Fortalecimiento de capacidades locales para mejorar el hábitat, actuando sobre condicionantes ambientales y socioeconómicos de la salud, causa de la mayor parte de las desigualdades sanitarias

La estrategia se centra en mitigar los condicionantes y determinantes de la salud en las variables ambientales y Socioeconómicas interviniendo en viviendas que presentan deficiencias en el núcleo básico sanitario compuesto por baño y cocina, asegurando de este modo un sector, que por sus características particulares y mayor complejidad técnico-constructiva no cumplen adecuadamente con sus funciones básicas de otorgar un ambiente higiénico adecuado. Las condiciones de estas viviendas hace necesario intervenir en dispositivos obsoletos para la eliminación de excretas y proveer de los recursos necesarios para asegurar una correcta higiene personal y la preparación de alimentos mediante el diseño y construcción de instalaciones que aseguren provisión de agua segura.Facultad de Ciencias Médica

Risk factors associated with adverse fetal outcomes in pregnancies affected by Coronavirus disease 2019 (COVID-19): a secondary analysis of the WAPM study on COVID-19.

Objectives To evaluate the strength of association between maternal and pregnancy characteristics and the risk of adverse perinatal outcomes in pregnancies with laboratory confirmed COVID-19. Methods Secondary analysis of a multinational, cohort study on all consecutive pregnant women with laboratory-confirmed COVID-19 from February 1, 2020 to April 30, 2020 from 73 centers from 22 different countries. A confirmed case of COVID-19 was defined as a positive result on real-time reverse-transcriptase-polymerase-chain-reaction (RT-PCR) assay of nasal and pharyngeal swab specimens. The primary outcome was a composite adverse fetal outcome, defined as the presence of either abortion (pregnancy loss before 22 weeks of gestations), stillbirth (intrauterine fetal death after 22 weeks of gestation), neonatal death (death of a live-born infant within the first 28 days of life), and perinatal death (either stillbirth or neonatal death). Logistic regression analysis was performed to evaluate parameters independently associated with the primary outcome. Logistic regression was reported as odds ratio (OR) with 95% confidence interval (CI). Results Mean gestational age at diagnosis was 30.6+/-9.5 weeks, with 8.0% of women being diagnosed in the first, 22.2% in the second and 69.8% in the third trimester of pregnancy. There were six miscarriage (2.3%), six intrauterine device (IUD) (2.3) and 5 (2.0%) neonatal deaths, with an overall rate of perinatal death of 4.2% (11/265), thus resulting into 17 cases experiencing and 226 not experiencing composite adverse fetal outcome. Neither stillbirths nor neonatal deaths had congenital anomalies found at antenatal or postnatal evaluation. Furthermore, none of the cases experiencing IUD had signs of impending demise at arterial or venous Doppler. Neonatal deaths were all considered as prematurity-related adverse events. Of the 250 live-born neonates, one (0.4%) was found positive at RT-PCR pharyngeal swabs performed after delivery. The mother was tested positive during the third trimester of pregnancy. The newborn was asymptomatic and had negative RT-PCR test after 14 days of life. At logistic regression analysis, gestational age at diagnosis (OR: 0.85, 95% CI 0.8-0.9 per week increase; pPeer reviewe

El mobile money como negocio de nicho y oportunidad para las TELCO´s

Fil: Bevilacqua, Alejandro M.. Universidad de San Andrés. Escuela de Negocios; Argentina.Prince, AlejandroWessel, Marti

Sonification of the Coordination of Arm Movements

cote interne IRCAM: Bevilacqua13cNone / NoneNational audienceSonification of the arm movement might be beneficial for rehabilitation of stroke patients. This implies to provide patients with auditory feedback relative to the coordination between the shoulder and elbow movements, and relative to the motion smoothness. To this purpose, we are exploring different types of sonification and musical metaphors, including source-filter, concatenative-granular and physical models sound synthesis

Análisis del cambio en la prevalencia de enfermedades, en el contexto de la pandemia.

