Momentos L na regionalização de valores característicos de vazão

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Lectura de contexto y abordaje psicosocial desde los enfoques narrativos Bogotá, Coveñas.

Durante la última fase de aprendizaje en el diplomado de profundización acompañamiento psicosocial en escenarios de violencia se abordarán los enfoques narrativos, estos nos brindan herramientas trasformadoras de historias logrando cambiar el guion del dolor a la esperanza. Para ello se analizarán relatos de victimas reales y a partir de ellos generar estrategias de moldeamiento de la historia de forma que ayude a la persona a salir adelante. De esta forma, la narrativa y en especial la pregunta se convierte en una herramienta de eficaz pues nos lleva a desarrollar habilidades para el acercamiento a la comunidad y a la realidad del conflicto, por otra parte, permite a la víctima descubrir aspectos más allá de la situación vivida y tener conciencia frente a las potencialidades que puede desarrollar a partir de un hecho traumático.During the last phase of learning in the course of deepening psychosocial accompaniment in scenarios of violence, narrative approaches will be addressed, these provide us with transforming tools of stories managing to change the script from pain to hope. For this purpose, stories of real victims will be analyzed and from them generate strategies for shaping the story in a way that helps the person to get ahead. In this way, the narrative and especially the question becomes an effective tool as it leads us to develop skills to approach the community and the reality of the conflict, on the other hand it allows the victim to discover aspects beyond the situation lived and be aware of the potentialities that can develop from a traumatic event

Instalación, configuración y administración de GNU/ Linux Nethserver

En este artículo se va a presentar la configuración, instalación y puesta en marcha de una de las distribuciones más potentes de GNU/Linux, y es Nethserver, la cual posee una interfaz gráfica que permite gestionar cada uno de los servicios que requiere una empresa para brindar seguridad, estabilidad y usabilidad. Con el conocimiento adquirido en este diplomado de profundización, se evidenciará su instalación y configuración de las necesidades básicas como son: DHCP server, DNS Server, Proxy, cortafuegos, File Server y VPN. Con ellos aseguramos que GNU/Linux Nethserver es una solución amigable e intuitiva para administrar la seguridad de las empresas.This article will present the configuration, installation and start-up of one of the most powerful GNU/Linux distributions, and it is Nethserver, which has a graphical interface that allows managing each of the services that a company requires for provide security, stability and usability. With the knowledge acquired in this in-depth diploma, its installation and configuration of basic needs such as: DHCP server, DNS Server, Proxy, firewall, File Server and VPN will be evidenced. With them we ensure that GNU/Linux Nethserver is a friendly and intuitive solution to manage company security

A consensus statement for trauma surgery capacity building in Latin America

Background Trauma is a significant public health problem in Latin America (LA), contributing to substantial death and disability in the region. Several LA countries have implemented trauma registries and injury surveillance systems. However, the region lacks an integrated trauma system. The consensus conference’s goal was to integrate existing LA trauma data collection efforts into a regional trauma program and encourage the use of the data to inform health policy. Methods We created a consensus group of 25 experts in trauma and emergency care with previous data collection and injury surveillance experience in the LA. region. Experts participated in a consensus conference to discuss the state of trauma data collection in LA. We utilized the Delphi method to build consensus around strategic steps for trauma data management in the region. Consensus was defined as the agreement of ≥ 70% among the expert panel. Results The consensus conference determined that action was necessary from academic bodies, scientific societies, and ministries of health to encourage a culture of collection and use of health data in trauma. The panel developed a set of recommendations for these groups to encourage the development and use of robust trauma information systems in LA. Consensus was achieved in one Delphi round. Conclusions The expert group successfully reached a consensus on recommendations to key stakeholders in trauma information systems in LA. These recommendations may be used to encourage capacity building in trauma research and trauma health policy in the region

