Estimular la capacidad creativa : propuesta para mejorar la convivencia escolar de los ni?os y ni?as del colegio CAFAM Santa Luc?a a partir de las artes pl?sticas

131 p. Recurso Electr?nicoEl siguiente trabajo es el resultado de un proceso de investigaci?n formativa desarrollado en el marco de la investigaci?n social, escolar, cultural y familiar, el cual busca mostrar la manera en que se abord? una problem?tica presente en las pr?cticas de observaci?n de la instituci?n educativa ?CAFAM SANTA LUCIA?, la cual fue intervenida con un Proyecto Pedag?gico de Aula, buscado aportar una estrategia para la estimulaci?n de la capacidad creativa con el fin de fortalecer y potenciar las relaciones interpersonales con los estudiantes de ciclo dos de grado cuarto. De all? emerge la propuesta de utilizar elementos de la expresi?n pl?stica para fortalecer el respeto por el otro y la creatividad como uno de los pilares del desarrollo integral de los ni?os de grado cuarto de dicha instituci?n. Palabras claves: capacidad creativa, expresi?n pl?stica, etapas del desarrollo, imaginaci?n, estimulaci?n, artes espaciales, relaciones interpersonales.The following work is the result of a process of formative research developed within the framework of social, school, cultural and family research, which seeks to show the way in which a problem was addressed in the observational practices of the educational institution " CAFAM SANTA LUCIA ", which was intervened with a Classroom Pedagogical Project, sought to provide a strategy for the stimulation of creative capacity in order to strengthen and strengthen interpersonal relationships with the students of cycle two of fourth grade. From there emerges the proposal to use elements of plastic expression to strengthen respect for the other and creativity as one of the pillars of the integral development of the fourth grade children of said institution. Keywords: creative ability, plastic expression, stages of development, imagination, stimulation, space arts, interpersonal relations

Plan de gestión integral de residuos sólidos (pgirs) en la institución educativa liceo pradera para fomentar una cultura ambiental y promover la conservación del entorno

Una de las problemáticas que se viven a diario no solo en la comunidad si no a nivel mundial es el manejo inadecuado de los recursos sólidos puesto que no tenemos concienciacióna ni siquiera desde que depositamos los papeles en la calle no nos importa muchas las acciones que tenemos frente a las basuras, no nos ponemos a pensar en las consecuencias que este mal manejo conlleva. El presente trabajo tiene como propósito desarrollar un plan de gestión de residuos sólidos en la Institución Educativa LICEO PRADERA, desde lo académico, promoviendo el manejo ambiental, la conservación del entorno y la calidad desde la perspectiva del desarrollo sostenible y la responsabilidad ambiental frente al manejo adecuado de los residuos sólidos: orgánicos e inorgánicos. La pregunta que regirá esta investigación es, ¿Cómo el plan de gestión integral de residuos sólidos fortalece una cultura ambiental, para el mejoramiento del entorno ambiental en la institución educativa Liceo pradera?, desarrollando diversas actividades que permiten dar un manejo adecuado de los residuos sólidos, así podrá verse que participe toda la comunidad educativa y desarrollen una cultura ambiental y mejorar el ambiente. Para desarrollar este proyecto se realiza un bosquejo mediante una matriz de Vester, un árbol de problemas y finalmente una encuesta que permite identificar la problemática sobre el manejo inadecuado de los residuos sólidos, aplicada a un grupo de 98 personas, con edades promedio entre los 11 y 30 años, de diferentes ocupaciones, entre estudiantes y docentes de la institución educativa Liceo Pradera que es una institución de carácter privado cuenta con diferentes niveles educativos; básica primaria, básica secundaria y media, en el análisis de los instrumentos aplicados deja al descubierto la problemática sobre el mal manejo de los residuos sólidos

Impact of COVID-19 on cardiovascular testing in the United States versus the rest of the world

