La educación continua una necesidad para el personal asistencial de los centros de salud: estudio documental 2006- 2015

45 p.Health centers are places that provide wellness care, including hospitals, clinics, outpatient care centers, centers specialized care, in these health centers works a human resource with different professions, however, for the welfare service their staff consists of: head nurses, nursing assistants, instrumentalists, general practitioners and medical specialists who most represents a direct use with biomedical equipment in health centers, an activity that requires having previous knowledge and continuous updates during use and avoid or reduce adverse event reports associated with the use of biomedical equipment. The aim of this study is to investigate and identify the inevitable need for continuing education in the use of biomedical equipment, primarily for the care team of health centers through a document review within the period 2006- 2015. The methodology quantitative research is cutting descriptive documentary study uses the technique for finding information needs associated risks and the lack of continuing education for the nursing staff of the health centers. The translations of the research study can show that there is a need for a continuing education program in health centers because it is evident that the nursing staff does not have the full knowledge of the use of biomedical equipment causing poor equipment operation and to an adverse event associated with lack of training, the need for health center to maintain prestige likewise meet the standards established for quality management system, drive to continuing education to develop. The continuing education programs can become a strategy of health centers to decide to continue or not in the market, considering that its goal is to provide every day a better health service and quality improving processes continuing education to be more competitive, it not only seeks an improvement or strengthening the skills of caregivers, also looking for a job and academic growth of workforce health centers which in this case is nursing assistants, nurses ( os) heads, general practitioners and medical specialists.Los centros de salud son lugares que brindan cuidados para la salud, incluyen hospitales, clínicas, centros de cuidados ambulatorios, centros de cuidados especializados etc., en estos centros de salud labora un recurso humano con diferentes profesiones, sin embargo, para el servicio asistencial su personal está conformado por: enfermeras jefes, auxiliares de enfermería, instrumentadores, médicos generales y médicos especialistas, quienes más representa un uso directo con los equipos biomédicos en los centros de salud, actividad que requiere tener un conocimiento previo y actualizaciones continuas durante su uso y así evitar o disminuir los reportes de eventos adversos asociados al uso de equipos biomédicos. El objetivo del presente estudio es indagar e identificar la necesidad inevitable de una educación continua en el uso de equipos biomédicos, esencialmente para el personal asistencial de los centros de salud mediante una revisión documental comprendida en el periodo del año 2006- 2015. La metodología de la investigación es de corte cuantitativo descriptivo, utiliza la técnica estudio documental para la búsqueda de la información de los riesgos y necesidades asociados a la falta de educación continua para el personal asistencial de los centros de salud. Los resultados que arroja el estudio de la investigación se puede evidenciar que existe una necesidad de un programa de educación continua en los centros de salud debido a que se evidencia que el personal asistencial no cuenta con el conocimiento pleno del uso de equipos biomédicos ocasionando un mal funcionamiento del equipo y hasta un evento adverso asociado a la falta de capacitación, la necesidad de los centro de salud de mantener un prestigio así mismo cumplir con las normas establecidas para un sistema de gestión de la calidad, impulsan a que se desarrolle la educación continua. Los programas de educación continua pueden llegar a ser una estrategia de los centros de salud de decidir seguir o no en el mercado, teniendo en cuenta que su objetivo es brindar cada día un mejor servicio de la salud y con calidad mejorando sus procesos de educación continua para ser más competitivos, esto no solo busca un mejoramiento o fortalecimiento de las destrezas del personal asistencial, también se busca un crecimiento laboral y académico de la fuerza de trabajo de los centros de salud que en este caso corresponde a auxiliares de enfermería, enfermeras (os) jefes, médicos generales y médicos especialistas

Communicative skills as a result of successful intelligence

The current work began with the observation of the needs of high school students and their constant concern for the level of their development in communication skills according to the social standards of their context. Two instruments were used: The Sternberg (adapted) questionnaire (STAT), which evaluates the successful intelligence of students, where systematized quantitative information is collected as well as the teacher’s observation card to the student, for the qualitative information of the three categories of communication skills. The design is of a mixed type. Several reference works were considered in order to contrast and triangulate according to experts’ opinions

Teaching strategies for text comprehension of basic education students

The study aimed at establishing the incidence of teaching strategies on the reading comprehension of basic education students. Hence, an applied methodology of quasi-experimental design was developed, with the application of the Solomon model of four intact groups. Innovative teaching strategies were tested and their results were gathered in instruments such as assessment tests that were validated by communication experts, and were also analyzed through descriptive and inferential statistics (Kruskal-Wallis), which proved that the use of these strategies improved significantly the expected learning outcome in text comprehension

Parametric Dense Stereovision Implementation on a System-on Chip (SoC)

