Propuesta de Mejora del Proceso de Control Migratorio en el Área de Inmigración del Aeropuerto Internacional el Dorado

Proponer un plan de mejora en el proceso de control migratorio en el Aeropuerto Internacional el Dorado área de inmigración, aplicando diferentes tipos de estudios que nos permitan la estandarización de los procesos.En el presente trabajo se pretende evaluar el proceso de control migratorio que se realiza en el área de inmigración del aeropuerto internacional el Dorado, el cual se encuentra en proceso de evaluación de cambios debido a todo lo sucedido en el transcurso de este año, donde se vivió un cambio de vida social derivado de la pandemia y por la cual se deben tomar diferentes medidas para mejorar y de esta forma volver a una nueva normalidad, la unidad Especial de Migración Colombia es la entidad encargada de realizar estas funciones. El objetivo de Migración es ejercer autoridad de vigilancia, control migratorio y de extranjería del estado colombiano, bajo estas funciones la entidad ha presentado inconvenientes en eficiencia y seguridad sanitaria debido a los altos flujos de viajeros que se han incrementado cada año. Se pretende realizar estudios que permitan identificar las falencias que se presentan en el procesoThis work pretends to evaluate the immigration control process carried out in the immigration area of the El Dorado international airport, which is still evaluating changes due to everything that happened over this year, where the life had a social change as a result of the sanitary situation and different measures must be taken to improve and finally return to a new normality. The Special Unit of Migration Colombia is the entity in charge of these functions, but the main objectives are the surveillance, migration and control of the Colombian borders, under these functions the entity has some sanitary issues due to the high flows of travelers that have increased over the year. It is intended to carry out studies that identify the shortcomings that arise in the proces

Propuesta de Mejora del Proceso de Control Migratorio en el Área de Inmigración del Aeropuerto Internacional el Dorado

Proponer un plan de mejora en el proceso de control migratorio en el Aeropuerto Internacional el Dorado área de inmigración, aplicando diferentes tipos de estudios que nos permitan la estandarización de los procesos.En el presente trabajo se pretende evaluar el proceso de control migratorio que se realiza en el área de inmigración del aeropuerto internacional el Dorado, el cual se encuentra en proceso de evaluación de cambios debido a todo lo sucedido en el transcurso de este año, donde se vivió un cambio de vida social derivado de la pandemia y por la cual se deben tomar diferentes medidas para mejorar y de esta forma volver a una nueva normalidad, la unidad Especial de Migración Colombia es la entidad encargada de realizar estas funciones. El objetivo de Migración es ejercer autoridad de vigilancia, control migratorio y de extranjería del estado colombiano, bajo estas funciones la entidad ha presentado inconvenientes en eficiencia y seguridad sanitaria debido a los altos flujos de viajeros que se han incrementado cada año. Se pretende realizar estudios que permitan identificar las falencias que se presentan en el procesoThis work pretends to evaluate the immigration control process carried out in the immigration area of the El Dorado international airport, which is still evaluating changes due to everything that happened over this year, where the life had a social change as a result of the sanitary situation and different measures must be taken to improve and finally return to a new normality. The Special Unit of Migration Colombia is the entity in charge of these functions, but the main objectives are the surveillance, migration and control of the Colombian borders, under these functions the entity has some sanitary issues due to the high flows of travelers that have increased over the year. It is intended to carry out studies that identify the shortcomings that arise in the proces

La imagen y la narrativa como herramientas para el abordaje psicosocial en escenarios de violencia. Municipio de Fusagasugá.

