135 research outputs found
Design of the Inclusive Educational Institution "Codazzi con Futuro", in Agustín Codazzi, Cesar
No full textEste proyecto consistió en el diseño de una institución educativa inclusiva en áreas de expansión urbana del municipio de Agustín Codazzi, departamento del Cesar. La Institución Educativa Codazzi con Futuro fue planteada como parte de la solución al problema del bajo número de planteles que reúnen las condiciones necesarias para el buen desarrollo académico y social de personas en condición de discapacidad en el Cesar y los bajos indicadores en el mismo departamento de asistencia escolar y calidad educativa. El proyecto propuesto contempla los diseños arquitectónico, hidráulico, estructural, ambiental, geotécnico y presupuestal de una estructura de cuatro pisos y un sótano, que corresponde al edificio principal de la institución educativa. Adicionalmente, el proyecto incluye la unión del plantel con el municipio por medio de una vía que se diseñó teniendo en cuenta las proyecciones futuras del plan de desarrollo municipal de Agustín Codazzi. Como principal limitación para el desarrollo de estos diseños se tuvo la falta de información sobre las condiciones reales del terreno y estadísticas de población, pues no existen muchos estudios base para el diseño de construcciones este municipio del Cesar.
Los resultados obtenidos con este proyecto son los diseños seguros y de alta calidad de la edificación de 4400 metros cuadrados y 540 kilómetros de vía, todo bajo los estándares de la normativa vigente colombiana para buenos diseños de ingeniería civil y teniendo en cuenta todas las características de inclusividad necesarias para hacer de este un proyecto con un verdadero impacto social en la región.This project consisted in the design of an inclusive educational institution in areas of urban expansion in the municipality of Agustín Codazzi, department of Cesar. The Educational Institution Codazzi con Futuro was proposed as part of the solution to the problem of the low number of schools that meet the necessary conditions for a good academic and social development of people with disabilities in Cesar and the low indicators in the same department of school attendance and educational quality. The proposed project contemplates the architectural, hydraulic, structural, environmental, geotechnical and budgetary designs of a four-story structure and a basement, which corresponds to the main building of the educational institution. Additionally, the project includes the union of the campus with the municipality through a road that was designed taking into account the future projections of the municipal development plan of Agustín Codazzi. As the main limitation for the development of these designs, there was a lack of information on the real conditions of the land and population statistics, since there are not many baseline studies for the design of buildings in this municipality of Cesar.
The results obtained with this project are the safe and high quality designs of the building of 4400 square meters and 540 kilometers of track, all under the standards of current Colombian regulations for good civil engineering designs and taking into account all the characteristics of necessary inclusivity to make this a project with a real social impact in the region
Idiopathic neonatal aortic arch thrombosis: A case report
No full textBackground: Neonatal aortic arch thrombosis is a rare but life threatening condition. A correct diagnosis and an appropriate therapeutic approach are fundamental to prevent death or severe injuries. Case presentation: we report a case of spontaneous aortic arch thrombosis in a term newborn, who presented with suggestive signs of aortic coarctation immediately after birth. Despite the initiation of anticoagulant therapy, a massive increase in size of thrombus with evidence of coronary involvement was noted. Thrombolytic treatment was performed with thrombus resolution. Death occurred after a few days due to widespread brain haemorrhage. Conclusion: To date, no definitive guidelines have been published for the treatment of neonatal aortic arch thrombosis, and only anecdotal reports are available. A multidisciplinary approach is fundamental in order to evaluate the risk:benefit ratio of proposed medical and surgical interventions. Further studies are needed to improve consensus evidence based guidelines and ensure appropriate approaches to this condition. © Euromediterranean Biomedical Journal 2014
Facing up to limits: A lesson from the Charlie Gard case
No full textthe charlie gard case 1 generated immense media interest, but more importantly has bequeathed a valu- able lesson to doctors and nurses around the world. Medicine that does not recognize the existence of limits has little chance of being good medicine
Outcome of children admitted to adult intensive care units in Italy between 2003 and 2007
