8 research outputs found
Characteristics and impact of interventions to support healthcare providersâ compliance with guideline recommendations for breast cancer: a systematic literature review
BackgroundBreast cancer clinical practice guidelines (CPGs) offer evidence-based recommendations to improve quality of healthcare for patients. Suboptimal compliance with breast cancer guideline recommendations remains frequent, and has been associated with a decreased survival. The aim of this systematic review was to characterize and determine the impact of available interventions to support healthcare providers' compliance with CPGs recommendations in breast cancer healthcare.MethodsWe searched for systematic reviews and primary studies in PubMed and Embase (from inception to May 2021). We included experimental and observational studies reporting on the use of interventions to support compliance with breast cancer CPGs. Eligibility assessment, data extraction and critical appraisal was conducted by one reviewer, and cross-checked by a second reviewer. Using the same approach, we synthesized the characteristics and the effects of the interventions by type of intervention (according to the EPOC taxonomy), and applied the GRADE framework to assess the certainty of evidence.ResultsWe identified 35 primary studies reporting on 24 different interventions. Most frequently described interventions consisted in computerized decision support systems (12 studies); educational interventions (seven), audit and feedback (two), and multifaceted interventions (nine). There is low quality evidence that educational interventions targeted to healthcare professionals may improve compliance with recommendations concerning breast cancer screening, diagnosis and treatment. There is moderate quality evidence that reminder systems for healthcare professionals improve compliance with recommendations concerning breast cancer screening. There is low quality evidence that multifaceted interventions may improve compliance with recommendations concerning breast cancer screening. The effectiveness of the remaining types of interventions identified have not been evaluated with appropriate study designs for such purpose. There is very limited data on the costs of implementing these interventions.ConclusionsDifferent types of interventions to support compliance with breast cancer CPGs recommendations are available, and most of them show positive effects. More robust trials are needed to strengthen the available evidence base concerning their efficacy. Gathering data on the costs of implementing the proposed interventions is needed to inform decisions about their widespread implementation
Leaching manganese nodules in an acid medium and room temperature comparing the use of different Fe reducing agent
The deposits of Fe-Mn, in the seabed of the planet, are a good alternative source for the extraction of elements of interest. Among these are marine nodules, which have approximately 24% manganese and may be a solution to the shortage of high-grade ores on the surface. In this investigation, an ANOVA analysis was performed to evaluate the time independent variables and MnO2/reducing agent in the leaching of manganese nodules with the use of different Fe reducing agents (FeS2, Fe2+, Fe-0 and Fe2O3). Tests were also carried out for the different reducing agents evaluating the MnO2/Fe ratio, in which the Fe-0 (FeC) proved to be the best reducing agent for the dissolution of Mn from marine nodules, achieving solutions of 97% in 20 min. In addition, it was discovered that at low MnO2/Fe ratios the acid concentration in the system is not very relevant and the potential and pH were in ranges of -0.4-1.4 V and -2-0.1 favoring the dissolution of Mn from MnO2.The authors are grateful for the contribution of the Scientific Equipment Unit- MAINI of the Universidad CatĂłlica del Norte for aiding in generating data by automated electronic microscopy QEMSCANÂźand for facilitating the chemical analysis of the solutions. We are also grateful to the Altonorte Mining Company for supporting this research and providing slag for this study, and we thank to Marina Vargas Aleuy of the Universidad CatĂłlica del Norte for supporting the experimental tests. Pedro Robles thanks the Pontificia Universidad CatĂłlica de ValparaĂso for the support provided
The Research Journey as a Challenge Towards New Trends
The academic community of the department of Risaralda, in its permanent interest in evidencing the results of the research processes that are carried out from the Higher Education Institutions and as a product of the VI meeting of researchers of the department of Risaralda held in November 2021 presents its work: âThe journey of research as a challenge towards new trendsâ, which reflects the result of the latest research and advances in different lines of knowledge in Agricultural Sciences, Health Sciences, Social Sciences and Technology and Information Sciences, which seek to solve and meet the demands of the different sectors.
