Diseño y construcción de una cámara de simulación ambiental micro, para el cultivo del hongo “Plerotus”; para fortalecer los procesos formativos en la línea de robótica educativa de los aprendices de la comunidad Awá y Afrodescendientes de la Institución : Propuesta de investigación

El uso de la cámara de control de variables ambientales ha demostrado buenos resultados en la fructificación de hongos Pleurotus, los óptimos resultados obtenidos incluyen la fructificación exitosa de los hongos Pleurotus, la prevención de contaminaciones microbianas no deseadas y la eficiencia mejorada en el crecimiento del cultivo; estos logros respaldan la importancia de la tecnología de control en la optimización de la producción de hongos y la promoción de un cultivo de alta calidad y rendimiento apuntando directamente al fortalecimiento de los procesos educativos en cuanto a la robótica

Constitución e inteligencia artificial en el proceso

El tránsito de la fe a la tecnología en el proceso penal. La inteligencia artificial en la valoración de la prueba judicial: sistema experto juez inteligente: un avance hacia una justicia independiente y eficiente. El futuro de las garantías y principios constitucionales de la jurisdicción. Reflexiones en torno a la neurociencia y la prueba de testimonios. Función jurisdiccional e inteligencia artificial. Normas procesales e inteligencia artificial: condiciones para una intersección posibilista. Usos y límites de la inteligencia artificial en el proceso civil: Redes neuronales, tecnología GPT-3 y proceso. La inteligencia artificial en el ámbito de la salud: reflexiones a partir de la teoría de la pérdida de la oportunidad y de la responsabilidad del Estado. La inteligencia artificial y las garantías constitucionales. La propuesta de investigación: estructura básica y algunos aspectos críticos en el derecho

Reporte de las cláusulas de derecho internacional y política exterior de las constituciones Latinoamericanas 2021: Guía didáctica sobre la implementación, incorporación, eficacia y desarrollo del derecho internacional en las constituciones de América Latina

El reporte 2021 realizado por los estudiantes del curso “constitución, convencionalidad y derecho internacional” del pregrado en Derecho de la Facultad de Jurisprudencia de la Universidad del Rosario, presenta el estudio de la relación entre la constitución y el derecho internacional, a través de las cláusulas constitucionales de veintiséis (26) países de América Latina, especialmente en lo que respecta a su cláusula de supremacía constitucional; seguido de un ejemplo analizado de una cláusula en su correspondiente constitución que desarrolle la noción de “constitución internacional” y “constitución exterior”. Igualmente, el reporte presenta dos listados que enumeran el total de los artículos de la constitución que hacen referencia expresa al derecho internacional, y todas aquellas clausulas relevantes para las relaciones internacionales que desarrollen conceptos de política exterior en la constitución de cada Estado

Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries

© 2021 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 licenseBackground: 80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative outcomes in breast, colorectal, and gastric cancer surgery in hospitals worldwide, focusing on the effect of disease stage and complications on postoperative mortality. Methods: This was a multicentre, international prospective cohort study of consecutive adult patients undergoing surgery for primary breast, colorectal, or gastric cancer requiring a skin incision done under general or neuraxial anaesthesia. The primary outcome was death or major complication within 30 days of surgery. Multilevel logistic regression determined relationships within three-level nested models of patients within hospitals and countries. Hospital-level infrastructure effects were explored with three-way mediation analyses. This study was registered with ClinicalTrials.gov, NCT03471494. Findings: Between April 1, 2018, and Jan 31, 2019, we enrolled 15 958 patients from 428 hospitals in 82 countries (high income 9106 patients, 31 countries; upper-middle income 2721 patients, 23 countries; or lower-middle income 4131 patients, 28 countries). Patients in LMICs presented with more advanced disease compared with patients in high-income countries. 30-day mortality was higher for gastric cancer in low-income or lower-middle-income countries (adjusted odds ratio 3·72, 95% CI 1·70–8·16) and for colorectal cancer in low-income or lower-middle-income countries (4·59, 2·39–8·80) and upper-middle-income countries (2·06, 1·11–3·83). No difference in 30-day mortality was seen in breast cancer. The proportion of patients who died after a major complication was greatest in low-income or lower-middle-income countries (6·15, 3·26–11·59) and upper-middle-income countries (3·89, 2·08–7·29). Postoperative death after complications was partly explained by patient factors (60%) and partly by hospital or country (40%). The absence of consistently available postoperative care facilities was associated with seven to 10 more deaths per 100 major complications in LMICs. Cancer stage alone explained little of the early variation in mortality or postoperative complications. Interpretation: Higher levels of mortality after cancer surgery in LMICs was not fully explained by later presentation of disease. The capacity to rescue patients from surgical complications is a tangible opportunity for meaningful intervention. Early death after cancer surgery might be reduced by policies focusing on strengthening perioperative care systems to detect and intervene in common complications. Funding: National Institute for Health Research Global Health Research Unit

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

© 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licenseBackground: 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. Funding: National Institute for Health and Care Research