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This focus group study explored the needs, preferences and beliefs of adults with seasonal allergic rhinitis regarding their self-management practices, and related information use and needs. Four focus groups were held, two online and two on location. The 20 participants (11 women); Mage = 39.0 years (range: 21–56 years) were reluctant to identify themselves as patients, trivializing their complaints while avoiding being confronted too much with their condition. Participants often expressed low trust in the effectiveness of medication and the ability of healthcare to alleviate their complaints. This resulted in relatively low openness to information such as personalized pollen predictions. Findings were synthesized under three interrelated themes: ‘Being ill, but not a patient: it’s bad, but you learn to live with it’, ‘Individual search for what does or doesn’t work’ and ‘Information needs and sources’. Implications for communication supportive of self-management practices for seasonal allergic rhinitis are discussed.

Teenage pregnancy is a global phenomenon that poses significant challenges to the health and well-being of young people and their communities. It is defined as pregnancy that occurs in adolescents between the ages of 10 and 19 years. It is estimated that millions of teenage pregnancies occur every year around the world, which represents a major public health problem. Pregnancy in adolescence entails a series of risks for both the mother and the child. Pregnant young women face a higher risk of complications during pregnancy and childbirth, as well as experiencing long-term health problems. This bibliographic review aims to examine the existing evidence on adolescent pregnancy prevention strategies and their relationship with the construction of positive masculinities, through an exhaustive search in scientific databases, such as PubMed and Google Scholar, Scielo among others. The studies reviewed demonstrated that interventions based on these strategies had a positive impact on reducing rates of teenage pregnancy and promoting healthy attitudes and behaviors in young men. In conclusion, the prevention of teenage pregnancy and the construction of positive masculinities are closely related and require comprehensive approaches supported by scientific evidence, intervention programs that promote comprehensive sexual education, transformative gender approaches and active participation of young men in decision-making about their reproductive health have been shown to be effective., El embarazo adolescente es un fenómeno global que plantea importantes desafíos para la salud y el bienestar de los jóvenes y sus comunidades. Se define como el embarazo ocurrido en adolescentes entre las edades de 10 y 19 años. Se estima que cada año se producen millones de embarazos en adolescentes en todo el mundo, lo que representa un problema de salud pública de gran magnitud. El embarazo en la adolescencia conlleva una serie de riesgos tanto para la madre como para el hijo/a. Las jóvenes embarazadas enfrentan un mayor riesgo de complicaciones durante el embarazo y el parto, así como de experimentar problemas de salud a largo plazo. Esta revisión bibliográfica tiene como objetivo examinar la evidencia existente sobre estrategias de prevención del embarazo adolescente y su relación con la construcción de masculinidades positivas, a través de una exhaustiva búsqueda en bases de datos científicas, como PubMed y Google Scholar, Scielo entre otras. Los estudios revisados demostraron que las intervenciones basadas en estas estrategias tuvieron un impacto positivo en la reducción de los índices de embarazo adolescente y en la promoción de actitudes y comportamientos saludables en los hombres jóvenes. En conclusión, la prevención del embarazo adolescente y la construcción de masculinidades positivas están estrechamente relacionadas y requieren enfoques integrales respaldados por evidencia científica, los programas de intervención que promueven la educación sexual integral, enfoques de género transformador y participación activa de los hombres jóvenes en la toma de decisiones sobre su salud reproductiva han demostrado ser efectivos.

BACKGROUND: The incidence of severe asthma exacerbations (SAE) requiring a pediatric intensive care unit (PICU) admission during the coronavirus disease 2019 (COVID-19) pandemic (and its association with public restrictions) is largely unknown. We examined the trend of SAE requiring PICU admission before, during, and after COVID-19 restrictions in Amsterdam, the Netherlands, and its relationship with features such as environmental triggers and changes in COVID-19 restriction measures.METHODS: In this single-center, retrospective cohort study, all PICU admissions of children aged ≥2 years for severe asthma at the Amsterdam UMC between 2018 and 2022 were included. The concentrations of ambient fine particulate matter (PM 2.5 ) and pollen were obtained from official monitoring stations. RESULTS: Between January 2018 and December 2022, 228 children were admitted to the PICU of the Amsterdam UMC for SAE. While we observed a decrease in admissions during periods of more stringent restriction, there was an increase in the PICU admission rate for SAE in some periods following the lifting of restrictions. In particular, following the COVID-19 restrictions in 2021, we observed a peak incidence of admissions from August to November, which was higher than any other peak during the indicated years. No association with air pollution or pollen was observed.CONCLUSION: We hypothesize that an increase in clinically diagnosed viral infections after lockdown periods was the reason for the altered incidence of SAE at the PICU in late 2021, rather than air pollution and pollen concentrations.

Teenage pregnancy is a global phenomenon that poses significant challenges to the health and well-being of young people and their communities. It is defined as pregnancy that occurs in adolescents between the ages of 10 and 19 years. It is estimated that millions of teenage pregnancies occur every year around the world, which represents a major public health problem. Pregnancy in adolescence entails a series of risks for both the mother and the child. Pregnant young women face a higher risk of complications during pregnancy and childbirth, as well as experiencing long-term health problems. This bibliographic review aims to examine the existing evidence on adolescent pregnancy prevention strategies and their relationship with the construction of positive masculinities, through an exhaustive search in scientific databases, such as PubMed and Google Scholar, Scielo among others. The studies reviewed demonstrated that interventions based on these strategies had a positive impact on reducing rates of teenage pregnancy and promoting healthy attitudes and behaviors in young men. In conclusion, the prevention of teenage pregnancy and the construction of positive masculinities are closely related and require comprehensive approaches supported by scientific evidence, intervention programs that promote comprehensive sexual education, transformative gender approaches and active participation of young men in decision-making about their reproductive health have been shown to be effective., El embarazo adolescente es un fenómeno global que plantea importantes desafíos para la salud y el bienestar de los jóvenes y sus comunidades. Se define como el embarazo ocurrido en adolescentes entre las edades de 10 y 19 años. Se estima que cada año se producen millones de embarazos en adolescentes en todo el mundo, lo que representa un problema de salud pública de gran magnitud. El embarazo en la adolescencia conlleva una serie de riesgos tanto para la madre como para el hijo/a. Las jóvenes embarazadas enfrentan un mayor riesgo de complicaciones durante el embarazo y el parto, así como de experimentar problemas de salud a largo plazo. Esta revisión bibliográfica tiene como objetivo examinar la evidencia existente sobre estrategias de prevención del embarazo adolescente y su relación con la construcción de masculinidades positivas, a través de una exhaustiva búsqueda en bases de datos científicas, como PubMed y Google Scholar, Scielo entre otras. Los estudios revisados demostraron que las intervenciones basadas en estas estrategias tuvieron un impacto positivo en la reducción de los índices de embarazo adolescente y en la promoción de actitudes y comportamientos saludables en los hombres jóvenes. En conclusión, la prevención del embarazo adolescente y la construcción de masculinidades positivas están estrechamente relacionadas y requieren enfoques integrales respaldados por evidencia científica, los programas de intervención que promueven la educación sexual integral, enfoques de género transformador y participación activa de los hombres jóvenes en la toma de decisiones sobre su salud reproductiva han demostrado ser efectivos.

La situación epidemiológica generada por la pandemia de COVID-19 condicionó una profunda crisis económica y social en Ecuador, la cual se acrecentó en cantones cuya actividad económica dependía del turismo u otras esferas muy afectadas durante este periodo. El cantón Guano, en la provincia Chimborazo, sufrió los embates de la COVID-19 afectando sus principales esferas económicas: turismo, actividad agrícola y artesanal. A pesar de haber pasado los peores años de la enfermedad, aún no se logra una reactivación económica que permita acercarse a los estándares de vida previos a la pandemia. El objetivo de la presente investigación es exponer la importancia del uso de la neuroeconomía y el estudio de la neuroemociones en propiciar una rápida reactivación económica en el cantón Guano posterior a la pandemia de COVID-19. Para esto se realizó una investigación básica, no experimental y descriptiva en la que se exponen los elementos conceptuales de la neuroeconomía y neuroemociones. Como principales resultados se puede exponer también el abordaje de las ventajas que pueden representar el estudio e implementación de estas ramas de la ciencia para potenciar la reactivación económica. Se concluye que la aplicación de la neuroeconomía y el estudio de las neuroemociones pueden aportar una serie de datos que se utilizarían para trazar estrategias de optimización de recursos y generación de oportunidades que favorecerán la reactivación económica del cantón Guano

Road traffic related death and injury continues to be a major challenge globally. Unsafe road use is particularly evident in low- and middle-income countries while also being a growing concern for private sector organisations. The Safe System approach is recognized internationally as the leading approach to improving road safety and previous work has codified the essential management functions and interventions evident in its successful implementation. Tracking the development of Safe System adoption within the public and private sectors is of interest for several reasons. This paper presents recent development and use of road safety maturity frameworks and discusses the utility of these approaches for road safety practitioners and researchers., The contribution of SWOV to the development of the ITF Safe System model was based on the funding of the Ministry of Infrastructure and Water Management for the research and knowledge dissemination programme of SWOV. The contribution of VTI to the development of the ITF Safe System model was funded by VTI. The Agilysis’ model was developed using funding from National Highways in England. The research methodology and results were not directed by the funding organisation. The Asian Development Bank model was funded by the Asian Development Bank.

