El periodismo de investigación, un desafío en las aulas universitarias

Research is one of the most complex tasks of the journalistic career. Future professionals of journalism have serious challenges to adjust the demands of the public and the communication system. This article proposes to analyze and contrast the points of view of several authors, show results and formulate proposals in order to achieve changes that will lead them to perfect their research techniques to obtain more exact information on a topic that they propose, adjusting to the requirements of the environment. Surveys and interviews that accompany this study were carried out to professionals, students and teachers from six universities in Guayaquil, and have the purpose of analyzing if the way in which the subject of investigative journalism is taught correctly at universities and, if possible, propose suggestions to improve the course of study. The traditional media no longer conduct journalistic investigations. They do not have adequate conditions for financing them, so look for different research activities to replace, such as news, stories or facts which are hedges at the time and do not require a background investigation, according to the media.La investigación constituye una de las tareas más complejas de la carrera periodística. Los futuros profesionales tienen serios desafíos para ajustarse a las exigencias del público y del sistema comunicacional. El presente artículo propone analizar y contrastar puntos de vista de varios autores, mostrar los resultados y formular propuestas a fin de lograr cambios que los encaminen a perfeccionar sus técnicas de investigación para obtener información más exacta sobre algún tema que propongan ajustándose a los requerimientos del medio. Las encuestas y entrevistas que acompañan este estudio realizado a profesionales, estudiantes y docentes de seis universidades de Guayaquil, tienen el fin de analizar si es correcta la forma en la que se imparte la materia de periodismo de investigación en las aulas universitarias y, si cabe la posibilidad de proponer sugerencias para mejorar la cátedra. Los medios tradicionales ya no realizan investigaciones periodísticas. No tienen las condiciones adecuadas para financiarlos, por eso buscan diferentes actividades que reemplacen la investigación, como noticieros, crónicas o coberturas de hechos que sean en el momento y no necesitan una investigación de fondo, según el medio de comunicación

Modelo prolab: Allinmi, solución que permite formular, balancear y brindar un servicio de alimentación saludable

De acuerdo con el informe emitido por el Instituto Nacional de Salud (INS, 2019), en el Perú el 70% de las personas (hombres y mujeres) padecían de sobrepeso, en la región Lima el 62.8% y en el Callao 65.6% sufren de sobrepeso. En un informe realizado por Ipsos (2019), se precisó que en Lima Metropolitana el 29% tenía sobrepeso, el 18% era obeso y el 33% se consideraba muy estresado; en tal sentido, este segmento de ciudadanos es propenso a adquirir enfermedades como los ya mencionados a consecuencia de malos hábitos alimenticios. En el presente documento se aplica la metodología design thinking, que a través de entrevistas a usuarios, especialistas y complementado con encuestas permitió encontrar revelaciones relevantes en los potenciales clientes que permitirá conocer los puntos de mayor esfuerzo al momento de consumir alimentos para finalmente identificar la necesidad más importante del usuario. La solución surgió como una respuesta a las necesidades identificadas de los usuarios y con una propuesta de valor de ayudar a las personas que han tomado la decisión de cambiar sus hábitos de alimentación, logren cumplir este objetivo, a través de una asesoría nutricional, programación personalizada de su alimentación y seguimiento a su progreso. Finalmente, el modelo de negocio de Allinmi se encuentra ligado al objetivo de desarrollo sostenible (ODS) 12: Producción y consumo responsables (Organización de las Naciones Unidas [ONU], 2018) y no sólo eso, sino que también a las (ODS) 3: Salud y bienestar, contribuyendo así a generar un estilo de vida más sostenible y sano en el tiempo, mejorando la calidad de vida de al menos el 70% de nuestros clientes y a la (ODS) 8: Trabajo decente y crecimiento económico. En consecuencia, este emprendimiento es escalable y proyecta un valor actual neto (VAN) resultante de S/ 3’837,344 con una tasa interna de retorno del 191.49% proyectado para los primeros cinco años.According to the report issued by INS (2019), in Peru 70% of people (men and women) were overweight, in the Lima region 62.8% and in the Callao 65.6% suffer from overweight. In a report carried out by Ipsos (2019), it was specified that in Lima Metropolitana 29% were overweight, 18% were obese and 33% were considered very stressed or in this sense, this segment of citizens is prone to acquire diseases such as those already mentioned to consequence of bad eating habits. In this document the design thinking methodology is applied, which through interviews with users, specialists and complemented with surveys allowed to find relevant insights in potential customers that will allow us to know the points of greatest effort when consuming food to finally identify the most important need of the user. The solution emerged as a response to the identified needs of users and with a value proposition of helping people who have made the decision to change their eating habits, achieve this objective, through nutritional advice, personalized programming of their diet and monitoring of their progress. Finally, Allinmi's business model is linked to Sustainable Development Goal (SDG) 12: Responsible production and consumption (ONU, 2018) and not only that, but also to (SDG) 3: Health and well-being, thus contributing to generating a more sustainable and healthy lifestyle over time, improving the quality of life of at least 70% of our clients and to (SDG) 8: Decent work and economic growth. Consequently, our venture is scalable and projects a net present value (NPV) resulting from S/ 3’837,344 with an internal rate of return of 191.49% projected for the first five years