La imagen y la narrativa como herramientas para el abordaje psicosocial en escenarios de violencia. Municipio de Fusagasugá.En el siguiente informe, se encontrará los diferentes temas desarrollados en el Diplomado de Profundización Acompañamiento Psicosocial en Escenarios de violencia, donde se revisa el material propuesto encontrándose diferentes relatos de sobrevivientes que atravesaron diferentes historias de violencia causadas por el conflicto armado de nuestro país. Generando diferentes secuelas psicológicas y físicas, haciendo que se rompa el tejido social. A partir de esto y apoyadas en el enfoque narrativo trabajado en esta profundización, se analiza los relatos, queriendo identificar cuáles son los potenciales que desarrollaron las victimas después de la experiencia vivida, creando así habilidades y reflexiones de estos supervivientes, desdibujando y transformando factores de violencia en oportunidades de reconciliación, empoderamiento y reconocimiento de su entorno social sintiéndose así parte de la sociedad en la que habitan. Logrando de esta manera que la victimas dejen su papel por un sobreviviente de la guerra.In the following report, you will find the different topics developed in the Diploma of Deepening Psychosocial Accompaniment in Violence Scenarios, where the proposed material is reviewed, finding different stories of survivors who went through different stories of violence caused by the armed conflict in our country. Generating different psychological and physical sequels, causing the social fabric to break. From this and supported by the narrative approach worked in this deepening, the stories are analyzed, trying to identify which are the potentials developed by the victims after the lived experience, thus creating skills and reflections of these survivors, blurring and transforming factors of violence in opportunities for reconciliation, empowerment and recognition of their social environment, thus feeling part of the society in which they live. Achieving in this way that the victims leave their role for a survivor of the war

QUYN

The QUYN initiative is born out of the need to systematize and compile the phototramp records obtained in the teaching and research activities developed by the Institute of Natural Sciences (ICN) of the National University of Colombia. Thanks to this methodology it is possible to generate relevant information for distribution studies, activity patterns and habitat use of cryptic species, little known or poorly represented in collections. Likewise, this initiative seeks to be the starting point for generating work networks with Higher Education Institutions, Research Institutes and other institutions that, within their academic development, record important information on the diversity of mammals in our country. Thus, QUYN aims to disseminate wildlife species records from methodologies such as phototramp and manual photography.La iniciativa QUYN nace por la necesidad de sistematizar y recopilar los registros de fototrampeo obtenidos en las actividades de docencia e investigación que desarrolla el Instituto de Ciencias Naturales (ICN) de la Universidad Nacional de Colombia. Gracias a esta metodología es posible generar información relevante para estudios de distribución, patrones de actividad y uso de hábitat de especies crípticas, poco conocidas o poco representadas en colecciones. De igual manera, esta iniciativa busca ser el punto de inicio para generar redes de trabajo con Instituciones de Educación Superior, Institutos de Investigación y otras instituciones que dentro de su desarrollo académico registran información importante de la diversidad de mamíferos en nuestro país. De este modo, QUYN tiene como objetivo divulgar los registros de especies en vida silvestre a partir de metodologías como el fototrampeo y la fotografía manual

Mamíferos (Mammalia) de San José del Guaviare, Colombia

We present the results obtained during four years of sampling of mammals in different plant covers of the municipality of San José del Guaviare, Guaviare, Colombia. Between 2012 and 2017 we collected information about diversity of mammals, through capture with mist nets, traps for small and medium mammals, camera traps, direct observations, interviews, and secondary information. We report 121 species of mammals for the municipality. We recorded sampling completeness of 64 % for bats, 60 % for small non-flying mammals, and 100 % for medium and large mammals. We highlight geographical novelties for the marsupials Marmosa waterhousei, Glironia venusta and for the bats Lonchorhina marinkellei, Phyllostomus latifolius, Glyphonycteris sylvestris, Glyphonycteris daviesi, Glossophaga commissarisi and Myotis keaysi. The richness found in this study is comparable with other long-term neotropical inventories and the area has the largest number of bat and primate species reported for any site in Colombia. However, it is necessary to continue with the intensive sampling, because the richness of small non-volant mammals and bats are still underestimated.publishe

