844 research outputs found

    La revitalizaci√≥n de espacios p√ļblicos sostenibles aplicado al dise√Īo de un parque cultural, distrito de Huacho, Huaura 2022

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    La presente investigaci√≥n titulada ‚ÄúLa revitalizaci√≥n de espacios p√ļblicos sostenibles aplicado al dise√Īo de un parque cultural, distrito de Huacho, Huaura ‚Äď 2022‚ÄĚ tiene como objetivo determinar en qu√© medida influir√° el dise√Īo de un parque cultural en la revitalizaci√≥n de espacios p√ļblicos sostenibles en el Distrito de Huacho. Este estudio se desarrolla con un enfoque en la promoci√≥n de car√°cter educativo-cultural y recreacional en el distrito de Huacho, influyendo de esa manera en el desarrollo cultural y as√≠ promueva la integraci√≥n social de la ciudad. Se analiz√≥ el estado situacional de los espacios culturales de la provincia de Huaura, en el que se da por conclusi√≥n que estos espacios son insuficientes para los usuarios, con una infraestructura poco adecuada, sin la tecnolog√≠a pertinente, y con falta de criterios para una estructura de car√°cter cultural y recreacional. Para desarrollar los requisitos de dise√Īo del concepto de Parque Cultural, se examinaron las caracter√≠sticas clim√°ticas y geogr√°ficas de la provincia de Huaura. Estos an√°lisis nos proporcionaron las pautas fundamentales para el dise√Īo. Como resultado se produce una decisi√≥n partidaria a partir de una composici√≥n funcional que cumple con la programaci√≥n sugerida a trav√©s del an√°lisis de 02 proyectos de referencia internacional, que tienen como foco principal el desarrollo de los espacios culturales y recreativos del proyecto. Adem√°s, se puede escalonar la composici√≥n de una volumetr√≠a aprovechando la irregularidad del terreno. Por √ļltimo, el proyecto es considerado como una edificaci√≥n que desarrolla las funciones y espacios dadas en el programa arquitect√≥nico. Tambi√©n se integra a la est√©tica del territorio y colindantes, siendo el enfoque primordial brindar espacios culturales y recreativos que promueva la integraci√≥n social para los diferentes tipos de usuarios

    Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

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    BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

    Measurement of b jet shapes in proton-proton collisions at root s=5.02 TeV