Estado del arte sobre diversos contemporáneos de la violencia psicológica contra la mujer – Colombia

La violencia de género, especialmente la violencia psicológica, representa una amenaza significativa para la seguridad y el bienestar de las mujeres en la sociedad y el acceso a la protección implica la creación de mecanismos eficientes y sensibles que permitan a las mujeres denunciar los casos de violencia física, emocional o psicológica y recibir apoyo adecuado, lo cual implica establecer servicios de atención especializados, como líneas telefónicas de emergencia, centros de atención y refugios seguros, donde las mujeres puedan buscar ayuda y asesoramiento; en cuanto al acceso a la justicia, es fundamental fortalecer el sistema legal y garantizar que las mujeres que sufren violencia psicológica tengan acceso equitativo a los procesos judiciales, esto incluye la capacitación de jueces y fiscales en temas de género y violencia de todo tipo contra las mujeres, así como la materialización de medidas para agilizar los procedimientos y garantizar la confidencialidad y protección de las víctimas. Además, es necesario implementar una cultura de equidad de género y respeto social, fomentando la educación y la sensibilización sobre la violencia de género y sus consecuencias, esto implica la colaboración entre el Estado, las organizaciones sociales y en general la comunidad para intervenir de manera integral este problema y trabajar hacia una sociedad libre de violencia de géneroUniversidad Libre Seccional Pereira -- Facultad de Derecho, Ciencias Políticas y Sociales -- Especialización derecho procesal, probatorio y oralidadGender violence, especially psychological, represents a significant threat to the safety and well being of women in society and access to protection implies the creation of efficient and sensitive mechanisms that allow women to report cases of violence. Physical, emotional or psychological and receiving appropriate support, which involves setting up specialized care services, such as hotlines, care centers and safe shelters, where women can seek help and advice. Regarding access to justice, it is essential to strengthen the legal system and guarantee that women who suffer psychological violence have equal access to judicial processes, this includes the training of judges and prosecutors on gender issues and violence of all kinds against women, as well as the materialization of measures to speed up the procedures and guarantee the confidentiality and protection of the victims. It is necessary to implement a culture of gender equality and social respect, promoting education and awareness about gender violence and its consequences, this implies collaboration between the State, social organizations and the community in general to intervene in a comprehensively address this problem and work towards a society free of gender violence

Guía de práctica clínica para la prevención, diagnóstico, tratamiento y rehabilitación de la falla cardiaca en población mayor de 18 años, clasificación B, C y D

La falla cardíaca es un síndrome clínico caracterizado por síntomas y signos típicos de insuficiencia cardíaca, adicional a la evidencia objetiva de una anomalía estructural o funcional del corazón. Guía completa 2016. Guía No. 53Población mayor de 18 añosN/

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

Memorias semana de la Facultad de Educación. VII semana: historias, saberes y prácticas educativas innovadoras e incluyentes.

Las Memorias de la VII Semana de la Educación “Historias, saberes y prácticas educativas innovadoras e incluyentes”, publicadas por la Editorial de la Corporación Universitaria Minuto de Dios – UNIMINUTO, reúnen las ponencias y resúmenes sobre esta temática presentadas en un evento de realización anual, cuyo propósito es socializar experiencias investigativas y académicas de grupos, semilleros de investigación y trabajos de grado entre estudiantes y profesores de la Facultad de Educación, y con profesores y estudiantes de otras instituciones educativas que gentilmente compartieron experiencias en el campo de la educación, la pedagogía, el arte, la cultura y el deporte. El principal interés de este encuentro radica en recoger la construcción histórica educativa de la Corporación Universitaria Minuto de Dios – UNIMINUTO con respecto a sus orígenes y construcciones académicas; y las experiencias históricas de otras propuestas educativas a nivel de la educación infantil, básica, media y superior con tejido cultural y social, desde un enfoque diferencial y diverso en el cual todas las experiencias enriquecen la formación de maestros desde la innovación e inclusión en los diferentes contextos. En este encuentro participaron las universidades Antonio Nariño, de la Amazonia, del Rosario, La Gran Colombia y Pedagógica Nacional, así como la Corporación Escuela Pedagógica Experimental, el Centro Educativo de Nuestra Señora de la Paz, el Instituto Colombo Sueco y varios docentes de la Secretaría de Educación Distrital de Bogotá D. C