El periodismo de investigación, un desafío en las aulas universitarias

Research is one of the most complex tasks of the journalistic career. Future professionals of journalism have serious challenges to adjust the demands of the public and the communication system. This article proposes to analyze and contrast the points of view of several authors, show results and formulate proposals in order to achieve changes that will lead them to perfect their research techniques to obtain more exact information on a topic that they propose, adjusting to the requirements of the environment. Surveys and interviews that accompany this study were carried out to professionals, students and teachers from six universities in Guayaquil, and have the purpose of analyzing if the way in which the subject of investigative journalism is taught correctly at universities and, if possible, propose suggestions to improve the course of study. The traditional media no longer conduct journalistic investigations. They do not have adequate conditions for financing them, so look for different research activities to replace, such as news, stories or facts which are hedges at the time and do not require a background investigation, according to the media.La investigación constituye una de las tareas más complejas de la carrera periodística. Los futuros profesionales tienen serios desafíos para ajustarse a las exigencias del público y del sistema comunicacional. El presente artículo propone analizar y contrastar puntos de vista de varios autores, mostrar los resultados y formular propuestas a fin de lograr cambios que los encaminen a perfeccionar sus técnicas de investigación para obtener información más exacta sobre algún tema que propongan ajustándose a los requerimientos del medio. Las encuestas y entrevistas que acompañan este estudio realizado a profesionales, estudiantes y docentes de seis universidades de Guayaquil, tienen el fin de analizar si es correcta la forma en la que se imparte la materia de periodismo de investigación en las aulas universitarias y, si cabe la posibilidad de proponer sugerencias para mejorar la cátedra. Los medios tradicionales ya no realizan investigaciones periodísticas. No tienen las condiciones adecuadas para financiarlos, por eso buscan diferentes actividades que reemplacen la investigación, como noticieros, crónicas o coberturas de hechos que sean en el momento y no necesitan una investigación de fondo, según el medio de comunicación

Efficacy of syringe-irrigation topical therapy and the influence of the middle turbinate in sinus penetration of solutions

Abstract Introduction: Topical therapies are the best postoperative treatment option for chronic rhinosinusitis, especially those with high volume and pressure, such as the squeeze bottles. However, they are not an available option in Brazil, where irrigation syringes are used. Objective: To investigate the efficacy of topical sinonasal therapy with syringe and the influence of the middle turbinate on this process Methods: Intervention study in training models (S.I.M.O.N.T.). After standard dissection, three interventions were performed (Nasal Spray 4 puffs, 60-mL syringe and 240-mL Squeeze Bottle) with normal and Sutured Middle Turbinate. Images of each sinus were captured after the interventions, totalizing 144 images. The images were classified by 10 evaluators according to the amount of residual volume from zero to 3, with zero and 1 being considered poor penetration and 2 and 3, good penetration. The 1440 evaluations were used in this study. Results: Considering all middle turbinate situations, the amount of good penetrations were 8.1% for Spray; 68.3% for Syringe, and 78.3% for Squeeze (p < 0.0001). Considering all types of interventions, the Normal Middle Turbinate group had 48.2% of good penetrations and the Sutured Middle Turbinate, 55% (p = 0.01). Considering only the Sutured Middle Turbinates, there was no difference between the interventions with Syringe and Squeeze (76.3% vs. 80.4%; p = 0.27). Conclusion: Topical therapy of irrigation with a 60-mL syringe was more effective than that with nasal spray. The status of the middle turbinate proved to be fundamental and influenced topical therapy. Irrigation with syringe was as effective as the squeeze bottle when the middle turbinate was sutured to the nasal septum

Update in the Early Management and Reperfusion Strategies of Patients with Acute Ischemic Stroke

Acute ischemic stroke (AIS) remains a leading cause of death and long-term disability. The paradigms on prehospital care, reperfusion therapies, and postreperfusion management of patients with AIS continue to evolve. After the publication of pivotal clinical trials, endovascular thrombectomy has become part of the standard of care in selected cases of AIS since 2015. New stroke guidelines have been recently published, and the time window for mechanical thrombectomy has now been extended up to 24 hours. This review aims to provide a focused up-to-date review for the early management of adult patients with AIS and introduce the new upcoming areas of ongoing research

Direct Transfer to Angiosuite Triage Strategy for Patients Undergoing Mechanical Thrombectomy in a Rural Setting

