9 research outputs found
Sistematización del proyecto de intervención socio-educativo para la prevención de la violencia contra la infancia experiencia con los niños, niñas, padres y madres de familia de la escuela de educación básica Lucía Donoso Dammer de la comuna Ascázubi alto, cantón Cayambe
No full textThis systematization of socio educational project for the prevention of violence against childhood intervention: "experience with children, fathers and mothers of school" Donoso Dammer Lucia "is about the violence that commonly lives present day.
Throughout our work we try as people perceived the violence of child abuse in the family and school environment. Furthermore forms of violence that was practiced within the educational community was identified, how the attackers usually come from violent homes, it have suffered in childhood, sometimes evil theater hidden fear or insecurity, who became a child with an abusive father who beat him often, to become an adult prefers to take the personality of the abusive parent to feel weak and frightened, often suffer psychological disorders and many of them use alcohol and drugs which produce that enhance its aggressiveness.
Similarly we talk about the economy as a factor that induces the abandonment of children, since money does not reach to cover family expenses which the mother has to go to work and so the children are exposed to various hazards.
Finally it comes to raising awareness among parents and mothers to behavior change in raising their children and each child has their respective evolutionary process, this was achieved by each author commitments involved was raised.La presente sistematización del proyecto de intervención socio educativo para la prevención de la violencia contra la infancia: “Experiencia con los niños, niñas, padres y madres de familia de la escuela “Lucia Donoso Dammer”” trata sobre la situación de violencia que se vive comúnmente en la actualidad.
A lo largo del presente trabajo se trata de ver como las personas percibieron la violencia del maltrato infantil en el ámbito familiar y escolar. Además se identificó las formas de violencia que se practicaba dentro de la comunidad educativa, cómo los agresores suelen venir de hogares violentos, es decir ya han sufrido en su infancia, en ocasiones el mal tratador oculta el miedo o la inseguridad, que sintió de niño ante un padre abusivo que lo golpeaba con frecuencia, al llegar a ser un adulto prefiere adoptar la personalidad del padre abusador a sentirse débil y asustado, suelen padecer trastornos psicológicos y muchos de ellos utilizan el alcohol y las drogas las cuales produce que se potencie su agresividad.
Del mismo modo se habla de la economía como un factor que induce al abandono de los hijos, ya que el dinero no alcanzacubrir los gastos familiares por lo cual la madre tiene que salir a trabajar y de esta manera quedan los hijos expuestos a varios peligros.
Finalmente se trata de concienciar a los padres y madres de familia al cambio de conducta en la crianza a sus hijos ya que cada niño tiene su respectivo proceso evolutivo, esto se logró mediante compromisos que cada autor involucrado se planteó
The Processing of Emotional Sentences by Young and Older Adults: A Visual World Eye-movement Study
No full textCarminati MN, Knoeferle P. The Processing of Emotional Sentences by Young and Older Adults: A Visual World Eye-movement Study. Presented at the Architectures and Mechanisms of Language and Processing (AMLaP), Riva del Garda, Italy
Propuesta para mejorar el performance (Desempeño) del centro de procesamiento de datos de Orange Business Services Colombia, bajo la recomendación de los sistemas de HVAC (Heating, Ventilation , Air Conditioning) descritas en el estándar ANSI/TIA 942
No full textOrange Business Services (OBS) Colombia es una empresa del sector TI la cual provee diferentes servicios y soluciones tecnológicas a empresas u organizaciones que lo requieran. Uno de los servicios que ofertan actualmente es el de data center, este servicio se lo proveen a diferentes clientes que adquieren otros servicios a nombre de OBS. Dicho data center es llamado “BOGH 01” el cual está dotado para proporcionar todas las funciones básicas de un centro de procesamiento de datos, generando así un valor agregado a la empresa.
Por medio de este trabajo e identificando el estado actual del centro de procesamiento de datos “BOGH 01”, se elabora toda una propuesta que vaya enfocada al mejoramiento del performance (Desempeño) del data center, a partir de aspectos ambientales contemplados en el estándar ANSI/TIA 942 y otras fuentes de información que la complementen. Resolviendo
algunas recomendaciones de la empresa como lo son: La posible implementación de pasillos confinados y la falta de renovación de uno de los equipos de aire acondicionado.
