Huayru

For this project, I will design a board game based on Huayru, a traditional ritual game played by some indigenous people from the Andes mountain range for centuries. Mostly played currently at funerals, this tradition is considered to be in extinction [...]. It is not among my objectives to reintroduce the practice of the ritual; instead, I will aim to rescue its memory and trnsmit knowledge about it by designing a different game using the elements of the original as inspiration

Design thinking para la educación inclusiva: una revisión de literatura

Este trabajo busca presentar un estado del arte sobre el uso del design thinking como recurso para la aplicación de un enfoque de educación inclusiva que supere la educación especial y los modelos de atención a la discapacidad. Se plantea una investigación cualitativa, con basada en una metodología de revisión sistemática de la bibliografía. Se utilizó un buscador académico de libre acceso donde, a través de diversos criterios y algoritmos booleanos como “educación inclusiva and design thinking” e “inclusive education and design thinking”, se obtuvo un considerablenúmero de textos que seon analizarondos hasta llegar a cinco que emplean utilizan una conceptualización de educación inclusiva acorde con la esperada y que, además, aplican el design thinking como un análisis de posibilidades de sus propuestas. Los resultados mostraron que un gran número de investigaciones que hablan de educación inclusiva, lo hacen desde modelos de atención a la discapacidad, aunque cada vez es más creciente el uso de conceptualizaciones que superaen estos posicionamientos. En aquellos que lo logran, el design thinking favorece un diseño centrado en el usuario, el pensamiento multidisciplinario y una mirada optimista, colaborativa y de experimentación de la realidad, lo quepodría favorecer la construcción de nuevas realidades sociales y la manifestación de las singularidades múltiples de los seres humanos

Effect of alirocumab on mortality after acute coronary syndromes. An analysis of the ODYSSEY OUTCOMES randomized clinical trial

Background: Previous trials of PCSK9 (proprotein convertase subtilisin-kexin type 9) inhibitors demonstrated reductions in major adverse cardiovascular events, but not death. We assessed the effects of alirocumab on death after index acute coronary syndrome. Methods: ODYSSEY OUTCOMES (Evaluation of Cardiovascular Outcomes After an Acute Coronary Syndrome During Treatment With Alirocumab) was a double-blind, randomized comparison of alirocumab or placebo in 18 924 patients who had an ACS 1 to 12 months previously and elevated atherogenic lipoproteins despite intensive statin therapy. Alirocumab dose was blindly titrated to target achieved low-density lipoprotein cholesterol (LDL-C) between 25 and 50 mg/dL. We examined the effects of treatment on all-cause death and its components, cardiovascular and noncardiovascular death, with log-rank testing. Joint semiparametric models tested associations between nonfatal cardiovascular events and cardiovascular or noncardiovascular death. Results: Median follow-up was 2.8 years. Death occurred in 334 (3.5%) and 392 (4.1%) patients, respectively, in the alirocumab and placebo groups (hazard ratio [HR], 0.85; 95% CI, 0.73 to 0.98; P=0.03, nominal P value). This resulted from nonsignificantly fewer cardiovascular (240 [2.5%] vs 271 [2.9%]; HR, 0.88; 95% CI, 0.74 to 1.05; P=0.15) and noncardiovascular (94 [1.0%] vs 121 [1.3%]; HR, 0.77; 95% CI, 0.59 to 1.01; P=0.06) deaths with alirocumab. In a prespecified analysis of 8242 patients eligible for ≥3 years follow-up, alirocumab reduced death (HR, 0.78; 95% CI, 0.65 to 0.94; P=0.01). Patients with nonfatal cardiovascular events were at increased risk for cardiovascular and noncardiovascular deaths (P<0.0001 for the associations). Alirocumab reduced total nonfatal cardiovascular events (P<0.001) and thereby may have attenuated the number of cardiovascular and noncardiovascular deaths. A post hoc analysis found that, compared to patients with lower LDL-C, patients with baseline LDL-C ≥100 mg/dL (2.59 mmol/L) had a greater absolute risk of death and a larger mortality benefit from alirocumab (HR, 0.71; 95% CI, 0.56 to 0.90; Pinteraction=0.007). In the alirocumab group, all-cause death declined wit h achieved LDL-C at 4 months of treatment, to a level of approximately 30 mg/dL (adjusted P=0.017 for linear trend). Conclusions: Alirocumab added to intensive statin therapy has the potential to reduce death after acute coronary syndrome, particularly if treatment is maintained for ≥3 years, if baseline LDL-C is ≥100 mg/dL, or if achieved LDL-C is low. Clinical Trial Registration: URL: https://www.clinicaltrials.gov. Unique identifier: NCT01663402

