Inspección del sistema de fuerza en la Institución Educativa Nuestra Señora de Guadalupe Dosquebradas

Se pretende encontrar las fallas que se puedan encontrar en el sistema de fuerza de la Institución Educativa Nuestra Señora de Guadalupe Dosquebradas y verificar si cumplen adecuadamente con la Norma Técnica Colombiana 2050 (NTC 2050) y el Reglamento Técnico en Instalaciones Eléctricas (RETIE). Se propondrán las acciones necesarias que permitan mejorar la calidad de las instalaciones eléctricas de la Institución Educativa Nuestra Señora de Guadalupe. Finalmente el proyecto nos permitirá poner en práctica los conocimientos teórico-prácticos adquiridos durante nuestra vida universitaria

Enfermedad Meningocócica en pediatría en una clínica infantil, Cali – Colombia

Introduction: Meningococcal disease is caused by the bacterium Neisseria meningitidis, a commensal of the nasopharynx in 10% of the population. causes meningitis or meningococcal septicemia, the objective of the study is to describe the epidemiological situation of meningococcal disease in pediatrics at Healthcare Institution Cali, Colombia. Methods: Observational retrospective cross-sectional study from January 1, 2011 to January 31, 2018. Results: We included 10 patients who presented infection by Neisseria meningitidis of 157 patients who had CNS infection, presenting a prevalence of 6.4%. with the same distribution for men and women. Five cases occurred in children under one year of age, three cases between 1-5 years and two cases between 6-10 years. 75% were from a low socio-economic level and 25% were médium. In 2 cases, neisseria Meningitis B was serotype. 7 of 10 cases presented fever as the main symptom. 40% presented duration greater than 5 days of treatment and the antimicrobial more used was ceftriaxone, the rapid treatment allowed an improvement of the symptomatology in an average of 4 days. there was a death (lethality of 0.01%). Conclusion: There is evidence of an increase of approximately 15% in the notification of cases in the last 2 years. the affectation still predominates in children under 1 year of age without sexual preference, belonging to a low socio-economic and socio-demographic stratum, where 20% of the cases identify the serogroupIntroducción: La enfermedad meningocócica es causada por la bacteria Neisseria meningitidis, comensal de la nasofaringe en 10% de la población. Ocasiona meningitis o septicemia meningocócica, el objetivo del estudio es describir la situación epidemiológica de la enfermedad meningococica en pediatría en una Institución Prestadora de Salud (IPS) Cali, Colombia. Métodos: Estudio observacional de corte transversal retrospectivo durante 01 de enero de 2011 hasta el 31 de enero del 2018. Resultados: se incluyeron 10 pacientes los cuales presentaron infección por Neisseria meningitidis (meningococo) de 157 pacientes que cursaron con infección bacteriana del Sistema Nervioso Central (SNC), una prevalencia del 6,4%. Con igual distribución para hombres y mujeres. 5 casos se presentaron en menores de un año, tres casos entre los 1-5 años y dos entre los 6-10 años. 75 % fueron de nivel de estrato socioeconómico bajo y 25% medio. En dos casos se serotipifico Neisseria Meningitidis B. siete de diez casos presentaron como síntoma principal fiebre. el 40% presento duración mayor a 5 días de tratamiento y el antimicrobiano más utilizado fue ceftriaxona, el tratamiento rápido permitió una mejoría de la sintomatología en un promedio de 4 días. Se presentó un fallecimiento (letalidad del 0,01%). Conclusión: Se evidencia aumento de aproximadamente el 15% de la notificación de casos los últimos 2 años. La afectación aun predomina en menores de 1 año sin preferencia sexual, perteneciente a bajo estrato socioeconómico y sociodemográfico, en donde el 20% de los casos se identifica el serogrupo

Factors Associated with Suicide Attempts and Suicides in the General Population of Andalusia (Spain)

Discrepant results have been published by studies comparing deaths by suicide with attempted suicides. This study aimed to determine factors associated with suicides and attempted suicides in Andalusia (Spain) between 2007 and 2013, comparing sex, age, year, and suicide method between these populations. A retrospective study was conducted of data on deaths by suicide and attempted suicides over a seven-year period, calculating the sex and age rates for each behavior. Adjusted Poisson regression was used to analyze the association with study variables, and incidence rate ratios were estimated. During the seven-year study period, 20,254 attempted suicides and 5202 deaths by suicide were recorded. The prevalence of attempted suicide did not differ between the sexes, whereas the prevalence of deaths by suicide was three-fold higher among males than among females and increased with higher age. The most frequently used method was the same in males and females for suicide attempts, but differed between the sexes for suicides. The combined influence of sex and age was greater in the model for death by suicide than in the model for attempted suicide. The key differentiating factor was the method used, while the finding of greatest concern was the suicide behavior among the elderly. Preventive strategies should take these differences into account