Road traffic related death and injury continues to be a major challenge globally. Unsafe road use is particularly evident in low- and middle-income countries while also being a growing concern for private sector organisations. The Safe System approach is recognized internationally as the leading approach to improving road safety and previous work has codified the essential management functions and interventions evident in its successful implementation. Tracking the development of Safe System adoption within the public and private sectors is of interest for several reasons. This paper presents recent development and use of road safety maturity frameworks and discusses the utility of these approaches for road safety practitioners and researchers., The contribution of SWOV to the development of the ITF Safe System model was based on the funding of the Ministry of Infrastructure and Water Management for the research and knowledge dissemination programme of SWOV. The contribution of VTI to the development of the ITF Safe System model was funded by VTI. The Agilysis’ model was developed using funding from National Highways in England. The research methodology and results were not directed by the funding organisation. The Asian Development Bank model was funded by the Asian Development Bank.

Sektor pertanian merupakan salah satu penopang dalam struktur pembangunan ekonomi nasional di Indonesia. Sektor ini memiliki potensi besar dan berperan penting dalam menyediakan lapangan kerja, menyumbang devisa negara, serta menyumbang PDB. Pertumbuhan PDB sektor pertanian di triwulan III tahun 2022 mencapai 1,65%, dengan kontribusi PDB sektor pertanian sebesar 12,91 persen. Masyarakat pedesaan di Indonesia sangat bergantung pada pertanian sebagai sumber pendapatan, baik dari pertanian on farm maupun off farm. Kegiatan pertanian on farm dan off farm mendorong petani untuk lebih berdaya dengan memberikan nilai tambah melalui pengolahan produk dan pengembangan usaha berbasis pertanian. Diversifikasi pendapatan dilakukan dalam pertanian untuk meningkatkan ketahanan ekonomi petani dan mengurangi risiko produksi. Namun, pengembangan pertanian ini perlu didukung oleh pendampingan yang berkelanjutan dari pemerintah, lembaga pendidikan, dan pemangku kepentingan terkait. Oleh karena itu, tim pengabdi melakukan kegiatan pengabdian di Pelatihan Pertanian dan Pedesaan Swadaya (P4S), Bulubalea, Sulawesi Selatan, dengan tahapan perencanaan, pelaksanaan, dan evaluasi. Kegiatan ini melibatkan sosialisasi bimbingan teknis tanaman buah kepada petani, dengan memberikan bibit serta penyuluhan teknologi pertanian. Hasil evaluasi menunjukkan peningkatan pengetahuan peserta dan respons positif terhadap kegiatan pengabdian ini., Sektor pertanian merupakan salah satu penopang dalam struktur pembangunan ekonomi nasional di Indonesia. Sektor ini memiliki potensi besar dan berperan penting dalam menyediakan lapangan kerja, menyumbang devisa negara, serta menyumbang PDB. Pertumbuhan PDB sektor pertanian di triwulan III tahun 2022 mencapai 1,65%, dengan kontribusi PDB sektor pertanian sebesar 12,91 persen. Masyarakat pedesaan di Indonesia sangat bergantung pada pertanian sebagai sumber pendapatan, baik dari pertanian on farm maupun off farm. Kegiatan pertanian on farm dan off farm mendorong petani untuk lebih berdaya dengan memberikan nilai tambah melalui pengolahan produk dan pengembangan usaha berbasis pertanian. Diversifikasi pendapatan dilakukan dalam pertanian untuk meningkatkan ketahanan ekonomi petani dan mengurangi risiko produksi. Namun, pengembangan pertanian ini perlu didukung oleh pendampingan yang berkelanjutan dari pemerintah, lembaga pendidikan, dan pemangku kepentingan terkait. Oleh karena itu, tim pengabdi melakukan kegiatan pengabdian di Pelatihan Pertanian dan Pedesaan Swadaya (P4S), Bulubalea, Sulawesi Selatan, dengan tahapan perencanaan, pelaksanaan, dan evaluasi. Kegiatan ini melibatkan sosialisasi bimbingan teknis tanaman buah kepada petani, dengan memberikan bibit serta penyuluhan teknologi pertanian. Hasil evaluasi menunjukkan peningkatan pengetahuan peserta dan respons positif terhadap kegiatan pengabdian ini.

Sektor pertanian merupakan salah satu penopang dalam struktur pembangunan ekonomi nasional di Indonesia. Sektor ini memiliki potensi besar dan berperan penting dalam menyediakan lapangan kerja, menyumbang devisa negara, serta menyumbang PDB. Pertumbuhan PDB sektor pertanian di triwulan III tahun 2022 mencapai 1,65%, dengan kontribusi PDB sektor pertanian sebesar 12,91 persen. Masyarakat pedesaan di Indonesia sangat bergantung pada pertanian sebagai sumber pendapatan, baik dari pertanian on farm maupun off farm. Kegiatan pertanian on farm dan off farm mendorong petani untuk lebih berdaya dengan memberikan nilai tambah melalui pengolahan produk dan pengembangan usaha berbasis pertanian. Diversifikasi pendapatan dilakukan dalam pertanian untuk meningkatkan ketahanan ekonomi petani dan mengurangi risiko produksi. Namun, pengembangan pertanian ini perlu didukung oleh pendampingan yang berkelanjutan dari pemerintah, lembaga pendidikan, dan pemangku kepentingan terkait. Oleh karena itu, tim pengabdi melakukan kegiatan pengabdian di Pelatihan Pertanian dan Pedesaan Swadaya (P4S), Bulubalea, Sulawesi Selatan, dengan tahapan perencanaan, pelaksanaan, dan evaluasi. Kegiatan ini melibatkan sosialisasi bimbingan teknis tanaman buah kepada petani, dengan memberikan bibit serta penyuluhan teknologi pertanian. Hasil evaluasi menunjukkan peningkatan pengetahuan peserta dan respons positif terhadap kegiatan pengabdian ini., Sektor pertanian merupakan salah satu penopang dalam struktur pembangunan ekonomi nasional di Indonesia. Sektor ini memiliki potensi besar dan berperan penting dalam menyediakan lapangan kerja, menyumbang devisa negara, serta menyumbang PDB. Pertumbuhan PDB sektor pertanian di triwulan III tahun 2022 mencapai 1,65%, dengan kontribusi PDB sektor pertanian sebesar 12,91 persen. Masyarakat pedesaan di Indonesia sangat bergantung pada pertanian sebagai sumber pendapatan, baik dari pertanian on farm maupun off farm. Kegiatan pertanian on farm dan off farm mendorong petani untuk lebih berdaya dengan memberikan nilai tambah melalui pengolahan produk dan pengembangan usaha berbasis pertanian. Diversifikasi pendapatan dilakukan dalam pertanian untuk meningkatkan ketahanan ekonomi petani dan mengurangi risiko produksi. Namun, pengembangan pertanian ini perlu didukung oleh pendampingan yang berkelanjutan dari pemerintah, lembaga pendidikan, dan pemangku kepentingan terkait. Oleh karena itu, tim pengabdi melakukan kegiatan pengabdian di Pelatihan Pertanian dan Pedesaan Swadaya (P4S), Bulubalea, Sulawesi Selatan, dengan tahapan perencanaan, pelaksanaan, dan evaluasi. Kegiatan ini melibatkan sosialisasi bimbingan teknis tanaman buah kepada petani, dengan memberikan bibit serta penyuluhan teknologi pertanian. Hasil evaluasi menunjukkan peningkatan pengetahuan peserta dan respons positif terhadap kegiatan pengabdian ini.

