Fortalecimiento de la red social de comunicación de la OSP Centro Cultural Chico Cervantes de Magangué como medio para visibilizar su trabajo social ante la comunidad

El proceso de investigación que se desarrolló en la Organización Social Participante (OSP), Centro Cultural Chico Cervantes del municipio de Magangué, departamento de Bolívar, permitió realizar un aporte crítico – constructivo a los proyectos de desarrollo social que impulsa la organización. La observación inicial se realizó a través de la sociopráxis, lo que ayudó a identificar las fortalezas y debilidades (oportunidades) que tenía la OSP. Lo anterior generó la propuesta de una estrategia comunicacional y la explicación de cómo esta incide, entre otras cosas, en el fortalecimiento del tejido social. En este ensayo crítico el lector conocerá el proceso investigativo y la experiencia participativa en el diseño y aplicabilidad de una estrategia comunicacional. La tesis que se intenta probar en este ensayo crítico es que el fortalecimiento de la red social de comunicación de la OSP Centro Cultural Chico Cervantes, es la principal estrategia para lograr la visibilización de su trabajo social ante la comunidad, a través de la divulgación de sus proyectos, procesos, programas y actividades.The research process that was developed in the Participating Social Organization (OSP), Centro Cultural Chico Cervantes in the municipality of Magangué, department of Bolívar, allowed to make a critical and constructive contribution to the social development projects promoted by the organization. The initial observation was conducted through sociopraxis, which helped to identify the strengths and weaknesses (opportunities) that the OSP had. The above generated the proposal for a communication strategy and the explanation of how it affects, among other things, the strengthening of the social fabric. In this critical essay the reader will learn about the research process and the participatory experience in the design and applicability of a communication strategy. The thesis that is tried to prove in this critical essay is that the strengthening of the social network of communication of the OSP Centro Cultural Chico Cervantes is the main strategy to achieve the visibility of its social work before the community, through the dissemination of its projects, processes, programs and activities

Correction : Chaparro et al. Incidence, Clinical Characteristics and Management of Inflammatory Bowel Disease in Spain: Large-Scale Epidemiological Study. J. Clin. Med. 2021, 10, 2885

The authors wish to make the following corrections to this paper [...]

Incidence, Clinical Characteristics and Management of Inflammatory Bowel Disease in Spain : Large-Scale Epidemiological Study

(1) Aims: To assess the incidence of inflammatory bowel disease (IBD) in Spain, to describe the main epidemiological and clinical characteristics at diagnosis and the evolution of the disease, and to explore the use of drug treatments. (2) Methods: Prospective, population-based nationwide registry. Adult patients diagnosed with IBD-Crohn's disease (CD), ulcerative colitis (UC) or IBD unclassified (IBD-U)-during 2017 in Spain were included and were followed-up for 1 year. (3) Results: We identified 3611 incident cases of IBD diagnosed during 2017 in 108 hospitals covering over 22 million inhabitants. The overall incidence (cases/100,000 person-years) was 16 for IBD, 7.5 for CD, 8 for UC, and 0.5 for IBD-U; 53% of patients were male and median age was 43 years (interquartile range = 31-56 years). During a median 12-month follow-up, 34% of patients were treated with systemic steroids, 25% with immunomodulators, 15% with biologics and 5.6% underwent surgery. The percentage of patients under these treatments was significantly higher in CD than UC and IBD-U. Use of systemic steroids and biologics was significantly higher in hospitals with high resources. In total, 28% of patients were hospitalized (35% CD and 22% UC patients, p < 0.01). (4) Conclusion: The incidence of IBD in Spain is rather high and similar to that reported in Northern Europe. IBD patients require substantial therapeutic resources, which are greater in CD and in hospitals with high resources, and much higher than previously reported. One third of patients are hospitalized in the first year after diagnosis and a relevant proportion undergo surgery

Artificial intelligence to identify retinal fundus images, quality validation, laterality evaluation, macular degeneration, and suspected glaucoma

Purpose: To assess the performance of deep learning algorithms for different tasks in retinal fundus images: (1) detection of retinal fundus images versus optical coherence tomography (OCT) or other images, (2) evaluation of good quality retinal fundus images, (3) distinction between right eye (OD) and left eye (OS) retinal fundus images,(4) detection of age-related macular degeneration (AMD) and (5) detection of referable glaucomatous optic neuropathy (GON). Patients and Methods: Five algorithms were designed. Retrospective study from a database of 306,302 images, Optretina’s tagged dataset. Three different ophthalmologists, all retinal specialists, classified all images. The dataset was split per patient in a training (80%) and testing (20%) splits. Three different CNN architectures were employed, two of which were custom designed to minimize the number of parameters with minimal impact on its accuracy. Main outcome measure was area under the curve (AUC) with accuracy, sensitivity and specificity. Results: Determination of retinal fundus image had AUC of 0.979 with an accuracy of 96% (sensitivity 97.7%, specificity 92.4%). Determination of good quality retinal fundus image had AUC of 0.947, accuracy 91.8% (sensitivity 96.9%, specificity 81.8%). Algorithm for OD/OS had AUC 0.989, accuracy 97.4%. AMD had AUC of 0.936, accuracy 86.3% (sensitivity 90.2% specificity 82.5%), GON had AUC of 0.863, accuracy 80.2% (sensitivity 76.8%, specificity 83.8%). Conclusion: Deep learning algorithms can differentiate a retinal fundus image from other images. Algorithms can evaluate the quality of an image, discriminate between right or left eye and detect the presence of AMD and GON with a high level of accuracy, sensitivity and specificity.Peer Reviewe