Esta propuesta es desarrollada bajo una metodología elaborada por el autor, donde inicialmente se contemplan aspectos y características en las que se encuentra actualmente el data center(Diagnóstico),posteriormente se consideran diferentes fuentes de información que sirvan de referencia para elaborar una solución a la propuesta de mejoramiento, se realiza un posible
presupuesto que sirva de referencia, y finalmente se aplica el método Delphi con el fin de consultar a diferentes expertos para que evalúen el contenido de la propuesta, y así tener recomendaciones aplicables en cuanto al desarrollo.
Al momento de finalizar la propuesta y llegando a un acuerdo entre los expertos del tema, se llegan a diferentes conclusiones y recomendaciones que son compartidas a Orange Business Colombia junto a todo el documento, con el fin de que la empresa tenga en cuenta una propuesta de mejoramiento para una de sus áreas de servicio (Data center).Orange Business Services (OBS) Colombia is a company in the IT sector which provides different services and technological solutions to companies or organizations that require it. One of the services currently offered is the data center, this service is provided to different customers who purchase other services on behalf of OBS. This datacenter is called "BOGH 01" which is equipped to provide all the basic functions of a data processing center, thus generating an added value to the company.
By means of this work and identifying the current state of the data processing center "BOGH 01", a proposal is elaborated focused on the improvement of the performance of the data center, from environmental aspects contemplated in the ANSI/TIA 942 standard and other sources of information that complement it. Solving some of the company's recommendations such as: The
possible implementation of confined aisles and the lack of renewal of one of the air conditioning equipment.
This proposal is developed under a methodology elaborated by the author, where initially aspects and characteristics in which the datacenter is currently (Diagnosis) are contemplated, then different sources of information are considered to serve as reference to develop a solution to the proposed improvement, a possible budget is made to serve as a reference, and finally the Delphi method is applied in order to consult different experts to evaluate the content of the proposal, and thus have applicable recommendations regarding the development.
At the moment of finalizing the proposal and reaching an agreement between the experts of the subject, different conclusions and recommendations are reached and shared with Orange Business Colombia together with the whole document, so that the company takes into account an improvement proposal for one of its service areas (Data center).Ingeniero de Telecomunicacioneshttp://unidadinvestigacion.usta.edu.coPregrad
30-day morbidity and mortality of sleeve gastrectomy, Roux-en-Y gastric bypass and one anastomosis gastric bypass: a propensity score-matched analysis of the GENEVA data
No full textBackground: There is a paucity of data comparing 30-day morbidity and mortality of sleeve gastrectomy (SG), Roux-en-Y gastric bypass (RYGB), and one anastomosis gastric bypass (OAGB). This study aimed to compare the 30-day safety of SG, RYGB, and OAGB in propensity score-matched cohorts. Materials and methods: This analysis utilised data collected from the GENEVA study which was a multicentre observational cohort study of bariatric and metabolic surgery (BMS) in 185 centres across 42 countries between 01/05/2022 and 31/10/2020 during the Coronavirus Disease-2019 (COVID-19) pandemic. 30-day complications were categorised according to the Clavien–Dindo classification. Patients receiving SG, RYGB, or OAGB were propensity-matched according to baseline characteristics and 30-day complications were compared between groups. Results: In total, 6770 patients (SG 3983; OAGB 702; RYGB 2085) were included in this analysis. Prior to matching, RYGB was associated with highest 30-day complication rate (SG 5.8%; OAGB 7.5%; RYGB 8.0% (p = 0.006)). On multivariate regression modelling, Insulin-dependent type 2 diabetes mellitus and hypercholesterolaemia were associated with increased 30-day complications. Being a non-smoker was associated with reduced complication rates. When compared to SG as a reference category, RYGB, but not OAGB, was associated with an increased rate of 30-day complications. A total of 702 pairs of SG and OAGB were propensity score-matched. The complication rate in the SG group was 7.3% (n = 51) as compared to 7.5% (n = 53) in the OAGB group (p = 0.68). Similarly, 2085 pairs of SG and RYGB were propensity score-matched. The complication rate in the SG group was 6.1% (n = 127) as compared to 7.9% (n = 166) in the RYGB group (p = 0.09). And, 702 pairs of OAGB and RYGB were matched. The complication rate in both groups was the same at 7.5 % (n = 53; p = 0.07). Conclusions: This global study found no significant difference in the 30-day morbidity and mortality of SG, RYGB, and OAGB in propensity score-matched cohorts. © 2021, The Author(s)
