Modelo de conciencia para la sustentabilidad

Roughly, the conscience for sustainability unveils a process of civil self-management in the face of the absence or inefficiency of state management in terms of resource supply and quality of public services. In this sense, the present work set out to establish a model for the study of the phenomenon. Documentary work was done with a sample selection of sources indexed to national repositories, considering the year of publication and the keywords. Lines related to the extension of the model, as well as to the comparison between regions are confirmed to corroborate the findings reported in the literature.Grosso modo, la conciencia para la sustentabilidad devela un proceso de autogestión civil frente a la ausencia o ineficiencia de la gestión estatal en materia de abastecimiento de recursos y calidad de los servicios públicos. En ese tenor, el presente trabajo se propuso establecer un modelo para el estudio del fenómeno. Se realizó un trabajo documental con una selección muestral de fuentes indexadas a repositorios nacionales, considerando el año de publicación y las palabras claves. Se advierten líneas concernientes a la extensión del modelo, así como a la comparación entre regiones para corroborar los hallazgos reportados en la literatura

Gobernanza de la economía 4.0 : contrastación de un modelo de los determinantes perceptuales del autoempleo.

En el marco de las políticas de fomento a la caficultura y apoyo a grupos vulnerables, el objetivo del presente estudio fue contrastar un modelo de los determinantes perceptuales del autoempleo. Se llevó a cabo un estudio no experimental con una selección no probabilística de 147 buscadores de empleo en una comunidad del centro de México. A partir de un modelo estructural [X2 = 3,48 (3 gl) p = 0,000; GFI = 0,975; RMR = 0,001] las percepciones son transmisoras de efectos espurios de factores externos como el micro financiamiento, la situación ambiental o la formación profesional. Se recomiendan líneas de investigación concernientes a la inclusión de variables mediadoras tales como actitudes y motivos de los factores externos al emprendimiento social, la búsqueda de empleo y el autoempleo

MODELO DE CONCIENCIA PARA LA SUSTENTABILIDAD

Roughly, the conscience for sustainability unveils a process of civil self-management in the face of the absence or inefficiency of state management in terms of resource supply and quality of public services. In this sense, the present work set out to establish a model for the study of the phenomenon. Documentary work was done with a sample selection of sources indexed to national repositories, considering the year of publication and the keywords. Lines related to the extension of the model, as well as to the comparison between regions are confirmed to corroborate the findings reported in the literature.Grosso modo, la conciencia para la sustentabilidad devela un proceso de autogestión civil frente a la ausencia o ineficiencia de la gestión estatal en materia de abastecimiento de recursos y calidad de los servicios públicos. En ese tenor, el presente trabajo se propuso establecer un modelo para el estudio del fenómeno. Se realizó un trabajo documental con una selección muestral de fuentes indexadas a repositorios nacionales, considerando el año de publicación y las palabras claves. Se advierten líneas concernientes a la extensión del modelo, así como a la comparación entre regiones para corroborar los hallazgos reportados en la literatura

Educación. Creación de nuevas relaciones posibles

El desarrollo humano y la justicia, así como las maneras de su realización, han acompañado conflictivamente la historia de la civilización humana. Sin embargo el tema alcanza una especial significación desde la Segunda Guerra , gracias al crecimiento económico y la desigualdad inéditas. Algunos de los más destacados científicos de las ciencias sociales y humanas enfrentaron el desafío desde sus disciplinas a comienzos del siglo XX. Importantes fueron los planteamientos desde la educación y la sicología, pero también desde la política y el derecho. Pero a partir de la década de los treinta, las tesis de la vertiente técnica de la economía impusieron el prejuicio de un modelo de hombre oeconomicus, egoísta y, por ello, supuestamente libre y racional, como referente para explicar y medir la mejor sociedad posible. Por ello, a pesar del ambiente propicio en algunos planteamientos de las demás ciencias sociales, éstos se vieron relativizados por los planteamientos de la economía que mostraba su eficacia

Effects of pre-operative isolation on postoperative pulmonary complications after elective surgery: an international prospective cohort study an international prospective cohort study

We aimed to determine the impact of pre-operative isolation on postoperative pulmonary complications after elective surgery during the global SARS-CoV-2 pandemic. We performed an international prospective cohort study including patients undergoing elective surgery in October 2020. Isolation was defined as the period before surgery during which patients did not leave their house or receive visitors from outside their household. The primary outcome was postoperative pulmonary complications, adjusted in multivariable models for measured confounders. Pre-defined sub-group analyses were performed for the primary outcome. A total of 96,454 patients from 114 countries were included and overall, 26,948 (27.9%) patients isolated before surgery. Postoperative pulmonary complications were recorded in 1947 (2.0%) patients of which 227 (11.7%) were associated with SARS-CoV-2 infection. Patients who isolated pre-operatively were older, had more respiratory comorbidities and were more commonly from areas of high SARS-CoV-2 incidence and high-income countries. Although the overall rates of postoperative pulmonary complications were similar in those that isolated and those that did not (2.1% vs 2.0%, respectively), isolation was associated with higher rates of postoperative pulmonary complications after adjustment (adjusted OR 1.20, 95%CI 1.05–1.36, p = 0.005). Sensitivity analyses revealed no further differences when patients were categorised by: pre-operative testing; use of COVID-19-free pathways; or community SARS-CoV-2 prevalence. The rate of postoperative pulmonary complications increased with periods of isolation longer than 3 days, with an OR (95%CI) at 4–7 days or ≥ 8 days of 1.25 (1.04–1.48), p = 0.015 and 1.31 (1.11–1.55), p = 0.001, respectively. Isolation before elective surgery might be associated with a small but clinically important increased risk of postoperative pulmonary complications. Longer periods of isolation showed no reduction in the risk of postoperative pulmonary complications. These findings have significant implications for global provision of elective surgical care. We aimed to determine the impact of pre-operative isolation on postoperative pulmonary complications after elective surgery during the global SARS-CoV-2 pandemic. We performed an international prospective cohort study including patients undergoing elective surgery in October 2020. Isolation was defined as the period before surgery during which patients did not leave their house or receive visitors from outside their household. The primary outcome was postoperative pulmonary complications, adjusted in multivariable models for measured confounders. Pre-defined sub-group analyses were performed for the primary outcome. A total of 96,454 patients from 114 countries were included and overall, 26,948 (27.9%) patients isolated before surgery. Postoperative pulmonary complications were recorded in 1947 (2.0%) patients of which 227 (11.7%) were associated with SARS-CoV-2 infection. Patients who isolated pre-operatively were older, had more respiratory comorbidities and were more commonly from areas of high SARS-CoV-2 incidence and high-income countries. Although the overall rates of postoperative pulmonary complications were similar in those that isolated and those that did not (2.1% vs 2.0%, respectively), isolation was associated with higher rates of postoperative pulmonary complications after adjustment (adjusted OR 1.20, 95%CI 1.05–1.36, p = 0.005). Sensitivity analyses revealed no further differences when patients were categorised by: pre-operative testing; use of COVID-19-free pathways; or community SARS-CoV-2 prevalence. The rate of postoperative pulmonary complications increased with periods of isolation longer than 3 days, with an OR (95%CI) at 4–7 days or ≥ 8 days of 1.25 (1.04–1.48), p = 0.015 and 1.31 (1.11–1.55), p = 0.001, respectively. Isolation before elective surgery might be associated with a small but clinically important increased risk of postoperative pulmonary complications. Longer periods of isolation showed no reduction in the risk of postoperative pulmonary complications. These findings have significant implications for global provision of elective surgical care