Objective: To analyze the change in morbidity care in the year of the beginning of the pandemic (2020) compared to the pre-pandemic year (2019). Material and Methods: Quantitative, descriptive, non-experimental - documentary design. Sample: first level health care facilities in the province of Ica. Non-probabilistic sampling.  Technique: documentary analysis of official documents from health facilities. Morbidity care was analyzed considering the ICD-10 classification in one health facility and in the other the months of care and in both cases in the different stages of life considered by MINSA. Inferential analysis: 95% confidence interval, the confidence interval for the difference of proportions and for the measure of association; chi-square, the estimate of the p value (<0.05).  Results: The most important decrease, considering ICD-10, occurred in chapter VII (eye diseases and annexes) with - 81.46 % in relation to the pre-pandemic year. In relation to months, the decrease exceeds values of 80.0 % in the period from April to June 2020. Likewise, the greatest decreases correspond to the life stage: child and adolescent: average values above than 68.0 %. Conclusions: Morbidity care in primary health care facilities in 2020 (beginning of the pandemic), had an average decrease of 63.0% compared to 2019 (pre-pandemic year). The most affected life stages were children and adolescents.  Children - 68.95 %, adolescents - 68.58 %. The trend of decrease started in the month of March 2020 and this was maintained throughout the year. KEY WORDS: Pre-pandemic, covid -19, morbidities, first level of care.Objetivo: Analizar el cambio ocurrido en la atención de morbilidades en el año de inicio de la pandemia (2020) frente al año prepandémico (2019). Material y Métodos: Investigación cuantitativa, descriptiva, diseño no experimental - documental. Muestra: establecimientos de primer nivel de atención en salud de la provincia de Ica. Muestreo no probabilístico.  Técnica: análisis documental de documentos oficiales de los establecimientos de salud. Se analizaron las atenciones de morbilidades considerando, la clasificación CIE-10 en un establecimiento de salud y en otro los meses de atención y en ambos casos en las diferentes etapas de vida consideradas por el MINSA. Análisis inferencial: intervalo de confianza al 95%, el intervalo de confianza para la diferencia de proporciones y para la medida de asociación; chi cuadrado, la estimación del valor de p (<0,05).  Resultados: La disminución más importante, considerando CIE-10 se presentó en el capítulo VII (Enf. del ojo y anexos) con un – 81,46 % en relación al año prepandémico. En relación a meses, la disminución supera valores del 80,0 % en el periodo de abril a junio 2020. Asimismo las mayores disminuciones corresponden a la etapa de vida: niño y adolescente: valores promedio superiores al 68,0 %. Conclusiones: Las atenciones de morbilidades en los establecimientos del Primer Nivel de Atención en Salud en el año 2020 (inicio de la pandemia), tuvieron una disminución promedio del 63,0 % con respecto al año 2019 (año prepandémico). Las etapas de vida, más afectadas fueron niños y adolescentes. Niños – 68,95 %,  adolescentes – 68,58 %. La tendencia de disminución se inició en el mes de marzo de 2020 y esta se mantuvo durante todo el año

Plant cover and floristic composition effect on thermal behaviour of extensive green roofs

In the last few years an increasing attention has been paid to efficient energy construction systems in the building sector. Although in this contest extensive green roofs are reported to be very effective and sustainable systems, the fact that the main agents of this systems are living organisms have generated doubts, especially in locations where the development of plants and vegetation can be greatly affected by climate. This study aims to investigate the thermal performances of a 2000 m2 18 particular proprietary extensive green roof system, located on the city of Lleida (Spain), classified as Dry Mediterranean Continental climate. First, plant cover and floristic composition analysis were carried out to evaluate the dynamic of the plant layer over the surface. Then, according to the result of the botanic analysis, summer and winter study in terms of spatial and temporal factors were conducted focusing on the substrate layer, evapotranspiration effect and comparing the different behaviour of the system in low 10%) and high (80%) plant cover conditions. In this extensive green roof, the results showed temporal and spatial changes in floristic composition, with a stable cover of Sedum sp between 20 to 40 %, and a peak of colonizing species in spring and early summer. The increase in vegetation cover appears to have few effects on the above nearby roof environment because of the low moisture level in the substrate layer so that the cooling effect provided by the evapotranspiration does not take place. In addition, the increased presence of vegetation canopy may induce a limitation in substrate night cooling whereas serves as good shield for solar radiation during the day. Finally, the study also reveals the importance of the spatial factor in extensive green roofs, which can lead to not negligible variations on the thermal performance, as well as the floristic composition