Objectives: This study sought to quantify and compare the decline in volumes of cardiovascular procedures between the United States and non-US institutions during the early phase of the coronavirus disease-2019 (COVID-19) pandemic. Background: The COVID-19 pandemic has disrupted the care of many non-COVID-19 illnesses. Reductions in diagnostic cardiovascular testing around the world have led to concerns over the implications of reduced testing for cardiovascular disease (CVD) morbidity and mortality. Methods: Data were submitted to the INCAPS-COVID (International Atomic Energy Agency Non-Invasive Cardiology Protocols Study of COVID-19), a multinational registry comprising 909 institutions in 108 countries (including 155 facilities in 40 U.S. states), assessing the impact of the COVID-19 pandemic on volumes of diagnostic cardiovascular procedures. Data were obtained for April 2020 and compared with volumes of baseline procedures from March 2019. We compared laboratory characteristics, practices, and procedure volumes between U.S. and non-U.S. facilities and between U.S. geographic regions and identified factors associated with volume reduction in the United States. Results: Reductions in the volumes of procedures in the United States were similar to those in non-U.S. facilities (68% vs. 63%, respectively; p = 0.237), although U.S. facilities reported greater reductions in invasive coronary angiography (69% vs. 53%, respectively; p < 0.001). Significantly more U.S. facilities reported increased use of telehealth and patient screening measures than non-U.S. facilities, such as temperature checks, symptom screenings, and COVID-19 testing. Reductions in volumes of procedures differed between U.S. regions, with larger declines observed in the Northeast (76%) and Midwest (74%) than in the South (62%) and West (44%). Prevalence of COVID-19, staff redeployments, outpatient centers, and urban centers were associated with greater reductions in volume in U.S. facilities in a multivariable analysis. Conclusions: We observed marked reductions in U.S. cardiovascular testing in the early phase of the pandemic and significant variability between U.S. regions. The association between reductions of volumes and COVID-19 prevalence in the United States highlighted the need for proactive efforts to maintain access to cardiovascular testing in areas most affected by outbreaks of COVID-19 infection

Biología de los anfibios y reptiles en el bosque seco tropical del norte de Colombia.

Los anfibios y reptiles son animales asombrosos y su biología es mucho más Fascinante y variada de lo que originalmente se consideraba. Esta afirmación se soporta fácilmente en múltiples aspectos, entre los cuales sobresale, su reproducción (Duellman &amp; Trueb 1994; Wells 2007; Balshine 2012; Gómez-Mestre et al. 2012; Vitt &amp; Caldwell 2014; Pough et al. 2016). En los anfibios, por ejemplo, muchas especies no dejan sus huevos en charcas y lagunas, como tradicionalmente ha creído el común de las personas, sino que las hembras los depositan en ambientes terrestres, tales como la superficie de hojas o en ambientes húmedos que se dan a nivel del suelo entre hojarasca y bajo troncos caídos, piedras o raíces de árboles (Duellman &amp; Trueb 1994; Crump 2015). Más aún, hay especies cuya reproducción es tan especializada que los padres o madres transportan a los renacuajos en diferentes partes de su cuerpo , ya sea, por pocas horas o días, mientras los depositan en ambientes específicos, o hasta que las crías terminan su ciclo de metamorfosis y se desarrollen como un adulto, pero en miniatura  (Noble 1927; Mendelson et al. 2000; Castroviejo-Fisher et al. 2015). Con respecto a los reptiles, hay ejemplos de especies, donde, - las hembras no requieren que un gameto masculino fertilice sus óvulos para producir crías, o especies, donde el sexo de la progenie no está determinado genéticamente, sino por la temperatura ambiental, lo cual, permiten la incubación de huevos (Tinkle &amp; Gibbons 1977; Shine 1995; Vitt &amp; Caldwell 2014). Los factores o procesos asociados a la evolución de este último aspecto en la reproducción de reptiles, es todo un enigma para los científicos (BlacNburn 2006; Shine 2015). Estos y muchos más ejemplos, que se encuentran a lo largo de este libro, contradicen la imagen que durante décadas se tuvo de los anfibios y reptiles, incluso, por científicos y naturalistas tan prestigiosos como, Carlos Linneo, quien afirmó que estos vertebrados eran animales repulsivos, en los cuales el creador no había ejercido toda su sabiduría y poder (Halliday &amp; Adler 1986)

