Intervención educativa sobre prescripción de aines en un hospital de baja complejidad

Se analizó el efecto de dos intervenciones educativas en intervalos de seis meses sobre el uso de aines (grupo M01 según atc de 2008), medido en términos de costos totales y dosis diarias definidas (ddd)/consultas de urgencias y ambulatorias, entre enero de 2007 y junio de 2008 en el hospital San Antonio del municipio de Marmato (Caldas) en el centro de Colombia. El costo total del grupo M01 dismi- nuyó el 69,3% a diciembre de 2007 y 65,1% en junio de 2008. En ddd/consultas de urgencias y ambulatorias, el descenso fue en el primer semestre del 40,7% y en el segundo semestre del 48,5%. Naproxeno 250 mg e ibuprofeno 400 mg tabletas y diclofenaco 75 mg ampolla disminuyeron en consumos el 74,1%, 38,9% y 78,7%, respectivamente; mientras que diclofenaco 50 mg tableta incrementó el 280,0%. La sustitución en el perfil de uso de diclofenaco oral en lugar de naproxeno oral, y la disminución del uso de diclofenaco inyectable, contribuyó a la disminución del costo total. Los resultados positivos se obtuvieron por la participación y actitud favorable de todos los médicos generales del hospital hacia las reuniones de educación basadas en evidencias

Monitoring ecological change during rapid socio-economic and political transitions: Colombian ecosystems in the post-conflict era

After more than 50-years of armed conflict, Colombia is now transitioning to a more stable social and political climate due to a series of peace agreements between the government and different armed groups. Consequences of these socio-economic and political changes on ecosystems are largely uncertain, but there is growing concern about derived increases in environmental degradation. Here, we review the capacity of Colombia to monitor the state of its ecosystems and their rate of change over time. We found several important programs currently set in place by different institutions as well as by independent groups of scientists that address different aspects of environmental monitoring. However, most of the current initiatives could be improved in terms of data coverage, quality and access, and could be better articulated among each other. We propose a set of activities that would increase the capacity of Colombia to monitor its ecosystems, provide useful information to policy makers, and facilitate scientific research. These include: 1) the establishment of a national center for ecological synthesis that focuses on analyzing existing information; 2) the establishment of an ecological observatory system that collects new information, integrates remote sensing products, and produces near real-time products on key ecological variables; and 3) the creation of new platforms for dialog and action within existing scientific and policy groups

Monitoring ecological change during rapid socio-economic and political transitions: Colombian ecosystems in the post-conflict era

After more than 50-years of armed conflict, Colombia is now transitioning to a more stable social and political climate due to a series of peace agreements between the government and different armed groups. Consequences of these socio-economic and political changes on ecosystems are largely uncertain, but there is growing concern about derived increases in environmental degradation. Here, we review the capacity of Colombia to monitor the state of its ecosystems and their rate of change over time. We found several important programs currently set in place by different institutions as well as by independent groups of scientists that address different aspects of environmental monitoring. However, most of the current initiatives could be improved in terms of data coverage, quality and access, and could be better articulated among each other. We propose a set of activities that would increase the capacity of Colombia to monitor its ecosystems, provide useful information to policy makers, and facilitate scientific research. These include: 1) the establishment of a national center for ecological synthesis that focuses on analyzing existing information; 2) the establishment of an ecological observatory system that collects new information, integrates remote sensing products, and produces near real-time products on key ecological variables; and 3) the creation of new platforms for dialog and action within existing scientific and policy groups. © 2017 The Author

Monitoring ecological change during rapid socio-economic and political transitions: Colombian ecosystems in the post-conflict era

After more than 50-years of armed conflict, Colombia is now transitioning to a more stable social and political climate due to a series of peace agreements between the government and different armed groups. Consequences of these socio-economic and political changes on ecosystems are largely uncertain, but there is growing concern about derived increases in environmental degradation. Here, we review the capacity of Colombia to monitor the state of its ecosystems and their rate of change over time. We found several important programs currently set in place by different institutions as well as by independent groups of scientists that address different aspects of environmental monitoring. However, most of the current initiatives could be improved in terms of data coverage, quality and access, and could be better articulated among each other. We propose a set of activities that would increase the capacity of Colombia to monitor its ecosystems, provide useful information to policy makers, and facilitate scientific research. These include: 1) the establishment of a national center for ecological synthesis that focuses on analyzing existing information; 2) the establishment of an ecological observatory system that collects new information, integrates remote sensing products, and produces near real-time products on key ecological variables; and 3) the creation of new platforms for dialog and action within existing scientific and policy groups. © 2017 The Author