Análisis de las finanzas públicas del municipio de Condoto

CD-T 336.9861 51 M579;111 p.este documento es un instrumento de evaluación importante tanto para la comunidad como para la administración municipal, pues ofrece un informe completo de las ejecuciones presupuestales de los municipios del Departamento del Chocó y, por tanto, se convierte en una herramienta importante para identificar tanto los aciertos como posibles errores en el manejo de las finanzas del sector público o inadecuada gestiónUniversidad Libre Seccional Pereir

Encefalitis autoinmune mediada por anticuerpos contra el receptor N-metil-D-aspartato: reporte de cuatro casos en Perú

La encefalitis autoinmune por anticuerpos contra el receptor N-metil-D-aspartato (anti-NMDAR) es un desorden mediado por anticuerpos contra antígenos de superficie neuronal, cuyo diagnóstico temprano y tratamiento oportuno mejoran el pronóstico de la enfermedad. Se presentan cuatro casos con el diagnóstico definitivo de encefalitis autoinmune por anti-NMDAR, tratados en el Instituto Nacional de Ciencias Neurológicas en Lima-Perú. Todos los pacientes presentaron crisis epilépticas y tres casos desarrollaron un estado epiléptico refractario. Asimismo, tres pacientes presentaron alteraciones neuropsiquiátricas, discinesias y disautonomías. Dos casos requirieron soporte ventilatorio. Todos presentaron un electroencefalograma anormal, dos casos tuvieron pleocitosis en líquido cefalorraquídeo, y sólo uno mostró anormalidades cerebrales en la resonancia magnética. Respecto al tratamiento, todos los pacientes recibieron inmunoterapia con metilprednisolona y sólo dos de ellos requirieron plasmaféresis por respuesta ineficaz al tratamiento con corticoides. A los 12 meses del alta hospitalaria, tres pacientes quedaron libre de crisis epilépticas y sólo un caso no logró la independencia funcional. Estos casos muestran que la encefalitis anti-NMDAR es una condición tratable y su reconocimiento temprano junto con un tratamiento adecuado (inmunoterapia/plasmaféresis) son esenciales para una evolución favorable

Estudios, escritores y literaturas regionales desde el Eje Cafetero

El conjunto de artículos reunidos en este libro en torno a las literaturas del Eje Cafetero, deja ver la pertinencia de la investigación literaria en un territorio que ha venido consolidándose como región cultural. Desde distintas perspectivas teóricas y metodológicas, se plantean propuestas que interrogan sobre autores poco trabajados en la crítica y que en general están ausentes en las historias de la literatura nacional, valorando su obra en un sentido estético, emocional o artístico; se abordan fenómenos como la crítica literaria o la aparición de distintos tipos de géneros textuales, que han sido fundamentales en la tradición de una cultura escrita también en las regiones; se introducen nuevas categorías de análisis en obras que podríamos considerar canónicas, desde perspectivas que problematizan su pertenencia a estas mismas tradiciones; o se abren algunos interrogantes sobre las literaturas de negros y negras, y en el tema crucial de la literatura femenina, en el que creemos el libro tiene notables aportes.The set of articles gathered in this book concerning the literary productions of the Coffee Region, reveals the relevance of literary research in a territory that has been consolidating as a cultural region. From different theoretical and methodological perspectives, proposals are raised that question authors who have received little attention in criticism and who are generally absent in the histories of national literature, valuing their work in an aesthetic, emotional or artistic sense; phenomena such as literary criticism and the appearance of different types of textual genres are addressed, which have been fundamental in the tradition of a culture also written in the regions; new categories of analysis are introduced in works that could be considered canonical, from perspectives that make problematic their belonging to these same traditions; or some questions are opened about the literary work of black men and women, as well as on the crucial issue of women's literature, in which we believe the book has notable contributions.CONTENIDO Agradecimientos. 9 Presentación 11 Sergio Pérez Álvarez CAPÍTULO UNO. Consideraciones sobre la investigación en literatura en Pereira en la primera mitad del siglo XX Mauricio Ramírez Gómez CAPÍTULO DOS. Ser escritora en la región del Gran Caldas durante el siglo XX El caso Blanca Isaza. 63 Jorge Mario Ochoa Marín CAPÍTULO TRES. La crónica literaria de Adel López Gómez y Blanca Isaza 97 Mariana Valencia Giraldo CAPÍTULO CUATRO. La escritura biográfica de Ignacio Torres Giraldo . 131 Edison Marulanda Peña CAPÍTULO CINCO. Gabriel García Márquez, un articulista de provincia con intuición de escritor universal 161 Nathalia Gómez Raigosa CAPÍTULO SEIS. Un cuarteto sobre la memoria. Cuatro escritoras alrededor de Pereira 197 Jhonattan Arredondo Grisales y Jáiber Ladino Guapacha CAPÍTULO SIETE. Estaba la pájara pinta sentada en el verde limón y los procesos de instrucción emocional femenina 231 Diana Vela CAPÍTULO OCHO. Humberto Jaramillo Ángel y la narrativa del alma emponzoñada. 259 Carlos Alberto Castrillón y César Augusto Reyes Vélez CAPÍTULO NUEVE. El fantasma colombiano en el espectro marginal del folclor 287 Gleiber Sepúlveda CAPÍTULO DIEZ. El espacio simbólico en las novelas El museo de la calle Donceles y La buhardilla iluminada . 313 Jhon Walter Torres Meza CAPÍTULO ONCE. Reescritura, memoria y resistencia: una propuesta femenina negra . 335 Patricia Cabarcas Morales CAPÍTULO DOCE. Crisis de ciudad en la narrativa contemporánea del Eje Cafetero (1986–2014) 367 Rigoberto Gil Montoya Autores 39