Worldwide Disparities in Recovery of Cardiac Testing 1 Year Into COVID-19

BACKGROUND The extent to which health care systems have adapted to the COVID-19 pandemic to provide necessary cardiac diagnostic services is unknown.OBJECTIVES The aim of this study was to determine the impact of the pandemic on cardiac testing practices, volumes and types of diagnostic services, and perceived psychological stress to health care providers worldwide.METHODS The International Atomic Energy Agency conducted a worldwide survey assessing alterations from baseline in cardiovascular diagnostic care at the pandemic's onset and 1 year later. Multivariable regression was used to determine factors associated with procedure volume recovery.RESULTS Surveys were submitted from 669 centers in 107 countries. Worldwide reduction in cardiac procedure volumes of 64% from March 2019 to April 2020 recovered by April 2021 in high- and upper middle-income countries (recovery rates of 108% and 99%) but remained depressed in lower middle- and low-income countries (46% and 30% recovery). Although stress testing was used 12% less frequently in 2021 than in 2019, coronary computed tomographic angiography was used 14% more, a trend also seen for other advanced cardiac imaging modalities (positron emission tomography and magnetic resonance; 22%-25% increases). Pandemic-related psychological stress was estimated to have affected nearly 40% of staff, impacting patient care at 78% of sites. In multivariable regression, only lower-income status and physicians' psychological stress were significant in predicting recovery of cardiac testing.CONCLUSIONS Cardiac diagnostic testing has yet to recover to prepandemic levels in lower-income countries. Worldwide, the decrease in standard stress testing is offset by greater use of advanced cardiac imaging modalities. Pandemic-related psychological stress among providers is widespread and associated with poor recovery of cardiac testing. (C) 2022 The Authors. Published by Elsevier on behalf of the American College of Cardiology Foundation

Reduction of cardiac imaging tests during the COVID-19 pandemic: The case of Italy. Findings from the IAEA Non-invasive Cardiology Protocol Survey on COVID-19 (INCAPS COVID)

Background: In early 2020, COVID-19 massively hit Italy, earlier and harder than any other European country. This caused a series of strict containment measures, aimed at blocking the spread of the pandemic. Healthcare delivery was also affected when resources were diverted towards care of COVID-19 patients, including intensive care wards. Aim of the study: The aim is assessing the impact of COVID-19 on cardiac imaging in Italy, compare to the Rest of Europe (RoE) and the World (RoW). Methods: A global survey was conducted in May–June 2020 worldwide, through a questionnaire distributed online. The survey covered three periods: March and April 2020, and March 2019. Data from 52 Italian centres, a subset of the 909 participating centres from 108 countries, were analyzed. Results: In Italy, volumes decreased by 67% in March 2020, compared to March 2019, as opposed to a significantly lower decrease (p &lt; 0.001) in RoE and RoW (41% and 40%, respectively). A further decrease from March 2020 to April 2020 summed up to 76% for the North, 77% for the Centre and 86% for the South. When compared to the RoE and RoW, this further decrease from March 2020 to April 2020 in Italy was significantly less (p = 0.005), most likely reflecting the earlier effects of the containment measures in Italy, taken earlier than anywhere else in the West. Conclusions: The COVID-19 pandemic massively hit Italy and caused a disruption of healthcare services, including cardiac imaging studies. This raises concern about the medium- and long-term consequences for the high number of patients who were denied timely diagnoses and the subsequent lifesaving therapies and procedures

International Impact of COVID-19 on the Diagnosis of Heart Disease

Background: The coronavirus disease 2019 (COVID-19) pandemic has adversely affected diagnosis and treatment of noncommunicable diseases. Its effects on delivery of diagnostic care for cardiovascular disease, which remains the leading cause of death worldwide, have not been quantified. Objectives: The study sought to assess COVID-19's impact on global cardiovascular diagnostic procedural volumes and safety practices. Methods: The International Atomic Energy Agency conducted a worldwide survey assessing alterations in cardiovascular procedure volumes and safety practices resulting from COVID-19. Noninvasive and invasive cardiac testing volumes were obtained from participating sites for March and April 2020 and compared with those from March 2019. Availability of personal protective equipment and pandemic-related testing practice changes were ascertained. Results: Surveys were submitted from 909 inpatient and outpatient centers performing cardiac diagnostic procedures, in 108 countries. Procedure volumes decreased 42% from March 2019 to March 2020, and 64% from March 2019 to April 2020. Transthoracic echocardiography decreased by 59%, transesophageal echocardiography 76%, and stress tests 78%, which varied between stress modalities. Coronary angiography (invasive or computed tomography) decreased 55% (p &lt; 0.001 for each procedure). In multivariable regression, significantly greater reduction in procedures occurred for centers in countries with lower gross domestic product. Location in a low-income and lower–middle-income country was associated with an additional 22% reduction in cardiac procedures and less availability of personal protective equipment and telehealth. Conclusions: COVID-19 was associated with a significant and abrupt reduction in cardiovascular diagnostic testing across the globe, especially affecting the world's economically challenged. Further study of cardiovascular outcomes and COVID-19–related changes in care delivery is warranted