Formulation of a integral plan hospital waste management and similar of the social security building - police national management- health

Formulación del Plan de Gestión Integral de Residuos Hospitalarios y Similares del Edificio de Seguridad Social de la POLICÍA NACIONAL, conforme a lo estipulado en el Decreto 2676/2000.Formulation of the Integral Plan of Hospital Waste Management and Similar of the Social Security Building of POLICE, as stipulated in Decree 2676/2000

Multitemporal Analysis Supervised by Landsat Entre Nubes Park City Bogota to identify Ecologicos Brokers Classification

El Parque Metropolitano Entre Nubes, se encuentra ubicado en la ciudad de Bogotá, entre las localidades de San Cristóbal y Usme y se componen por los Cerros Juan Rey, La Cuchilla y Guacamayas. Se debe mencionar que este parque metropolitano es el esfuerzo de la Secretaria Distrital de Ambiente en sus pretensiones de generar un amplio espacio de gran valor ecológico para la Ciudad de Bogotá. Teniendo en cuenta que muchas de las zonas del parque metropolitano fue invadida de Retamo Espinoso (Ulex europaeus), en este trabajo se realizara un análisis multitemporal teniendo como insumo dos (02) imágenes del satélite Landsat 7 y 8 de los años 1999 y 2015 respectivamente, a las cuales se les deberá realizar una corrección atmosférica seguida de la clasificación de sus coberturas por medio del programa PCI Geomática, con el apoyo de la ortofoto (2014) de Catastro Distrital, el fin será determinar las coberturas de importancia ecológica y ambiental conectores ecológicos debido a los procesos de renaturalizacion.Metropolitan Park Between Clouds, it is located in the city of Bogota, between the towns of San Cristóbal and Usme and composed by Juan Rey Cerros, blade and Macaws. It should be mentioned that this metropolitan park is the effort of the District Department of Environment in its pretensions to generate a broad area of ​​great ecological value for the City of Bogota. Given that many of the areas of the metropolitan park was invaded by Retamo Thorny (Ulex europaeus), in this paper, a multi-temporal analysis taking as input two (02) Landsat satellite images 7 and 8 of the years 1999 and 2015 will be held respectively , to which must make them an atmospheric correction followed by the classification of its coverage through PCI Geomatics program, with the support of the orthophoto (2014) of District Land Registry, the end will determine the coverage of ecological and environmental importance connectors ecological because renaturation processes

Vengo por mi hija y me la voy a llevar. Crónicas

El proceso de investigación para cada crónica, el seguimiento a sus personajes, conocer sus vidas y sus asuntos más complejos y oírlos narrar los momentos esenciales de su diario trajinar por este país, plantea desde un comienzo una pregunta que es necesario responder: ¿qué sucede en un país que poco quiere a su gente, que la destruye, la humilla, la persigue, la aniquila y la enferma? Y es en este libro que encontrarán historias que muestran esos hechos. Sí, esos y otros más, porque como suelen decir, la vida no puede ser solo tristeza y sangre y vejación. También hay ejemplos de lucha, de supervivencia, de amor y de entrega a una causa o a una persona, porque eso también es el país donde vivimos y no podemos olvidarlo. Cuando el cielo es azul, brilla el sol y todavía no hemos oído llorar a nadie, tenemos la sensación de que que la guerra y los seres humanos están lejos y que vivimos en el mejor de los mundos posibles.Universidad de San Buenaventura - Cal

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