A Folk Drama - "What the Captain Means Is..." Or That Interview You Never Saw on TV

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Indicadores do desempenho clínico fisioterápico na gestão hospitalar precoce do

Las oportunidades conocidas de intervenciones tempranas en los accidentes cardiocerebrovasculares (ACV) desde el punto de vista médico y de rehabilitación hacen necesario avanzar en la formulación de indicadores del desempeño clínico en el manejo fisioterapéutico hospitalario de una persona con ACV. Objetivo: identificar los indicadores de desempeño clínico fisioterapéutico en el manejo hospitalario temprano de personas sobrevivientes de ACV. Materiales y métodos: se trata de un estudio exploratorio descriptivo que indaga sobre las pruebas y prácticas fisioterapéuticas existentes, la evidencia científica sobre indicadores clínicos en ACV, los indicadores estándar y los posibles indicadores clínicos en el escenario. Se llevó a cabo una revisión sistemática de estudios descriptivos, guías de práctica clínica, revisiones sistemáticas, estudio de casos clínicos basados en la evidencia en bases de datos como Pubmed, Proquest, Pedro y en revistas electrónicas, además del análisis de datos epidemiológicos de la prevalencia del ACV en Colombia y en Chile, en páginas web de la Organización Mundial de la Salud, Ministerio de Salud y Departamento AdministrativoNacional de cada país. Resultados: la evidencia señala que la rehabilitación temprana del ACV debe iniciarse durante la hospitalización, tan pronto como el diagnóstico se establezca y los problemas que ponen en riesgo la vida del paciente estén controlados. Las prioridades en la intervención fisioterapéutica en ACV son prevenir las complicaciones (trombosis venosa, infecciones y dolor) y facilitar la movilización temprana. Actualizaciones recientes de estas directrices incluyen la rehabilitación temprana, en particular la movilidad luego de las veinticuatro horas posteriores al ACV.Las pruebas que sustentan los indicadores de desempeño en rehabilitación para la atención en la etapa subaguda del ACV son escasas. Conclusiones: se hace notoria la importancia de la atención temprana fisioterapéutica en el proceso agudo del paciente con ACV, puesto que la evidencia disponible resalta un mejor pronóstico para pacientes que son intervenidos por el área dentro de las primeras veinticuatro horas posteriores al evento y la importancia de los indicadores de atención del paciente, como la calidad y el tiempo de atención, la periodicidad y el aprovechamiento de la intervención dentro de la ventana temporal aguda de recuperación del paciente.The known early intervention opportunities in cerebrovascular events (CVE), not only from the medical point of view but from rehabilitation, create the necessity of moving forward in the formulation of clinical performance indicators in the hospitalary physiotherapeutic management of a person with a CVE. Objective: to identify the physiotherapeutic clinical performance indicators in the early hospitalary management of people surviving CVE. Materials and methods: this is about a descriptive exploratory study investigating about the existing physiotherapeutic tests and practices, the scientific evidence about clinical indicators in CVE, the standard indicators and the possible clinical indicators in this setting. We conducted systematic review of descriptive studies, clinical practice guidelines, systematic reviews, clinical case study in evidence-based databases such