Correction to: Comparative effectiveness and safety of non-vitamin K antagonists for atrial fibrillation in clinical practice: GLORIA-AF Registry

International audienceIn this article, the name of the GLORIA-AF investigator Anastasios Kollias was given incorrectly as Athanasios Kollias in the Acknowledgements. The original article has been corrected

Patterns of oral anticoagulant use and outcomes in Asian patients with atrial fibrillation: a post-hoc analysis from the GLORIA-AF Registry

Background: Previous studies suggested potential ethnic differences in the management and outcomes of atrial fibrillation (AF). We aim to analyse oral anticoagulant (OAC) prescription, discontinuation, and risk of adverse outcomes in Asian patients with AF, using data from a global prospective cohort study. Methods: From the GLORIA-AF Registry Phase II-III (November 2011-December 2014 for Phase II, and January 2014-December 2016 for Phase III), we analysed patients according to their self-reported ethnicity (Asian vs. non-Asian), as well as according to Asian subgroups (Chinese, Japanese, Korean and other Asian). Logistic regression was used to analyse OAC prescription, while the risk of OAC discontinuation and adverse outcomes were analysed through Cox-regression model. Our primary outcome was the composite of all-cause death and major adverse cardiovascular events (MACE). The original studies were registered with ClinicalTrials.gov, NCT01468701, NCT01671007, and NCT01937377. Findings: 34,421 patients were included (70.0&nbsp;±&nbsp;10.5 years, 45.1% females, 6900 (20.0%) Asian: 3829 (55.5%) Chinese, 814 (11.8%) Japanese, 1964 (28.5%) Korean and 293 (4.2%) other Asian). Most of the Asian patients were recruited in Asia (n&nbsp;=&nbsp;6701, 97.1%), while non-Asian patients were mainly recruited in Europe (n&nbsp;=&nbsp;15,449, 56.1%) and North America (n&nbsp;=&nbsp;8378, 30.4%). Compared to non-Asian individuals, prescription of OAC and non-vitamin K antagonist oral anticoagulant (NOAC) was lower in Asian patients (Odds Ratio [OR] and 95% Confidence Intervals (CI): 0.23 [0.22-0.25] and 0.66 [0.61-0.71], respectively), but higher in the Japanese subgroup. Asian ethnicity was also associated with higher risk of OAC discontinuation (Hazard Ratio [HR] and [95% CI]: 1.79 [1.67-1.92]), and lower risk of the primary composite outcome (HR [95% CI]: 0.86 [0.76-0.96]). Among the exploratory secondary outcomes, Asian ethnicity was associated with higher risks of thromboembolism and intracranial haemorrhage, and lower risk of major bleeding. Interpretation: Our results showed that Asian patients with AF showed suboptimal thromboembolic risk management and a specific risk profile of adverse outcomes; these differences may also reflect differences in country-specific factors. Ensuring integrated and appropriate treatment of these patients is crucial to improve their prognosis. Funding: The GLORIA-AF Registry was funded by Boehringer Ingelheim GmbH

Description and performance of track and primary-vertex reconstruction with the CMS tracker

A description is provided of the software algorithms developed for the CMS tracker both for reconstructing charged-particle trajectories in proton-proton interactions and for using the resulting tracks to estimate the positions of the LHC luminous region and individual primary-interaction vertices. Despite the very hostile environment at the LHC, the performance obtained with these algorithms is found to be excellent. For tbar t events under typical 2011 pileup conditions, the average track-reconstruction efficiency for promptly-produced charged particles with transverse momenta of p(T) > 0.9GeV is 94% for pseudorapidities of |η| < 0.9 and 85% for 0.9 < |η| < 2.5. The inefficiency is caused mainly by hadrons that undergo nuclear interactions in the tracker material. For isolated muons, the corresponding efficiencies are essentially 100%. For isolated muons of p(T) = 100GeV emitted at |η| < 1.4, the resolutions are approximately 2.8% in p(T), and respectively, 10μm and 30μm in the transverse and longitudinal impact parameters. The position resolution achieved for reconstructed primary vertices that correspond to interesting pp collisions is 10–12μm in each of the three spatial dimensions. The tracking and vertexing software is fast and flexible, and easily adaptable to other functions, such as fast tracking for the trigger, or dedicated tracking for electrons that takes into account bremsstrahlung