Los retos del proceso de la integración centroamericana en el marco del fortalecimiento de la institucionalidad regional

A más de veinte años de la reformulación del proceso de la integración centroamericana parece que el panorama general deslumbra más incertidumbre que certeza. No puede decirse que no existan avances y logros, pero los obstáculos y vicisitudes suelen imperar. El recién suscrito Acuerdo de Asociación con la Unión Europea ha supuesto una reconsideración del proyecto de integración regional centroamericana, dándole un nuevo incentivo. Son innumerables los desafíos que enfrenta la integración centroamericana, ya sea en materia política, social, económica, cultural y ambiental. En esta oportunidad, se intenta llegar al corazón del sistema de la integración centroamericana (SICA): su institucionalidad. Sin ser el elemento exclusivo, el fortalecimiento institucional regional es clave para avanzar en integración. En este trabajo se aborda, en primer lugar, el fundamento filosófico y jurídico del proceso de integración centroamericana a través del SICA. Luego, para contrastar lo prescrito en los Tratados Constitutivos, se precisa la realidad y los retos de las instituciones de la región. Por último, se propone traer a la discusión un planteamiento desde la dinámica de la Gobernanza Multinivel con el objetivo de sugerir una sinergia diferente y un cambio de paradigma en las instituciones centroamericanas

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Prevalence of Depression, Anxiety, and Stress in Junior High School Students in Guadalajara, Mexico: A Cross-Sectional Survey Study

Confinement and a lack of social interaction are associated with depressive symptoms, low self-esteem, and suicidal thoughts. We report the results of a cross-sectional survey of 1414 junior high school students. The aim was to evaluate the prevalence of depression, anxiety, and stress in Guadalajara, Mexico, during the COVID-19 pandemic. Mean scores on the validated Spanish version of the Depression, Anxiety, and Stress Scale (DASS-21) were found to be 6.15 ± 5.6 for depression, 5.8 ± 5.2 for anxiety, and 8.08 ± 5.3 for stress. Female students scored higher in all three conditions (p p < 0.004). Although certain demographic groups are at higher risk of manifesting depression, anxiety, and stress, the student population has also been affected by the global impact of the pandemic

El transporte férreo y fluvial colombiano: una prospectiva hacia la electromovilidad

Libro digitalEl transporte es una de las actividades clave para el desarrollo competitivo de los países. Para ello es necesario contar con modos alternativos para la movilidad de pasajeros y de mercancía con características particulares que en su combinación conllevan a realizar procesos de transporte más eficientes en costos, tiempo, condiciones de seguridad entre otras formas de evaluar el desempeño de esta actividad. En Colombia, este potencial de utilización de diferentes modos de transporte es limitado; toda vez que en el país el modo carretero ha sido el de mayor desarrollo debido al descuido de otras alternativas que en otrora fueron relevantes para el país como, por ejemplo, el transporte por las vías fluviales y las férreas nacionales.Capítulo I. Estado actual de la operación férrea y fluvial. Capítulo II. Estado normativo del transporte férreo y fluvial en Colombia y sus disposiciones en cuanto a electro movilidad. Capítulo III. Avances, ventajas y desafíos en tecnologías de electro movilidad en el transporte férreo. Capítulo III. Avances, ventajas y desafíos en tecnologías de electro movilidad en el transporte férreo. Capítulo V. Componente ambiental de los modos férreo y fluvial.Primera edició

Cross-cultural invariance of the Spanish version of the COVID-19 Assessment Scorecard to measure the perception of government actions against COVID-19 in Latin America

Objectives: The present study aimed to evaluate the measurement invariance of a general measure of the perception of governmental responses to COVID-|19 (COVID-SCORE-10) in the general population of 13 Latin American countries. Methods: A total of 5780 individuals from 13 Latin American and Caribbean countries selected by non-probabilistic snowball sampling participated. A confirmatory factor analysis was performed and the alignment method was used to evaluate invariance. Additionally, a graded response model was used for the assessment of item characteristics. Results: The results indicate that there is approximate measurement invariance of the COVID-SCORE-10 among the participating countries. Furthermore, IRT results suggest that the COVID-SCORE-10 measures with good psychometric ability a broad spectrum of the construct assessed, especially around average levels. Comparison of COVID-SCORE-10 scores indicated that participants from Cuba, Uruguay and El Salvador had the most positive perceptions of government actions to address the pandemic. Thus, the underlying construct of perception of government actions was equivalent in all countries. Conclusion: The results show the importance of initially establishing the fundamental measurement properties and MI before inferring the cross-cultural universality of the construct to be measured

