Aplicativos de la herramienta Grupos de Facebook en Loja, Ecuador. Un estudio de caso exploratorio / Facebook Groups tool applications in Loja, Ecuador. An exploratory case study

El presente artículo exterioriza los resultados de la investigación grupos de Facebook en Loja, Ecuador. La disciplina metodología coherente que orientó la investigación fue el estudio de caso exploratorio, apoyada en las técnicas de recolección de datos: observación web y análisis de contenido con estadística descriptiva. El objeto de análisis fue identificar los aplicativos de la herramienta Grupos de la red social en el área local. Se identificó 99 grupos y se trabajó con 2, por preferencia a la cantidad de miembros activos durante el 9 de julio de 2017 (un día). De los modos de apropiación de los aplicativos identificados, en el artículo se analiza uno, orientado a la compraventa. Entre las conclusiones se puede señalar que en el contexto lojano este modo de apropiación constituye una herramienta esencial para promocionar servicios y productos

Aplicativos de la herramienta Grupos de Facebook en Loja, Ecuador. Un estudio de caso exploratorio / Facebook Groups tool applications in Loja, Ecuador. An exploratory case study

El presente artículo exterioriza los resultados de la investigación grupos de Facebook en Loja, Ecuador. La disciplina metodología coherente que orientó la investigación fue el estudio de caso exploratorio, apoyada en las técnicas de recolección de datos: observación web y análisis de contenido con estadística descriptiva. El objeto de análisis fue identificar los aplicativos de la herramienta Grupos de la red social en el área local. Se identificó 99 grupos y se trabajó con 2, por preferencia a la cantidad de miembros activos durante el 9 de julio de 2017 (un día). De los modos de apropiación de los aplicativos identificados, en el artículo se analiza uno, orientado a la compraventa. Entre las conclusiones se puede señalar que en el contexto lojano este modo de apropiación constituye una herramienta esencial para promocionar servicios y productos

El ‘Like’ ha conquistado internet. Interrogantes al uso y filosofía.

The phenomenon of the 'Like' icon has conquered the Internet in recent years. What is the interest in using it? The present essay provides a reflection on the question

El ‘Like’ ha conquistado internet. Interrogantes al uso y filosofía.

The phenomenon of the 'Like' icon has conquered the Internet in recent years. What is the interest in using it? The present essay provides a reflection on the question

Early rise in central venous pressure during a spontaneous breathing trial: A promising test to identify patients at high risk of weaning failure?

Background The spontaneous breathing trial (SBT) assesses the risk of weaning failure by evaluating some physiological responses to the massive venous return increase imposed by discontinuing positive pressure ventilation. This trial can be very demanding for some critically ill patients, inducing excessive physical and cardiovascular stress, including muscle fatigue, heart ischemia and eventually cardiac dysfunction. Extubation failure with emergency reintubation is a serious adverse consequence of a failed weaning process. Some data suggest that as many as 50% of patients that fail weaning do so because of cardiac dysfunction. Unfortunately, monitoring cardiovascular function at the time of the SBT is complex. The aim of our study was to explore if central venous pressure (CVP) changes were related to weaning failure after starting an SBT. We hypothesized that an early rise on CVP could signal a cardiac failure when handling a massive increase on venous return following a discontinuation of positive pressure ventilation. This CVP rise could identify a subset of patients at high risk for extubation failure. Methods Two-hundred and four mechanically ventilated patients in whom an SBT wa

A922 Sequential measurement of 1 hour creatinine clearance (1-CRCL) in critically ill patients at risk of acute kidney injury (AKI)

Meeting abstrac

International Nosocomial Infection Control Consortium report, data summary of 50 countries for 2010-2015: Device-associated module

•We report INICC device-associated module data of 50 countries from 2010-2015.•We collected prospective data from 861,284 patients in 703 ICUs for 3,506,562 days.•DA-HAI rates and bacterial resistance were higher in the INICC ICUs than in CDC-NHSN's.•Device utilization ratio in the INICC ICUs was similar to CDC-NHSN's. Background: We report the results of International Nosocomial Infection Control Consortium (INICC) surveillance study from January 2010-December 2015 in 703 intensive care units (ICUs) in Latin America, Europe, Eastern Mediterranean, Southeast Asia, and Western Pacific. Methods: During the 6-year study period, using Centers for Disease Control and Prevention National Healthcare Safety Network (CDC-NHSN) definitions for device-associated health care-associated infection (DA-HAI), we collected prospective data from 861,284 patients hospitalized in INICC hospital ICUs for an aggregate of 3,506,562 days. Results: Although device use in INICC ICUs was similar to that reported from CDC-NHSN ICUs, DA-HAI rates were higher in the INICC ICUs: in the INICC medical-surgical ICUs, the pooled rate of central line-associated bloodstream infection, 4.1 per 1,000 central line-days, was nearly 5-fold higher than the 0.8 per 1,000 central line-days reported from comparable US ICUs, the overall rate of ventilator-associated pneumonia was also higher, 13.1 versus 0.9 per 1,000 ventilator-days, as was the rate of catheter-associated urinary tract infection, 5.07 versus 1.7 per 1,000 catheter-days. From blood cultures samples, frequencies of resistance of Pseudomonas isolates to amikacin (29.87% vs 10%) and to imipenem (44.3% vs 26.1%), and of Klebsiella pneumoniae isolates to ceftazidime (73.2% vs 28.8%) and to imipenem (43.27% vs 12.8%) were also higher in the INICC ICUs compared with CDC-NHSN ICUs. Conclusions: Although DA-HAIs in INICC ICU patients continue to be higher than the rates reported in CDC-NSHN ICUs representing the developed world, we have observed a significant trend toward the reduction of DA-HAI rates in INICC ICUs as shown in each international report. It is INICC's main goal to continue facilitating education, training, and basic and cost-effective tools and resources, such as standardized forms and an online platform, to tackle this problem effectively and systematically