The prevalence in allergic diseases has increased considerably in the past decades. An important trigger of the symptoms of allergic rhinitis (hay fever) is the pollen of wind-pollinating plants. This pollen is developed by plants and is released into the air where it gets exposed to environmental influences and air pollution. We investigated the chemical changes to pollen that occur after release from the flower in a rural (Veluwe) and an urban (Amsterdam) site in the Netherlands using Fourier Transform Infrared (FTIR) spectroscopy. During the spring/summer of 2020 (during the COVID pandemic) the pollen of nine taxa (Alnus, Betula, Fagus, Fraxinus, Pinus, Plantago, Poaceae, Quercus and Salix) were collected directly from flowers and the air (using a mobile sampler). FTIR spectra were obtained for multiple individual pollen grains for each taxa. The spectra obtained from airborne pollen collected at the rural vs. urban sites did not show any statistical difference. This is possibly a result of a reduced difference in pollutant concentrations between the two sites due to the COVID-19-lockdown measures were in place. However, consistent differences in the FTIR spectra recovered from airborne vs. flower pollen were recorded for all pollen taxa. After the release from the flower the chemical composition of the pollen changed: (i) polysaccharides are converted to monosaccharides; (ii) protein concentration and/or nitration/oxidation level is altered; (iii) lipids are modified and/or reduced in concentration. These changes may alter the allergenicity of the pollen and suggest that further work on the allergenic nature of airborne pollen is required.

Allergic rhinitis, caused by airborne pollen, is a common disease with a great impact on the quality of life for patients and high costs for society. Prevention of high pollen concentrations in the air is relevant for creating a safe environment for allergic patients. Due to climate change, the heat in cities during the summer is a recurring problem. The local climate can be improved by using the cooling properties of trees, providing shade and cooling by evapotranspiration. When deciding which tree species will be planted, it is important to take into account the allergenicity of the pollen that the tree produces. Available guides, used all over the world, on the allergenicity of pollen are very divers in content and interpretation and not applicable for the Netherlands. In this study a method is described to develop a guide for the allergenic potential of tree pollen in a region, in this case the Netherlands. For the most common tree species in the Netherlands the scientific knowledge on the allergenicity of the pollen was collected, followed by an inventory on regional pollen abundance. Subsequently, the sensitization pattern in a patient group with possible inhalation allergy was analyzed. Based on these data allergenicity of the tree pollen was classified into five classes. Eight tree species/genera of the 61 most planted tree species in the Netherlands are considered to have a very strong to moderate allergenic potential. We propose to use this methodology to develop regional-specific guides classifying the allergenic potential of tree pollen.

The school dynamic has depended on the economic sector, guaranteeing that knowledge circulates, in the school, in a homogeneous way, by systematically hiding the Afro-Colombian epistemes that the Afro-Colombian Social Movement, has protected. In fact, development plans, defines the institutional horizon to which all citizens are subjected, putting the actors who participate in it in tension, without taking into account what the concept of development connotes for these communities. The purpose of this article, the product of an ongoing investigation, is to make visible that after the issuance of the Páez Law, within the framework of economic opening, the economic model was consolidated, generating transformations of educational and curricular conceptions, causing an impediment for guarantee respect for the ethnic, cultural, environmental, territorial and political integrity of the Afro-North caucana communities., La dinámica escolar ha dependido del sector económico garantizando que el conocimiento circule, en la escuela, de manera homogénea, al ocultar sistemáticamente, las epistemes afrocolombianas que el Movimiento Social Afro ha protegido. De hecho, los planes de desarrollo definen el horizonte institucional al que se ve sujeto toda la ciudadanía, poniendo en tensión a las comunidades, sin tener en cuenta su concepción de desarrollo. El presente artículo, producto de una investigación en curso, visibiliza que a partir de la expedición de la Ley Páez se consolidó el modelo económico generando transformaciones de las concepciones educativas y curriculares causando impedimento para garantizar el respeto a la integridad étnica, cultural, ambiental, territorial y política, de las comunidades afronortecaucanas.

La sociedad en un continuum avasallante de cambios y desarrollo, donde el ser humano avizora y actúa en principio de cada cambio, siendo el actor principal de su auge, entre ellos, el galope de las tecnologías de la información y comunicación, donde su espectro de medios, componentes y herramientas, facilita la vida en cada dimensión que suscita, entreviendo su conminación, el surgimiento de redes sociales y, con ellas, dinámicas diversas de interacciones, unas favorables, otras no tanto; entre estas últimas, se ubica el cyberbullying, donde el acoso escolar cobra vigencia en escenarios online, degradando y alterando la condición humana de cada estudiante tanto víctima como victimario, deconstruyendo la realidad y su continuidad amena; razón por la cual, desde este ensayo, se busca analizar el cyberbullying como una realidad latente en instituciones educativas postmodernas de ecuador. En este sentido, se asumen las dimensiones sociales, culturales, políticas, educativas y psicológicas, logrando una desconfiguración de las tecnologías educativas, haciéndolas más asequibles desde el sentido cognitivo y cívico.

El panorama salubrista ecuatoriano se enfrenta a la introducción, como producto legalizado, del cannabis como agente terapéutico en el país. Esta medida trae consigo una serie de transformaciones en varios aspectos a los que la vida productiva del país debe de adaptarse de forma acelerada. El objetivo de esta investigación fue analizar la posible repercusión económica contable que trae la legalización del cannabis como recurso terapéutico. Se desarrollo una revisión bibliográfica y análisis posterior para poder realizar un modelo futurista de como la introducción del cannabis influenciará el mercado productivo y contable en el país. Se considera que la introducción en el mercado farmacéutico de productos derivados de cannabis, para uso medicinal, será inicialmente importado; sin embargo, con el de cursar del tiempo se irán implementando otras acciones como la siembra, recolección, procesamiento, distribución y venta de producto final. Todos estos elementos generaran empleos, gastos, ingresos, inversiones y otros elementos que implican una repercusión económica y contable en el país. Se concluye que la perspectiva futura, desde el punto de vista económica y contable, con la legalización del cannabis como agente terapéutico en el país, es favorable; sin embargo, para lograrlo es necesario que se autoricen otros procesos previos a la comercialización de productos farmacéuticos basados en las propiedades del cannabis; solo de esa forma se podrá precisar su influencia en el mercado laboral y económico del Ecuador

The research provides a tool for decision making concerning maintenance activities in water pipelines. The thesis aims to bring attention to the fact that use of modern and faster non-destructive technologies can improve conventional maintenance strategies as long as the results can be interpreted. More precisely, this thesis aims to propose a framework to help decision makers understand the results from a potential new technology and make the most appropriate decision in order to achieve preventive maintenance. This can improve water losses reduction. Considering the complexity of the deterioration process of urban pipelines, the lack of framework to interpret results of condition assessment, and the fact that decision makers should deal with uncertainty, Belief Function Theory arise as an applicable method to determine which maintenance activity should be carried out: repair or replace. As a result, a decision framework was proposed to choose the most appropriate maintenance activity based on current pipeline condition and expert knowledge. Since this thesis is a basis for future research, Fitness for Service approach was also included in the proposed framework. Its possible application was illustrated with the evaluation of three cases. The presented tool illustrated the first steps of developing a framework for a practical decision-making. This framework, which is aimed to be employed in maintenance strategies of water pipelines, ensures a proper implementation of the results of condition assessment. This was exemplified by analyzing three case studies which illustrate the framework’s application in water pipelines maintenance activities. Despite its simplicity, the result showed that the proposed framework could facilitate decision-making process in maintenance activities by having a graphical representation.

La calidad de los servicios constituye una prioridad en cualquiera de los sectores o empresas que tenga como finalidad prestar un servicio o un bien, independientemente del tipo que sea. La calidad de los servicios brindado depende de varios factores, pero, sin duda alguna, la evaluación de costos constituye un factor fundamental en la evaluación económica de las empresas, especialmente en instituciones de salud. El objetivo de esta investigación fue analizar la influencia que puede ejercer el estudio de los costos de los servicios en la evaluación económica de las instituciones de salud. Para esto se realizó un análisis de los elementos generales de la evaluación económica y específicos de su aplicación en instituciones de salud; con énfasis en el análisis de costos de servicios. Los resultados muestran que los costos determinan varios elementos relacionados con la calidad de los servicios prestados, de ahí que se concluya que un eslabón importante en la evaluación económica de las instituciones de salud lo constituye el análisis de los costos; ya qua a partir de ellos se pueden identificar brechas y puntos vulnerables que con acciones directas puedan ser solucionados parcial o totalmente; a partir de ellos se puede mejorar la calidad del servicio prestado.