Fitoperifiton asociado al río Acacias-Pajure en la Orinoquia colombiana

Phytoperiphyton refers to the autotrophic component belonging to the periphyton community, composed of aquatic microorganisms that have been monitored for their ecological importance and potential as bioindicators. Few investigations have been carried out on this community in the Colombian Orinoquia, a region with abundant water resources and multiple anthropic pressures, because it is the country’s main agricultural and energy source. Three monitorings were carried out at 12 points along the Acacias-Pajure River, where a total of 41 genera were identified. The highest records of richness were presented at monitoring points 6 and 7, associated with oil palm crops and livestock activity. Navicula (Ochrophyta) and Cosmarium (Charophyta) were the most frequent genera, Oedogonium (Chlorophyta) and Phormidium (Cyanobacteria) the most abundant along the river.El fitoperifiton hace referencia al componente autótrofo perteneciente a la comunidad del perifiton, compuesta por microorganismos acuáticos que han sido monitoreados por su importancia ecológica y potencial como bioindicadores. Son escasos los estudios que se han realizado sobre esta comunidad en la Orinoquia colombiana, región con un abundante recurso hídrico y con múltiples presiones antrópicas, debido a que es la principal despensa agrícola y energética del país. Se realizaron tres monitoreos en 12 puntos a lo largo del río Acacias-Pajure, en donde se identificaron un total de 41 géneros. Los mayores registros de riqueza se presentaron en los puntos de monitoreo 6 y 7, asociados a cultivos de palma de aceite y actividad ganadera. Navicula (Ochrophyta) y Cosmarium (Charophyta) fueron los géneros más frecuentes, Oedogonium (Chlorophyta) y Phormidium (Cyanobacteria) los más abundantes a lo largo del río

14-day triple, 5-day concomitant, and 10-day sequential therapies for Helicobacter pylori infection in seven Latin American sites: a randomised trial

Evidence from Europe, Asia, and North America suggests that standard three-drug regimens of a proton pump inhibitor plus amoxicillin and clarithromycin are significantly less effective for eradicating Helicobacter pylori (H. pylori) infection than five-day concomitant and ten-day sequential four-drug regimens that include a nitroimidazole. These four-drug regimens also entail fewer antibiotic doses and thus may be suitable for eradication programs in low-resource settings. Studies are limited from Latin America, however, where the burden of H. pylori-associated diseases is high

Risk of Recurrent Helicobacter pylori Infection 1 Year After Initial Eradication Therapy in 7 Latin American Communities

The long-term effectiveness of Helicobacter pylori eradication programs for preventing gastric cancer will depend on recurrence risk and individual and community factors

Canagliflozin and Cardiovascular and Renal Outcomes in Type 2 Diabetes Mellitus and Chronic Kidney Disease in Primary and Secondary Cardiovascular Prevention Groups

Background: Canagliflozin reduces the risk of kidney failure in patients with type 2 diabetes mellitus and chronic kidney disease, but effects on specific cardiovascular outcomes are uncertain, as are effects in people without previous cardiovascular disease (primary prevention). Methods: In CREDENCE (Canagliflozin and Renal Events in Diabetes With Established Nephropathy Clinical Evaluation), 4401 participants with type 2 diabetes mellitus and chronic kidney disease were randomly assigned to canagliflozin or placebo on a background of optimized standard of care. Results: Primary prevention participants (n=2181, 49.6%) were younger (61 versus 65 years), were more often female (37% versus 31%), and had shorter duration of diabetes mellitus (15 years versus 16 years) compared with secondary prevention participants (n=2220, 50.4%). Canagliflozin reduced the risk of major cardiovascular events overall (hazard ratio [HR], 0.80 [95% CI, 0.67-0.95]; P=0.01), with consistent reductions in both the primary (HR, 0.68 [95% CI, 0.49-0.94]) and secondary (HR, 0.85 [95% CI, 0.69-1.06]) prevention groups (P for interaction=0.25). Effects were also similar for the components of the composite including cardiovascular death (HR, 0.78 [95% CI, 0.61-1.00]), nonfatal myocardial infarction (HR, 0.81 [95% CI, 0.59-1.10]), and nonfatal stroke (HR, 0.80 [95% CI, 0.56-1.15]). The risk of the primary composite renal outcome and the composite of cardiovascular death or hospitalization for heart failure were also consistently reduced in both the primary and secondary prevention groups (P for interaction >0.5 for each outcome). Conclusions: Canagliflozin significantly reduced major cardiovascular events and kidney failure in patients with type 2 diabetes mellitus and chronic kidney disease, including in participants who did not have previous cardiovascular disease