Suicide attempts in Spain according to prehospital healthcare emergency records

Objective To analyze the number and characteristics of suicide attempts by reviewing records of the public emergency healthcare service information system. Method A retrospective observational study was conducted of emergency telephone calls received between January 1 2007 and December 31 2013 throughout the Andalusia region (Southern Spain). Cases were selected based on phone operator or healthcare team labeling. Data were analyzed on the characteristics of the individuals, the timing and severity of attempts, their prioritization, and their outcome. Results Between January 1 2007 and December 31 2013, 20.942 calls related to suicide attempts were recorded, a rate of 34.7 attempts per 100,000 inhabitants. Most cases were classified by the public emergency healthcare service (Empresa Pública de Emergencias Sanitarias, EPES) as code X84 (The International Statistical Classification of Diseases, tenth revision, ICD-10) or 305(The International Statistical Classification of Diseases, ninth revision, ICD- 9). Attempts were more frequent in the 35-49-year age group and there were similar proportions of males and females. The lowest number of calls for suicide attempts were in 2007 and the highest in 2013. Calls were more frequent during the summer months, at weekends, and between 16:00 and 23:00 h. The likelihood of evacuation to the hospital emergency department was almost two-fold lower in over 65-yr-olds than in younger individuals. Significant (ƿ = 0.001) gender differences were found in call outcome and prioritization. The most influential factor for evacuation to a hospital emergency department was the code assigned by the attending healthcare team. Conclusions Information obtained from extra-hospital emergency services provides valuable data on the characteristics and timing of calls related to suicide attempts, complementing information from hospital emergency departments or population surveys. There is a need to standardize the definition and recording of a suicide attempt.The authors are grateful to the Public Enterprise of Healthcare Emergencies of Andalusia (Empresa Pública de Emergencias Sanitarias de Andalucía) for providing the data used in this study

Deep brain stimulation in Parkinson disease

Introduction: Parkinson’s disease is considered the second cause of neurodegenerative disease, in which motor signs and symptoms such as tremor, bradykinesia, rigidity and postural instability are highlighted, accompanied by non-motor symptoms such as sleep, autonomic, cognitive, gastrointestinal among others disturbances. The pharmacological treatment of the disease at the beginning is usually useful, but when the symptoms persist, the treatment fails or its adverse reactions are not tolerated, it is necessary to consider alternatives such as deep brain stimulation. Methodology: This is a narrative review with emphasis on the clinical aspects of deep brain stimulation therapy in patients with Parkinson’s disease. Discussion: Deep brain stimulation is a surgical technique in which electrodes are implanted in specific brain regions, usually the subthalamic nucleus, globus pallidus interna or ventral intermediate nucleus of the thalamus, and are connected to a subcutaneous pacemaker from which the activity of these areas is modulated electrically. This therapy has been shown to be cost-effective, provides considerable benefits in improving the symptoms of Parkinson’s disease and has clinical evidence in patients who have been correctly selected

Innovación empresarial : nueva era de las agroempresas con gestión tecnológica

Este libro aborda la contextualización de las empresas del sector agrícola del occidente del Huila, desde un diagnóstico empresarial, el diseño de estrategias administrativas, contables y de mercadeo, hasta la innovación con desarrollo tecnológico aplicado a este sector.This book addresses the contextualization of companies in the agricultural sector in western Huila, from a business diagnosis, the design of administrative, accounting and marketing strategies, to innovation with technological development applied to this sector.Estrategias empresariales para el sector cafetero -- Innovación empresarial y sistema contable aplicado en la producción agrícola y pecuaria de la granja Juan Bosco -- Revisión bibliográfica para el desarrollo de productos electrónicos cumpliendo con estándares internacionales -- Evaluación de la eficiencia de un biofiltro para el tratamiento de aguas residuales del Café -- Fortalecimiento empresarial cafetero: una mirada hacia el cambio generacional, nuevos desafíos de responsabilidad social y liderazgo organizacional en el occidente del Huila -- Hábitos de consumo, mercado e importancia del café en el municipio de La Plata, Huila.na146 página

EDUCACIÓN AMBIENTAL Y SOCIEDAD. SABERES LOCALES PARA EL DESARROLLO Y LA SUSTENTABILIDAD

Este texto contribuye al análisis científico de varias áreas del conocimiento como la filosofía social, la patología, la educación para el cuidado del medio ambiente y la sustentabilidad que inciden en diversas unidades de aprendizaje de la Licenciatura en Educación para la Salud y de la Maestría en Sociología de la SaludLas comunidades indígenas de la sierra norte de Oaxaca México, habitan un territorio extenso de biodiversidad. Sin que sea una área protegida y sustentable, la propia naturaleza de la región ofrece a sus visitantes la riqueza de la vegetación caracterizada por sus especies endémicas que componen un paisaje de suma belleza