Modelo estratégico integral para la implementación del Sistema de Gestión de la Seguridad y Salud en el Trabajo (SG-SST) en la fundación universitaria de San Gil UNISANGIL

El presente proyecto de grado pretende diseñar un modelo estratégico integral para implementar a cabalidad el Sistema de Gestión de la Seguridad y Salud en el Trabajo (SG-SST), haciendo énfasis en la gestión realizada en la Fundación Universitaria de San Gil (UNISANGIL); organización creada para satisfacer las necesidades de la población estudiantil con programas académicos acreditados de alta calidad, para llegar a ser la mejor alternativa, es decir como actor principal en la educación superior en los territorios que hace presencia, además de contribuir al desarrollo del país desde las regiones, mediante la excelencia, pertinencia e innovación en sus procesos de formación, investigación e interacción social. Para el desarrollo de esta investigación se logra identificar una problemática, en la cual “se establece realizar el plan de mejora correspondiente al 15,5 % con el fin de obtener el 100% del SGSST; siguiendo los lineamientos contemplados en el decreto 1443 de 2014, decreto 052 de 2017 y Resolución 1111 de 2017” (Ministerio de trabajo, 2017). El presente plan de mejora tiene por objetivo efectuar las acciones correctivas para subsanar las situaciones irregulares detectadas y prevenir que se presente casos similares o relacionados en el futuro.The present degree project aims to design a comprehensive strategic model to fully implement the Occupational Health and Safety Management System (SG-SST), emphasizing the management carried out at the University Foundation of San Gil (UNISANGIL); organization created to meet the needs of the student population with accredited academic programs of high quality, to become the best alternative, that is, as a major actor in higher education in the territories that are present, in addition to contributing to the development of the country from the regions, through excellence, relevance and innovation in their training, research and social interaction processes. For the development of this research it is possible to identify a problem, in which "it is established to make the improvement plan corresponding to 15.5% in order to obtain 100% of the SGSST; following the guidelines contemplated in decree 1443 of 2014, decree 052 of 2017 and Resolution 1111 of 2017 "(Ministry of labor, 2017). The purpose of this improvement plan is to carry out the corrective actions to correct the irregular situations detected and to prevent the occurrence of similar or related cases in the future

The challenge of measuring intra-individual change in fatigue during cancer treatment

Evaluate how well three different patient-reported outcomes (PROs) measure individual change

Validation of the PROMIS physical function measures in a diverse US population-based cohort of cancer patients

To evaluate the validity of the Patient-Reported Outcomes Measurement Information System (PROMIS) Physical Function measures in a diverse, population-based cancer sample

Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019

Background: In an era of shifting global agendas and expanded emphasis on non-communicable diseases and injuries along with communicable diseases, sound evidence on trends by cause at the national level is essential. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) provides a systematic scientific assessment of published, publicly available, and contributed data on incidence, prevalence, and mortality for a mutually exclusive and collectively exhaustive list of diseases and injuries. Methods: GBD estimates incidence, prevalence, mortality, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life-years (DALYs) due to 369 diseases and injuries, for two sexes, and for 204 countries and territories. Input data were extracted from censuses, household surveys, civil registration and vital statistics, disease registries, health service use, air pollution monitors, satellite imaging, disease notifications, and other sources. Cause-specific death rates and cause fractions were calculated using the Cause of Death Ensemble model and spatiotemporal Gaussian process regression. Cause-specific deaths were adjusted to match the total all-cause deaths calculated as part of the GBD population, fertility, and mortality estimates. Deaths were multiplied by standard life expectancy at each age to calculate YLLs. A Bayesian meta-regression modelling tool, DisMod-MR 2.1, was used to ensure consistency between incidence, prevalence, remission, excess mortality, and cause-specific mortality for most causes. Prevalence estimates were multiplied by disability weights for mutually exclusive sequelae of diseases and injuries to calculate YLDs. We considered results in the context of the Socio-demographic Index (SDI), a composite indicator of income per capita, years of schooling, and fertility rate in females younger than 25 years. Uncertainty intervals (UIs) were generated for every metric using the 25th and 975th ordered 1000 draw values of the posterior distribution. Findings: Global health has steadily improved over the past 30 years as measured by age-standardised DALY rates. After taking into account population growth and ageing, the absolute number of DALYs has remained stable. Since 2010, the pace of decline in global age-standardised DALY rates has accelerated in age groups younger than 50 years compared with the 1990–2010 time period, with the greatest annualised rate of decline occurring in the 0–9-year age group. Six infectious diseases were among the top ten causes of DALYs in children younger than 10 years in 2019: lower respiratory infections (ranked second), diarrhoeal diseases (third), malaria (fifth), meningitis (sixth), whooping cough (ninth), and sexually transmitted infections (which, in this age group, is fully accounted for by congenital syphilis; ranked tenth). In adolescents aged 10–24 years, three injury causes were among the top causes of DALYs: road injuries (ranked first), self-harm (third), and interpersonal violence (fifth). Five of the causes that were in the top ten for ages 10–24 years were also in the top ten in the 25–49-year age group: road injuries (ranked first), HIV/AIDS (second), low back pain (fourth), headache disorders (fifth), and depressive disorders (sixth). In 2019, ischaemic heart disease and stroke were the top-ranked causes of DALYs in both the 50–74-year and 75-years-and-older age groups. Since 1990, there has been a marked shift towards a greater proportion of burden due to YLDs from non-communicable diseases and injuries. In 2019, there were 11 countries where non-communicable disease and injury YLDs constituted more than half of all disease burden. Decreases in age-standardised DALY rates have accelerated over the past decade in countries at the lower end of the SDI range, while improvements have started to stagnate or even reverse in countries with higher SDI. Interpretation: As disability becomes an increasingly large component of disease burden and a larger component of health expenditure, greater research and developm nt investment is needed to identify new, more effective intervention strategies. With a rapidly ageing global population, the demands on health services to deal with disabling outcomes, which increase with age, will require policy makers to anticipate these changes. The mix of universal and more geographically specific influences on health reinforces the need for regular reporting on population health in detail and by underlying cause to help decision makers to identify success stories of disease control to emulate, as well as opportunities to improve. Funding: Bill & Melinda Gates Foundation. © 2020 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licens

Nanofibrillar Networks in Poly(ethyl methacrylate) and Its Silica Nanocomposites

to increase the elastic modulus in molten PEMA. Introduction Polymer nanocomposites generally refer to organic/inorganic materials designed so that the matrix consists of a macromolecule to which an inorganic nanoscale particle is physically added or in which an inorganic species is grown under tightly controlled conditions to retain nanoscale dimensions and minimize aggregation. 1,2 Incorporation of such particles provides a versatile and efficient route to multifunctional materials possessing enhanced properties such as electrical conductivity, 3,4 nonlinear optics, 5,6 mechanical toughness, catalytic activity, separation selectivity, 8 and magnetism. 9 In this work, we only consider those nanocomposites prepared by the addition of inorganic particles, such as fumed or colloidal silica, to a polymer matrix. Colloidal silica has been widely used in the production of polymer nanocomposites due to its ability to improve mechanical stability at elevated temperatures

Severe Preeclampsia and Maternal Self-Report of Oral Health, Hygiene, and Dental Care

BACKGROUND: Maternal periodontal disease diagnosed by a detailed oral health examination is associated with preeclampsia. Our objective was to measure the association between maternal self-report of oral symptoms/problems, oral hygiene practices, and/or dental service utilization prior to or during pregnancy and severe preeclampsia. METHODS: A written questionnaire was administered to pregnant women at the time of prenatal ultrasound, and outcomes ascertained by chart abstraction. Chi square test compared maternal oral symptoms/problems, hygiene practices, and dental service utilization between women with severe preeclampsia versus normotensive women. Multivariable logistic regression was used to calculate adjusted odds ratios (aOR) and 95% confidence intervals (CI) for severe preeclampsia. Results: 48 (10%) of 470 women reported ≥ 2 oral symptoms/problems in the 6 months prior to pregnancy and 77 (16%) since pregnancy. 51(11%) reported prior periodontal treatment. 28 (6%) of 470 developed severe preeclampsia. Women with a history of periodontal treatment were more likely to develop severe preeclampsia (aOR, 95%CI: 3.71, 1.40-9.83) than women without a prior history of periodontal treatment. Self-reported oral health symptoms/problems, oral hygiene practices, or dental service utilization prior to or during pregnancy were not associated with severe preeclampsia when considered in the context of other maternal risk factors. Conclusion: Maternal self report of previous periodontal treatment prior to pregnancy is associated with severe preeclampsia