Las Normas Internacionales de Información Financiera constituyen un conjunto de estándares internacionales que persiguen homogenizar, homologar y permitir el acceso a la información contable empresarial. Puede ser aplicada a cualquier tipo de empresa, incluso a instituciones de salud; sin embargo, su implementación en el sector salud en Ecuador ha sido lenta. El objetivo de la presente investigación es analizar la marcha del proceso de implementación y adopción de las Normas Internacionales de Información Financiera en el sistema de salud ecuatoriano, sus ventajas, retos y perspectivas futuras. Para esto se realizó una búsqueda, análisis y discusión de información relacionada. Se concluye que el proceso de adopción en las instituciones de salud del Ecuador, de forma general, ha sido lento. Existe un mayor compromiso de implementación en las instituciones privadas en relación con las instituciones públicas, a pesar de las ventajas que ello implica y los esfuerzos que hace el gobierno por generalizar su adopción. Sin embargo, la creciente demanda de atención de salud, la elevación de los costos de bienes, equipamientos, insumos y servicios y los efectos de la crisis económica mundial, refuerzan la necesidad de adopción de las Normas Internacionales de Información Financiera para ser más competitivos en el mercado de la salud; esta situación hace que este proceso de adopción e implementación en el sector salud se consolide de forma acelerada.

Objetivo: que el reto competitivo de que los resultados involucren ideas y proyectos viables y creativos, es mucho más que tecnología, este planteamiento busca e involucra aspectos convergentes entre gestión de conocimiento y tecnologías de información y comunicaciones, y como tema de estudio, la auditoria de desempeño que se desarrolla como una herramienta convergente en la toma de decisiones en las organizaciones y empresas. Metodología: Desde la investigación cualitativa se utilizó la consecución de métodos investigativos teóricos como el inductivo-deductivo, sistémicoestructural, analítico-sintético; y empíricos como el análisis documental y la observación. Los referentes principales son algunos de los investigadores actuales de diferentes contextos organizacionales y clásicos dentro de la literatura a fin. Discusión y resultados: La auditoría de desempeño emplea una amplia selección de métodos de evaluación e investigación de diferentes campos del conocimiento, se convergen durante la exposición de esta investigación. Por su parte, la 2 importancia del desarrollo del conocimiento como una consecuencia de una sociedad de información radica en los beneficios que aporta al desarrollo económico de una región o país, con acertado impacto en la sociedad, marca este estudio, a través del cumplimiento de normativas internacionales. Conclusión: Las revisiones de los aspectos conceptuales son fundamentales para el entendimiento de la temática planteada, y desarrollan y explican las diferentes etapas que integran un proceso de auditoría, para finalmente hacer análisis de la importancia de dicha herramienta. Demuestra la relevancia e implicaciones que tiene la auditoría de desempeño, como herramienta imprescindible para las organizaciones empresariales. Aportes: genera experiencias en los modelos de trabajo entorno a la auditoria de desempeño, encuanto a los dictamenes o informe, que debe permitir trazar estrategias en la toma de decisiones y fortalecer las sugerencias que

The research provides a tool for decision making concerning maintenance activities in water pipelines. The thesis aims to bring attention to the fact that use of modern and faster non-destructive technologies can improve conventional maintenance strategies as long as the results can be interpreted. More precisely, this thesis aims to propose a framework to help decision makers understand the results from a potential new technology and make the most appropriate decision in order to achieve preventive maintenance. This can improve water losses reduction. Considering the complexity of the deterioration process of urban pipelines, the lack of framework to interpret results of condition assessment, and the fact that decision makers should deal with uncertainty, Belief Function Theory arise as an applicable method to determine which maintenance activity should be carried out: repair or replace. As a result, a decision framework was proposed to choose the most appropriate maintenance activity based on current pipeline condition and expert knowledge. Since this thesis is a basis for future research, Fitness for Service approach was also included in the proposed framework. Its possible application was illustrated with the evaluation of three cases. The presented tool illustrated the first steps of developing a framework for a practical decision-making. This framework, which is aimed to be employed in maintenance strategies of water pipelines, ensures a proper implementation of the results of condition assessment. This was exemplified by analyzing three case studies which illustrate the framework’s application in water pipelines maintenance activities. Despite its simplicity, the result showed that the proposed framework could facilitate decision-making process in maintenance activities by having a graphical representation.

Introduction: The safety and efficacy of a microwave ablation (MWA) system for the liver with novel technologies in field control, antenna cooling through the inner part of the choke ring, and dual temperature monitoring were evaluated in this multicenter retrospective study. Material and methods: Ablation characteristics and efficacy were assessed on follow-up imaging (computed tomography or magnetic resonance imaging). Safety was evaluated according to CTCAE classification. Results: Eighty-seven liver tumors (65 metastases and 22 hepatocellular carcinomas) measuring 17.8 ± 7.9 mm were treated in 68 patients. Ablation zones measured 35.6 ± 11 mm in longest diameter. The coefficients of variation of the longest and shortest ablation diameters were 30.1% and 26.4%, respectively. The mean sphericity index of the ablation zone was 0.78 ± 0.14. Seventy-one ablations (82%) had a sphericity index above 0.66. At 1 month, all tumors demonstrated complete ablation with margins of 0-5 mm, 5-10 mm, and greater than 10 mm achieved in 22%, 46%, and 31% of tumors, respectively. After a median follow-up of 10 months, local tumor control was achieved in 84.7% of treated tumors after a single ablation and in 86% after one patient received a second ablation. One grade 3 complication (stress ulcer) occurred, but was unrelated to the procedure. Ablation zone size and geometry in this clinical study were in accordance with previously reported in vivo preclinical findings. Conclusion: Promising results were reported for this MWA device. The high spherical index, reproducibility, and predictability of the resulting treatment zones translated to a high percentage of adequate safety margins, providing good local control rate.

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Contains fulltext : 241040.pdf (Publisher’s version ) (Open Access)

The main objective of this research was based on using a series of strategies with onomatopoeic sound for the stimulation of oral language in initial education students. The research is non-experimental, descriptive and with a quantitative approach, whose method consisted of a statistical analysis that allowed the researchers to collect the necessary information in relation to the teaching performance and learners’ stimulation of language with onomatopoeic sounds. It was carried out through an observation sheet and an interview with the teacher, using closed questions. As a result, it was noticed that the students do not have a well-developed language and the teacher does not use a teaching guide based on onomatopoeic sounds that allows her to apply the most suitable strategies for the language benefit. In consequence, it is recommended to design a didactic guide based on strategies with onomatopoeic sounds for the correct development of the students' language., Esta investigación tuvo como objetivo primordial emplear una serie de estrategias con sonidos onomatopéyicos para la estimulación del lenguaje oral en los estudiantes de educación inicial. La investigación es no experimental, descriptiva y con enfoque cuantitativo, cuyo método consistió en un análisis estadístico que permitió a las investigadoras recopilar la información necesaria en relación al desempeño docente y al estímulo del lenguaje con sonidos onomatopéyicos en los aprendices, lo cual se llevó a cabo mediante una ficha de observación y una entrevista a la docente, utilizando preguntas cerradas. Como resultado, se precisó que los estudiantes no tienen un lenguaje bien desarrollado y la docente no emplea una guía didáctica basada en sonidos onomatopéyicos que permita orientarla para aplicar las estrategias más idóneas en beneficio del lenguaje. Por tal motivo, se recomienda diseñar una guía didáctica basada en estrategias con sonidos onomatopéyicos para el correcto desarrollo del lenguaje de los estudiantes.

The main objective of this research was based on using a series of strategies with onomatopoeic sound for the stimulation of oral language in initial education students. The research is non-experimental, descriptive and with a quantitative approach, whose method consisted of a statistical analysis that allowed the researchers to collect the necessary information in relation to the teaching performance and learners’ stimulation of language with onomatopoeic sounds. It was carried out through an observation sheet and an interview with the teacher, using closed questions. As a result, it was noticed that the students do not have a well-developed language and the teacher does not use a teaching guide based on onomatopoeic sounds that allows her to apply the most suitable strategies for the language benefit. In consequence, it is recommended to design a didactic guide based on strategies with onomatopoeic sounds for the correct development of the students' language., Esta investigación tuvo como objetivo primordial emplear una serie de estrategias con sonidos onomatopéyicos para la estimulación del lenguaje oral en los estudiantes de educación inicial. La investigación es no experimental, descriptiva y con enfoque cuantitativo, cuyo método consistió en un análisis estadístico que permitió a las investigadoras recopilar la información necesaria en relación al desempeño docente y al estímulo del lenguaje con sonidos onomatopéyicos en los aprendices, lo cual se llevó a cabo mediante una ficha de observación y una entrevista a la docente, utilizando preguntas cerradas. Como resultado, se precisó que los estudiantes no tienen un lenguaje bien desarrollado y la docente no emplea una guía didáctica basada en sonidos onomatopéyicos que permita orientarla para aplicar las estrategias más idóneas en beneficio del lenguaje. Por tal motivo, se recomienda diseñar una guía didáctica basada en estrategias con sonidos onomatopéyicos para el correcto desarrollo del lenguaje de los estudiantes.