as Pubmed, Proquest, Peter and electronic journals, plus analysis of data epidemiologicalprevalence of stroke in Colombia and Chile, on websites of the World Health Organization, Ministry of Health and National Bureau of each country respectively. Results: theevidence points out that early rehabilitation of CVE should be initiated during hospitalization, as soon as the diagnosis is made and the life threatening issues are controlled. Priorities in the CVE therapeutic interventions are to prevent: complications (venous thrombosis, infections and pain) and to facilitate the early mobilization. The latest updates to these directives include early rehabilitation, particularly mobilization within 24 hours after the CVE occurrence. Proves supporting performance indicators in rehabilitation for the assistance in the sub-acute stage of CVE are limited. Conclusions: it is evident the importance of early intervention physical therapy in the acute process of patients with stroke as the evidence stands a better prognosis for patients who are operated on by the area within the first 24 hours after the event and the importance of patient care indicators such as quality of care, attention span, timing and use of intervention within the time window acute recovery.As oportunidades conhecidas de intervenções precoces nos acidentes vasculares cerebrais (AVC) desde o ponto de vista médico e de reabilitação fazem necessário avançar na formulação de indicadores do desempenho clínico na gestão fisioterápica hospitalar de uma pessoa com AVC. Objetivo:identificar os indicadores de desempenho clínico fisioterápico na gestão hospitalar precoce de pessoas sobreviventes de AVC. Materiais e métodos: trata-se de um estudo exploratório descritivo que indaga sobre as provas e práticas fisioterápicas existentes, a evidência científica sobreindicadores clínicos em AVC, os indicadores standard e os possíveis indicadores clínicos no cenário. Levou-se a cabo uma revisão sistemática de estudos descritivos, guias de prática clínica, revisões sistemáticas, estudo de casos clínicos baseados na evidência em bases de dados como Pubmed,Proquest, Pedro e m revistas eletrônicas, além da análise de dados epidemiológicos da prevalência dos AVC na Colômbia e no Chile, nos sites da Organização Mundial da Saúde, Ministério de Saúde e Departamento Administrativo Nacional de cada país. Resultados: a evidência assinala que a reabilitação precoce do AVC deve se iniciar durante a hospitalização, tão logo o diagnóstico se estabeleça e os problemas que põem em risco a vida do paciente estejam controlados. As prioridades na intervenção fisioterápica em AVC são prevenir as complicações (trombose venosa,infecções e dor) e facilitar a mobilização precoce. Atualizações recientes destas diretrizes incluem a reabilitação precoce, particularmente a mobilidade depois das vinte quatro horas posteriores ao AVC. As provas que sustentam os indicadores de desempenho em reabilitação para a atenção na etapa subaguda do AVC são escassas. Conclusões: se faz notória a importância da atenção precocefisioterápica no processo agudo do paciente com AVC, porquanto a evidência disponível resalta um melhor prognóstico para pacientes que são intervencionados pela área dentro das primeiras vinte quatro horas posteriores ao evento e a importância dos indicadores de atenção do paciente, como a qualidade e o tempo de atenção, a periodicidade e o aproveitamento da intervenção dentro da janela temporal aguda de recuperação do paciente

