Conocimientos y prácticas de los fisioterapeutas egresados de la especialización de fisioterapia cardiopulmonar frente al uso de la presión arterial de oxígeno / fracción inspirada de oxígeno dentro de su ejercicio profesional en el área cardiopulmonar durante el primer semestre del año 2019

En la práctica intrahospitalaria principalmente, se ha evidenciado el uso inadecuado de algunos predictores en determinadas intervenciones fisioterapéuticas, como en el caso de uno de los índices de oxigenación PaO2/FiO2, el cual es considerado a la hora de instaurar VMI o VMNI, durante la extubación programada, el destete ventilatorio, la titulación de dispositivos de oxigenoterapia, etc. La utilidad de este índice se ha demostrado como un indicador del grado de hipoxemia y de severidad del SDRA, sin embargo su uso se ha extrapolado a otras patologías sobre las cuales no existe suficiente evidencia de la pertinencia de su uso, generando con ello intervenciones que podrían resultar poco seguras para el paciente. Por lo anterior se realizó un estudio sobre conocimientos y prácticas de los fisioterapeutas egresados de la Especialización en Fisioterapia Cardiopulmonar frente al uso de la PaO2/FiO2, dentro de su ejercicio profesional en el área cardiopulmonar durante el tercer trimestre del año 2019 en la ciudad de Santiago de Cali, con la finalidad de conocer, reconocer o explorar si pudiera haber consecuencias negativas en los pacientes como resultado de su uso en la práctica clínica o si por el contrario el panorama del ejercicio profesional frente a este indicador es el adecuado.EspecializaciónESPECIALISTA EN FISIOTERAPIA CARDIOPULMONA

Diseño y validación de material educativo para la prevención de la anemia ferropénica dirigido a madres de niños entre los 6 meses y 3 años

La anemia por deficiencia de hierro o anemia ferropénica se caracteriza por la disminución o pérdida de los depósitos de hierro, esta se presenta principalmente en las etapas donde se da el mayor desarrollo integral del ser humano, por eso el material educativo va dirigido a la etapa de 6 meses a 3 años, ya que esta población es más propensa a padecer esta patología debido a que los requerimientos de hierro se encuentran aumentados por la velocidad de crecimiento y desarrollo, además de que también se puede presentar por una alimentación insuficiente en hierro biodisponible. Está comprobado que la deficiencia de hierro tiene un gran impacto en el desarrollo emocional, cognitivo y motor, presentando un coeficiente de inteligencia menor, déficit de atención y fácil distracción. Objetivo General: Diseñar y validar material educativo para la prevención de anemia ferropénica dirigido a madres de niños entre los 6 meses a 3 años. Objetivos específicos: Realizar revisión bibliográfica de los conceptos acerca de la prevención de anemia ferropénica, en la población infantil. Consolidar la información en un material educativo que sea soporte para la prevención de la anemia ferropénica, dirigido a las madres de niños entre 6 meses y 3 años. Validar con un grupo de expertos y un grupo de madres de niños entre 6 meses y 3 años, la pertinencia del material educativo. Metodología: Se realizó una revisión de literatura enfocado en la prevención de la anemia ferropénica específicamente en la población de niños entre los 6 meses a 3 años, por tal motivo se utilizó esta información para la elaboración de material educativo dirigido a las madres cuyos hijos están entre estas edades, esto se validó en dos procesos, una validación por parte de expertos en el área de la salud y otra por un grupo de madres con hijos entre las 6 edades seleccionadas. La validación incluyó los siguientes aspectos: presentación, motivación, contextualización, comprensión y cambios para la acción. Resultados: En todos los criterios de evaluación se obtuvo una calificación mayor al 60%, por lo cual el material educativo es aceptado para su implementación. Conclusión: En la elaboración del material educativo se dio a conocer la importancia que tiene el correcto inicio de la alimentación complementaria como la inclusión de todos los grupos de los alimentos y el tener una alimentación que sea equilibrada, variada, adecuada y suficiente para poder cumplir con todos los requerimientos diarios de macro y micronutrientes.Iron deficiency anemia or iron deficiency anemia is characterized by decreased or loss of iron deposits, this occurs mainly in the stages where gives the greatest integral development of the human being, that is why the educational material is aimed at stage from 6 months to 3 years, since this population is more prone to suffer this pathology because iron requirements are increased by the speed of growth and development, in addition to which it can also be presented by a diet insufficient in bioavailable iron. It is proven that iron deficiency has a great impact on emotional, cognitive and motor development, presenting a coefficient of Lesser intelligence, attention deficit, and easy distraction. General Objective: Design and validate educational material for the prevention of anemia Iron deficiency aimed at mothers of children between 6 months to 3 years. Specific objectives: To carry out a bibliographic review of the concepts about the prevention of iron deficiency anemia in children. Consolidate the information in a educational material that is support for the prevention of iron deficiency anemia, aimed at mothers of children between 6 months and 3 years. Validate with a group of experts and a group of mothers of children between 6 months and 3 years, the relevance of the educational material. Methodology: A literature review focused on the prevention of anemia was performed iron deficiency specifically in the population of children between 6 months to 3 years, for this This information was used for the preparation of educational material aimed at mothers whose children are between these ages, this was validated in two processes, a validation by experts in the health area and another by a group of mothers with children among the 6 selected ages. The validation included the following aspects: presentation, motivation, contextualization, understanding and changes for action. Results: In all the evaluation criteria a score greater than 60% was obtained, therefore the educational material is accepted for its implementation. Conclusion: In the elaboration of the educational material, the importance of It has the correct beginning of the complementary feeding as the inclusion of all the food groups and having a diet that is balanced, varied, adequate and enough to meet all the daily macro requirements and micronutrient

