6 research outputs found
Infraestructura alternativa basada en la humanizaciĂłn espacial para la inserciĂłn de personas con discapacidad fĂsica en la regiĂłn de Ica
La presente investigación de tesis plantea de acuerdo a la idea básica de ejecución
de proyectos de alta calidad.
Adecuado para todas las personas con problemas fĂsicos o de movilidad, como la
mayorĂa de las personas. No se dispone de casos en centros de salud
especializados en rehabilitaciĂłn por el espacio de acuerdo al nĂşmero de estadĂstica
que se da en el estudio. Por eso este estudio funciona de acuerdo a las ventajas y
desventajas de muchos centros de salud que se ha planteado con una clasificaciĂłn
internacional del funcionamiento, la discapacidad se define como un concepto que
incluye el deterioro funcional, las limitaciones en la actividad y las limitaciones en la
participaciĂłn, asĂ mismo, la organizaciĂłn mundial de la salud (OMS) lo define como
un fenĂłmeno complejo en el que existe una interacciĂłn entre las caracterĂsticas del
organismo humano y las caracterĂsticas de la sociedad en la que se desenvuelve.
Aproximadamente mil millones de personas en todo el mundo que viven con algĂşn
tipo de discapacidad, la cantidad de personas con una variedad de dificultades de
atenciĂłn mĂ©dica, discapacidades fĂsicas y más es significativa. De igual manera,
en una encuesta realizada en 2017 a la poblaciĂłn peruana por instituto nacional de
estadĂsticas e informática (INEI) aproximadamente el 10.3% de la poblaciĂłn
(aproximadamente 3 millones de personas) tiene discapacidad
XV International Congress of Control Electronics and Telecommunications: "The role of technology in times of pandemic and post-pandemic: innovation and development for strategic social and productive sectors"
La anterior selecciĂłn, motivados por la aseveraciĂłn de Manuel Castells -hace casi 20 años ya- que la innovaciĂłn y la difusiĂłn de la tecnologĂa parecĂa ser la herramienta apropiada para el desarrollo en la era de la informaciĂłn. Este 2020, sin embargo, ante la situaciĂłn disruptiva que aquejĂł y aqueja a la sociedad red como una estructura social emergente de la Era de la InformaciĂłn basada en redes de producciĂłn, energizadas por el poder y la experiencia; fallĂł y debe reencontrar su rumbo. Es asĂ que los problemas acuciantes, ahora, fueron: la atenciĂłn sanitaria y la superaciĂłn de la epidemia de Sars Cov 2; tomĂł forma la, hasta entonces, visiĂłn irrealista de Castells que … no podemos avanzar con nuestros modelos de desarrollo actual, destruyendo nuestro entorno y excluyendo a la mayor parte de la humanidad de los beneficios de la revoluciĂłn tecnolĂłgica más extraordinaria de la historia, sin sufrir una devastadora reacciĂłn por parte de la sociedad y la naturaleza.
Fue asĂ que el Cuarto Mundo, especĂficamente, donde la suficiencia de recurso humano, de capital, trabajo, informaciĂłn y mercado -vinculados todos a travĂ©s de la tecnologĂa- supuso que atenderĂa eficazmente a travĂ©s de la poblaciĂłn que podĂa por su capacidad hacer uso racional y profesional del conocimiento, las necesidades de la mayoritaria poblaciĂłn vulnerable y vulnerada.
Por lo anterior, poner en el centro a las personas, en entornos de tarea y trabajo globales hiperconectados combinando espacios fĂsicos, corrientes de informaciĂłn con canales de conexiĂłn expeditos, y formando profesionales del conocimiento que asuman y afronten los retos derivados de la transformaciĂłn digital de empresas, universidades, y organizaciones, pero en condiciones de equidad y sujetos de prosperidad, será el desafĂo en los escenarios presentes y futuros inmediatos.The previous selection, motivated by the assertion of Manuel Castells -almost 20 years ago- that innovation and diffusion of technology seemed to be the appropriate tool for development in the information age. This 2020, however, in the face of the disruptive situation that afflicted and continues to afflict the network society as an emerging social structure of the Information Age based on production networks, energized by power and experience; He failed and must find his way again. Thus, the pressing problems now were: health care and overcoming the Sars Cov 2 epidemic; Castells' until then unrealistic vision took shape that... we cannot advance with our current development models, destroying our environment and excluding the majority of humanity from the benefits of the most extraordinary technological revolution in history, without suffering a devastating reaction from society and nature.
