¡Churcha! Reminiscencia de un pueblo indígena Reconstrucción de memoria histórica de la comunidad indígena Churcha „‟La Diosa Dulima‟‟ a través de una serie web documental en el municipio de Soacha – Cundinamarca

Realizar una serie web documental como recurso para la reconstrucción de memoria histórica de la comunidad Churcha (Pijao) asentada en el municipio de SoachaLa presente investigación se enmarca en el proceso de recuperación de identidad cultural y memoria histórica de la comunidad indígena Churcha „La Diosa Dulima‟ ubicada en el municipio de Soacha - Cundinamarca, comunidad altamente afectada por el conflicto interno armado colombiano y el desplazamiento forzado. Teniendo como principal objetivo de investigación la realización de una serie web documental de forma colectiva con el cabildo, donde se reunirá toda la información hallada y recolectada por medio del diseño metodológico etnográfico y la IAP (investigación acción participante) ya que es la comunidad quien determinará como contar su historia, siendo el enfoque cualitativo el que permitirá realizar el análisis de resultados apropiado y lo más cercano a su realidad social.The current research is framed in the identity recovering process and historical memory from the Churcha “La Diosa Dulima ” indigenous community located in the municipality of Soacha, Cundinamarca, a highly affected community by the civil war and the forced displacement. Having as a main research objective the creation of a Documentary web series with the support of the indigenous council which will assemble all the information found and collected through ethnography and the PAR (Participatory Action Research) since it is the community that determines how to tell their story and joined with the qualitative paradigm that in a more humanistic way will allow us to carry out the analysis of appropriate results and the closest thing to their social reality

Estudio de la estructura de costos viable para la producción de vasos comestibles en el municipio de Nemocón

Determinar la estructura de costos viable para la producción de vasos comestibles en el municipio de NemocónLos municipios de Sabana Centro y Occidente vecinos a Bogotá presentan un alto grado de contaminación atmosférica, de acuerdo con un estudio realizado por la CAR – Cundinamarca en su laboratorio ambiental, bajo la norma ISO 17025, lo que garantiza la calidad y confiabilidad de los datos. Las muestras fueron tomadas a través de 19 estaciones de monitoreo que miden parámetros como partículas menores a diez micras, partículas suspendidas totales, óxidos de azufre y gases de efecto invernadero. Sabana Centro, por ejemplo, recibe el equivalente a 17.000 toneladas de material contaminante al año, generadas principalmente en los municipios de Nemocón, Zipaquirá, Cogua y Cajicá. En Sabana Occidente, el impacto ambiental más severo proviene de Mosquera con su permanente emisión de partículas suspendidas en el aire hollín, humos y cenizas, causantes de cáncer de pulmón, de problemas respiratorios agudos y gases efecto invernadero como monóxido de carbono y óxido de nitrógeno. Otros dos municipios vecinos a Bogotá, Soacha y Sibaté, por el sur, poseen una gran diversidad de industrias y procesos cuyas emisiones contribuyen al deterioro de la calidad del aire en su entorno ambiental. En este tema, la CAR ha venido refinando su proceso a través de significativas inversiones en tecnología que para el año anterior fueron de 4.000 millones de pesos y para este año se estiman en 4.500 millones, lo que le permitirá precisar más su acción en mediciones de la calidad del aire y su monitoreo de fuentes fijas y móviles de contaminación por emisiones de partículas y ruidos estridentes. (Satélite, 2015)The municipalities of Sabana Centro and Occidente neighboring Bogotá have a high degree of air pollution, according to a study carried out by CAR - Cundinamarca in its environmental laboratory, under ISO 17025, which guarantees the quality and reliability of the data. The samples were taken through 19 monitoring stations that measure parameters such as particles less than ten microns, total suspended particles, sulfur oxides and greenhouse gases. Sabana Centro, for example, receives the equivalent of 17,000 tons of polluting material per year, generated mainly in the municipalities of Nemocón, Zipaquirá, Cogua and Cajicá. In Western Savannah, the most severe environmental impact comes from Mosquera with its permanent emission of particles suspended in the air soot, smoke and ash, causing lung cancer, of acute respiratory problems and greenhouse gases such as carbon monoxide and nitrogen oxide. Two other municipalities neighboring Bogotá, Soacha and Sibaté, in the south, have a great diversity of industries and processes whose emissions contribute to the deterioration of air quality in their environment. In this area, the CAR has been refining its process through significant investments in technology that for the previous year were 4,000 million pesos and for this year are estimated at 4,500 million, which will allow you to further refine your action in air quality measurements and your monitoring of stationary and mobile sources of particulate and noise pollution

Impact of preemptive hospitalization on health outcomes at the temporary COVID-19 hospital in Mexico City: a prospective observational study.

