99 research outputs found
Análisis de la construcción de la identidad cultural generacional a través del consumo de música del género reggaeton en adolescentes de la ciudad de Cali
En este texto está consignada la búsqueda de una comprensión entre la relación que existe entre consumo e identidad, tomando como foco principal la adolescencia, siendo esta tomada para tal propósito como el periodo de tiempo en el que el ser humano tiene un desarrollo tanto físico como psicológico, el cual afecta sus patrones de comportamiento.
Se toma al reggaetón como punto de partida, pues el autor piensa que este género musical ha trascendido esta barrera y ha llegado a transformarse en una nueva cultura adoptada y adaptada a la cultura contemporánea, llegando a ser quizá el marcador cultural de esta generaciónPasantía de investigación (Publicista)-- Universidad Autónoma de Occidente, 2012PregradoPublicist
Effectiveness of an intervention for improving drug prescription in primary care patients with multimorbidity and polypharmacy:Study protocol of a cluster randomized clinical trial (Multi-PAP project)
This study was funded by the Fondo de Investigaciones Sanitarias ISCIII (Grant Numbers PI15/00276, PI15/00572, PI15/00996), REDISSEC (Project Numbers RD12/0001/0012, RD16/0001/0005), and the European Regional Development Fund ("A way to build Europe").Background: Multimorbidity is associated with negative effects both on people's health and on healthcare systems. A key problem linked to multimorbidity is polypharmacy, which in turn is associated with increased risk of partly preventable adverse effects, including mortality. The Ariadne principles describe a model of care based on a thorough assessment of diseases, treatments (and potential interactions), clinical status, context and preferences of patients with multimorbidity, with the aim of prioritizing and sharing realistic treatment goals that guide an individualized management. The aim of this study is to evaluate the effectiveness of a complex intervention that implements the Ariadne principles in a population of young-old patients with multimorbidity and polypharmacy. The intervention seeks to improve the appropriateness of prescribing in primary care (PC), as measured by the medication appropriateness index (MAI) score at 6 and 12months, as compared with usual care. Methods/Design: Design:pragmatic cluster randomized clinical trial. Unit of randomization: family physician (FP). Unit of analysis: patient. Scope: PC health centres in three autonomous communities: Aragon, Madrid, and Andalusia (Spain). Population: patients aged 65-74years with multimorbidity (≥3 chronic diseases) and polypharmacy (≥5 drugs prescribed in ≥3months). Sample size: n=400 (200 per study arm). Intervention: complex intervention based on the implementation of the Ariadne principles with two components: (1) FP training and (2) FP-patient interview. Outcomes: MAI score, health services use, quality of life (Euroqol 5D-5L), pharmacotherapy and adherence to treatment (Morisky-Green, Haynes-Sackett), and clinical and socio-demographic variables. Statistical analysis: primary outcome is the difference in MAI score between T0 and T1 and corresponding 95% confidence interval. Adjustment for confounding factors will be performed by multilevel analysis. All analyses will be carried out in accordance with the intention-to-treat principle. Discussion: It is essential to provide evidence concerning interventions on PC patients with polypharmacy and multimorbidity, conducted in the context of routine clinical practice, and involving young-old patients with significant potential for preventing negative health outcomes. Trial registration: Clinicaltrials.gov, NCT02866799Publisher PDFPeer reviewe
Treatment with tocilizumab or corticosteroids for COVID-19 patients with hyperinflammatory state: a multicentre cohort study (SAM-COVID-19)
Objectives: The objective of this study was to estimate the association between tocilizumab or corticosteroids and the risk of intubation or death in patients with coronavirus disease 19 (COVID-19) with a hyperinflammatory state according to clinical and laboratory parameters.
Methods: A cohort study was performed in 60 Spanish hospitals including 778 patients with COVID-19 and clinical and laboratory data indicative of a hyperinflammatory state. Treatment was mainly with tocilizumab, an intermediate-high dose of corticosteroids (IHDC), a pulse dose of corticosteroids (PDC), combination therapy, or no treatment. Primary outcome was intubation or death; follow-up was 21 days. Propensity score-adjusted estimations using Cox regression (logistic regression if needed) were calculated. Propensity scores were used as confounders, matching variables and for the inverse probability of treatment weights (IPTWs).
