LA PLANEACION EN TEMASCALCINGO ESTADO DE MEXICO 2005-2015 UN DIAGNOSTICO ECONOMICO- SOCIAL

El gobierno municipal debe, en términos generales, coadyuvar junto a los otros dos niveles de gobierno en atender las necesidades básicas de la comunidad referentes: a educación, salud, asistencia social vivienda y el mejoramiento de los centros de población rurales. A pesar de todo, el municipio cuenta con las herramientas necesarias para transformarse e incidir en su propio destino, y así enfrentar los problemas y graves contradicciones que hoy lo caracterizan. La oportunidad está en aprovechar sus propias fuerzas y condiciones que la misma ley le permite. Su misión será revertir las tendencias negativas que se observan a nivel nacional y estatal. El reto es mayúsculo, sin embargo, es imperioso retomar la planeación como punto de partida de la transformación. El país transita por un sendero que puede conducir a situaciones que menosprecien el papel que puede tener el municipio en la búsqueda de alternativas viables de desarrollo. Para evitar esto, el sistema de planeación municipal puede convertirse en la vía adecuada para impulsar las acciones que mejoren el nivel de vida de los habitantes de los municipios. Los municipios entendidos como la célula política y el nivel primario de gobierno, representan la instancia idónea para planear el progreso. La cercanía de los ciudadanos significa una gran oportunidad para sumarlos en el diseño, supervisión y evaluación de los planes. El municipio debe entenderse como el ámbito propicio donde los programas de fomento económico tienen mayor impacto. Los errores del pasado de considerar a la planeación como mero procedimiento burocrático o del actual modelo económico que establece que el mejor plan es aquel que no existe, tendrán que ser superados. En su lugar deben formularse planes de desarrollo, donde la simulación, la falta de continuidad y la demagogia no tengan cabida. De acuerdo a lo anterior, la planeación municipal como tal constituye un tema importante para todos los interesados en buscar soluciones a la problemática de los habitantes de los municipios del país en general y en particular del Municipio de Temascalcingo. La planeación municipal es esencialmente una herramienta, que usada correctamente puede ser el factor que facilite forjar un nuevo horizonte en el bienestar de la sociedad. Los problemas que el país presenta en casi en todos los aspectos y en particular los municipios mexiquenses como por ejemplo: el desempleo, la inseguridad, la falta de servicios públicos, infraestructura insuficiente, falta de mantenimiento de las obras públicas, entre otros; pueden ser disminuidos con un sistema verdadero de planeación que delinee las estrategias que den sentido a las acciones dirigidas a abatir los rezagos económicos, sociales que aquejan los grupos mayoritarios de la población

Predicting long-term renal damage in children with vesicoureteral reflux under conservative initial management : 205 cases in a tertiary referral center

Vesicoureteral reflux (VUR) is one of the most common ailments in children. Evidence-based guidelines recommend conservative treatment in children with VUR, followed by endoscopic surgery in those with breakthrough febrile urinary tract infections (UTIs). Despite this fact, the management of VUR is still controversial. Our objective is to evaluate the conservative strategy in children with primary VUR in terms of renal function and scarring, and identify factors associated with poor prognosis in those children. A retrospective study was carried out in a tertiary center in children with primary VUR under conservative strategy treatment from 1989 to 2015. Data extracted included age of presentation, family and prenatal backgrounds, radiographic evaluation including ultrasound (US), dimercaptosuccinic acid (DMSA) scans and voiding cystourethrogram (VCUG). The SPSS program was used for statistical analysis. Two-hundred and five patients were diagnosed and followed a conservative therapy scheme (49.8% males, 50.2% females) after febrile UTI (73.17%) or prenatal diagnosis (26.83%). VCUG showed 53.20% of low-moderate VUR grade, 46.80% high VUR grade. Renal damage was present at diagnosis in 40.89%. Mean follow-up reakthrough recurrent febrile UTIs and underwent surgery. Conservative therapy was followed in 189 patients. Renal scarring or decreased kidney function were shown in 15.12% respectively. Renal damage was identified as a risk factor for poor prognosis (p-value <0.005) only for renal function deterioration. Patients with high-grade VUR required surgery in a significantly greater proportion (p <0.005) due to recurrent febrile UTIs. Conservative strategy is a feasible treatment for primary VUR in children. The majority of cases could be managed conservatively with good outcomes after long-term follow-up. Decreased renal function is more frequent in patients with high-grade VUR. Renal damage at diagnosis increases the risk for surgical treatment

Olive Actual “on Year” Yield Forecast Tool Based on the Tree Canopy Geometry Using UAS Imagery

Olive has a notable importance in countries of Mediterranean basin and its profitability depends on several factors such as actual yield, production cost or product price. Actual “on year” Yield (AY) is production (kg tree-1) in “on years”, and this research attempts to relate it with geometrical parameters of the tree canopy. Regression equation to forecast AY based on manual canopy volume was determined based on data acquired from different orchard categories and cultivars during different harvesting seasons in southern Spain. Orthoimages were acquired with unmanned aerial systems (UAS) imagery calculating individual crown for relating to canopy volume and AY. Yield levels did not vary between orchard categories; however, it did between irrigated orchards (7000–17,000 kg ha-1) and rainfed ones (4000–7000 kg ha-1). After that, manual canopy volume was related with the individual crown area of trees that were calculated by orthoimages acquired with UAS imagery. Finally, AY was forecasted using both manual canopy volume and individual tree crown area as main factors for olive productivity. AY forecast only by using individual crown area made it possible to get a simple and cheap forecast tool for a wide range of olive orchards. Finally, the acquired information was introduced in a thematic map describing spatial AY variability obtained from orthoimage analysis that may be a powerful tool for farmers, insurance systems, market forecasts or to detect agronomical problems

