Total of 1166 Australians from general population aged 18-90 years (mean 52, SD of 19). Main outcome measures Primary outcome: responses to question € If a vaccine for COVID-19 were available today, what is the likelihood that you would get vaccinated?'. Secondary outcome: analyses of putative drivers of uptake, including vaccine confidence, socioeconomic status and sources of trust, derived from multiple survey questions. Results Seventy-eight per cent reported being likely to receive a SARS-CoV-2 vaccine. Higher SARS-CoV-2 vaccine intentions were associated with: increasing age (OR: 2.01 (95% CI 1.77 to 2.77)), being male (1.37 (95% CI 1.08 to 1.72)), residing in least disadvantaged area quintile (2.27 (95% CI 1.53 to 3.37)) and a self-perceived high risk of getting COVID-19 (1.52 (95% CI 1.08 to 2.14)). However, 72% did not believe they were at a high risk of getting COVID-19. Findings regarding vaccines in general were similar except there were no sex differences. For both the SARS-CoV-2 vaccine and vaccines in general, there were no differences in intentions to vaccinate as a function of education level, perceived income level and rurality. Knowing that the vaccine is safe and effective and that getting vaccinated will protect others, trusting the company that made it and vaccination recommended by a doctor were reported to influence a large proportion of the study cohort to uptake the SARS-CoV-2 vaccine. Seventy-eight per cent reported the intent to continue engaging in virus-protecting behaviours (mask wearing, social distancing, etc) postvaccine. Conclusions Most Australians are likely to receive a SARS-CoV-2 vaccine. Key influencing factors identified (eg, knowing vaccine is safe and effective, and doctor's recommendation to get vaccinated) can inform public health messaging to enhance vaccination rates

ENGIU: Encuentro Nacional de Grupos de Investigación de UNIMINUTO.

El desarrollo del prototipo para el sistema de detección de Mina Antipersona (MAP), inicia desde el semillero ADSSOF perteneciente al programa de Administración en Seguridad y Salud en el trabajo de la UNIMINUTO, se realiza a partir de un detector de metales que emite una señal audible, que el usuario puede interpretar como aviso de presencia de un objeto metálico, en este caso una MAP. La señal audible se interpreta como un dato, como ese dato no es perceptible a 5 metros de distancia, se implementa el transmisor de Frecuencia Modulada FM por la facilidad de modulación y la escogencia de frecuencia de transmisión de acuerdo con las normas y resolución del Ministerio de Comunicaciones; de manera que esta sea la plataforma base para enviar los datos obtenidos a una frecuencia establecida. La idea es que el ser humano no explore zonas peligrosas y buscar la forma de crear un sistema que permita eliminar ese riesgo, por otro lado, buscar la facilidad de uso de elementos ya disponibles en el mercado