The main objective of this research was based on using a series of strategies with onomatopoeic sound for the stimulation of oral language in initial education students. The research is non-experimental, descriptive and with a quantitative approach, whose method consisted of a statistical analysis that allowed the researchers to collect the necessary information in relation to the teaching performance and learners’ stimulation of language with onomatopoeic sounds. It was carried out through an observation sheet and an interview with the teacher, using closed questions. As a result, it was noticed that the students do not have a well-developed language and the teacher does not use a teaching guide based on onomatopoeic sounds that allows her to apply the most suitable strategies for the language benefit. In consequence, it is recommended to design a didactic guide based on strategies with onomatopoeic sounds for the correct development of the students' language., Esta investigación tuvo como objetivo primordial emplear una serie de estrategias con sonidos onomatopéyicos para la estimulación del lenguaje oral en los estudiantes de educación inicial. La investigación es no experimental, descriptiva y con enfoque cuantitativo, cuyo método consistió en un análisis estadístico que permitió a las investigadoras recopilar la información necesaria en relación al desempeño docente y al estímulo del lenguaje con sonidos onomatopéyicos en los aprendices, lo cual se llevó a cabo mediante una ficha de observación y una entrevista a la docente, utilizando preguntas cerradas. Como resultado, se precisó que los estudiantes no tienen un lenguaje bien desarrollado y la docente no emplea una guía didáctica basada en sonidos onomatopéyicos que permita orientarla para aplicar las estrategias más idóneas en beneficio del lenguaje. Por tal motivo, se recomienda diseñar una guía didáctica basada en estrategias con sonidos onomatopéyicos para el correcto desarrollo del lenguaje de los estudiantes.

The objective of this study is to analyze gender violence in dating relationships in the city of Riobamba. It is descriptive in scope and focused on documentary research as indicated. Of these women, 25.5% stated that they had received some type of physical violence from their partner or ex-partner. In conclusion, we can mention that 23.6% have experienced a type of sexual violence. It is important to mention that according to the research carried out, violence continues to be observed in young couples in the city of Riobamba, gender violence can be present in any dating relationship and women should know that they have a law of protection which ensures the fulfillment of their rights to prevent these rights from being violated and they should not continue to remain silent about these types of violence that are increasing and can leave severe consequences., El presente estudio tiene por objetivo analizar la violencia de género en las relaciones de noviazgo en la ciudad de Riobamba. De alcance descriptivo enfocado en una investigación documental según lo indican. Un 25,5% de estas mujeres afirmo que recibió un tipo de violencia física por parte de su pareja o expareja. Para concluir podemos mencionar que el 23,6% ha vivido un tipo de violencia sexual. Es importante mencionar que según la investigación realizada se sigue constatando la violencia en parejas jóvenes de la ciudad de Riobamba, la violencia de género puede estar presente en cualquier relación de noviazgo y las mujeres deben de conocer que cuentan con una ley de amparo donde se vela por el cumplimiento de sus derechos evitando que estos se vulneren y no deberán seguir callando estos tipos de violencia que cada vez son más y pueden dejar severas secuelas.

El presente estudio tiene como objetivo implementar una estrategia metodológica, para el aprendizaje virtual en alumnos con discapacidad visual de educación básica elemental, favoreciendo la igualdad de oportunidades y cooperación entre compañeros. Entre los métodos de la investigación a emplear se utilizan los siguientes: el método histórico-lógico, de análisis-síntesis, de inducción-deducción e investigación. Se implementará la estrategia metodológica que busca seleccionar datos a partir de relatos de experiencias de los participantes de la investigación, es necesario usar herramientas como la observación, la encuesta y la entrevista. Los resultados obtenidos, se muestran en el análisis pertinente como parte de suceso en sus trayectorias, como necesidad de apoyo en las dos categorías, en la parte tecnológica y el aporte del personal docente, que deben impulsar en la educación básica elemental de las instituciones educativas, considerando la experiencia de los alumnos, lo que permite concluir diciendo que los aprendices con discapacidad visual están entre los más relevantes ya que requieren apoyos específicos y estrategias de enseñanza que en muchos casos no están al alcance en educación virtual, es por ello que se debe reflexionar y ajustar el currículo en todas las instituciones educativas, donde se refleje la innovación, la creatividad y la estrategia de enseñanza-aprendizaje, con el uso de las Tics, integrando en los planteles educativos la tiflotecnología creada y adaptada correctamente para dicentes con ceguera o discapacidad visual, ya que considerando la utilización de la tecnología, se contribuye al desarrollo autónomo personal y por qué no decirlo a la plena integración educativa.

The purpose of this study is to discuss the role and response of the people of East Kalimantan regarding the transfer of the national capital.  Collect data in this article using online questionnaires using google form, which is then analyzed using spss program version 21, previous research, and summarize the results of respondents' responses and take some information on the internet. Based on the results of the study, it is known that the number of people who are pro or agree with the government of the national capital is more than the people who counter or disagree with the number of people who agree, which is as many as 67 or 65.7% of the people. Meanwhile, based on the results obtained that the number of people who also consider that government planning related to the transfer of the national capital to East Kalimantan is a solution, with the number of people who responded that the transfer into a solution is as many as 58 communities as many as 58 people or 56.9%.

The purpose of this study is to discuss the role and response of the people of East Kalimantan regarding the transfer of the national capital.  Collect data in this article using online questionnaires using google form, which is then analyzed using spss program version 21, previous research, and summarize the results of respondents' responses and take some information on the internet. Based on the results of the study, it is known that the number of people who are pro or agree with the government of the national capital is more than the people who counter or disagree with the number of people who agree, which is as many as 67 or 65.7% of the people. Meanwhile, based on the results obtained that the number of people who also consider that government planning related to the transfer of the national capital to East Kalimantan is a solution, with the number of people who responded that the transfer into a solution is as many as 58 communities as many as 58 people or 56.9%.

The introduction of Design-Based Education and Research (DBE and DBR) at NHL Stenden in 2018/19 set the framework to develop a concrete idea for collaboration between departments, which could involve researchers, students and lecturers as well as the work field (enterprises, public authorities, public and private organisation etc.). We, the Chairs for Purposeful Entrepreneurship, International Entrepreneurship and Organisations and Social Media, were looking for a way to integrate our research and educational goals. Through meetings, we soon realised that all three Chairs were interested in questions related to sustainable consumer dilemmas and awareness products, in combination with ‘purposeful entrepreneurship’ and ‘meaningful communication’. These are all issues that also fit the current Zeitgeist. In addition, we all spoke with several Small and Medium Sized enterprises (SMEs) that also struggle with these dilemmas. This is a ‘wicked problem’ in itself, waiting to be ‘solved’ by young fresh mind

Monitoring of airborne pollen concentrations provides an important source of information for the globally increasing number of hay fever patients.

Pollen exposure weakens the immunity against certain seasonal respiratory viruses by diminishing the antiviral interferon response. Here we investigate whether the same applies to the pandemic severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which is sensitive to antiviral interferons, if infection waves coincide with high airborne pollen concentrations. Our original hypothesis was that more airborne pollen would lead to increases in infection rates. To examine this, we performed a cross-sectional and longitudinal data analysis on SARS-CoV-2 infection, airborne pollen, and meteorological factors. Our dataset is the most comprehensive, largest possible worldwide from 130 stations, across 31 countries and five continents. To explicitly investigate the effects of social contact, we additionally considered population density of each study area, as well as lockdown effects, in all possible combinations: without any lockdown, with mixed lockdown−no lockdown regime, and under complete lockdown. We found that airborne pollen, sometimes in synergy with humidity and temperature, explained, on average, 44% of the infection rate variability. Infection rates increased after higher pollen concentrations most frequently during the four previous days. Without lockdown, an increase of pollen abundance by 100 pollen/m3 resulted in a 4% average increase of infection rates. Lockdown halved infection rates under similar pollen concentrations. As there can be no preventive measures against airborne pollen exposure, we suggest wide dissemination of pollen−virus coexposure dire effect information to encourage high-risk individuals to wear particle filter masks during high springtime pollen concentrations.

