Bullying among adolescent attending school: validation of the nursing diagnosis “risk of violence directed to others”

La adolescencia es una etapa en la cual surgen una serie de cambios físicos, psicológicos y sociales, que  contribuyen a la formación de la personalidad; la manera en que los adolescentes afrontan estos cambios se  ve reflejada en los comportamientos de permisibilidad y violencia que ellos exteriorizan ante las diversas  situaciones de la vida cotidiana. Objetivo: validar el diagnóstico de enfermería “riesgo de violencia dirigida a  otros”, en adolescentes escolarizados. Método: estudio de corte transversal, donde la población eran  adolescentes de una institución media educativa del municipio de Rionegro (Santander, Colombia). La  variable principal fue “riesgo de violencia dirigida a otros”, la recolección de la información se hizo por medio de un instrumento de valoración de tamizaje del adolescente escolarizado. La validez clínica del diagnóstico,  se realizó mediante análisis de factores y análisis Rasch. Resultados: la población conformada por 300  adolescentes, la mediana de edad fue de 14 años, el 58,67% correspondió al género femenino. Los ítems que  ajustaron al modelo de análisis Rasch se encuentran con un INFIT que oscila entre 0,85 el menor y 1,24 el  mayor, y el OUTFIT que oscila entre 0,65 el menor y 1,77 el mayor. Muestra que las mujeres son más  agresoras que los varones, con una media de 1,53 de riesgo de violencia para las mujeres y una media de  1,03 para los hombres, con una probabilidad p=0,0006. Conclusión: validar clínicamente los diagnósticos de  enfermería, aporta a la evidencia y el crecimiento de la profesión como ciencia del cuidado.    Adolescence is a stage in which a series of physical, psychological and social factors arise which contribute to  the personality shaping;, the way in which adolescents face these changes are reflected in the permissibility  and violence behaviors they externalize to various situations of everyday life. Objective: to validate the  nursing diagnosis “risk of violence directed to others” among adolescents attending school. Method: a  cross-sectional study, where the population was teenagers from a Middle School in Rionegro (Santander,  Colombia). The main variable was the “risk of violence directed at others”, the data collection was carried out using an assessment screening instrument for the adolescent attending school. The clinical validity of the  diagnosis, was performed using factor analysis and Rasch analysis. Results: the population comprised 300  adolescents, the median age was 14 years, and 58.67% were female. The items that fitted the Rasch model  analysis with a INFIT are ranging between 0.85 the lowest and 1.24 the the highest, and OUTFIT ranging  between 0.65 the lowest and 1.77 the highest. It shows that women are more assailant than males, with a mean of 1.53 risk of violence for women and an average of 1.03 for men, with a probability p=0.0006.  Conclusion: clinical validation of nursing diagnoses, contributes to the evidence and the growth of the  profession as a science of care

Cultura y sociedad en movimiento

La presente compilación de textos, que aborda temáticas diversas sobre cultura y sociedad, es corolario de un esfuerzo compartido de profesores investigadores y alumnos de licenciatura y posgrado con el fin de dar a conocer resultados de las investigaciones que se están realizando en el organismo académico, incluyendo, por supuesto, otros trabajos llevados a cabo por colegas de instituciones y disciplinas afines; de esta manera se fortalecen los cuerpos académicos y se promueven las líneas de generación y aplicación del conocimiento de éstos, evidenciando algunos campos de conocimiento de la antropología.Como es manifiesto, la obra en su conjunto aborda distintos temas desde diversas perspectivas epistemológicas y teórico-conceptuales. Constituye un trabajo plural que articula la perspectiva antropológica, con otras lentes disciplinares. Cuerpo, agricultura, desigualdad y bienestar se entrelazan como ejes en principio divergentes, que hallan en lo sociocultural un elemento común de análisis. Así, los textos aquí englobados tienen la expectativa de aportar en la discusión contemporánea de viejos y nuevos derroteros de interés antropológico, y social en general

Colombian consensus recommendations for diagnosis, management and treatment of the infection by SARS-COV-2/ COVID-19 in health care facilities - Recommendations from expert´s group based and informed on evidence