This paper proposes a novel hardware implementation of a dense recovery of stereovision 3D measurements. Traditionally 3D stereo systems have imposed the maximum number of stereo correspondences, introducing a large restriction on artificial vision algorithms. The proposed system-on-chip (SoC) provides great performance and efficiency, with a scalable architecture available for many different situations, addressing real time processing of stereo image flow. Using double buffering techniques properly combined with pipelined processing, the use of reconfigurable hardware achieves a parametrisable SoC which gives the designer the opportunity to decide its right dimension and features. The proposed architecture does not need any external memory because the processing is done as image flow arrives. Our SoC provides 3D data directly without the storage of whole stereo images. Our goal is to obtain high processing speed while maintaining the accuracy of 3D data using minimum resources. Configurable parameters may be controlled by later/parallel stages of the vision algorithm executed on an embedded processor. Considering hardware FPGA clock of 100 MHz, image flows up to 50 frames per second (fps) of dense stereo maps of more than 30,000 depth points could be obtained considering 2 Mpix images, with a minimum initial latency. The implementation of computer vision algorithms on reconfigurable hardware, explicitly low level processing, opens up the prospect of its use in autonomous systems, and they can act as a coprocessor to reconstruct 3D images with high density information in real time

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Measurement of the cross-section and charge asymmetry of WW bosons produced in proton-proton collisions at s=8\sqrt{s}=8 TeV with the ATLAS detector

This paper presents measurements of the $W^+ \rightarrow \mu^+\nu$ and $W^- \rightarrow \mu^-\nu$ cross-sections and the associated charge asymmetry as a function of the absolute pseudorapidity of the decay muon. The data were collected in proton--proton collisions at a centre-of-mass energy of 8 TeV with the ATLAS experiment at the LHC and correspond to a total integrated luminosity of 20.2~\mbox{fb^{-1}}. The precision of the cross-section measurements varies between 0.8% to 1.5% as a function of the pseudorapidity, excluding the 1.9% uncertainty on the integrated luminosity. The charge asymmetry is measured with an uncertainty between 0.002 and 0.003. The results are compared with predictions based on next-to-next-to-leading-order calculations with various parton distribution functions and have the sensitivity to discriminate between them.Comment: 38 pages in total, author list starting page 22, 5 figures, 4 tables, submitted to EPJC. All figures including auxiliary figures are available at https://atlas.web.cern.ch/Atlas/GROUPS/PHYSICS/PAPERS/STDM-2017-13

Search for chargino-neutralino production with mass splittings near the electroweak scale in three-lepton final states in √s=13 TeV pp collisions with the ATLAS detector

A search for supersymmetry through the pair production of electroweakinos with mass splittings near the electroweak scale and decaying via on-shell W and Z bosons is presented for a three-lepton final state. The analyzed proton-proton collision data taken at a center-of-mass energy of √s=13  TeV were collected between 2015 and 2018 by the ATLAS experiment at the Large Hadron Collider, corresponding to an integrated luminosity of 139  fb−1. A search, emulating the recursive jigsaw reconstruction technique with easily reproducible laboratory-frame variables, is performed. The two excesses observed in the 2015–2016 data recursive jigsaw analysis in the low-mass three-lepton phase space are reproduced. Results with the full data set are in agreement with the Standard Model expectations. They are interpreted to set exclusion limits at the 95% confidence level on simplified models of chargino-neutralino pair production for masses up to 345 GeV

Search for direct production of charginos and neutralinos in events with three leptons and missing transverse momentum in √s = 7 TeV pp collisions with the ATLAS detector

A search for the direct production of charginos and neutralinos in final states with three electrons or muons and missing transverse momentum is presented. The analysis is based on 4.7 fb−1 of proton–proton collision data delivered by the Large Hadron Collider and recorded with the ATLAS detector. Observations are consistent with Standard Model expectations in three signal regions that are either depleted or enriched in Z-boson decays. Upper limits at 95% confidence level are set in R-parity conserving phenomenological minimal supersymmetric models and in simplified models, significantly extending previous results

Observation of associated near-side and away-side long-range correlations in √sNN=5.02 TeV proton-lead collisions with the ATLAS detector

Two-particle correlations in relative azimuthal angle (Δϕ) and pseudorapidity (Δη) are measured in √sNN=5.02  TeV p+Pb collisions using the ATLAS detector at the LHC. The measurements are performed using approximately 1  μb-1 of data as a function of transverse momentum (pT) and the transverse energy (ΣETPb) summed over 3.1<η<4.9 in the direction of the Pb beam. The correlation function, constructed from charged particles, exhibits a long-range (2<|Δη|<5) “near-side” (Δϕ∼0) correlation that grows rapidly with increasing ΣETPb. A long-range “away-side” (Δϕ∼π) correlation, obtained by subtracting the expected contributions from recoiling dijets and other sources estimated using events with small ΣETPb, is found to match the near-side correlation in magnitude, shape (in Δη and Δϕ) and ΣETPb dependence. The resultant Δϕ correlation is approximately symmetric about π/2, and is consistent with a dominant cos⁡2Δϕ modulation for all ΣETPb ranges and particle pT

Search for direct stau production in events with two hadronic tau-leptons in root s=13 TeV pp collisions with the ATLAS detector

A search for the direct production of the supersymmetric partners ofτ-leptons (staus) in final stateswith two hadronically decayingτ-leptons is presented. The analysis uses a dataset of pp collisions corresponding to an integrated luminosity of139fb−1, recorded with the ATLAS detector at the LargeHadron Collider at a center-of-mass energy of 13 TeV. No significant deviation from the expected StandardModel background is observed. Limits are derived in scenarios of direct production of stau pairs with eachstau decaying into the stable lightest neutralino and oneτ-lepton in simplified models where the two staumass eigenstates are degenerate. Stau masses from 120 GeV to 390 GeV are excluded at 95% confidencelevel for a massless lightest neutralino