This work would not have been possible without the help of each of the teachers, researchers and authors who presented their articles that make up each of the chapters of the book, to them our gratitude for their commitment, dedication and commitment, since their sole purpose is to contribute from the academy and science to scientific and technological development in the search for the solution of problems and thus contribute to transform the reality of our society and communities. We also wish to extend our
gratitude to the institutions of the Network that made this publication possible: UTP, UCP, UNAD, UNIREMINGTON; UNISARC, CIAF, Universidad Libre, Uniclaretiana, FundaciĂłn Universitaria Comfamiliar and UNIMINUTO, institutions that in one way or another allowed this work to become a reality, which we hope will be of interest to you.Preface............................................................................................................................7
Chapter 1. Technologies and Engineering
Towards a humanization in Engineering using soft skills in training
in Engineers.............................................................................................................11
Omar Ivån Trejos Buriticå1, Luis Eduardo Muñoz Guerrero
Innovative materials in construction: review from a bibliometric
analysis....................................................................................................................27
Cristian Osorio GĂłmez, Daniel AristizĂĄbal Torres, Alejandro Alzate Buitrago,
Cristhian Camilo Amariles LĂłpez
Bibliometric review of disaster risk management: progress, trends,
and challenges.........................................................................................................51
Alejandro Alzate Buitrago, Gloria Milena Molina Vinasco.
Incidence of land coverage and geology, in the unstability of lands
of the micro-basin of the Combia creek, Pereira, Risaralda....................................73
Alejandro Alzate Buitrago, Daniel AristizĂĄbal Torres.
Chapter 2. Arts, Humanities, and Social Sciences
Training experience with teachers teaching mathematics using the
inquiry methodology ...............................................................................................95
Vivian Libeth Uzuriaga LĂłpez, HĂ©ctor Gerardo SĂĄnchez Bedoya.
Interpretation of the multiple representations of the fears associated
to the boarding of limited visual patients in the elective I studentsâ written
productions and low vision ...................................................................................113
Eliana BermĂșdez Cardona, Ana MarĂa Agudelo Guevara, Caterine VillamarĂn Acosta.
The relevance of local knowledge in social sciences............................................131
Alberto Antonio BerĂłn Ospina, Isabel Cristina Castillo Quintero.
Basic education studentsâ conceptions of conflict a view from the peace
for the education....................................................................................................143
Astrid Milena CalderĂłn CĂĄrdenas,Carolina Aguirre Arias, Carolina Franco Ossa,
Martha Cecilia Gutiérrez Giraldo, Orfa Buitrago.
Comprehensive risk prevention in educational settings: an interdisciplinary
and socio-educational approach ............................................................................163
Olga MarĂa Henao Trujillo, Claudia MarĂa LĂłpez Ortiz.
Chapter 3. Natural and Agricultural Sciences
Physicochemical characterization of three substrates used in the deep
bedding system in swine .......................................................................................175
Juan Manuel SĂĄnchez Rubio, AndrĂ©s Felipe Arias Roldan, JesĂșs Arturo RincĂłn Sanz,
Jaime Andrés Betancourt Våsquez.
Periodic solutions in AFM models........................................................................187
Daniel Cortés Zapata, Alexander Gutiérrez Gutiérrez.
Phenology in flower and fruit of Rubus glaucus benth. Cv. Thornless
in Risaralda: elements for phytosanitary management .........................................199
Shirley Palacios Castro, AndrĂ©s Alfonso Patiño MartĂnez, James Montoya Lerma,
Ricardo Flórez, Harry Josué Pérez.
Socio-economic and technical characterization of the cultivation of
avocado (Persea americana) in Risaralda..............................................................217
AndrĂ©s Alfonso Patiño MartĂnez, Kelly Saudith Castañez Poveda, Eliana GĂłmez Correa.
Biosecurity management in backyard systems in Santa Rosa de Cabal,
Risaralda................................................................................................................227
Julia Victoria Arredondo Botero, Jaiver Estiben Ocampo Jaramillo, Juan SebastiĂĄn Mera Vallejo,
Ălvaro de JesĂșs Aranzazu HernĂĄndez.
CONTENTS
Physical-chemical diagnosis of soils in hillside areas with predominance
of Lulo CV. La Selva production system in the department of Risaralda.............241
Adriana Patricia Restrepo GallĂłn, MarĂa Paula Landinez Montes, Jimena TobĂłn LĂłpez.