Erratum to: 36th International Symposium on Intensive Care and Emergency Medicine

[This corrects the article DOI: 10.1186/s13054-016-1208-6.]

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

Background 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

Silky bent grass resistance to herbicides: one year of monitoring in Belgium

Silky bent grass (Apera spica-venti (L.) P. Beauv.) is a common weed of cereal crops widely spread in Northern and Easthern Europe (Germany, Czech Republic, ...), Northern Asia, Sibera and Canada. Up to now, no resistant case has been detected in Belgium but some chemical weeding failures have been observed in Wallonia fields. During summer 2011, 37 seed samples of Apera spica-venti were collected in Wallonia and submitted to resistance tests in controlled conditions. Three modes of action were tested: acetyl coenzyme-A carboxylase inhibitors (pinoxaden and cycloxydim), acetolactate synthase inhibitores (mesosulfuron+iodosulfuron, pytroxsulam and sulfometuron) and photosynthesis inhibitors (isoproturon). One susceptible standard population was included in the test in order to validate it and to permit wild populations classification according to "R" rating system developed by Moss et al (2007). Most of populations were susceptible but some populations showed resistance to at least one of the three tested modes of action

Suivi de la minéralisation vernale en culture de froment et colza. Résultats d’expérimentations menées à GxABT

In 2014, Grenera was inserted in two experiments in the Gembloux region by the Crop Unit Temperate Regions of Gembloux Agro-Bio Tech (ULg) and the APPO respectively on winter wheat and oilseed rape 'winter. The objectives of such monitoring were to measure the mineralization of humus in order to contribute to the validation of fertilization tips and more specifically the term relating to the production of nitric nitrogen by the vegetation being ground; to confirm that fertilization does not lead to leave in the soil at harvest, a nitrogen balance significantly higher than that observed in the presence of reduced or no fertilization. In 2014, following an unusually mild winter, vegetation recovery was rapid and early in winter oilseed rape and winter wheat. The observations made during these experiments have confirmed the second argument in the context of two cultures followed. As regards the mineralization potential of the soil, a difference was observed between winter wheat and winter rape plots. In the latter, the production of nitric nitrogen vegetation being was only slightly exceeds 50 kg NO3-N / ha while the winter wheat parcel, the mineralization of humus soil brought some 90 kg NO3-N / ha during the same period (February-July 2014); these two values ​​are however higher than expected as estimated by the harmonized method REQUASUD - Nitrawal (about 30 kg NO3-N / ha for rapeseed and 60 kg NO3-N / ha for wheat). These observations, coupled with those made earlier this year by Grenera and UCL scientists Nitrawal members will contribute to the validation or adaptation of the references used for the nitrogen fertilization advice to achieve an optimal agronomic performance and environmental impact minimum