Efectos del Fideicomiso Mercantil y Encargo Fiduciario (Relacionados a la transferencia de dominio de bienes muebles o inmuebles corporales o incorporales) contemplado en la Ley de Mercado de Valores Ecuatoriana, Capítulo XV, en el sector de la construcción, de acuerdo al código de actividad económica CIIU F4100.10 En El D.M.Q Para Los Años 2019 – 2020.

El objetivo de la investigación fue analizar los efectos del Fideicomiso Mercantil y Encargo Fiduciario en el sector de la construcción, del Distrito Metropolitano de Quito para los años 2019y 2020. Para la obtención de los resultados se realizó un análisis con enfoque mixto, es decir, el estudio se encuentra compuesto por una parte cualitativa y otra cuantitativa, con esto se tomó información documental, estadística y se realizó un estudio de campo a través de la aplicación de encuestas a las empresas constructoras. Al momento de definir las constructoras objeto de estudio se filtró por la actividad de la construcción que se encuentra representado por el código F4100.10 y posteriormente, se verificó que dichas constructoras se encuentren establecidas como Contribuyentes Especiales en el Servicio de Rentas Internas. El principal resultado que se obtuvo fue que las empresas constructoras del Distrito Metropolitano de Quito en su mayoría hacen uso del Fideicomiso Mercantil y han podido aprovechar los beneficios que brinda esta figura legal calificando su experiencia de forma positiva, sin embargo, respecto al Encargo Fiduciario, las empresas casi no conocen la figura y no han hecho uso de la misma. Se concluyó que las constructoras del Distrito Metropolitano de Quito utilizan el Fideicomiso Mercantil y lo recomienda, a más que les brinda garantía y seguridad para ellas y para sus grupos de interés.The objective of this research was to analyze the effects of the Mercantile Trust and Trust Engagement in the construction sector, in the Metropolitan District of Quito for the years 2019 and 2020. To obtain the results, an analysis with a mixed approach was carried out; i.e., the study is composed of a qualitative and a quantitative part, documentary and statistical information was reviewed, in parallel a field research was carried out through the application of surveys to construction companies. To define the construction companies under study, it was filtered by the construction activity, which is represented by the code F4100.10 and, later, it was verified that chosen construction companies are established as Special Taxpayers in the Internal Revenue Service.The main result that was obtainedis that the construction companies of the Metropolitan District of Quito mostly make use of the Mercantile Trust, and have been able to take advantage of the benefits that this legal figure offers, qualifying their experience in a positive way; however, regarding the Trust Engagement, the companies hardly know the figure and have not made use of it. It was concluded that the majority of the construction companies in the Metropolitan District of Quito use the Mercantile Trust and recommend it, because they identify it as a guarantee of legal safety for them and for their stakeholders

Comunicación efectiva en la atención medica durante la pandemia en un centro de salud, Guayaquil 2021

El presente trabajo de investigación se realizó de acuerdo al comportamiento de los trabajadores de salud durante la pandemia del COVID 19 y la percepción de los pacientes sobre el mensaje recibido por parte del personal de salud, con la finalidad de identificar factores que faciliten o interfieran una buena comunicación efectiva. Esta investigación tuvo como objetivo describir la influencia de la comunicación efectiva en la atención médica del centro de salud Socio Vivienda 2 de la ciudad de Guayaquil durante la pandemia del 2021. El enfoque de la investigación es cualitativo con tipo de diseño fenomenológico, ya que se centra en comprender sobre la comunicación efectiva y su influencia en la atención médica durante la pandemia. Se aplicó una entrevista a 4 trabajadores de salud y 20 pacientes que acuden a la unidad de salud cuya información fue analizada durante la técnica de análisis temático utilizando el programa ATLAS T.I 9, en la cual se comprobó la confiablidad realizando la triangulación según las categorías y subcategorías de la matriz de categorización. Dando como conclusión que reforzar la comunicación efectiva en el personal de salud brinda un cambio significativo en los estilos de vida y salud de la población atendida

A plant-based diet, atherogenesis, and coronary artery disease prevention.

A plant-based diet is increasingly becoming recognized as a healthier alternative to a diet laden with meat. Atherosclerosis associated with high dietary intake of meat, fat, and carbohydrates remains the leading cause of mortality in the US. This condition results from progressive damage to the endothelial cells lining the vascular system, including the heart, leading to endothelial dysfunction. In addition to genetic factors associated with endothelial dysfunction, many dietary and other lifestyle factors, such as tobacco use, high meat and fat intake, and oxidative stress, are implicated in atherogenesis. Polyphenols derived from dietary plant intake have protective effects on vascular endothelial cells, possibly as antioxidants that prevent the oxidation of low-density lipoprotein. Recently, metabolites of L-carnitine, such as trimethylamine-N-oxide, that result from ingestion of red meat have been identified as a potential predictive marker of coronary artery disease (CAD). Metabolism of L-carnitine by the intestinal microbiome is associated with atherosclerosis in omnivores but not in vegetarians, supporting CAD benefits of a plant-based diet. Trimethylamine-N-oxide may cause atherosclerosis via macrophage activation. We suggest that a shift toward a plant-based diet may confer protective effects against atherosclerotic CAD by increasing endothelial protective factors in the circulation while reducing factors that are injurious to endothelial cells. The relative ratio of protective factors to injurious endothelial exposure may be a novel approach to assessing an objective dietary benefit from a plant-based diet. This review provides a mechanistic perspective of the evidence for protection by a plant-based diet against atherosclerotic CAD