Digestibility of three concentrates used in canine feeding....................................271
MarĂa Fernanda MejĂa Silva, Valentina Noreña SĂĄnchez, GastĂłn Adolfo Castaño JimĂ©nez.
Chapter 4. Economic, Administrative, and Accounting Sciences
Financial inclusion in households from socioeconomic strata 1 and 2 in
the city of Pereira ..................................................................................................285
Lindy Neth Perea Mosquera, Marlen Isabel Redondo RamĂrez, AngĂ©lica Viviana Morales.
Internal marketing strategies as a competitive advantage for the company
Mobilautos SAS de Dosquebradas........................................................................303
InĂ©s Montoya SĂĄnchez, Sandra Patricia Viana Bolaños, Ana MarĂa Barrera RodrĂguez.
Uses of tourist marketing in the tourist sector of the municipality of Belén
de UmbrĂa, Risaralda.............................................................................................319
Ana MarĂa Barrera RodrĂguez, Paola Andrea Echeverri GutiĂ©rrez, MarĂa Camila Parra Buitrago,
Paola Andrea MartĂn Muñoz, Angy Paola Ăngel VĂ©lez, Luisa Natalia Trejos Ospina.
Territorial prospective of Risaralda department (Colombia), based on
the SDGS...............................................................................................................333
Juan Guillermo Gil GarcĂa, Samanta Londoño VelĂĄsquez.
Chapter 5. Health and Sports Sciences
Performance evaluation in times of pandemic. What do medical
students think?.......................................................................................................353
Samuel Eduardo Trujillo Henao, Rodolfo A. Cabrales Vega, GermĂĄn Alberto Moreno GĂłmez.
The relevance of the therapistâs self and self-reference in the training
of psychologists.....................................................................................................371
Maria Paula Marmolejo Lozano, Mireya Ospina Botero.
Habits related to oral health which influence lifestyle of elder people
in a wellness center for the elderly in Pereira 2020. .............................................387
Isadora Blanco PĂ©rez, Olga Patricia RamĂrez RodrĂguez, Ăngela MarĂa RincĂłn Hurtado.
Analysis of the suicide trend in the Coffee Region in Colombia during
the years 2012-2018 ..............................................................................................405
Germån Alberto Moreno Gómez, Jennifer Nessim Salazar, Jairo Franco Londoño,
Juan Carlos Medina Osorio.
Hind limb long bone fractures in canines and felines...........................................419
MarĂa Camila Cruz VĂ©lez, Valentina Herrera Morales, Alba Nydia Restrepo JimĂ©nez, Lina
Marcela Palomino, Gabriel Rodolfo Izquierdo Bravo.
Prevalence of overweight and obesity in children in the rural and urban
area of Risaralda....................................................................................................439
Angela MarĂa Ălvarez LĂłpez, Angela Liceth PĂ©rez RendĂłn, Alejandro GĂłmez Rodas,
Luis Enrique Isaza VelĂĄsquez.
Chapter 6. Architecture, Design and Advertising
The artisan crafts of Risaralda, characteristics, importance, and risks
within the Colombian Coffee Cultural Landscape, CCCL....................................457
Yaffa Nahir Ivette GĂłmez Barrera, Javier Alfonso LĂłpez Morales
Bacterias, fuente de energĂa para el futuro
This paper presents a family of bacteria called
Geobacter that have the ability to produce power
as a renewable source in a microbial fuel cell.
These bacteria can completely oxidize organic
compounds using different elements or substances
as electron acceptors.
The paper addresses key features of the bacteria,
the mechanisms used to harness the electricity
generated and an approximation of the system
required to become a competitive source of renewable
energy. The results show a comparative
analysis of sources of conventional and unconventional
energy with respect to the Geobacter
family of bacteria.El presente trabajo expone una familia de bacterias
denominadas Geobacter que tienen la capacidad
de producir energĂa elĂ©ctrica como fuente renovable
en una celda de combustible microbiana.
Estas bacterias pueden oxidar totalmente compuestos
orgĂĄnicos, empleando diferentes elementos
o sustancias como aceptores de electrones.