Identification and expression pattern of a new carotenoid cleavage dioxygenase gene member from Bixa orellana

Carotenoid cleavage dioxygenases (CCDs) are a class of enzymes involved in the biosynthesis of a broad diversity of secondary metabolites known as apocarotenoids. In plants, CCDs are part of a genetic family with members which cleave specific double bonds of carotenoid molecules. CCDs are involved in the production of diverse and important metabolites such as vitamin A and abscisic acid (ABA). Bixa orellana L. is the main source of the natural pigment annatto or bixin, an apocarotenoid accumulated in large quantities in its seeds. Bixin biosynthesis has been studied and the involvement of a CCD has been confirmed in vitro. However, the CCD genes involved in the biosynthesis of the wide variety of apocarotenoids found in this plant have not been well documented. In this study, a new CCD1 gene member (BoCCD1) was identified and its expression was charaterized in different plant tissues of B. orellana plantlets and adult plants. The BoCCD1 sequence showed high homology with plant CCD1s involved mainly in the cleavage of carotenoids in several sites to generate multiple apocarotenoid products. Here, the expression profiles of the BoCCD1 gene were analysed and discussed in relation to total carotenoids and other important apocarotenoids such as bixin

Evaluación del plan de gestión integral de residuos hospitalarios, pgirhs, de la empresa social del estado Hospital del Sur de Armenia, Quindío, 2014

La Gestión de residuos hospitalarios a través de planes de gestión integral o PGIRHS, es una actividad relativamente nueva alrededor del mundo, aún más para nuestro país. En Colombia, aunque es obligatorio desde el punto de vista normativo ydebe estar impreso, muchas actividades se dejan de realizar en la práctica, lo que influye directamente sobre la salud pública y la salud ocupacional.1. Introducción 1 2. Definición del Problema 2 3. Justificación 3 4. Objetivos 6 5. Marco referencial 7 6. Estado actual 8 7. Diseño metodológico 82 8. Resultados y recomendaciones 84 9. Discusión 96 10. Plan de mejoramiento 101EspecializaciónEspecialista en Salud Ocupacional e Higiene en el Trabaj

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Effect of annealing temperature on the crystalline quality of Chemically Deposited CdSe films

CONACYT, Instituto Politecnico Naciona

DNA BARCODE ANALYSIS OF THE ENDANGERED GREEN TURTLE (Chelonia mydas) IN MEXICO

Technological and analytical advances to study evolutionary biology, ecology, and conservation of green turtles (Chelonia mydas) are realized through molecular approaches including DNA barcoding. We characterized the usefulness of COI DNA barcodes in green turtles in Mexico to better understand genetic divergence and other genetic parameters of this species. We analyzed 63 sequences, 25 from green turtle field specimens collected from the Gulf of Mexico and from the Mexican Pacific, and 38 already present in the Barcode of Life Data Systems (BOLD). A total of 13 haplotypes were identified with 4 novel haplotypes from the Pacific Ocean and 3 novel haplotypes from the Atlantic Ocean. Intraspecific distance values among COI gene sequences by two different models were 0.01, demonstrating that there is not a subdivision for green turtle species. Otherwise, the interspecific distance interval ranged from 0.07 to 0.13 supporting a clear subdivision among all sea turtle species. Haplotype and total nucleotide diversity values of the COI gene reflect a medium genetic diversity average. Green turtles of the Mexican Pacific showed common haplotypes to some Australian and Chinese turtles, but different from the haplotypes of the Mexican Atlantic. COI analysis revealed new haplotypes and confirmed that DNA barcodes were useful for evaluation of the population diversity of green turtles in Mexico.The accepted manuscript in pdf format is listed with the files at the bottom of this page. The presentation of the authors' names and (or) special characters in the title of the manuscript may differ slightly between what is listed on this page and what is listed in the pdf file of the accepted manuscript; that in the pdf file of the accepted manuscript is what was submitted by the author

From roads to biobanks: roadkill animals as a valuable source of genetic data

To protect biodiversity we must understand its structure and composition including the bacteria and microparasites associated with wildlife, which may pose risks to human health. However, acquiring this knowledge often presents challenges, particularly in areas of high biodiversity where there are many undescribed and poorly studied species and funding resources can be limited. A solution to fill this knowledge gap is sampling roadkill (animals that die on roads as a result of collisions with circulating vehicles). These specimens can help characterize local wildlife and their associated parasites with fewer ethical and logistical challenges compared to traditional specimen collection. Here we test this approach by analyzing 817 tissue samples obtained from 590 roadkill vertebrate specimens (Amphibia, Reptilia, Aves and Mammalia) collected in roads within the Tropical Andes of Ecuador. First, we tested if the quantity and quality of recovered DNA varied across roadkill specimens collected at different times since death, exploring if decomposition affected the potential to identify vertebrate species and associated microorganisms. Second, we compared DNA stability across taxa and tissues to identify potential limitations and offer recommendations for future work. Finally, we illustrate how these samples can aid in taxonomic identification and parasite detection. Our study shows that sampling roadkill can help study biodiversity. DNA was recovered and amplified (allowing species identification and parasite detection) from roadkill even 120 hours after death, although risk of degradation increased overtime. DNA was extracted from all vertebrate classes but in smaller quantities and with lower quality from amphibians. We recommend sampling liver if possible as it produced the highest amounts of DNA (muscle produced the lowest). Additional testing of this approach in areas with different environmental and traffic conditions is needed, but our results show that sampling roadkill specimens can help detect and potentially monitor biodiversity and could be a valuable approach to create biobanks and preserve genetic data