No full textBackground: Centralisation of critically ill children to paediatric intensive care units is supported by a strong rationale, but evidence is not overwhelming. Objective: To compare the outcome of children admitted to adult intensive care units (ICUs) in Italy between 2003 and 2007 with that of children admitted to paediatric intensive care units (PICUs) in Italy between 1994 and 1995. Methods: Prospective, multicenter cohort study and historical controls. Risk of ICU mortality was assessed with the PRISM score in both study and historical control groups. Descriptive statistics, standardized mortality ratios (SMRs) with their 95% confidence intervals, and the calibration plots were reported. Results: A total of 1,265 children admitted to 124 adult ICUs between 2003 and 2007 were compared with an historical control group formed by 1,533 children admitted to 26 PICUs between 1994 and 1995. The PRISM score slightly underestimated hospital deaths for low-risk patients in both groups. The overall SMR was 1.11 (95% CI 0.91-1.31) for adult ICUs and 1.04 (95% CI: 0.88-1.19) for PICUs. Conclusions: The level of care provided nowadays to children admitted to adult ICUs in Italy is similar to that provided by Italian PICUs 10 years earlier. On the other hand, there is evidence that Italian PICUs have improved the level of care in the same period. These findings, if confirmed, suggest a better quality of care for children admitted to PICUs as compared to adult ICUs and support the indication, when possible, of early referral to more specialized units in countries where paediatric intensive care is not centralised
Support and technical support to the Instituto Geográfico Agustín Codazzi territorial Cundinamarca in the cadastral conservation area
No full textEn este trabajo se exponen las laborares que se cumplieron dentro de la pasantía desarrollada en el área de conservación catastral del Instituto Geográfico Agustín Codazzi – Territorial Cundinamarca. Durante aproximadamente cuatro meses se estudiaron y posteriormente tramitaron mutaciones de primera y segunda clase, se realizaron rectificaciones de área y matricula inmobiliaria, se inscribieron nuevos predios en la base de datos catastral, se realizó la actualización de las fichas prediales, y se digitalizaron los cambios ocurridos en los predios objeto de estudio. La resolución de estos trámites que tienen representación en los actos administrativos, son de carácter general, obligatorio y permanente, de aquí la importancia de realizar un trabajo con prontitud y calidad. En el desarrollo de la pasantía, se encuentra que el pilar de las actividades de conservación catastral son los usuarios, los cuales demandan día a día algún tipo de trámite necesario para transacciones de índole catastral. Se usan conocimientos adquiridos a lo largo de la formación universitaria y se desarrollan nuevos conocimientos a lo largo de la pasantía. Por otra parte, a raíz del desarrollo de la pasantía, se generaron habilidades para la solución de problemas de tipo ingenieril que se presentan diariamente en el ámbito laboral.In this work, we exposed the labor which were fulfilled within the internship developed in the area of conservation of the Instituto Geográfico Agustín Codazzi - Territorial Cundinamarca. For approximately four months were studied and subsequently processed mutations of first and second class, corrections were made of real estate area and registration, registered new premises on the basis of cadastral data, upgrading of the tabs were digitized and farm income, changes in the object of study. The resolution of these formalities that have representation in the administrative acts, are of a general nature, mandatory and permanent, hence the importance of a job with promptness and quality. In the development of the internship, you will find that the pillar of cadastral conservation activities are users, which demand from day to day some type of paperwork needed for transactions of cadastral nature. Used knowledge gained throughout the university training and develop new knowledge throughout the internship. On the other hand, following the development of the internship, we generated skills for the solution of engineering problems that occur daily in the workplace.Territorial Cundinamarca - IGA
You Are Hypoalbuminemic and So You Are Sick…but What Can I Do for You? Your Amino Acid Gram Could Help Me
No full textFormulation of Environmental Zoning of the Regions Cesar River Valley Ecoregion Coffeepot and Colombian Sustainable Livestock Project Developed by FEDEGAN in Grant Agreement with the World Bank
No full textEl presente informe tiene por objeto mostrar los resultados del proceso de zonificación ambiental de dos de las cinco regiones del proyecto Ganadería colombiana sostenible. Se produjo una metodología propia, usando como fuente primaria la información oficial en materia biofísica y climática producida por el Instituto Geográfico Agustín Codazzi. Las áreas de sensibilidad resultantes corresponden a: i) Áreas de especial significado ambiental, ii) Áreas de riesgo y amenaza, iii) Áreas de importancia social y iv) Áreas de producción económica. Las principales conclusiones se relacionan con la importancia de la aplicación de medidas de manejo para predios beneficiarios del proyecto que no se encuentran en áreas de producción económica, cuya cantidad es inferior al 30%.This report is intended to show the results of the environmental zoning of two of the five regions of the "Ganadería Colombiana Sostenible" project. There was a metología own , using as a primary source of official information in biophysics and climate matter produced by " Instituto Geográfico Agustín Codazzi" . The resulting sensitivity areas correspond to : i) Special environmental significance , ii) Risk and threat , iii) Social importance and iv) Economic production. The main conclusions relate to the importance of the implementation of land management measures for project beneficiaries who are not in areas of economic production, wich amount is less than 30%.Fedegá
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