Agua : vida del pueblo Awá. ¿Por qué respetar la naturaleza y su cosmovisión? Investigación local, Comunidad Peña La Brava, Tumaco

Se describe el trabajo desarrollado en el marco de acciones SENA-Tropenbos en el que se recopilan saberes de la comunidad indígena Awá aplicables a cosmovisión, creencias, aspectos sociales, culturales y religiososThe work developed within the framework of SENA-Tropenbos actions in which knowledge of the Awá indigenous community applicable to worldview, beliefs, social, cultural and religious aspects is compiled is describedDedicatoria -- Creación de la tierra según la cosmovisión Awá -- Estefa la Awá que ponía y sacaba muela sin dolor -- Quiénes somos el pueblo indígena Awá -- Historia del árbol grande -- Origen del agua para la cosmovisión Awá -- Sitios Sagrados Los espíritus que viven en los sitios sagrados -- Enfermedades que causan los espíritus sagrados y sus curaciones -- En la naturaleza todo tiene su dueño -- El Nastarón La tortuga bambera -- Vivienda del Awá -- Palabras finalesna27 página

Delayed colorectal cancer care during covid-19 pandemic (decor-19). Global perspective from an international survey

Background The widespread nature of coronavirus disease 2019 (COVID-19) has been unprecedented. We sought to analyze its global impact with a survey on colorectal cancer (CRC) care during the pandemic. Methods The impact of COVID-19 on preoperative assessment, elective surgery, and postoperative management of CRC patients was explored by a 35-item survey, which was distributed worldwide to members of surgical societies with an interest in CRC care. Respondents were divided into two comparator groups: 1) ‘delay’ group: CRC care affected by the pandemic; 2) ‘no delay’ group: unaltered CRC practice. Results A total of 1,051 respondents from 84 countries completed the survey. No substantial differences in demographics were found between the ‘delay’ (745, 70.9%) and ‘no delay’ (306, 29.1%) groups. Suspension of multidisciplinary team meetings, staff members quarantined or relocated to COVID-19 units, units fully dedicated to COVID-19 care, personal protective equipment not readily available were factors significantly associated to delays in endoscopy, radiology, surgery, histopathology and prolonged chemoradiation therapy-to-surgery intervals. In the ‘delay’ group, 48.9% of respondents reported a change in the initial surgical plan and 26.3% reported a shift from elective to urgent operations. Recovery of CRC care was associated with the status of the outbreak. Practicing in COVID-free units, no change in operative slots and staff members not relocated to COVID-19 units were statistically associated with unaltered CRC care in the ‘no delay’ group, while the geographical distribution was not. Conclusions Global changes in diagnostic and therapeutic CRC practices were evident. Changes were associated with differences in health-care delivery systems, hospital’s preparedness, resources availability, and local COVID-19 prevalence rather than geographical factors. Strategic planning is required to optimize CRC care