It was thus that the Fourth World, specifically, where the sufficiency of human resources, capital, work, information and market - all linked through technology - meant that it would serve effectively through the population that could, due to its capacity, make rational use. and knowledge professional, the needs of the majority vulnerable and vulnerable population.
Therefore, putting people at the center, in hyperconnected global task and work environments, combining physical spaces, information flows with expedited connection channels, and training knowledge professionals who assume and face the challenges derived from the digital transformation of companies, universities, and organizations, but in conditions of equality and subject to prosperity, will be the challenge in the present and immediate future scenarios.Bogot
Different epidemiology of bloodstream infections in COVID-19 compared to non-COVID-19 critically ill patients: a descriptive analysis of the Eurobact II study
Funder: European society of Intensive Care MedicineFunder: European Society of Clinical Microbiology and Infectious Diseases (ESCMID)Funder: Norva Dahlia foundation and the Redcliffe Hospital Private Practice Trust FundAbstract
Background
The study aimed to describe the epidemiology and outcomes of hospital-acquired bloodstream infections (HABSIs) between COVID-19 and non-COVID-19 critically ill patients.
Methods
We used data from the Eurobact II study, a prospective observational multicontinental cohort study on HABSI treated in ICU. For the current analysis, we selected centers that included both COVID-19 and non-COVID-19 critically ill patients. We performed descriptive statistics between COVID-19 and non-COVID-19 in terms of patients’ characteristics, source of infection and microorganism distribution. We studied the association between COVID-19 status and mortality using multivariable fragility Cox models.
Results
A total of 53 centers from 19 countries over the 5 continents were eligible. Overall, 829 patients (median age 65 years [IQR 55; 74]; male, n = 538 [64.9%]) were treated for a HABSI. Included patients comprised 252 (30.4%) COVID-19 and 577 (69.6%) non-COVID-19 patients. The time interval between hospital admission and HABSI was similar between both groups. Respiratory sources (40.1 vs. 26.0%, p < 0.0001) and primary HABSI (25.4% vs. 17.2%, p = 0.006) were more frequent in COVID-19 patients. COVID-19 patients had more often enterococcal (20.5% vs. 9%) and Acinetobacter spp. (18.8% vs. 13.6%) HABSIs. Bacteremic COVID-19 patients had an increased mortality hazard ratio (HR) versus non-COVID-19 patients (HR 1.91, 95% CI 1.49–2.45).
Conclusions
We showed that the epidemiology of HABSI differed between COVID-19 and non-COVID-19 patients. Enterococcal HABSI predominated in COVID-19 patients. COVID-19 patients with HABSI had elevated risk of mortality.
Trial registration ClinicalTrials.org number NCT03937245. Registered 3 May 2019.
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Epidemiology and outcomes of hospital-acquired bloodstream infections in intensive care unit patients: the EUROBACT-2 international cohort study
Purpose
In the critically ill, hospital-acquired bloodstream infections (HA-BSI) are associated with significant mortality. Granular data are required for optimizing management, and developing guidelines and clinical trials.
Methods
We carried out a prospective international cohort study of adult patients (≥ 18 years of age) with HA-BSI treated in intensive care units (ICUs) between June 2019 and February 2021.
Results
2600 patients from 333 ICUs in 52 countries were included. 78% HA-BSI were ICU-acquired. Median Sequential Organ Failure Assessment (SOFA) score was 8 [IQR 5; 11] at HA-BSI diagnosis. Most frequent sources of infection included pneumonia (26.7%) and intravascular catheters (26.4%). Most frequent pathogens were Gram-negative bacteria (59.0%), predominantly Klebsiella spp. (27.9%), Acinetobacter spp. (20.3%), Escherichia coli (15.8%), and Pseudomonas spp. (14.3%). Carbapenem resistance was present in 37.8%, 84.6%, 7.4%, and 33.2%, respectively. Difficult-to-treat resistance (DTR) was present in 23.5% and pan-drug resistance in 1.5%. Antimicrobial therapy was deemed adequate within 24 h for 51.5%. Antimicrobial resistance was associated with longer delays to adequate antimicrobial therapy. Source control was needed in 52.5% but not achieved in 18.2%. Mortality was 37.1%, and only 16.1% had been discharged alive from hospital by day-28.
Conclusions
HA-BSI was frequently caused by Gram-negative, carbapenem-resistant and DTR pathogens. Antimicrobial resistance led to delays in adequate antimicrobial therapy. Mortality was high, and at day-28 only a minority of the patients were discharged alive from the hospital. Prevention of antimicrobial resistance and focusing on adequate antimicrobial therapy and source control are important to optimize patient management and outcomes