11 research outputs found
Plan de auditoria para el programa de auditoria interna al sistema de gestión de calidad iso 22000:2018 de productos alimenticios Magdalana
En el trabajo final para el diplomado de profundización en sistemas de gestión de la inocuidad y del ambiente para el sector de alimentos, se describe cada uno de los planes de auditoria asociados al programa de auditoria socializado en el anexo 1 ( Formato programa de auditoria Fase 3 ), con la finalidad de proponer la estructura para realizar la verificación y cierre de los hallazgos encontrados durante el seguimiento a los procesos productivos de la empresa Magdalana, los cuales son insumo importante en la mejora continua de los procesos con alcance al sistema integrado de gestión de la inocuidad y el ambiente.In the final work for the in-depth diploma in safety and environmental management systems for the food sector, each of the audit plans associated with the audit program socialized in Annex 1 (Audit program format Phase 3), in order to propose the structure to verify and close the results found during the monitoring of the production processes of the Magdalana company, which are an important input in the continuous improvement of the processes with scope to the integrated system of safety and environmental management
Trabajo social comunitario: acciones desde lo rural.
Con el ánimo de conversar al respecto acerca de nuevas posibilidades
de actuación desde lo comunitario en escenarios rurales, se llevó a cabo en mayo
del 2014 el iv Seminario Internacional de Trabajo Social Comunitario: Acciones desde
lo Rural, el cual buscaba establecer diálogos entre espacios académicos y populares, todo esto a partir de los saberes de las comunidades en territorios rurales, con la
intención de comprender el campo de acción del trabajo social en este escenario a
nivel regional, nacional e internacional
Trabajo social comunitario: acciones desde lo rural.
Con el ánimo de conversar al respecto acerca de nuevas posibilidades
de actuación desde lo comunitario en escenarios rurales, se llevó a cabo en mayo
del 2014 el iv Seminario Internacional de Trabajo Social Comunitario: Acciones desde
lo Rural, el cual buscaba establecer diálogos entre espacios académicos y populares, todo esto a partir de los saberes de las comunidades en territorios rurales, con la
intención de comprender el campo de acción del trabajo social en este escenario a
nivel regional, nacional e internacional
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
Imaginación mediática en Hispanoamérica : variantología de lo transmedial entre los siglos XVI y XIX / Siegfried Zielinski … [et al] ; Mauricio Vásquez Arias, Diego Fernando Montoya, editores académicos
En el tiempo reciente, Mauricio Vásquez ha desarrollado, en conjunto con un grupo activo de estudiantes de la Maestría en Comunicación Transmedia del Departamento de Comunicación Social de la Universidad EAFIT, un proyecto pedagógico singular el cual consiste en hacer un retrato de la fiesta barroca entre los siglo XVI y XIX. Esta celebración de origen colonial estaba constituida por una serie muy amplia de prácticas escénicas y artefactuales que resultan familiares a la variantología de los medios puestos que, temática y operativamente, hacen referencia a fenómenos mecánicos, ópticos y escénicos descritos por pensadores como el mallorquín Ramón Llull (1232-1315) o el alemán Athanasius Kircher (1602-1680). Algunos de los tópicos expuestos en los nueve capítulos del presente libro son : la curaduría del programa de la fiesta barroca, los jeroglíficos, la arquitectura temporal, los carros alegóricos, el teatro, los gabinetes ópticos, los espectáculos de variedades, las fantasmagorías y las sesiones de espiritismo. Este tipo de investigación es completamente relevante el día de hoy porque Colombia y buena parte de América Latina fueron fundadas como producto de la Contrarreforma, y este fue en buena medida un proceso instrumental, un proceso profundamente mediático que es necesario diseccionar y discutir, para conocer y decolonizar (Mignolo, 2003).Prólogo : variantoscopios / Andrés Burbano -- Imaginación mediática en Hispanoamérica. Variantología de lo transmedial entre los siglo XVI y XIX / Mauricio Vásquez Arias -- Variantología : relaciones de tiempo profundo entre artes, ciencias y tecnologías : una entrevista (ficticia) / Siegfried Zielinski -- Siglo XVI al XVIII : comisariado, organización e invención del programa simbólico de las fiestas barrocas entre los siglos XVI y XVIII en Hispanoamérica / José Luis Acosta Sáenz, María Camila Borrás Santiago, Manuela González Cabrera, Andrés Naranjo Ortiz ; relaciones entre jeroglíficos, concursos, oralidad, arquitectura y arte performativo en la fiesta barroca entre los siglos XVI y XIX / Isabel Cristina Castaño Preciado, Alejandro Gómez Valencia, Juan Felipe Mejía García, Natalia Moreno Londoño, Ángela Tobón Ospina ; claves mediáticas de la arquitectura efímera en la fiesta barroca hispanoamericana / Ángela María Salazar Restrepo, Deicy Johana Pareja Montoya, Juan Gabriel Jaramillo Vásquez, Manuel Alejandro Valencia Zapata ; el carro alegórico como elemento simbólico en la fiesta barroca / Estefanía Jiménez Tamayo, Nicolás Arbeláez Rivera, Alejandra Henao Quiroz, Manuel Recio Gómez ; el teatro en la fiesta barroca : entre la celebración, la conmemoración y el espectáculo / Paula Andrea Álvarez Patiño, Ana María Bolívar Noreña, Yuliola Ximena Flórez Castillón, Kelly Marcela Velásquez Amaya -- Siglo XIX : el gabinete óptico en la España del siglo XIX / Sara Melissa Gallego Quiroz, Elizabeth Montoya Vélez ; manifestaciones del espectáculo de variedades en Iberoamérica durante el siglo XIX / Jennifer Ballestas Avilez, Valeria Zapata Giraldo, Ana Isabel Restrepo Patiño ; la fantasmagoría como espectáculo en la España del siglo XIX / Johny Galvis, Alejandro Agudelo, Johan Sebastián Morales ; uno para "sí", dos para "no" : el montaje de las sesiones espiritistas en la Argentina decimonónica / Daniel Garcíatoro, Juan Fernando Jaramillo Montoya266 p