Monitoring of airborne pollen concentrations provides an important source of information for the globally increasing number of hay fever patients. Airborne pollen is traditionally counted under the microscope, but with the latest developments in image recognition methods, automating this process has become feasible. A challenge that persists, however, is that many pollen grains cannot be distinguished beyond the genus or family level using a microscope. Here, we assess the use of Convolutional Neural Networks (CNNs) to increase taxonomic accuracy for airborne pollen. As a case study we use the nettle family (Urticaceae), which contains two main genera (Urtica and Parietaria) common in European landscapes which pollen cannot be separated by trained specialists. While pollen from Urtica species has very low allergenic relevance, pollen from several species of Parietaria is severely allergenic. We collect pollen from both fresh as well as from herbarium specimens and use these without the often used acetolysis step to train the CNN model. The models show that unacetolyzed Urticaceae pollen grains can be distinguished with > 98% accuracy. We then apply our model on before unseen Urticaceae pollen collected from aerobiological samples and show that the genera can be confidently distinguished, despite the more challenging input images that are often overlain by debris. Our method can also be applied to other pollen families in the future and will thus help to make allergenic pollen monitoring more specific.

Background: The epistemological growth of the nursing student is required, a situation that contributes to strengthening critical and innovative thinking with the intention of promoting a new opportunity to achieve the effectiveness of learning that leads to generating awareness of new pedagogies for the care of the patient. Objective: to evaluate the strategies for the improvement of nursing care by promoting meaningful learning in university students. Methodology: Non-experimental observational descriptive type. Results: 47% of the population considers the empirical to be of greater significance. Conclusion: The area of strategies of greatest importance or significance is represented by the empirical line, which shows that students value with greater relevance, learning by doing, pedagogy that is important because it allows them to develop security to care for the patient., Antecedentes: Se precisa el crecimiento epistemológico del estudiante de enfermería, situación que contribuye a fortalecer el pensamiento crítico e innovador con la intención de promover una nueva oportunidad para alcanzar la eficacia de un aprendizaje que conduce a generar la concienciación de nuevas pedagogías para el cuidado del paciente. Objetivo: evaluar las estrategias para el mejoramiento del cuidado de enfermería a partir de promover un aprendizaje significativo en estudiantes universitarios. Metodología: De tipo descriptiva observacional no experimental. Resultados: el 47% de la población considera de mayor significancia lo empírico. Conclusión: El área de estrategias de mayor importancia o significancia es representa por el renglón empírico, lo que evidencia que los estudiantes valoran con mayor pertinencia, el aprender haciendo, pedagogía que es importante por cuanto les permite desarrollar seguridad para atender al paciente.

Objectives: Drugs with anticholinergic properties are associated with an increased prevalence of delirium, especially in older persons. The aim of this study was to evaluate the association between the use of this class of drugs in nursing home (NH) patients and prevalence of delirium, particularly in people with dementia. Design: Cross-sectional multicenter study. Setting and participants: 3924 nursing home patients of 57 nursing homes in 7 European countries participating in the Services and Health for Elderly in Long TERmcare (SHELTER) project. Methods: Descriptive statistics, calculation of percentage, and multivariable logistic analysis were applied to describe the relationship between anticholinergic drug use and prevalence of delirium in NH patients. The Anticholinergic Risk Scale (ARS) and the Anticholinergic Burden Scale (ACB) were used to calculate the anticholinergic load. Results: 54% of patients with dementia and 60% without dementia received at least 1 anticholinergic drug according to the ACB. The prevalence of delirium was higher in the dementia group (21%) compared with the nondementia group (11%). Overall, anticholinergic burden according to the ACB and ARS was associated with delirium both in patients with and without dementia, with odds ratios ranging from 1.07 [95% confidence interval (CI) 0.94-1.21] to 1.26 (95% CI 1.11-1.44). These associations reached statistical significance only in the group of patients with dementia. Among patients with dementia, delirium prevalence increased only modestly with increasing anticholinergic burden according to the ACB, from 20% (with none or minimal anticholinergic burden) to 25% (with moderate burden) and 27% delirium (with strong burden scores). Conclusions and Implications: The ACB scale is relatively capable to detect anticholinergic side effects, which are positively associated with prevalence of delirium in NH patients. Given the modest nature of this association, strong recommendations are currently no

Monitoring of airborne pollen concentrations provides an important source of information for the globally increasing number of hay fever patients. Airborne pollen is traditionally counted under the microscope, but with the latest developments in image recognition methods, automating this process has become feasible. A challenge that persists, however, is that many pollen grains cannot be distinguished beyond the genus or family level using a microscope. Here, we assess the use of Convolutional Neural Networks (CNNs) to increase taxonomic accuracy for airborne pollen. As a case study we use the nettle family (Urticaceae), which contains two main genera ( Urtica and Parietaria ) common in European landscapes which pollen cannot be separated by trained specialists. While pollen from Urtica species has very low allergenic relevance, pollen from several species of Parietaria is severely allergenic. We collect pollen from both fresh as well as from herbarium specimens and use these without the often used acetolysis step to train the CNN model. The models show that unacetolyzed Urticaceae pollen grains can be distinguished with > 98% accuracy. We then apply our model on before unseen Urticaceae pollen collected from aerobiological samples and show that the genera can be confidently distinguished, despite the more challenging input images that are often overlain by debris. Our method can also be applied to other pollen families in the future and will thus help to make allergenic pollen monitoring more specific

The introduction of Design-Based Education and Research (DBE and DBR) at NHL Stenden in 2018/19 set the framework to develop a concrete idea for collaboration between departments, which could involve researchers, students and lecturers as well as the work field (enterprises, public authorities, public and private organisation etc.). We, the Chairs for Purposeful Entrepreneurship, International Entrepreneurship and Organisations and Social Media, were looking for a way to integrate our research and educational goals. Through meetings, we soon realised that all three Chairs were interested in questions related to sustainable consumer dilemmas and awareness products, in combination with ‘purposeful entrepreneurship’ and ‘meaningful communication’. These are all issues that also fit the current Zeitgeist. In addition, we all spoke with several Small and Medium Sized enterprises (SMEs) that also struggle with these dilemmas. This is a ‘wicked problem’ in itself, waiting to be ‘solved’ by young fresh mind

Background & aims: Donor human milk (DHM) is recommended as the first alternative for preterm infants if their mother's own milk is not available or if the quantity is not sufficient. The most commonly used technique to eliminate microbial contaminants in DHM is holder pasteurization (HoP). However, the heating process during HoP partially destroys milk bioactive factors such as insulin. Therefore, innovative techniques have been developed as alternatives to HoP. The objective of this study was to determine the effect of HoP, high-temperature–short-time (HTST), thermoultrasonication (TUS), ultraviolet-C irradiation (UV-C), and high-pressure processing (HPP) on the insulin concentration in DHM. Methods: Milk samples from 28 non-diabetic mothers were collected. The milk samples were aliquoted and either left untreated or treated with HoP (62.5 °C; 30 min), HTST (72 °C; 15 s), TUS (60 W; 6 min), UV-C (4863 J/L), or HPP (500 MPa; 5 min). Results: The mean insulin concentration in untreated milk was 79 ± 41 pmol/L. The mean insulin retention rate was 67% for HoP, 78% for HTST, 97% for TUS, 94% for UV-C, and 106% for HPP. The mean insulin concentration in milk treated with HoP was significantly lower compared to untreated milk (p = 0.01). Conclusion: TUS, UV-C, and HPP preserve insulin in DHM. The insulin concentration in DHM is affected to a larger extent by HoP than by HTST. These results indicate that TUS, UV-C, and HPP may serve as alternatives to HoP.

