Incidencia de la inadecuada administración municipal en la gestión del riesgo de desastres en la región Lima, 2022

La presente investigación titulada Incidencia de la inadecuada administración municipal en la gestión del riesgo de desastres en la región Lima, 2022, tuvo como objetivo general definir la correlación entre la administración municipal y la gestión del riesgo de desastres. Los instrumentos que se utilizaron fueron cuestionarios que según (Meneses, 2021) es un mecanismo continuo mediante el cual se formulan cuestionamientos con la intención de recoger información, basada en el tratamiento cuantitativo, dichos instrumentos fueron sometidos a las pruebas de confiabilidad y validez que determinaron que son aceptables para su aplicación. El método empleado fue el hipotético deductivo, el tipo de investigación es básica, el diseño es descriptivo correlacional no experimental. La población está representada por 100 ciudadanos del distrito de Chilca-Cañete, asimismo la muestra estuvo conformada por 80 pobladores mayores de 50 años. La técnica empleada para recolectar información fue la encuesta y los instrumentos de recolección de datos fueron los cuestionarios que fueron debidamente validados a través del juicio de expertos y su confiabilidad a través del estadístico Alfa de cronbach. Se concluyó que existen evidencias suficientes para afirmar que existe relación entre la Administración municipal y la gestión del riesgo de desastres en la región Lima

La responsabilidad social con el medio ambiente: la degradación ambiental para combatir la corrupción en la región Lima

Humanity is responsible for environmental deterioration, for this reason we live the consequences adding to a great economic instability generated by the incorrect actions of the state, public and private entities and society, which becomes a serious threat that creates public distrust. in the face of the loss of public resources allocated to health, education and social issues; there are no solid systems for the fight against corruption, hence the importance of Social Responsibility being consolidated and positioned. A change of attitude is required in society from Education considering the responsibilities and duties with nature, as well as social awareness. Finally, there is an excessive exploitation of natural resources, in the face of population growth and 10% of the budget is lost in corruption, taxes are evaded that should solve problems of humanity, and banish hunger.La humanidad es la responsable del deterioro ambiental, por ello vivimos las consecuencias sumado a una gran inestabilidad económica generada por las acciones incorrectas del estado, de las entidades públicas, privadas y la sociedad, el cual se convierte en una amenaza grave que crea desconfianza pública ante la perdida de recursos públicos destinados a la salud, educación y temas sociales; no hay sistemas sólidos de la lucha contra la corrupción, de ahí la importancia de que la Responsabilidad Social  sea el compromiso de todo servidor público fortaleciendo todo Gobierno. Se requiere el cambio de actitud en la sociedad desde la Educación considerando las responsabilidades y deberes con la naturaleza, así como la toma conciencia social. Finalmente existe una desmedida explotación de los recursos naturales, ante el crecimiento poblacional y el 10% del presupuesto se pierde en la corrupción, se evade impuestos que deberían resolver problemas de la humanidad, y desterrar el hambre

Effects of pre-operative isolation on postoperative pulmonary complications after elective surgery: an international prospective cohort study an international prospective cohort study

We aimed to determine the impact of pre-operative isolation on postoperative pulmonary complications after elective surgery during the global SARS-CoV-2 pandemic. We performed an international prospective cohort study including patients undergoing elective surgery in October 2020. Isolation was defined as the period before surgery during which patients did not leave their house or receive visitors from outside their household. The primary outcome was postoperative pulmonary complications, adjusted in multivariable models for measured confounders. Pre-defined sub-group analyses were performed for the primary outcome. A total of 96,454 patients from 114 countries were included and overall, 26,948 (27.9%) patients isolated before surgery. Postoperative pulmonary complications were recorded in 1947 (2.0%) patients of which 227 (11.7%) were associated with SARS-CoV-2 infection. Patients who isolated pre-operatively were older, had more respiratory comorbidities and were more commonly from areas of high SARS-CoV-2 incidence and high-income countries. Although the overall rates of postoperative pulmonary complications were similar in those that isolated and those that did not (2.1% vs 2.0%, respectively), isolation was associated with higher rates of postoperative pulmonary complications after adjustment (adjusted OR 1.20, 95%CI 1.05–1.36, p = 0.005). Sensitivity analyses revealed no further differences when patients were categorised by: pre-operative testing; use of COVID-19-free pathways; or community SARS-CoV-2 prevalence. The rate of postoperative pulmonary complications increased with periods of isolation longer than 3 days, with an OR (95%CI) at 4–7 days or ≥ 8 days of 1.25 (1.04–1.48), p = 0.015 and 1.31 (1.11–1.55), p = 0.001, respectively. Isolation before elective surgery might be associated with a small but clinically important increased risk of postoperative pulmonary complications. Longer periods of isolation showed no reduction in the risk of postoperative pulmonary complications. These findings have significant implications for global provision of elective surgical care. We aimed to determine the impact of pre-operative isolation on postoperative pulmonary complications after elective surgery during the global SARS-CoV-2 pandemic. We performed an international prospective cohort study including patients undergoing elective surgery in October 2020. Isolation was defined as the period before surgery during which patients did not leave their house or receive visitors from outside their household. The primary outcome was postoperative pulmonary complications, adjusted in multivariable models for measured confounders. Pre-defined sub-group analyses were performed for the primary outcome. A total of 96,454 patients from 114 countries were included and overall, 26,948 (27.9%) patients isolated before surgery. Postoperative pulmonary complications were recorded in 1947 (2.0%) patients of which 227 (11.7%) were associated with SARS-CoV-2 infection. Patients who isolated pre-operatively were older, had more respiratory comorbidities and were more commonly from areas of high SARS-CoV-2 incidence and high-income countries. Although the overall rates of postoperative pulmonary complications were similar in those that isolated and those that did not (2.1% vs 2.0%, respectively), isolation was associated with higher rates of postoperative pulmonary complications after adjustment (adjusted OR 1.20, 95%CI 1.05–1.36, p = 0.005). Sensitivity analyses revealed no further differences when patients were categorised by: pre-operative testing; use of COVID-19-free pathways; or community SARS-CoV-2 prevalence. The rate of postoperative pulmonary complications increased with periods of isolation longer than 3 days, with an OR (95%CI) at 4–7 days or ≥ 8 days of 1.25 (1.04–1.48), p = 0.015 and 1.31 (1.11–1.55), p = 0.001, respectively. Isolation before elective surgery might be associated with a small but clinically important increased risk of postoperative pulmonary complications. Longer periods of isolation showed no reduction in the risk of postoperative pulmonary complications. These findings have significant implications for global provision of elective surgical care