La Asociación Colombiana de Infectología (ACIN) y el Instituto de Evaluación de Nuevas Tecnologías de la Salud (IETS) conformó un grupo de trabajo para desarrollar recomendaciones informadas y basadas en evidencia, por consenso de expertos para la atención, diagnóstico y manejo de casos de Covid 19. Estas guías son dirigidas al personal de salud y buscar dar recomendaciones en los ámbitos de la atención en salud de los casos de Covid-19, en el contexto nacional de Colombia

Evolving trends in the management of acute appendicitis during COVID-19 waves. The ACIE appy II study

Background: In 2020, ACIE Appy study showed that COVID-19 pandemic heavily affected the management of patients with acute appendicitis (AA) worldwide, with an increased rate of non-operative management (NOM) strategies and a trend toward open surgery due to concern of virus transmission by laparoscopy and controversial recommendations on this issue. The aim of this study was to survey again the same group of surgeons to assess if any difference in management attitudes of AA had occurred in the later stages of the outbreak. Methods: From August 15 to September 30, 2021, an online questionnaire was sent to all 709 participants of the ACIE Appy study. The questionnaire included questions on personal protective equipment (PPE), local policies and screening for SARS-CoV-2 infection, NOM, surgical approach and disease presentations in 2021. The results were compared with the results from the previous study. Results: A total of 476 answers were collected (response rate 67.1%). Screening policies were significatively improved with most patients screened regardless of symptoms (89.5% vs. 37.4%) with PCR and antigenic test as the preferred test (74.1% vs. 26.3%). More patients tested positive before surgery and commercial systems were the preferred ones to filter smoke plumes during laparoscopy. Laparoscopic appendicectomy was the first option in the treatment of AA, with a declined use of NOM. Conclusion: Management of AA has improved in the last waves of pandemic. Increased evidence regarding SARS-COV-2 infection along with a timely healthcare systems response has been translated into tailored attitudes and a better care for patients with AA worldwide

Canagliflozin and renal outcomes in type 2 diabetes and nephropathy

BACKGROUND Type 2 diabetes mellitus is the leading cause of kidney failure worldwide, but few effective long-term treatments are available. In cardiovascular trials of inhibitors of sodium–glucose cotransporter 2 (SGLT2), exploratory results have suggested that such drugs may improve renal outcomes in patients with type 2 diabetes. METHODS In this double-blind, randomized trial, we assigned patients with type 2 diabetes and albuminuric chronic kidney disease to receive canagliflozin, an oral SGLT2 inhibitor, at a dose of 100 mg daily or placebo. All the patients had an estimated glomerular filtration rate (GFR) of 30 to <90 ml per minute per 1.73 m2 of body-surface area and albuminuria (ratio of albumin [mg] to creatinine [g], >300 to 5000) and were treated with renin–angiotensin system blockade. The primary outcome was a composite of end-stage kidney disease (dialysis, transplantation, or a sustained estimated GFR of <15 ml per minute per 1.73 m2), a doubling of the serum creatinine level, or death from renal or cardiovascular causes. Prespecified secondary outcomes were tested hierarchically. RESULTS The trial was stopped early after a planned interim analysis on the recommendation of the data and safety monitoring committee. At that time, 4401 patients had undergone randomization, with a median follow-up of 2.62 years. The relative risk of the primary outcome was 30% lower in the canagliflozin group than in the placebo group, with event rates of 43.2 and 61.2 per 1000 patient-years, respectively (hazard ratio, 0.70; 95% confidence interval [CI], 0.59 to 0.82; P=0.00001). The relative risk of the renal-specific composite of end-stage kidney disease, a doubling of the creatinine level, or death from renal causes was lower by 34% (hazard ratio, 0.66; 95% CI, 0.53 to 0.81; P<0.001), and the relative risk of end-stage kidney disease was lower by 32% (hazard ratio, 0.68; 95% CI, 0.54 to 0.86; P=0.002). The canagliflozin group also had a lower risk of cardiovascular death, myocardial infarction, or stroke (hazard ratio, 0.80; 95% CI, 0.67 to 0.95; P=0.01) and hospitalization for heart failure (hazard ratio, 0.61; 95% CI, 0.47 to 0.80; P<0.001). There were no significant differences in rates of amputation or fracture. CONCLUSIONS In patients with type 2 diabetes and kidney disease, the risk of kidney failure and cardiovascular events was lower in the canagliflozin group than in the placebo group at a median follow-up of 2.62 years