Results: In all, 88, 117, 78 and 151 patients treated with tocilizumab, IHDC, PDC, and combination therapy, respectively, were compared with 344 untreated patients. The primary endpoint occurred in 10 (11.4%), 27 (23.1%), 12 (15.4%), 40 (25.6%) and 69 (21.1%), respectively. The IPTW-based hazard ratios (odds ratio for combination therapy) for the primary endpoint were 0.32 (95%CI 0.22-0.47; p < 0.001) for tocilizumab, 0.82 (0.71-1.30; p 0.82) for IHDC, 0.61 (0.43-0.86; p 0.006) for PDC, and 1.17 (0.86-1.58; p 0.30) for combination therapy. Other applications of the propensity score provided similar results, but were not significant for PDC. Tocilizumab was also associated with lower hazard of death alone in IPTW analysis (0.07; 0.02-0.17; p < 0.001).
Conclusions: Tocilizumab might be useful in COVID-19 patients with a hyperinflammatory state and should be prioritized for randomized trials in this situatio
Análisis de la construcción de la identidad cultural generacional a través del consumo de música del género reggaeton en adolescentes de la ciudad de Cali
En este texto está consignada la búsqueda de una comprensión entre la relación que existe entre consumo e identidad, tomando como foco principal la adolescencia, siendo esta tomada para tal propósito como el periodo de tiempo en el que el ser humano tiene un desarrollo tanto físico como psicológico, el cual afecta sus patrones de comportamiento.
Se toma al reggaetón como punto de partida, pues el autor piensa que este género musical ha trascendido esta barrera y ha llegado a transformarse en una nueva cultura adoptada y adaptada a la cultura contemporánea, llegando a ser quizá el marcador cultural de esta generació
La Extensión Universitaria como una herramienta para la apropiación social del conocimiento
La Universidad Tecnológica de Pereira (UTP), a través de la Vicerrectoría de Investigaciones Innovación y Extensión, busca promover la extensión universitaria como una estrategia que permite el intercambio, la aplicación y la integración del conocimiento científico, tecnológico, artístico y cultural; al igual que la vinculación con la realidad social, cultural, económica y productiva de la región y del país, al darle valor
a las capacidades institucionales y al generar una articulación e integración entre la docencia y la investigación, la cual permita la identificación de problemáticas y la propuesta de alternativas de solución; además de las oportunidades en el sector externo para realizar intervenciones y alianzas que conduzcan a fortalecer y aportar al desarrollo económico, cultural y el bienestar de la comunidad en general. En este sentido, para el año 2019 se ofertó, a los miembros de la comunidad universitaria, la «Convocatoria
interna para la financiación de proyectos de extensión social, cultural y artístico» cuya ejecución se realizaría en el año 2020 y cuyo objetivo era fomentar el desarrollo de proyectos de carácter social, cultural, artístico, los cuales permitieran la solución y transformación de problemáticas que involucrarán o beneficiarán sectores de diferentes comunidadesApropiación social del conocimientoCONTENIDO
Población beneficiada ...............................................................................................54
Conclusiones..............................................................................................................54
Fotografías..................................................................................................................55
Bibliografía .................................................................................................................58
Capítulo cuatro
Generación de Apropiación Social del Conocimiento en Temas de
Procesamiento, Bioconservación y Nutrición, a los Productores del Mercado
Agroecológico de la Universidad Tecnológica de Pereira Alimentos para la
Vida...................................................................................................................................63
Resumen .....................................................................................................................64
Abstract.......................................................................................................................65
Introducción...............................................................................................................65
Objetivos.....................................................................................................................66
Objetivo general.........................................................................................................66
Objetivos específicos.................................................................................................66
Metodología ..............................................................................................................67
Resultados...................................................................................................................68
Población beneficiada ...............................................................................................70
Conclusiones..............................................................................................................71
Bibliografía .................................................................................................................71
Fotografías..................................................................................................................74
Capítulo cinco
Cursos de refuerzo basados en aprendizaje activo, social y cultural, para
afrontar el contexto de la enseñanza en ingeniería desde una visión
interdisciplinaria............................................................................................................79
Resumen .....................................................................................................................79
Abstract ......................................................................................................................80
Introducción...............................................................................................................81
Objetivos.....................................................................................................................84
Objetivo general.........................................................................................................84
Objetivos específicos.................................................................................................84
Metodología ...............................................................................................................85
Resultados...................................................................................................................88
Población beneficiada ...............................................................................................89
Conclusiones..............................................................................................................89
Bibliografía .................................................................................................................90
Capítulo seis
Laboratorios andantes: Fotografía estenopeica como interfaz cultural de la
memoria colectiva..........................................................................................................95
Resumen .....................................................................................................................95
Abstract ......................................................................................................................96
Introducción...............................................................................................................97
Objetivos.................................................................................................................. 101
Objetivo general...................................................................................................... 101
Objetivos específicos.............................................................................................. 101
Metodología ........................................................................................................... 101
Resultados................................................................................................................ 105