Evaluación de los indicadores zootécnicos en toretes mestizos holstein friesian castrados y enteros bajo el efecto del clorhidrato de ractopamina con alimentación similar a pastoreo en la hacienda Moreta

This research was conducted in the province of Cotopaxi, Sigchos Canton, Parish Chugchilán, Sector Moreta. The main objective of this research was to evaluate the livestock indicators in young bulls castrated and entire under the effect of ractopamine hydrochloride with similar grazing in Moreta hacienda power, in which the variables as animal weight was determined, weight gain, feed intake, feed conversion and economic analysis. This research was performed using a 2 x 2 factorial arrangement implementing a DCA (Completely Randomized Design); As Factor A (Management steers) Neutered and whole, as Factor B (Using Ractopamine) with and without represented as follows....La presente investigación se realizó en la provincia de Cotopaxi, Cantón Sigchos, Parroquia Chugchilán, Sector Moreta. El objetivo principal de esta investigación fue evaluar los indicadores zootécnicos en toretes mestizos castrados y enteros, bajo el efecto del clorhidrato de Ractopamina con alimentación similar a pastoreo en la hacienda Moreta, en las cuales se determinó las variables como peso del animal, incremento de peso, consumo de alimento, conversión alimenticia y el análisis económico. En la fase de campo se utilizaron 20 toretes mestizos de aproximadamente 14 meses de edad, los cuales fueron pastoreados en confinamiento...

Estación intermodal de pasajeros y consolidación de una centralidad urbana en la Av. Primera de Mayo con Av. Kra. 68, Bogotá

Bogotá presenta unas condiciones deficientes en el sistema de movilidad, especialmente entre diferentes escalas, generando una ciudad fragmentada debido al mal entendimiento de la implementación de los modos, las escalas y su impacto en la estructuración de la ciudad junto con el manejo del espacio público. Debido a las condiciones del sistema y los modos, en los que están funcionando en puntos de referencia en la ciudad, donde se están descuidando los tiempos y las relaciones, haciendo mucho más álgido el desplazamiento de la población ubicada en la periferia y las actividades económicas urbanas y metropolitanas de la metrópolis. La importancia de este proyecto es la descentralización de las actividades del área central de la ciudad de Bogotá que contribuyan disminuir las presiones de desplazamiento a los viajes centrales y repartir a la estructura urbana actividades que disminuyan los tiempos de viajes. Se hace un estudio de las actividades económicas cuyo resultado evidencia la gran concentración en el área céntrica. Se evidencia también la localización de la mayor densidad poblacional residencial en la periferia de la ciudad.Bogota presents conditions in the system of mobility, especially among different scales, creating a fragmented city due to misunderstanding of implementing modes, scales and its impact on the structuring of the city along with the management of public space. Because the system conditions and the ways in which they are operating on landmarks in the city, where you are neglecting times and relationships, making a lot of height displacement of the population in the periphery and the economic activities urban and metropolitan of the metropolis. The importance of this project is the decentralization of the activities of the central area of Bogota that help reduces pressures shift to the central travel and spread to the urban structure activities that reduce travel times. A study of economic activities whose result shows the great concentration in the downtown area is done. The location of the most densely populated residential on the outskirts of the city is also evident.Arquitecto (a)Pregrad

Diseño e implementación de una videoteca digital para la Facultad de comunicación Social de la Universidad Santo Tomás