Kinship practices in the early state El Argar society from Bronze Age Iberia

Abstract The Early Bronze Age in Europe is characterized by social and genetic transformations, starting in the early 3rd millennium BCE. New settlement and funerary structures, artifacts and techniques indicate times of change with increasing economic asymmetries and political hierarchization. Technological advances in metallurgy also played an important role, facilitating trade and exchange networks, which became tangible in higher levels of mobility and connectedness. Archeogenetic studies have revealed a substantial transformation of the genetic ancestry around this time, ultimately linked to the expansion of steppe- and forest steppe pastoralists from Eastern Europe. Evidence for emerging infectious diseases such as Yersinia pestis adds further complexity to these tumultuous and transformative times. The El Argar complex in southern Iberia marks the genetic turnover in southwestern Europe ~ 2200 BCE that accompanies profound changes in the socio-economic structure of the region. To answer the question of who was buried in the emblematic double burials of the El Argar site La Almoloya, we integrated results from biological relatedness analyses and archaeological funerary contexts and refined radiocarbon-based chronologies from 68 individuals. We find that the El Argar society was virilocally and patrilineally organized and practiced reciprocal female exogamy, supported by pedigrees that extend up to five generations along the paternal line. Synchronously dated adult males and females from double tombs were found to be unrelated mating partners, whereby the incoming females reflect socio-political alliances among El Argar groups. In three cases these unions had common offspring, while paternal half-siblings also indicate serial monogamy or polygyny

Kinship practices in the early state El Argar society from Bronze Age Iberia

The Early Bronze Age in Europe is characterized by social and genetic transformations, starting in the early 3rd millennium BCE. New settlement and funerary structures, artifacts and techniques indicate times of change with increasing economic asymmetries and political hierarchization. Technological advances in metallurgy also played an important role, facilitating trade and exchange networks, which became tangible in higher levels of mobility and connectedness. Archeogenetic studies have revealed a substantial transformation of the genetic ancestry around this time, ultimately linked to the expansion of steppe- and forest steppe pastoralists from Eastern Europe. Evidence for emerging infectious diseases such as Yersinia pestis adds further complexity to these tumultuous and transformative times. The El Argar complex in southern Iberia marks the genetic turnover in southwestern Europe ~ 2200 BCE that accompanies profound changes in the socio-economic structure of the region. To answer the question of who was buried in the emblematic double burials of the El Argar site La Almoloya, we integrated results from biological relatedness analyses and archaeological funerary contexts and refined radiocarbon-based chronologies from 68 individuals. We find that the El Argar society was virilocally and patrilineally organized and practiced reciprocal female exogamy, supported by pedigrees that extend up to five generations along the paternal line. Synchronously dated adult males and females from double tombs were found to be unrelated mating partners, whereby the incoming females reflect socio-political alliances among El Argar groups. In three cases these unions had common offspring, while paternal half-siblings also indicate serial monogamy or polygyny

Global overview of the management of acute cholecystitis during the COVID-19 pandemic (CHOLECOVID study)

Background: This study provides a global overview of the management of patients with acute cholecystitis during the initial phase of the COVID-19 pandemic. Methods: CHOLECOVID is an international, multicentre, observational comparative study of patients admitted to hospital with acute cholecystitis during the COVID-19 pandemic. Data on management were collected for a 2-month study interval coincident with the WHO declaration of the SARS-CoV-2 pandemic and compared with an equivalent pre-pandemic time interval. Mediation analysis examined the influence of SARS-COV-2 infection on 30-day mortality. Results: This study collected data on 9783 patients with acute cholecystitis admitted to 247 hospitals across the world. The pandemic was associated with reduced availability of surgical workforce and operating facilities globally, a significant shift to worse severity of disease, and increased use of conservative management. There was a reduction (both absolute and proportionate) in the number of patients undergoing cholecystectomy from 3095 patients (56.2 per cent) pre-pandemic to 1998 patients (46.2 per cent) during the pandemic but there was no difference in 30-day all-cause mortality after cholecystectomy comparing the pre-pandemic interval with the pandemic (13 patients (0.4 per cent) pre-pandemic to 13 patients (0.6 per cent) pandemic; P = 0.355). In mediation analysis, an admission with acute cholecystitis during the pandemic was associated with a non-significant increased risk of death (OR 1.29, 95 per cent c.i. 0.93 to 1.79, P = 0.121). Conclusion: CHOLECOVID provides a unique overview of the treatment of patients with cholecystitis across the globe during the first months of the SARS-CoV-2 pandemic. The study highlights the need for system resilience in retention of elective surgical activity. Cholecystectomy was associated with a low risk of mortality and deferral of treatment results in an increase in avoidable morbidity that represents the non-COVID cost of this pandemic

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