Test of invariance of the anomie brief scale with the alignment method in 12 Latin American countries

The Social Anomie Brief Scale (SAS10) is a self-report measure of social anomie against new social standards implemented during the current COVID-19 pandemic. The main objective of this study was to evaluate the invariance of the cross-cultural measurement of the SAS10 in a sample of 12 Latin American countries. Additionally, the difficulty and discrimination characteristics of the items were evaluated using the IRT and social anomie was compared between the participating countries. A total of 4,911 people from 12 Latin American countries (Argentina, Bolivia, Chile, Colombia, Cuba, Ecuador, Guatemala, Mexico, Paraguay, Peru, Uruguay, and Venezuela) selected by non-probabilistic snowball sampling participated. The results indicated that the original two-factor model of the SAS10 shows estimation problems and low fit indices in several countries. However, a model of two related dimensions (behavioral and affective) of nine items (SAS-9) presented adequate fit indices in all countries. This model presents adequate estimation of reliability and approximate cross-cultural measurement invariance. Peru was the country with the highest score in the behavioral dimension of social anomie; while Venezuela and Bolivia presented the highest scores in the affective dimension. Mexico was one of the countries with the lowest anomie scores. The results of the IRT would indicate that the characteristics of the SAS-9 items were appropriate. It is concluded that the SAS-9 has shown good psychometric propertiesUCR::Vicerrectoría de Investigación::Unidades de Investigación::Ciencias Sociales::Instituto de Investigaciones Psicológicas (IIP

Network Analysis of Posttraumatic Growth Dimensions: A Cross-Sectional Study in People Who Experienced the Death of a Loved One from COVID-19 in 16 Latin American Countries

The present study aimed to apply a network analysis model to provide an exploratory empirical conceptualization of dynamic networks of posttraumatic growth (PTG) symptoms in 7,434 people who experienced the death of a loved one from COVID-19 in 16 Latin American countries. The Post-Traumatic Growth Inventory: Short Form of Eight Items was used. A non-regularized network with partial correlation coefficients was estimated through the ggmModSelect algorithm. The network architecture was analyzed for each country through its local properties and global properties. The results indicated that the networks differed significantly between countries. The core dimensions in the networks were relating to others, personal strength, and life value and opportunities, which were more related dimensions that reinforce the emergence of PTG in all countries. The findings may be useful to motivate researchers and mental health professionals to consider the importance of the individual dimensions of PTG in groups of people who experienced the death of a loved one from COVID-19 in 16 Latin American countries, as well as their interrelationships.UCR::Vicerrectoría de Investigación::Unidades de Investigación::Ciencias Sociales::Instituto de Investigaciones Psicológicas (IIP

Relationship between fear of COVID-19, conspiracy beliefs about vaccines and intention to vaccinate against COVID-19: a cross-national indirect effect model in 13 latin american countries

The present study explored the predictive capacity of fear of COVID-19 on the intention to be vaccinated against COVID-19 and the influence in this relationship of conspiracy beliefs as a possible mediating psychological variable, in 13 Latin American countries. A total of 5779 people recruited through non-probabilistic convenience sampling participated. To collect information, we used the Fear of COVID-19 Scale, Vaccine conspiracy beliefs Scale-COVID-19 and a single item of intention to vaccinate. A full a priori Structural Equation Model was used; whereas, cross-country invariance was performed from increasingly restricted structural models. The results indicated that, fear of COVID-19 positively predicts intention to vaccinate and the presence of conspiracy beliefs about COVID-19 vaccines. The latter negatively predicted intention to vaccinate against COVID-19. Besides, conspiracy beliefs about COVID-19 vaccines had an indirect effect on the relationship between fear of COVID-19 and intention to vaccinate against COVID-19 in the 13 countries assessed. Finally, the cross-national similarities of the mediational model among the 13 participating countries are strongly supported. The study is the first to test a cross-national mediational model across variables in a large number of Latin American countries. However, further studies with other countries in other regions of the world are needed.UCR::Vicerrectoría de Investigación::Unidades de Investigación::Ciencias Sociales::Instituto de Investigaciones Psicológicas (IIP