30-Day morbidity and mortality of bariatric metabolic surgery in adolescence during the COVID-19 pandemic – The GENEVA study
No full textBackground: Metabolic and bariatric surgery (MBS) is an effective treatment for adolescents with severe obesity. Objectives: This study examined the safety of MBS in adolescents during the coronavirus disease 2019 (COVID-19) pandemic. Methods: This was a global, multicentre and observational cohort study of MBS performed between May 01, 2020, and October 10,2020, in 68 centres from 24 countries. Data collection included in-hospital and 30-day COVID-19 and surgery-specific morbidity/mortality. Results: One hundred and seventy adolescent patients (mean age: 17.75 ± 1.30 years), mostly females (n = 122, 71.8%), underwent MBS during the study period. The mean pre-operative weight and body mass index were 122.16 ± 15.92 kg and 43.7 ± 7.11 kg/m2, respectively. Although majority of patients had pre-operative testing for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (n = 146; 85.9%), only 42.4% (n = 72) of the patients were asked to self-isolate pre-operatively. Two patients developed symptomatic SARS-CoV-2 infection post-operatively (1.2%). The overall complication rate was 5.3% (n = 9). There was no mortality in this cohort. Conclusions: MBS in adolescents with obesity is safe during the COVID-19 pandemic when performed within the context of local precautionary procedures (such as pre-operative testing). The 30-day morbidity rates were similar to those reported pre-pandemic. These data will help facilitate the safe re-introduction of MBS services for this group of patients
Safety of Bariatric Surgery in ≥ 65-Year-Old Patients During the COVID-19 Pandemic
No full textBackground Age >= 65 years is regarded as a relative contraindication for bariatric surgery. Advanced age is also a recognised risk factor for adverse outcomes with Coronavirus Disease-2019 (COVID-19) which continues to wreak havoc on global populations. This study aimed to assess the safety of bariatric surgery (BS) in this particular age group during the COVID-19 pandemic in comparison with the younger cohort.Methods We conducted a prospective international study of patients who underwent BS between 1/05/2020 and 31/10/2020. Patients were divided into two groups - patients >= 65-years-old (Group I) and patients < 65-years-old (Group II). The two groups were compared for 30-day morbidity and mortality.Results There were 149 patients in Group 1 and 6923 patients in Group II. The mean age, preoperative weight, and BMI were 67.6 +/- 2.5 years, 119.5 +/- 24.5 kg, and 43 +/- 7 in Group I and 39.8 +/- 11.3 years, 117.7 +/- 20.4 kg, and 43.7 +/- 7 in Group II, respectively. Approximately, 95% of patients in Group 1 had at least one co-morbidity compared to 68% of patients in Group 2 (p = < 0.001). The 30-day morbidity was significantly higher in Group I ( 11.4%) compared to Group II (6.6%) (p = 0.022). However, the 30-day mortality and COVID-19 infection rates were not significantly different between the two groups.Conclusions Bariatric surgery during the COVID-19 pandemic is associated with a higher complication rate in those >= 65 years of age compared to those < 65 years old. However, the mortality and postoperative COVID-19 infection rates are not significantly different between the two groups
30-day morbidity and mortality of sleeve gastrectomy, Roux-en-Y gastric bypass and one anastomosis gastric bypass: a propensity score-matched analysis of the GENEVA data
No full textInternational audienceAbstract Background There is a paucity of data comparing 30-day morbidity and mortality of sleeve gastrectomy (SG), Roux-en-Y gastric bypass (RYGB), and one anastomosis gastric bypass (OAGB). This study aimed to compare the 30-day safety of SG, RYGB, and OAGB in propensity score-matched cohorts. Materials and methods This analysis utilised data collected from the GENEVA study which was a multicentre observational cohort study of bariatric and metabolic surgery (BMS) in 185 centres across 42 countries between 01/05/2022 and 31/10/2020 during the Coronavirus Disease-2019 (COVID-19) pandemic. 