This research aimed to demonstrate the effectiveness of the Open Journal Systems software in the management of magazines and conferences. A comparative analysis was carried out from before and after 2016 to the present, taking as exemplary magazines from Ecuador where version 3.0 of this free access software was used, which had the old version 2.4.8.1. This currently constitutes the “boom” trend where digital magazines are found on the browsing and search networks. This free service complies with allows the editorial flow process used by online magazine managers and editors to be carried out with quality and optimizes resources and time dedicated to editorial production, and gives users facilities to obtain the necessary information to that they can present their proposal, as well as read the publications that have been made, regardless of the continent in which they are located. The methodology used was a retrospective documentary analysis of an experimental, practical, demonstrative, and analytical nature that made it possible to interpret the results obtained from the application of the software to manage scientific publications. As a result, it is evident that these open access platforms help journals to carry out an arbitrated publication process and even online indexing. Concluding that at present the publication in digital magazines gives visibility to the results of scientific research that are published, an especially important aspect to develop science. What do you want to do ? New mailCopy What do you want to do ? New mailCopy, Esta investigación tuvo como objetivo demostrar la efectividad del software Open Journal Systems en la gestión de revistas y congresos. Se realizó un análisis comparativo desde antes y después del año 2016 hasta la actualidad, tomando como ejemplares revistas de Ecuador donde se utilizó la versión 3.0 de este software de acceso libre, que contaban con la versión antigua 2.4.8.1. Esto constituye actualmente el “boom” donde las revistas digitales se encuentran en las redes de navegación y búsqueda. Este servicio gratuito permite que el proceso de flujo editorial utilizado por los gestores y editores de revistas en línea se lleve a cabo con calidad y optimiza los recursos y el tiempo dedicados a la producción editorial, y brinda a los usuarios facilidades para obtener la información necesaria para que puedan presentar su propuesta, así como leer las publicaciones que se han realizado, independientemente del continente en el que se encuentren. La metodología utilizada fue un análisis documental retrospectivo de carácter experimental, práctico, demostrativo y analítico que permitió interpretar los resultados obtenidos de la aplicación del software para la gestión de publicaciones científicas. Como resultado, es evidente que estas plataformas de acceso abierto ayudan a las revistas a llevar a cabo un proceso de publicación arbitrado e incluso indexación en línea. Concluyendo que en la actualidad la publicación en revistas digitales da visibilidad a los resultados de las investigaciones científicas que se publican, aspecto muy importante para el desarrollo de la ciencia. What do you want to do ? New mailCopy What do you want to do ? New mailCopy

There are data that support mortality rates in infants and children due to cardiac arrest (CP) that are managed out-of-hos-pital, range between 80 and 97%, although cardiopulmonary resuscitation (CPR) has been used. Even within hospitals, the statistics regarding the same eventuality and population have been equally discouraging, since the indicators report a considerable and worrying 40 and 65% mortality. Advanced CPR, compared to basic CPR, could be understood as the addition of adjuvant equipment and special techniques for the establishment and maintenance of effective ventilation and perfusion, electrocardiographic monitoring, detection and treatment of arrhythmias and stabilization of the patient after the resuscitation. The interest in developing this bibliographic review is based on the importance of knowing not only what Advanced CPR is for Infants and Children, but also, finding current reference sources that expand on some of the most outstanding aspects of this topic. developing. The results obtained constitute updated meanings, differentiated equipment for Advanced Pediatric CPR, Advanced Pediatric Life Support (SVAP), alternatives during the execution of Advanced CPR and care in Advanced CPR and post-resuscitation. It is concluded that the effectiveness of the tasks of Advanced CPR in children and infants, as well as in any other patient, are conditioned by several important factors, such as an effective basic CPR maneuver, adequate equipment for the care of each patient (equipment, materials, drugs), knowledge by professional health personnel to apply the procedure quickly and appropriately., Existen datos que sostienen que las tasas de mortalidad en lactantes y niños a causa de un paro cardiaco (PC) que se manejan extrahospitalariamente, oscilan entre un 80 y 97 %, aunque se haya usado la reanimación cardiopulmonar (RCP). Aún dentro de los hospitales, las estadísticas respecto a la misma eventualidad y población han resultado igualmente desalentadoras, pues los indicadores reportan unos considerables y preocupantes 40 y 65% de mortalidad. La RCP Avan-zada, respecto a la básica, pudiera entenderse como la adición de equipamiento adyuvante y técnicas especiales para el establecimiento y mantenimiento de una efectiva ventilación y perfusión, el monitoreo electrocardiográfico, la detección y tratamiento de arritmias y la estabilización del paciente posterior a la resucitación. El interés por desarrollar la presente revisión bibliográfica se basa en la importancia por conocer no sólo de que se trata RCP Avanzada en Lactantes y Niños, sino también, encontrar fuentes referenciales vigentes que amplíen algunos de los aspectos más resaltantes que sobe este tema se ha venido desarrollando. Los resultados obtenidos constituyen acepciones actualizadas, equipamiento dife-renciado para la RCP Avanzada Pediátrica, Soporte Vital Avanzado Pediátrico (SVAP), alternativas durante la ejecución de la RCP Avanzada y los cuidados en RCP Avanzada y posreanimación, Se concluye que, la eficacia de las labores de RCP avanzadas en niños y lactantes, así como en cualquier otro paciente, se encuentran condicionadas a varios factores importantes, tales como una efectiva maniobra de RCP básico, un equipamiento adecuado para la atención de cada paciente (equipos, materiales, fármacos), el conocimiento por parte del personal profesional de salud para aplicar el pro-cedimiento de manera rápida y adecuada.

There are data that support mortality rates in infants and children due to cardiac arrest (CP) that are managed out-of-hos-pital, range between 80 and 97%, although cardiopulmonary resuscitation (CPR) has been used. Even within hospitals, the statistics regarding the same eventuality and population have been equally discouraging, since the indicators report a considerable and worrying 40 and 65% mortality. Advanced CPR, compared to basic CPR, could be understood as the addition of adjuvant equipment and special techniques for the establishment and maintenance of effective ventilation and perfusion, electrocardiographic monitoring, detection and treatment of arrhythmias and stabilization of the patient after the resuscitation. The interest in developing this bibliographic review is based on the importance of knowing not only what Advanced CPR is for Infants and Children, but also, finding current reference sources that expand on some of the most outstanding aspects of this topic. developing. The results obtained constitute updated meanings, differentiated equipment for Advanced Pediatric CPR, Advanced Pediatric Life Support (SVAP), alternatives during the execution of Advanced CPR and care in Advanced CPR and post-resuscitation. It is concluded that the effectiveness of the tasks of Advanced CPR in children and infants, as well as in any other patient, are conditioned by several important factors, such as an effective basic CPR maneuver, adequate equipment for the care of each patient (equipment, materials, drugs), knowledge by professional health personnel to apply the procedure quickly and appropriately., Existen datos que sostienen que las tasas de mortalidad en lactantes y niños a causa de un paro cardiaco (PC) que se manejan extrahospitalariamente, oscilan entre un 80 y 97 %, aunque se haya usado la reanimación cardiopulmonar (RCP). Aún dentro de los hospitales, las estadísticas respecto a la misma eventualidad y población han resultado igualmente desalentadoras, pues los indicadores reportan unos considerables y preocupantes 40 y 65% de mortalidad. La RCP Avan-zada, respecto a la básica, pudiera entenderse como la adición de equipamiento adyuvante y técnicas especiales para el establecimiento y mantenimiento de una efectiva ventilación y perfusión, el monitoreo electrocardiográfico, la detección y tratamiento de arritmias y la estabilización del paciente posterior a la resucitación. El interés por desarrollar la presente revisión bibliográfica se basa en la importancia por conocer no sólo de que se trata RCP Avanzada en Lactantes y Niños, sino también, encontrar fuentes referenciales vigentes que amplíen algunos de los aspectos más resaltantes que sobe este tema se ha venido desarrollando. Los resultados obtenidos constituyen acepciones actualizadas, equipamiento dife-renciado para la RCP Avanzada Pediátrica, Soporte Vital Avanzado Pediátrico (SVAP), alternativas durante la ejecución de la RCP Avanzada y los cuidados en RCP Avanzada y posreanimación, Se concluye que, la eficacia de las labores de RCP avanzadas en niños y lactantes, así como en cualquier otro paciente, se encuentran condicionadas a varios factores importantes, tales como una efectiva maniobra de RCP básico, un equipamiento adecuado para la atención de cada paciente (equipos, materiales, fármacos), el conocimiento por parte del personal profesional de salud para aplicar el pro-cedimiento de manera rápida y adecuada.

