Propuesta para intervenir un problema de salud

El cáncer de mama está considerado como un problema de salud pública, esta enfermedad ha cobrado vidas a nivel mundial y sus índices van en crecimiento, desde el año 2005, en el municipio de Versalles, el cáncer de mama es la segunda causa de muerte en la población femenina. Por lo tanto, se realiza una propuesta académica para intervenir mujeres con un rango de edad que oscila entre los 15 y 40 años, con la finalidad de informar y sensibilizar respecto a las causas y factores de riesgos que potencian el cáncer de mama, y así reducir el impacto negativo que causa daño a la población. Las actividades propuestas en esta intervención propenden por la educación y promoción de la salud de la población intervenida, para aclarar conocimientos y preparar a la mujer para la prevención y detección de un posible cáncer de mama, enseñarle a que este atenta a las alarmas que brinda el cuerpo y a explorar la zona, a través de prácticas de autocuidado, velando por el control de su salud, e informarse sobre los factores de riesgo, signos y síntomas que son propios del cáncer de seno. Así como prácticas de autocuidado acciones en base a una manipulación en la mama, técnicas que son preventivas para el bienestar de la población femenina. Palabras clave: Cáncer, autocuidado, mortalidad, maligno, tumor, factores de riesgo.Breast cancer is considered a public health problem, this disease has taken lives worldwide and its rates have been growing, since 2005, in the municipality of Versailles, breast cancer is the second leading cause of death in the female population. Therefore, an academic proposal is made to intervene women with an age range that ranges between 15 and 40 years, in order to inform and raise awareness regarding the causes and risk factors that enhance breast cancer, and thus reduce the negative impact that causes harm to the population. The activities proposed in this intervention aim to educate and promote the health of the intervened population, to clarify knowledge and prepare women for the prevention and detection of possible breast cancer, to teach them to be alert to the alarms it provides the body and to explore the area, through self-care practices, ensuring the control of their health, and finding out about the risk factors, signs and symptoms that are characteristic of breast cancer. As well as selfcare practices, actions based on manipulation in the breast, techniques that are preventive for the well-being of the female population. Key words: Cancer, self-care, mortality, malignant, tumor, ris

The Caldera. No. 23

La pandemia, sin lugar a dudas, nos ha cambiado la vida a todos; un viernes nos fuimos para nuestros hogares, en el marco de una educación presencial; al lunes siguiente, después de dos días, estábamos iniciando el camino hacia una educación remota, una educación virtual, que se ha convertido en una gran alternativa para seguir contribuyendo con la formación de nuestros niños y jóvenes caldistas y al mejoramiento de nuestra calidad de vida que halla, en la educación, nuevamente la respuesta; han sido meses de cambios drásticos, inimaginables pero, cambios positivos que nos han permitido crecer como individuos, como familia, como escuela y como sociedad.Especial pandemia. Una generación Resiliente por promoción DINASTIA…06 VII Concurso Intercolegiado departamental de Oratoria. Ulibro 2020…51 Deporte en el Caldas…64 Expresiones Caldistas…71 Celebremos la palabra…93 Nuestros Maestros…102 Galería de Imágenes…107The pandemic, without a doubt, has changed the lives of all of us; One Friday we went to our homes, as part of a face-to-face education; The following Monday, after two days, we were starting the path towards a remote education, a virtual education, which has become a great alternative to continue contributing to the training of our children and young Caldistas and to the improvement of our quality of life. that finds, in education, the answer again; They have been months of drastic changes, unimaginable but positive changes that have allowed us to grow as individuals, as a family, as a school and as a society

Contemporary use of cefazolin for MSSA infective endocarditis: analysis of a national prospective cohort

Objectives: This study aimed to assess the real use of cefazolin for methicillin-susceptible Staphylococcus aureus (MSSA) infective endocarditis (IE) in the Spanish National Endocarditis Database (GAMES) and to compare it with antistaphylococcal penicillin (ASP). Methods: Prospective cohort study with retrospective analysis of a cohort of MSSA IE treated with cloxacillin and/or cefazolin. Outcomes assessed were relapse; intra-hospital, overall, and endocarditis-related mortality; and adverse events. Risk of renal toxicity with each treatment was evaluated separately. Results: We included 631 IE episodes caused by MSSA treated with cloxacillin and/or cefazolin. Antibiotic treatment was cloxacillin, cefazolin, or both in 537 (85%), 57 (9%), and 37 (6%) episodes, respectively. Patients treated with cefazolin had significantly higher rates of comorbidities (median Charlson Index 7, P <0.01) and previous renal failure (57.9%, P <0.01). Patients treated with cloxacillin presented higher rates of septic shock (25%, P = 0.033) and new-onset or worsening renal failure (47.3%, P = 0.024) with significantly higher rates of in-hospital mortality (38.5%, P = 0.017). One-year IE-related mortality and rate of relapses were similar between treatment groups. None of the treatments were identified as risk or protective factors. Conclusion: Our results suggest that cefazolin is a valuable option for the treatment of MSSA IE, without differences in 1-year mortality or relapses compared with cloxacillin, and might be considered equally effective