Canagliflozin and renal outcomes in type 2 diabetes and nephropathy

BACKGROUND Type 2 diabetes mellitus is the leading cause of kidney failure worldwide, but few effective long-term treatments are available. In cardiovascular trials of inhibitors of sodium–glucose cotransporter 2 (SGLT2), exploratory results have suggested that such drugs may improve renal outcomes in patients with type 2 diabetes. METHODS In this double-blind, randomized trial, we assigned patients with type 2 diabetes and albuminuric chronic kidney disease to receive canagliflozin, an oral SGLT2 inhibitor, at a dose of 100 mg daily or placebo. All the patients had an estimated glomerular filtration rate (GFR) of 30 to <90 ml per minute per 1.73 m2 of body-surface area and albuminuria (ratio of albumin [mg] to creatinine [g], >300 to 5000) and were treated with renin–angiotensin system blockade. The primary outcome was a composite of end-stage kidney disease (dialysis, transplantation, or a sustained estimated GFR of <15 ml per minute per 1.73 m2), a doubling of the serum creatinine level, or death from renal or cardiovascular causes. Prespecified secondary outcomes were tested hierarchically. RESULTS The trial was stopped early after a planned interim analysis on the recommendation of the data and safety monitoring committee. At that time, 4401 patients had undergone randomization, with a median follow-up of 2.62 years. The relative risk of the primary outcome was 30% lower in the canagliflozin group than in the placebo group, with event rates of 43.2 and 61.2 per 1000 patient-years, respectively (hazard ratio, 0.70; 95% confidence interval [CI], 0.59 to 0.82; P=0.00001). The relative risk of the renal-specific composite of end-stage kidney disease, a doubling of the creatinine level, or death from renal causes was lower by 34% (hazard ratio, 0.66; 95% CI, 0.53 to 0.81; P<0.001), and the relative risk of end-stage kidney disease was lower by 32% (hazard ratio, 0.68; 95% CI, 0.54 to 0.86; P=0.002). The canagliflozin group also had a lower risk of cardiovascular death, myocardial infarction, or stroke (hazard ratio, 0.80; 95% CI, 0.67 to 0.95; P=0.01) and hospitalization for heart failure (hazard ratio, 0.61; 95% CI, 0.47 to 0.80; P<0.001). There were no significant differences in rates of amputation or fracture. CONCLUSIONS In patients with type 2 diabetes and kidney disease, the risk of kidney failure and cardiovascular events was lower in the canagliflozin group than in the placebo group at a median follow-up of 2.62 years

Gestión del conocimiento. Perspectiva multidisciplinaria. Volumen 17

El libro “Gestión del Conocimiento. Perspectiva Multidisciplinaria”, Volumen 17 de la Colección Unión Global, es resultado de investigaciones. Los capítulos del libro, son resultados de investigaciones desarrolladas por sus autores. El libro es una publicación internacional, seriada, continua, arbitrada, de acceso abierto a todas las áreas del conocimiento, orientada a contribuir con procesos de gestión del conocimiento científico, tecnológico y humanístico. Con esta colección, se aspira contribuir con el cultivo, la comprensión, la recopilación y la apropiación social del conocimiento en cuanto a patrimonio intangible de la humanidad, con el propósito de hacer aportes con la transformación de las relaciones socioculturales que sustentan la construcción social de los saberes y su reconocimiento como bien público