There are data that support mortality rates in infants and children due to cardiac arrest (CP) that are managed out-of-hos-pital, range between 80 and 97%, although cardiopulmonary resuscitation (CPR) has been used. Even within hospitals, the statistics regarding the same eventuality and population have been equally discouraging, since the indicators report a considerable and worrying 40 and 65% mortality. Advanced CPR, compared to basic CPR, could be understood as the addition of adjuvant equipment and special techniques for the establishment and maintenance of effective ventilation and perfusion, electrocardiographic monitoring, detection and treatment of arrhythmias and stabilization of the patient after the resuscitation. The interest in developing this bibliographic review is based on the importance of knowing not only what Advanced CPR is for Infants and Children, but also, finding current reference sources that expand on some of the most outstanding aspects of this topic. developing. The results obtained constitute updated meanings, differentiated equipment for Advanced Pediatric CPR, Advanced Pediatric Life Support (SVAP), alternatives during the execution of Advanced CPR and care in Advanced CPR and post-resuscitation. It is concluded that the effectiveness of the tasks of Advanced CPR in children and infants, as well as in any other patient, are conditioned by several important factors, such as an effective basic CPR maneuver, adequate equipment for the care of each patient (equipment, materials, drugs), knowledge by professional health personnel to apply the procedure quickly and appropriately., Existen datos que sostienen que las tasas de mortalidad en lactantes y niños a causa de un paro cardiaco (PC) que se manejan extrahospitalariamente, oscilan entre un 80 y 97 %, aunque se haya usado la reanimación cardiopulmonar (RCP). Aún dentro de los hospitales, las estadísticas respecto a la misma eventualidad y población han resultado igualmente desalentadoras, pues los indicadores reportan unos considerables y preocupantes 40 y 65% de mortalidad. La RCP Avan-zada, respecto a la básica, pudiera entenderse como la adición de equipamiento adyuvante y técnicas especiales para el establecimiento y mantenimiento de una efectiva ventilación y perfusión, el monitoreo electrocardiográfico, la detección y tratamiento de arritmias y la estabilización del paciente posterior a la resucitación. El interés por desarrollar la presente revisión bibliográfica se basa en la importancia por conocer no sólo de que se trata RCP Avanzada en Lactantes y Niños, sino también, encontrar fuentes referenciales vigentes que amplíen algunos de los aspectos más resaltantes que sobe este tema se ha venido desarrollando. Los resultados obtenidos constituyen acepciones actualizadas, equipamiento dife-renciado para la RCP Avanzada Pediátrica, Soporte Vital Avanzado Pediátrico (SVAP), alternativas durante la ejecución de la RCP Avanzada y los cuidados en RCP Avanzada y posreanimación, Se concluye que, la eficacia de las labores de RCP avanzadas en niños y lactantes, así como en cualquier otro paciente, se encuentran condicionadas a varios factores importantes, tales como una efectiva maniobra de RCP básico, un equipamiento adecuado para la atención de cada paciente (equipos, materiales, fármacos), el conocimiento por parte del personal profesional de salud para aplicar el pro-cedimiento de manera rápida y adecuada.

There are data that support mortality rates in infants and children due to cardiac arrest (CP) that are managed out-of-hos-pital, range between 80 and 97%, although cardiopulmonary resuscitation (CPR) has been used. Even within hospitals, the statistics regarding the same eventuality and population have been equally discouraging, since the indicators report a considerable and worrying 40 and 65% mortality. Advanced CPR, compared to basic CPR, could be understood as the addition of adjuvant equipment and special techniques for the establishment and maintenance of effective ventilation and perfusion, electrocardiographic monitoring, detection and treatment of arrhythmias and stabilization of the patient after the resuscitation. The interest in developing this bibliographic review is based on the importance of knowing not only what Advanced CPR is for Infants and Children, but also, finding current reference sources that expand on some of the most outstanding aspects of this topic. developing. The results obtained constitute updated meanings, differentiated equipment for Advanced Pediatric CPR, Advanced Pediatric Life Support (SVAP), alternatives during the execution of Advanced CPR and care in Advanced CPR and post-resuscitation. It is concluded that the effectiveness of the tasks of Advanced CPR in children and infants, as well as in any other patient, are conditioned by several important factors, such as an effective basic CPR maneuver, adequate equipment for the care of each patient (equipment, materials, drugs), knowledge by professional health personnel to apply the procedure quickly and appropriately., Existen datos que sostienen que las tasas de mortalidad en lactantes y niños a causa de un paro cardiaco (PC) que se manejan extrahospitalariamente, oscilan entre un 80 y 97 %, aunque se haya usado la reanimación cardiopulmonar (RCP). Aún dentro de los hospitales, las estadísticas respecto a la misma eventualidad y población han resultado igualmente desalentadoras, pues los indicadores reportan unos considerables y preocupantes 40 y 65% de mortalidad. La RCP Avan-zada, respecto a la básica, pudiera entenderse como la adición de equipamiento adyuvante y técnicas especiales para el establecimiento y mantenimiento de una efectiva ventilación y perfusión, el monitoreo electrocardiográfico, la detección y tratamiento de arritmias y la estabilización del paciente posterior a la resucitación. El interés por desarrollar la presente revisión bibliográfica se basa en la importancia por conocer no sólo de que se trata RCP Avanzada en Lactantes y Niños, sino también, encontrar fuentes referenciales vigentes que amplíen algunos de los aspectos más resaltantes que sobe este tema se ha venido desarrollando. Los resultados obtenidos constituyen acepciones actualizadas, equipamiento dife-renciado para la RCP Avanzada Pediátrica, Soporte Vital Avanzado Pediátrico (SVAP), alternativas durante la ejecución de la RCP Avanzada y los cuidados en RCP Avanzada y posreanimación, Se concluye que, la eficacia de las labores de RCP avanzadas en niños y lactantes, así como en cualquier otro paciente, se encuentran condicionadas a varios factores importantes, tales como una efectiva maniobra de RCP básico, un equipamiento adecuado para la atención de cada paciente (equipos, materiales, fármacos), el conocimiento por parte del personal profesional de salud para aplicar el pro-cedimiento de manera rápida y adecuada.

There are data that support mortality rates in infants and children due to cardiac arrest (CP) that are managed out-of-hos-pital, range between 80 and 97%, although cardiopulmonary resuscitation (CPR) has been used. Even within hospitals, the statistics regarding the same eventuality and population have been equally discouraging, since the indicators report a considerable and worrying 40 and 65% mortality. Advanced CPR, compared to basic CPR, could be understood as the addition of adjuvant equipment and special techniques for the establishment and maintenance of effective ventilation and perfusion, electrocardiographic monitoring, detection and treatment of arrhythmias and stabilization of the patient after the resuscitation. The interest in developing this bibliographic review is based on the importance of knowing not only what Advanced CPR is for Infants and Children, but also, finding current reference sources that expand on some of the most outstanding aspects of this topic. developing. The results obtained constitute updated meanings, differentiated equipment for Advanced Pediatric CPR, Advanced Pediatric Life Support (SVAP), alternatives during the execution of Advanced CPR and care in Advanced CPR and post-resuscitation. It is concluded that the effectiveness of the tasks of Advanced CPR in children and infants, as well as in any other patient, are conditioned by several important factors, such as an effective basic CPR maneuver, adequate equipment for the care of each patient (equipment, materials, drugs), knowledge by professional health personnel to apply the procedure quickly and appropriately., Existen datos que sostienen que las tasas de mortalidad en lactantes y niños a causa de un paro cardiaco (PC) que se manejan extrahospitalariamente, oscilan entre un 80 y 97 %, aunque se haya usado la reanimación cardiopulmonar (RCP). Aún dentro de los hospitales, las estadísticas respecto a la misma eventualidad y población han resultado igualmente desalentadoras, pues los indicadores reportan unos considerables y preocupantes 40 y 65% de mortalidad. La RCP Avan-zada, respecto a la básica, pudiera entenderse como la adición de equipamiento adyuvante y técnicas especiales para el establecimiento y mantenimiento de una efectiva ventilación y perfusión, el monitoreo electrocardiográfico, la detección y tratamiento de arritmias y la estabilización del paciente posterior a la resucitación. El interés por desarrollar la presente revisión bibliográfica se basa en la importancia por conocer no sólo de que se trata RCP Avanzada en Lactantes y Niños, sino también, encontrar fuentes referenciales vigentes que amplíen algunos de los aspectos más resaltantes que sobe este tema se ha venido desarrollando. Los resultados obtenidos constituyen acepciones actualizadas, equipamiento dife-renciado para la RCP Avanzada Pediátrica, Soporte Vital Avanzado Pediátrico (SVAP), alternativas durante la ejecución de la RCP Avanzada y los cuidados en RCP Avanzada y posreanimación, Se concluye que, la eficacia de las labores de RCP avanzadas en niños y lactantes, así como en cualquier otro paciente, se encuentran condicionadas a varios factores importantes, tales como una efectiva maniobra de RCP básico, un equipamiento adecuado para la atención de cada paciente (equipos, materiales, fármacos), el conocimiento por parte del personal profesional de salud para aplicar el pro-cedimiento de manera rápida y adecuada.