El trabajo aborda caracterĂsticas principales de
la bacteria, como los mecanismos utilizados
para aprovechar la electricidad que genera y una
aproximaciĂłn sobre el sistema requerido para convertirla en una fuente de energĂa renovable
competitiva. Los resultados muestran un anĂĄlisis
comparativo de fuentes de energĂa convencionales
y no convencionales con respecto a la familia
de bacterias Geobacter
Adherence to breast cancer guidelines is associated with better survival outcomes: a systematic review and meta-analysis of observational studies in EU countries
Background: Breast cancer clinical guidelines offer evidence-based recommendations to improve the quality of health care for patients with or at risk of suffering breast cancer. Suboptimal adherence to breast cancer guideline recommendations has the potential to negatively affect population health. However, no study has systematically reviewed the impact of breast cancer guideline adherence -as a prognosis factor- on healthcare processes and health outcomes related to breast cancer. The objective of this systematic review is twofold: i) to analyse the impact of adherence to guidelines on health outcomes, and ii) to examine the extent to which adherence to guidelines impacts on health care costs.
Methods: We searched for systematic reviews and primary studies in MEDLINE and Embase up to May 2019. Eligibility assessment, data extraction, and risk of bias assessment were conducted by one author and crosschecked by a second author. We used random-effects meta-analyses to examine the impact of adherence to guidelines on overall survival and disease-free survival, and assessed the certainty of evidence with the GRADE approach.
Results: We included 21 primary studies. Most were published during the last decade (90%), followed a retrospective cohort design (86%), focused on adherence to treatment guidelines (95%), and were at low (80%) or moderate (20%) risk of bias. Nineteen studies (95%) examined the impact of guideline adherence on health outcomes, while two studies (10%) on healthcare cost. Adherence to guidelines was associated with increased overall survival (HR=0.66 (95% CI 0.58 to 0.75) and disease-free survival (HR=0.35 (95% CI from 0.15 to 0.82), representing 132 fewer deaths (168 fewer to 94 fewer) and 222 fewer recurrences (305 fewer to 55 fewer) per 1,000 patients at 5 years of follow-up (moderate certainty). Adherence to treatment guidelines was associated with higher costs, but adherence to follow-up guidelines was associated with lower costs (low certainty).
Conclusions: There is moderate certainty that adherence to breast cancer guidelines is associated with an improved survival. Breast cancer guidelines should be rigorously implemented in the clinical setting.JRC.F.1-Health in Societ
Healthcare providersâ adherence to breast cancer guidelines in Europe: a systematic literature review
Background: Clinical guidelinesâ (CGs) adherence supports high quality care. However, healthcare providers do not always comply with CGs recommendations. This systematic literature review aims to assess the extent of healthcare providersâ adherence to breast cancer CGs in Europe, and to identify the factors that impact on healthcare providersâ adherence.
Methods: We searched for systematic reviews, and quantitative or qualitative primary studies in MEDLINE and Embase up to May 2019. Eligibility assessment, data extraction, and risk of bias assessment were conducted by one author and crosschecked by a second author. We conducted a narrative synthesis attending to the modality of healthcare process, methods to measure adherence, scope of the CGs, and population characteristics.
Results: Out of 8137 references, we included 55 primary studies conducted in eight European countries. Most followed a retrospective cohort design (31/55; 56%) and were at low or moderate risk of bias. Adherence for overall breast cancer care process (from diagnosis to follow-up) ranged from 59% to 67%, for overall treatment process (including surgery, chemotherapy (CT), endocrine therapy (ET), and radiotherapy (RT)) the median adherence was 55% (IQR 49-52%), while for systemic therapy (CT and ET) it was 68% (IQR 69-76%). The median adherence rates for individual process were higher, with a range between 74% (IQR 10-80%) for follow-up to 88% (IQR 84-92%) for RT. Internal factors that potentially impact on healthcare providersâ adherence were their perceptions, preferences, lack of knowledge, or intentional decisions.
Conclusions: A substantial proportion of breast cancer patients are not receiving CGs recommended care. Healthcare providersâ adherence to breast cancer CGs in Europe has room for improvement in almost all care processes. CGs development and implementation processes should address the main factors that influence healthcare providers' adherence, especially the patient-related ones.JRC.F.1-Health in Societ
Mexico ants: incidence and abundance along the NearcticâNeotropical interface
International audienceto explore different aspects of the population and community research of ants at different spatial scales, and to aid in the establishment of conservation policies and actions. There are no copyright restrictions. Please cite this data paper when using its data for publications or teaching events