INTRODUCTION: In response to the evolution of the coronavirus disease 2019 (COVID-19) pandemic, the admission protocol for the temporary COVID-19 hospital in Mexico City has been updated to hospitalize patients preemptively with an oxygen saturation (SpO2) of >90%. METHODS: This prospective, observational, single-center study compared the progression and outcomes of patients who were preemptively hospitalized versus those who were hospitalized based on an SpO2 ⩽90%. We recorded patient demographics, clinical characteristics, COVID-19 symptoms, and oxygen requirement at admission. We calculated the risk of disease progression and the benefit of preemptive hospitalization, stratified by CALL Score: age, lymphocyte count, and lactate dehydrogenase (<8 and ⩾8) at admission. RESULTS: Preemptive hospitalization significantly reduced the requirement for oxygen therapy (odds ratio 0.45, 95% confidence interval 0.31-0.66), admission to the intensive care unit (ICU) (0.37, 0.23-0.60), requirement for invasive mechanical ventilation (IMV) (0.40, 0.25-0.64), and mortality (0.22, 0.10-0.50). Stratification by CALL score at admission showed that the benefit of preemptive hospitalization remained significant for patients requiring oxygen therapy (0.51, 0.31-0.83), admission to the ICU (0.48, 0.27-0.86), and IMV (0.51, 0.28-0.92). Mortality risk remained significantly reduced (0.19, 0.07-0.48). CONCLUSION: Preemptive hospitalization reduced the rate of disease progression and may be beneficial for improving COVID-19 patient outcomes

Annual Conference on Formative Research on EFL. Practices thar inspire change.

The conference papers of the Annual Conference on Formative Research on EFL. Practices thar inspire change collect pedagogical experiences, research reports, and reflections about social issues, language teaching, teaching training, interculturality under the panorama of the Covid-19 pandemic. Each paper invites the reader to implement changes in their teaching practice through disruptive pedagogies, reflect on the social and emotional consequences of the lockdown, new paths for teacher training and different approaches for teaching interculturality. We expect to inspire new ways to train pre-service teachers and teach languages in this changing times

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

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Proyecto Chapa tu Tren

El presente proyecto tiene como objetivo la creación e implementación de un aplicativo móvil donde los usuarios pondrán recargar la tarjeta de la línea 1 del tren de Lima con la finalidad de mejorar el proceso de espera del usuario al trasladarse a sus centros de trabajo y/o estudios. Es importante mencionar que, a través de este aplicativo el usuario podrá visualizar su saldo disponible y contará con dos opciones de suscripción la clásica y la Premium. La primera, por cada recarga realizada se le cobrará al usuario una comisión mientras que, con la segunda opción, estaría accediendo a una membresía mensual en la cual podrá obtener beneficios. Asimismo, se analizará la problemática en las estaciones del tren tomando en cuenta el punto de vista de las personas que se trasladan en estas unidades de transporte. Con ello, podremos identificar los principales malestares que enfrentan al momento de querer recargar sus tarjetas y proponer soluciones tomando en cuenta nuestro aplicativo móvil respaldado por el creciente uso de aplicativos en los consumidores limeños según Diario Gestión. Por ello, optamos por ofrecer una aplicación sencilla de manejar y útil que pueda satisfacer las necesidades del cliente. Para implementar nuestro proyecto se requiere de un capital de S/ 60,000 que incluyen los gastos preoperativos, la implementación de la plataforma móvil entre otro. Para finalizar, validaremos nuestro proyecto a través de la intención de suscripción para adquirir nuestra membresía y al hacer clic en la landing page utilizada en la página de Facebook.The main objective of this project is to create and implement a mobile application where users will recharge their card of line 1 of Lima train in order to improve the user waiting process when moving to their jobs centers and / or studies. It’s important to mention that, through this application, the user will be able to view how much money they have on the card and will have two subscription options: classic and Premium. The first one, for each recharge made, the user will be charged a commission while, with the second option, he would be accessing a monthly membership in which he can obtain benefits. Likewise, the problem in the train stations will be analyzed taking into account the point of view of the people who move in these units transport. With this, we can identify the main discomforts they face when they want to recharge their cards and propose solutions taking into account our mobile application backed by the increasing use of applications in Lima consumers according to Diario Gestión. For this reason, we opted to offer a simple and useful application that can satisfy the client's needs. To implement our project, we will required a capital of S / 60,000, which includes pre-operational expenses, the implementation of the mobile platform, among others. To finish, we will validate our project through the intention of subscription to acquire our membership and by clicking on the landing page used on the Facebook page.Trabajo de investigació

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