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

DISEÑO GRÁFICO APLICADO EN ESCAPARATES INTERACTIVOS COMO UNA HERRAMIENTA PUBLICITARIA DE LA EMPRESA PLASMET DE LA CIUDAD DE CUENCA, ECUADOR

Este proyecto tiene como propósito posicionar en el mercado a la marca PLASMET y a las protecciones plegables como su producto estrella, mediante una propuesta publicitaria de carácter BTL, que permite la interacción del usuario con un sistema gráfico (artefacto) de diseño. El artefacto de diseño está conformado por dos partes esenciales: la gráfica y el escaparate interactivo que en esta ocasión es un dispensador de alcohol, los mismos que se plantea emplazar en lugares de mayor afluencia del público objetivo de la empresa, en la ciudad de Cuenca, Ecuador. Para lograr el objetivo, se recurrió a la metodología taxonomía de Abraham Moles que se enfoca en la importancia de los objetos para la vida del ser humano, por lo que se realizaron entrevistas semiestructuradas para conocer las percepciones de individuos que desconocían la empresa y a quienes se considera potenciales clientes. Con este proyecto, se busca impactar en la ciudadanía, para generar un conocimiento del producto y posicionar la marca para una futura adquisiciónThe purpose of this project is to set the PLASMET brand and the folding protections as its star product in the market, through a BTL advertising proposal, which allows the user to interact with a graphic system (artifact) design. The design artifact is made up of two essential parts: the graphics and the interactive showcase, which on this occasion is an alcohol dispenser, both of which will be placed in locations where the company's target audience is most likely to be present in the city of Cuenca, Ecuador. To achieve the objective, we resorted to the taxonomy methodology that focuses on the importance of objects for the life of human beings, here semi-structured interviews were conducted to learn the perceptions of individuals who did not know the company and whom are considered potential customers. This project seeks to have an impact on citizens, to generate awareness of the product and position the brand for future purchase0000-0001-7200-926

Investigación para el diseño apoyada en cultura material

This paper suggests the use of material culture in design research and as a conceptual tool for understanding how objects are converted into cultural information and acquire meaning within social dynamics. We would like to see design research as a flexible approach that is nourished by different sources, theories, practices and ways of understanding research that do not only come from design theories. We present a case study about the guaguas de pan (bread figures) in Ecuador. We begin with a review of design theories that will be used for a morphological analysis, and then continue with some approaches to material culture. The ultimate goal of this article is to illustrate with a concrete example a research exercise that could be used for designing.Este trabajo plantea el uso de teorías de cultura material en la investigación para el diseño como herramienta conceptual para entender cómo los objetos se convierten en repositorios de información cultural y adquieren significado dentro de las dinámicas sociales. Buscamos que la investigación para el diseño sea flexible y se nutra de distintas fuentes, teorías, prácticas y formas de entender la investigación que no procedan únicamente de las teorías del diseño. Presentamos un estudio de caso acerca de las guaguas de pan en el Ecuador. Empezaremos con una revisión de teorías de diseño que serán utilizadas para un análisis morfológico, y continuaremos con una reflexión desde la cultura material. La meta final de este artículo es ilustrar, con un ejemplo concreto, las bases de un ejercicio de investigación que puede usarse para cualquier producto creativo

Proyecto De Tesis I - CI186 - 202102

Descripción: Curso de especialidad en la carrera de ingeniería civil de carácter teórico-práctico dirigido a los estudiantes del 9no ciclo. El curso Proyecto de Tesis I busca que los estudiantes de Ingeniería Civil apliquen sus capacidades adquiridas durante todos sus estudios, en completar una investigación, que plantea resolver una problemática en una de las líneas de la carrera. Con la ayuda de un docente asesor especialista en el tema lograran redactar el informe de tesis al 50%, este informe será revisado por otro docente especialista que proporciona sugerencias de mejoras a la investigación. Por último, los estudiantes exponen ante un jurado especialista sus resultados quienes evalúan y también hacen sugerencia de mejoras a la investigación. Propósito: En el Perú actualmente existe un gran número de estudiantes de Ingeniería Civil que no cuentan con el título profesional, por no realizar la tesis de investigación, lo cual disminuye significativamente su desarrollo profesional y sus oportunidades laborales. El curso de proyecto de Tesis 1 permite que los estudiantes puedan desarrollar el 50% de la Tesis de investigación, siendo la misma certificada por un asesor y un jurado evaluador. Contribuye con el desarrollo de las competencias generales de Pensamiento Crítico, Razonamiento Cuantitativo, Pensamiento Innovador y las competencias específicas 1, 4 y 7 de ABET, todas a nivel de logro 3