¿Por qué si el agua es transparente uno ve el mar azul? Lo que se preguntan los niños sobre ciencias contestado en breves relatos de expertos
Este libro, cuyo título es precisamente una de las preguntas de los niños, una de aquellas que quizás nos hicimos cuando teníamos esas edades, nos mostró lo cerca que está la ciencia de cada uno, todas las inquietudes que se tienen sobre la misma y la oportunidad que tenemos si enriquecemos la escuela con espacios que permitan aprovechar dichas preguntas para enseñarles a pensar a nuestros niños, a despertar su curiosidad y a seguir teniendo ideas maravillosas
Prospective cohort study of incidence and risk factors for catheter-associated urinary tract infections in 145 intensive care units of 9 Latin American countries: INICC findings
Purpose: Identify urinary catheter (UC)-associated urinary tract infections (CAUTI) incidence and risk factors (RF) in Latin American Countries. Methods: From 01/01/2014 to 02/10/2022, we conducted a prospective cohort study in 145 ICUs of 67 hospitals in 35 cities in nine Latin American countries: Argentina, Brazil, Colombia, Costa Rica, Dominican Republic, Ecuador, Mexico, Panama, and Peru. To estimate CAUTI incidence, we used the number of UC-days as the denominator, and the number of CAUTIs as numerator. To estimate CAUTI RFs, we analyzed the following 10 variables using multiple logistic regression: gender, age, length of stay (LOS) before CAUTI acquisition, UC-days before CAUTI acquisition, UC-device utilization (DU) ratio, UC-type, hospitalizationtype, ICU type, facility ownership, and time period. Results: 31,631 patients, hospitalized for 214,669 patient-days, acquired 305 CAUTIs. The pooled CAUTI rate per 1000 UC-days was 2.58, for those using suprapubic catheters, it was 2.99, and for those with indwelling catheters, it was 2.21. The following variables were independently associated with CAUTI: age, rising risk 1% yearly (aOR = 1.01; 95% CI 1.01–1.02; p < 0.0001 female gender (aOR = 1.28; 95% CI 1.01–1.61; p = 0.04), LOS before CAUTI acquisition, rising risk 7% daily (aOR = 1.07; 95% CI 1.06–1.08; p < 0.0001, UC/DU ratio (aOR = 1.14; 95% CI 1.08–1.21; p < 0.0001, public facilities (aOR = 2.89; 95% CI 1.75–4.49; p < 0.0001. The periods 2014–2016 and 2017–2019 had significantly higher risks than the period 2020–2022. Suprapubic catheters showed similar risks as indwelling catheters. Conclusion: The following CAUTI RFs are unlikely to change: age, gender, hospitalization type, and facility ownership. Based on these findings, it is suggested to focus on reducing LOS, UC/DU ratio, and implementing evidence-based CAUTI prevention recommendations.Revisión por pare
Multinational prospective cohort study of incidence and risk factors for central line-associated bloodstream infections in ICUs of 8 Latin American countries
Background: Our objective was to identify central line (CL)-associated bloodstream infections (CLABSI) rates and risk factors in Latin-America. Methods: From January 1, 2014 to February 10, 2022, we conducted a multinational multicenter prospective cohort study in 58 ICUs of 34 hospitals in 21 cities in 8 Latin American countries (Argentina, Brazil, Colombia, Costa Rica, Dominican Republic, Ecuador, Mexico, Panama). We applied multiple-logistic regression. Outcomes are shown as adjusted-odds ratios (aOR). Results: About 29,385 patients were hospitalized during 92,956 days, acquired 400 CLABSIs, and pooled CLABSI rate was 4.30 CLABSIs per 1,000 CL-days. We analyzed following 10 variables: Gender, age, length of stay (LOS) before CLABSI acquisition, CL-days before CLABSI acquisition, CL-device utilization (DU) ratio, CL-type, tracheostomy use, hospitalization type, intensive care unit (ICU) type, and facility ownership, Following variables were independently associated with CLABSI: LOS before CLABSI acquisition, rising risk 3% daily (aOR=1.03;95%CI=1.02-1.04; P < .0001); number of CL-days before CLABSI acquisition, rising risk 4% per CL-day (aOR=1.04;95%CI=1.03-1.05; P < .0001); publicly-owned facility (aOR=2.33;95%CI=1.79-3.02; P < .0001). ICU with highest risk was medical-surgical (aOR=2.61;95%CI=1.41-4.81; P < .0001). CL with the highest risk were femoral (aOR=2.71;95%CI=1.61-4.55; P < .0001), and internal-jugular (aOR=2.62;95%CI=1.82-3.79; P < .0001). PICC (aOR=1.25;95%CI=0.63-2.51; P = .52) was not associated with CLABSI risk. Conclusions: Based on these findings it is suggested to focus on reducing LOS, CL-days, using PICC instead of femoral or internal-jugular; and implementing evidence-based CLABSI prevention recommendations.Revisión por pare