30-day complications were categorised according to the Clavien–Dindo classification. Patients receiving SG, RYGB, or OAGB were propensity-matched according to baseline characteristics and 30-day complications were compared between groups. Results In total, 6770 patients (SG 3983; OAGB 702; RYGB 2085) were included in this analysis. Prior to matching, RYGB was associated with highest 30-day complication rate (SG 5.8%; OAGB 7.5%; RYGB 8.0% ( p = 0.006)). On multivariate regression modelling, Insulin-dependent type 2 diabetes mellitus and hypercholesterolaemia were associated with increased 30-day complications. Being a non-smoker was associated with reduced complication rates. When compared to SG as a reference category, RYGB, but not OAGB, was associated with an increased rate of 30-day complications. A total of 702 pairs of SG and OAGB were propensity score-matched. The complication rate in the SG group was 7.3% ( n = 51) as compared to 7.5% ( n = 53) in the OAGB group ( p = 0.68). Similarly, 2085 pairs of SG and RYGB were propensity score-matched. The complication rate in the SG group was 6.1% ( n = 127) as compared to 7.9% ( n = 166) in the RYGB group ( p = 0.09). And, 702 pairs of OAGB and RYGB were matched. The complication rate in both groups was the same at 7.5 % ( n = 53; p = 0.07). Conclusions This global study found no significant difference in the 30-day morbidity and mortality of SG, RYGB, and OAGB in propensity score-matched cohorts
Effect of BMI on safety of bariatric surgery during the COVID-19 pandemic, procedure choice, and safety protocols - An analysis from the GENEVA Study
No full textBackground: It has been suggested that patients with a Body Mass Index (BMI) of > 60 kg/m2 should be offered expedited Bariatric Surgery (BS) during the Coronavirus Disease-2019 (COVID-19) pandemic. The main objective of this study was to assess the safety of this approach. Methods: We conducted a global study of patients who underwent BS between 1/05/2020 and 31/10/2020. Patients were divided into three groups according to their preoperative BMI -Group I (BMI < 50 kg/m2), Group II (BMI 50-60 kg/m2), and Group III (BMI > 60 kg/m2). The effect of preoperative BMI on 30-day morbidity and mortality, procedure choice, COVID-19 specific safety protocols, and comorbidities was assessed. Results: This study included 7084 patients (5197;73.4 % females). The mean preoperative weight and BMI were 119.49 & PLUSMN; 24.4 Kgs and 43.03 & PLUSMN; 6.9 Kg/m2, respectively. Group I included 6024 (85 %) patients, whereas Groups II and III included 905 (13 %) and 155 (2 %) patients, respectively.The 30-day mortality rate was higher in Group III (p = 0.001). The complication rate and COVID-19 infection were not different. Comorbidities were significantly more likely in Group III (p = < 0.001). A significantly higher proportion of patients in group III received Sleeve Gastrectomy or One Anastomosis Gastric Bypass compared to other groups. Patients with a BMI of > 70 kg/m2 had a 30-day mortality of 7.7 % (2/26). None of these patients underwent a Roux-en-Y Gastric Bypass. Conclusion: The 30-day mortality rate was significantly higher in patients with BMI > 60 kg/m2. There was, however, no significant difference in complications rates in different BMI groups, probably due to differences in procedure selection
30-Day Morbidity and Mortality of Bariatric Surgery During the COVID-19 Pandemic: a Multinational Cohort Study of 7704 Patients from 42 Countries.
No full textBACKGROUND
There are data on the safety of cancer surgery and the efficacy of preventive strategies on the prevention of postoperative symptomatic COVID-19 in these patients. But there is little such data for any elective surgery. The main objectives of this study were to examine the safety of bariatric surgery (BS) during the coronavirus disease 2019 (COVID-19) pandemic and to determine the efficacy of perioperative COVID-19 protective strategies on postoperative symptomatic COVID-19 rates.
METHODS
We conducted an international cohort study to determine all-cause and COVID-19-specific 30-day morbidity and mortality of BS performed between 01/05/2020 and 31/10/2020.
RESULTS
Four hundred ninety-nine surgeons from 185 centres in 42 countries provided data on 7704 patients. Elective primary BS (n = 7084) was associated with a 30-day morbidity of 6.76% (n = 479) and a 30-day mortality of 0.14% (n = 10). Emergency BS, revisional BS, insulin-treated type 2 diabetes, and untreated obstructive sleep apnoea were associated with increased complications on multivariable analysis. Forty-three patients developed symptomatic COVID-19 postoperatively, with a higher risk in non-whites. Preoperative self-isolation, preoperative testing for SARS-CoV-2, and surgery in institutions not concurrently treating COVID-19 patients did not reduce the incidence of postoperative COVID-19. Postoperative symptomatic COVID-19 was more likely if the surgery was performed during a COVID-19 peak in that country.
CONCLUSIONS
BS can be performed safely during the COVID-19 pandemic with appropriate perioperative protocols. There was no relationship between preoperative testing for COVID-19 and self-isolation with symptomatic postoperative COVID-19. The risk of postoperative COVID-19 risk was greater in non-whites or if BS was performed during a local peak