Conclusiones........................................................................................................... 108
Bibliografía .............................................................................................................. 109
Capítulo siete
Divulgación académica y cultural de los productos turísticos y rol del arenero
artesanal en el turismo de la Virginia, Risaralda.................................................. 113
Resumen .................................................................................................................. 113
Abstract ................................................................................................................... 114
Introducción............................................................................................................ 114
Objetivos.................................................................................................................. 116
Objetivo general...................................................................................................... 116
Objetivos específicos.............................................................................................. 116
Metodología ............................................................................................................ 117
Resultados................................................................................................................ 117
Población beneficiada ............................................................................................ 119
Conclusiones........................................................................................................... 120
Bibliografía .............................................................................................................. 120
Capítulo ocho
Proyecto de actualización en cirugía general........................................................ 125
Resumen .................................................................................................................. 125
Abstract.................................................................................................................... 126
Introducción............................................................................................................ 127
Objetivos.................................................................................................................. 127
Objetivo general...................................................................................................... 127
Objetivos específicos.............................................................................................. 128
Metodología ............................................................................................................ 128
Resultados................................................................................................................ 128
Población beneficiada ............................................................................................ 140
Conclusiones........................................................................................................... 141
Bibliografía .............................................................................................................. 141
Capítulo nueve
Implementación de metodologías de enseñanza/aprendizaje en niños de tercera
infancia y adolescentes a través de conceptos y proyectos de la aeronáutica
(Aerokid)....................................................................................................................... 145
Resumen .................................................................................................................. 145
Abstract.................................................................................................................... 146
Introducción............................................................................................................ 147
Objetivos.................................................................................................................. 148
Objetivo general...................................................................................................... 148
Objetivos específicos.............................................................................................. 148
Metodología ............................................................................................................ 148
Resultados................................................................................................................ 158
Población beneficiada ............................................................................................ 158
Conclusiones........................................................................................................... 158
Bibliografía .............................................................................................................. 159
Capítulo diez
“Contagio: Cursos de Extensión de Educadores Noveles para Población
Migrante”...................................................................................................................... 163
Resumen .................................................................................................................. 163
Abstract.................................................................................................................... 164
Introducción............................................................................................................ 165
Objetivos.................................................................................................................. 166
Objetivo general...................................................................................................... 166
Objetivos específicos.............................................................................................. 166
Metodología ............................................................................................................ 167
Población beneficiada ............................................................................................ 169
Evento de cierre, 19 de noviembre: Narrativas migratorias:
experiencias de viaje............................................................................................... 170
Medios de difusión................................................................................................ .171
Datos sobre la inscripción de los cursillistas....................................................... 171
Sobre la migración.................................................................................................. 173
Conclusiones........................................................................................................... 173
Bibliografía .............................................................................................................. 177
Capítulo once
Los mercados agroecológicos en Pereira, Dosquebradas y Santa Rosa: una
expresión de dinámicas sociales y economías posibles....................................... 181
Resumen .................................................................................................................. 181
Abstract.................................................................................................................... 182
Introducción............................................................................................................ 183
Objetivos.................................................................................................................. 185
Objetivo general...................................................................................................... 185
Objetivos específicos.............................................................................................. 185
Metodología ............................................................................................................ 185
Resultados................................................................................................................ 187
Población beneficiada ............................................................................................ 196
Conclusiones........................................................................................................... 198