Experience sampling methods for the personalised prediction of mental health problems in Spanish university students: protocol for a survey-based observational study within the PROMES-U project

IntroductionThere is a high prevalence of mental health problems among university students. Better prediction and treatment access for this population is needed. In recent years, short-term dynamic factors, which can be assessed using experience sampling methods (ESM), have presented promising results for predicting mental health problems.Methods and analysisUndergraduate students from five public universities in Spain are recruited to participate in two web-based surveys (at baseline and at 12-month follow-up). A subgroup of baseline participants is recruited through quota sampling to participate in a 15-day ESM study. The baseline survey collects information regarding distal risk factors, while the ESM study collects short-term dynamic factors such as affect, company or environment. Risk factors will be identified at an individual and population level using logistic regressions and population attributable risk proportions, respectively. Machine learning techniques will be used to develop predictive models for mental health problems. Dynamic structural equation modelling and multilevel mixed-effects models will be considered to develop a series of explanatory models for the occurrence of mental health problems.Ethics and disseminationThe project complies with national and international regulations, including the Declaration of Helsinki and the Code of Ethics, and has been approved by the IRB Parc de Salut Mar (2020/9198/I) and corresponding IRBs of all participating universities. All respondents are given information regarding access mental health services within their university and region. Individuals with positive responses on suicide items receive a specific alert with indications for consulting with a health professional. Participants are asked to provide informed consent separately for the web-based surveys and for the ESM study. Dissemination of results will include peer-reviewed scientific articles and participation in scientific congresses, reports with recommendations for universities’ mental health policy makers, as well as a well-balanced communication strategy to the general public

Impact of the first wave of the SARS-CoV-2 pandemic on the outcome of neurosurgical patients: A nationwide study in Spain

Objective To assess the effect of the first wave of the SARS-CoV-2 pandemic on the outcome of neurosurgical patients in Spain. Settings The initial flood of COVID-19 patients overwhelmed an unprepared healthcare system. Different measures were taken to deal with this overburden. The effect of these measures on neurosurgical patients, as well as the effect of COVID-19 itself, has not been thoroughly studied. Participants This was a multicentre, nationwide, observational retrospective study of patients who underwent any neurosurgical operation from March to July 2020. Interventions An exploratory factorial analysis was performed to select the most relevant variables of the sample. Primary and secondary outcome measures Univariate and multivariate analyses were performed to identify independent predictors of mortality and postoperative SARS-CoV-2 infection. Results Sixteen hospitals registered 1677 operated patients. The overall mortality was 6.4%, and 2.9% (44 patients) suffered a perioperative SARS-CoV-2 infection. Of those infections, 24 were diagnosed postoperatively. Age (OR 1.05), perioperative SARS-CoV-2 infection (OR 4.7), community COVID-19 incidence (cases/10 5 people/week) (OR 1.006), postoperative neurological worsening (OR 5.9), postoperative need for airway support (OR 5.38), ASA grade =3 (OR 2.5) and preoperative GCS 3-8 (OR 2.82) were independently associated with mortality. For SARS-CoV-2 postoperative infection, screening swab test <72 hours preoperatively (OR 0.76), community COVID-19 incidence (cases/10 5 people/week) (OR 1.011), preoperative cognitive impairment (OR 2.784), postoperative sepsis (OR 3.807) and an absence of postoperative complications (OR 0.188) were independently associated. Conclusions Perioperative SARS-CoV-2 infection in neurosurgical patients was associated with an increase in mortality by almost fivefold. Community COVID-19 incidence (cases/10 5 people/week) was a statistically independent predictor of mortality. Trial registration number CEIM 20/217

Experience sampling methods for the personalised prediction of mental health problems in Spanish university students: protocol for a survey-based observational study within the PROMES-U project

INTRODUCTION: There is a high prevalence of mental health problems among university students. Better prediction and treatment access for this population is needed. In recent years, short-term dynamic factors, which can be assessed using experience sampling methods (ESM), have presented promising results for predicting mental health problems. METHODS AND ANALYSIS: Undergraduate students from five public universities in Spain are recruited to participate in two web-based surveys (at baseline and at 12-month follow-up). A subgroup of baseline participants is recruited through quota sampling to participate in a 15-day ESM study. The baseline survey collects information regarding distal risk factors, while the ESM study collects short-term dynamic factors such as affect, company or environment. Risk factors will be identified at an individual and population level using logistic regressions and population attributable risk proportions, respectively. Machine learning techniques will be used to develop predictive models for mental health problems. Dynamic structural equation modelling and multilevel mixed-effects models will be considered to develop a series of explanatory models for the occurrence of mental health problems. ETHICS AND DISSEMINATION: The project complies with national and international regulations, including the Declaration of Helsinki and the Code of Ethics, and has been approved by the IRB Parc de Salut Mar (2020/9198/I) and corresponding IRBs of all participating universities. All respondents are given information regarding access mental health services within their university and region. Individuals with positive responses on suicide items receive a specific alert with indications for consulting with a health professional. Participants are asked to provide informed consent separately for the web-based surveys and for the ESM study. Dissemination of results will include peer-reviewed scientific articles and participation in scientific congresses, reports with recommendations for universities' mental health policy makers, as well as a well-balanced communication strategy to the general public. STUDY REGISTRATION: osf.io/p7csq