With the rapid growth of technological advances at the global level, In the treatment of information, associated with the technologies of the Information and communication (ICT), specifically with the management of Audiovisual information in digital format, today it is possible to Agile, efficient and timely processes for the management of new Products and services in libraries, archives and documentation centers, Developing content adapted to the real needs of Users, transforming traditional face-to-face services into new and New services offering other forms of relationship and communication with the same. In the average in which information professionals and documentation Knowledge and tools for Administration, management and publication of information in digital environments, Dynamic Web pages, Web 2.0. And management tools Content; The development of implementation-oriented research Of a digital video library as an electronic resource of any unit of Information, is presently propitious as a showcase for promoting new and Novel scenarios, where the librarian should develop and be Pioneer in the implementation and implementation of these resources. The objective of this research is to design and implement Faculty of Social Communication of the Universidad Santo Tomás a Digital Video Library, with the aim of disseminating and making available to the community Videos produced by students during their training Through the implementation of a technological tool that To access, transmit, and distribute this information Developed and produced by this University. In addition to understanding this Research as a significant advance in librarianship in the field of Global and national level by being at the forefront of information management in Audiovisual and digital format. Thus, the present research arises from the role of the librarian As a fundamental piece in the management of information and as a changing entity Digital contents, this and from the progressive The digitization of information, which has undergone changes in the formats Textual, sound, graphic or audiovisual (moving images), and that Today it is possible to manage and store together. Topic that Currently being worked by information professionals and where The new horizons are constantly being questioned in aspects such as: Media, information structure, digital repositories, copyright, Web 2.0., Social interaction, new librarian scenarios, etc. Therefore, the present work of degree has as Implementation of the video library by means of an analysis of the current state of Digital video libraries worldwide, highlighting technologies Applied for the processing of audiovisual information, evaluating the Tools according to the design and implementation of the same, An initiative for the future implementation of a video library in the field National and international level and strengthening the role of the librarian in the Of new information technologies and documentation. In this sense The work develops the following chapters: first: definition and Delimitation of the problem; Second: theoretical and referential framework which Encompasses the whole conception theory of the subject characteristics, concepts and Applied technologies; Third: develops the implementation of the video library, Which emphasizes the diagnosis and planning of the video library; fourth: Evaluation of technological tools with everything related to Methodology of evaluation and comparison of content managers; fifth: Design and implementation of the video library comprising the installation, Design of the interface, validation, testing, policy definition, Accessibility features, W3c validation, statistics tracking, Cataloging or description of materials; Sixth: disclosure with Concerning the marketing plan, objectives and market strategies; Seventh: it covers the evaluation and analysis of the video library which Discuss the results from a representative sample of the Academy, finally the degree paper presents conclusions and Recommendations of the sam

Prueba piloto de implementación del estándar de catalogación RDA en Colombia

The National Library of Colombia, as the guiding agency in the formulation, coordination and execution of policies, plans and programs related to technical processing of Colombian bibliographic and documentary heritage, led the pilot test for implementing of the RDA cataloging standard in Colombia. This pilot test, currently has the participation of different information units in the country, such as the Luis Ángel Arango Library, the Pilot Public Library of Medellín, the Caro and Cuervo Institute, the SENA, Corpoica, the Rafael Carrillo Luquez Library Corporation, the University Foundation of Health Sciences, the University of Antioquía, the University of “El Bosque”, The University of “Del Valle”, the Javeriana University, the National University of Colombia (Manizales), the “Pontificia Bolivariana” University, and the “Santo Tomás” University, all of them interested in studying the norm and establishing implementation policies in a consensual way, in addition to recognize the changes and impacts of its implementation. In this sense, for the RDA pilot test, there have been carried out meetings, both face-to-face and virtual, with the objective of working on RDA records creation, to be applicable to all resources and content types, especially to those coming from the digital environment. The experience of this pilot test represents a reference for the implementation of RDA standard in Latin America, to the extent that it has generated some outcomes: free software adaptation, as well as the configuration of ILS (Integrated Library System) of participating entities for the metadata model, MARC fields and fixed-length data elements, that are necessary for the creation of RDA records (work, expression, manifestation, as well as personal, corporate and family authorities); establishment of a specialized forum to exchange, publish, make advances, and finally, develop manuals related to records creation. Considering the importance of this pilot test for Latin America, the article shows all relevant aspects of its development, the results obtained and the steps to be taken in the future