Bibliografía .............................................................................................................. 200
Capítulo doce
Identificación e implementación de medidas integrales basadas en minería
de datos para la disminución de la deserción al interior de la facultad de
ingenierías de la Universidad Tecnológica de Pereira ......................................... 205
Resumen .................................................................................................................. 205
Abstract.................................................................................................................... 206
Introducción............................................................................................................ 206
Objetivos ................................................................................................................. 208
Objetivo general...................................................................................................... 208
Objetivos específicos.............................................................................................. 208
Metodología ............................................................................................................ 208
Resultados................................................................................................................ 209
Resultados preliminares......................................................................................... 225
Población beneficiada ........................................................................................... 226
Conclusiones........................................................................................................... 226
Bibliografía .............................................................................................................. 22
Search for narrow resonances using the dijet mass spectrum in pp collisions at s√=8 TeV
Results are presented of a search for the production of new particles decaying to pairs of partons (quarks, antiquarks, or gluons), in the dijet mass spectrum in proton-proton collisions at s√=8 TeV. The data sample corresponds to an integrated luminosity of 4.0 fb−1, collected with the CMS detector at the LHC in 2012. No significant evidence for narrow resonance production is observed. Upper limits are set at the 95% confidence level on the production cross section of hypothetical new particles decaying to quark-quark, quark-gluon, or gluon-gluon final states. These limits are then translated into lower limits on the masses of new resonances in specific scenarios of physics beyond the standard model. The limits reach up to 4.8 TeV, depending on the model, and extend previous exclusions from similar searches performed at lower collision energies. For the first time mass limits are set for the Randall–Sundrum graviton model in the dijet channel
Biodiversidad 2018. Reporte de estado y tendencias de la biodiversidad continental de Colombia
Las cifras y temáticas contenidos en el presente Reporte, aunque no son el panorama completo del estado del conocimiento de la biodiversidad en Colombia, son un compendio seleccionado de los temas que, desde el Instituto
Humboldt, consideramos son relevantes y merecen ser discutidos por el público general. En muchos de los casos, las cifras no son esperanzadoras u son un llamado urgente a la acción. En otro casos son la evidencia de que se requieren acciones a nivel nacional, y más allá de esto, son muchas las iniciativas que están germinando desde los territorios, cada vez desde una mayor variedad de actores.Bogotá, D. C., Colombi
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Effects of pre-operative isolation on postoperative pulmonary complications after elective surgery: an international prospective cohort study an international prospective cohort study
We aimed to determine the impact of pre-operative isolation on postoperative pulmonary complications after elective surgery during the global SARS-CoV-2 pandemic. We performed an international prospective cohort study including patients undergoing elective surgery in October 2020. Isolation was defined as the period before surgery during which patients did not leave their house or receive visitors from outside their household. The primary outcome was postoperative pulmonary complications, adjusted in multivariable models for measured confounders. Pre-defined sub-group analyses were performed for the primary outcome. A total of 96,454 patients from 114 countries were included and overall, 26,948 (27.9%) patients isolated before surgery. Postoperative pulmonary complications were recorded in 1947 (2.0%) patients of which 227 (11.7%) were associated with SARS-CoV-2 infection. Patients who isolated pre-operatively were older, had more respiratory comorbidities and were more commonly from areas of high SARS-CoV-2 incidence and high-income countries. Although the overall rates of postoperative pulmonary complications were similar in those that isolated and those that did not (2.1% vs 2.0%, respectively), isolation was associated with higher rates of postoperative pulmonary complications after adjustment (adjusted OR 1.20, 95%CI 1.05–1.36, p = 0.005). Sensitivity analyses revealed no further differences when patients were categorised by: pre-operative testing; use of COVID-19-free pathways; or community SARS-CoV-2 prevalence. The rate of postoperative pulmonary complications increased with periods of isolation longer than 3 days, with an OR (95%CI) at 4–7 days or ≥ 8 days of 1.25 (1.04–1.48), p = 0.015 and 1.31 (1.11–1.55), p = 0.001, respectively. Isolation before elective surgery might be associated with a small but clinically important increased risk of postoperative pulmonary complications. Longer periods of isolation showed no reduction in the risk of postoperative pulmonary complications. These findings have significant implications for global provision of elective surgical care. We aimed to determine the impact of pre-operative isolation on postoperative pulmonary complications after elective surgery during the global SARS-CoV-2 pandemic. We performed an international prospective cohort study including patients undergoing elective surgery in October 2020. Isolation was defined as the period before surgery during which patients did not leave their house or receive visitors from outside their household. The primary outcome was postoperative pulmonary complications, adjusted in multivariable models for measured confounders. Pre-defined sub-group analyses were performed for the primary outcome. A total of 96,454 patients from 114 countries were included and overall, 26,948 (27.9%) patients isolated before surgery. Postoperative pulmonary complications were recorded in 1947 (2.0%) patients of which 227 (11.7%) were associated with SARS-CoV-2 infection. Patients who isolated pre-operatively were older, had more respiratory comorbidities and were more commonly from areas of high SARS-CoV-2 incidence and high-income countries. Although the overall rates of postoperative pulmonary complications were similar in those that isolated and those that did not (2.1% vs 2.0%, respectively), isolation was associated with higher rates of postoperative pulmonary complications after adjustment (adjusted OR 1.20, 95%CI 1.05–1.36, p = 0.005). Sensitivity analyses revealed no further differences when patients were categorised by: pre-operative testing; use of COVID-19-free pathways; or community SARS-CoV-2 prevalence. The rate of postoperative pulmonary complications increased with periods of isolation longer than 3 days, with an OR (95%CI) at 4–7 days or ≥ 8 days of 1.25 (1.04–1.48), p = 0.015 and 1.31 (1.11–1.55), p = 0.001, respectively. Isolation before elective surgery might be associated with a small but clinically important increased risk of postoperative pulmonary complications. Longer periods of isolation showed no reduction in the risk of postoperative pulmonary complications. These findings have significant implications for global provision of elective surgical care
Global economic burden of unmet surgical need for appendicitis
Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US 73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was 75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially
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