Background A direct admission to angiosuite (DAA) strategy in transfer patients with large vessel occlusion (LVO) is considered to decrease stroke time metrics and benefit functional outcomes. However, feasibility and effectiveness of DAA have not been established in rural settings. Fast door‐to‐reperfusion times and high‐quality reperfusion are key predictors of outcome in patients with LVO. To reduce treatment times in transferred patients with suspected LVO, we initiated a DAA triage protocol in 2017. Methods We conducted a nested interventional cohort study of adult patients with anterior LVO from January 2015 to August 2019 transferred to our center from an outside hospital. Patients were divided into DAA for mechanical thrombectomy (MT) and patients directly admitted to the emergency department (DAED). DAED was subdivided into patients undergoing MT and patients who did not. Workflow times and clinical and radiographic outcomes were analyzed. Results Forty‐five DAA patients and 241 DAED patients (DAED patients undergoing MT=134 patients and DAED patients not undergoing MT=107 patients) were identified. DAA patients had significantly shorter median door‐to‐arterial‐puncture times (15 versus 71 minutes) and puncture‐to‐recanalization times (27 versus 42.5 minutes). At discharge, DAA patients had a significant decrease in median admission National Institutes of Health Stroke Scale (NIHSS) score (ΔNIHSS score 10 versus 4; P=0.02), and higher rate of dramatic clinical improvement (ΔNIHSS score >10; 48.9% versus 23.5%; P<0.001). Both groups had comparable rates of functional independence (modified Rankin Scale; mRS 0–2; 36.1% versus 29.2%; P=0.52), and mortality at 90 days (P=0.63). When mortality was excluded, DAA patients showed a significant proportion of excellent functional outcome (mRS 0–1; 50% versus 26%) before (P=0.04) and after (P=0.02) adjusting for confounders. Conclusions DAA is feasible and can safely reduce reperfusion times in transferred patients with LVO to MT centers in a rural setting. Reducing workflow times may impact the functional recovery of patients undergoing MT

Phase II study of 90

The best upfront therapy for patients with non-gastric extranodal marginal zone lymphomas (MZLs) is not defined. We assessed the safety and efficacy of radioimmunotherapy with (90)yttrium ((90)Y) ibritumomab tiuxetan as upfront therapy in MZL (NCT00453102). A total of 16 patients were enrolled, 81% with advanced-stage disease and 44% with bulky disease. The overall response rate (ORR) at 12 weeks post-therapy was 87.5% (90% confidence interval [CI]: 65.6-97.7%), including a complete response in eight (50%), complete response unconfirmed in one (6%) and partial response in five (31%) patients. With a median follow-up of 65.6 months (range 4.0-96.5), the median progression-free survival (PFS) was 47.6 months (range 4.0-93.3) and median overall survival (OS) was not reached. The 5-year PFS was 40% (90% CI: 19.9-59.5%) and 5-year OS was 71.8% (90% CI: 46.8-86.5%). Overall, (90)Y ibritumomab tiuxetan was well tolerated and led to long-term responses and PFS rates

Stent‐Assisted Coiling Versus Balloon‐Assisted Coiling for the Treatment of Ruptured Wide‐Necked Aneurysms: A 2‐Center Experience

Background Balloon‐assisted coiling (BAC) and stent‐assisted coiling (SAC) have been established as feasible approaches to manage ruptured wide‐necked intracranial aneurysms. Antiplatelet medications used with SAC theoretically increase risk of thrombotic and hemorrhagic complications. This study aims to evaluate safety and efficacy of SAC versus BAC for acutely ruptured wide‐necked intracranial aneurysms. Methods We performed a 2‐center retrospective observational study of consecutive patients treated with SAC or BAC for ruptured wide‐necked intracranial aneurysms from 2015 to 2020. Baseline demographics, comorbidities, and aneurysm characteristics were collected. Primary and secondary efficacy outcomes were radiographic aneurysm occlusion at follow‐up and functional status at 3 months. Safety outcomes included periprocedural hemorrhagic/ischemic complications and symptomatic ventriculostomy tract and cerebrospinal shunt hemorrhage rates. Univariable and multivariable analyses with multiple imputations to account for follow‐up loss were performed. Results A total of 112 and 109 patients underwent SAC and BAC, respectively. Median cohort age was 56 years, and 72% were female. Baseline characteristics were similar. Hydrocephalus rate was higher in the SAC group (78% versus 64%; P=0.02). Median aneurysm size was 5.1 mm. Anterior circulation aneurysms were most common (81%). Aneurysm and neck size were different, more aneurysms measuring <7 mm (80% versus 67%; P=0.02) and larger neck size aneurysms (3.7 versus 3.2 mm; P=0.02) were treated with SAC. At first follow‐up, SAC showed higher rates of complete occlusion (61% versus 45%; P=0.02) before and after adjusting for confounders. Functional outcome was not different in the multivariable models after adjustment. Coil herniation was higher in the BAC group (8% versus 2%; P=0.03). Thromboembolic, hemorrhagic, and ventriculostomy complications were not different. The use of acute antithrombotic therapy was not associated with symptomatic ventriculostomy tract hemorrhage. Conclusion Our findings suggest that SAC may be as safe as BAC for the acute management of ruptured wide‐necked intracranial aneurysms without significant risk of ischemic and hemorrhagic complications