Gestión del conocimiento. Perspectiva multidisciplinaria. Volumen 10

El libro “Gestión del Conocimiento. Perspectiva Multidisciplinaria”, Volumen 10, de la Colección Unión Global, es resultado de investigaciones. Los capítulos del libro, son resultados de investigaciones desarrolladas por sus autores. El libro es una publicación internacional, seriada, continua, arbitrada de acceso abierto a todas las áreas del conocimiento, que cuenta con el esfuerzo de investigadores de varios países del mundo, orientada a contribuir con procesos de gestión del conocimiento científico, tecnológico y humanístico que consoliden la transformación del conocimiento en diferentes escenarios, tanto organizacionales como universitarios, para el desarrollo de habilidades cognitivas del quehacer diario. La gestión del conocimiento es un camino para consolidar una plataforma en las empresas públicas o privadas, entidades educativas, organizaciones no gubernamentales, ya sea generando políticas para todas las jerarquías o un modelo de gestión para la administración, donde es fundamental articular el conocimiento, los trabajadores, directivos, el espacio de trabajo, hacia la creación de ambientes propicios para el desarrollo integral de las instituciones

Gestión del conocimiento. Perspectiva multidisciplinaria. Volumen 17

El libro “Gestión del Conocimiento. Perspectiva Multidisciplinaria”, Volumen 17 de la Colección Unión Global, es resultado de investigaciones. Los capítulos del libro, son resultados de investigaciones desarrolladas por sus autores. El libro es una publicación internacional, seriada, continua, arbitrada, de acceso abierto a todas las áreas del conocimiento, orientada a contribuir con procesos de gestión del conocimiento científico, tecnológico y humanístico. Con esta colección, se aspira contribuir con el cultivo, la comprensión, la recopilación y la apropiación social del conocimiento en cuanto a patrimonio intangible de la humanidad, con el propósito de hacer aportes con la transformación de las relaciones socioculturales que sustentan la construcción social de los saberes y su reconocimiento como bien público

Reactive Obstacle–Avoidance Systems for Wheeled Mobile Robots Based on Artificial Intelligence

Obstacle–Avoidance robots have become an essential field of study in recent years. This paper analyzes two cases that extend reactive systems focused on obstacle detection and its avoidance. The scenarios explored get data from their environments through sensors and generate information for the models based on artificial intelligence to obtain a reactive decision. The main contribution is focused on the discussion of aspects that allow for comparing both approaches, such as the heuristic approach implemented, requirements, restrictions, response time, and performance. The first case presents a mobile robot that applies a fuzzy inference system (FIS) to achieve soft turning basing its decision on depth image information. The second case introduces a mobile robot based on a multilayer perceptron (MLP) architecture, which is a class of feedforward artificial neural network (ANN), and ultrasonic sensors to decide how to move in an uncontrolled environment. The analysis of both options offers perspectives to choose between reactive Obstacle–Avoidance systems based on ultrasonic or Kinect sensors, models that infer optimal decisions applying fuzzy logic or artificial neural networks, with key elements and methods to design mobile robots with wheels. Therefore, we show how AI or Fuzzy Logic techniques allow us to design mobile robots that learn from their “experience” by making them safe and adjustable for new tasks, unlike traditional robots that use large programs to perform a specific task

Latin America in the 19th Century

This exhibit is a culmination of UT students’ collaborative effort to select, curate, and digitize original documents held in the Nettie Lee Benson Latin American Collection that reveal the region’s tumultuous and transformative 19th-century journeys towards modernity.Department of History & LLILAS Benson Latin American Studies and CollectionsLatin American Studie