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Aims: To determine the risk factors associated with amputations in hospitalized patients with diabetic foot infection. Methods: this is a prospective study conducted at a tertiary care hospital in Panama between January 2010 and December 2016. We included all patients admitted to the hospital with diabetes and diabetic foot infection. A total of 351 patients were included, and a survey to assess for demographic and clinical factors was completed prospectively until discharge. The outcome was lower limb amputation. Results: Sixty-one participants (17.4 %) required a lower limb amputation, and 22 (36.1 %) were major amputations. Several factors were associated with amputation in the univariate analysis: history of foot infection, history of amputation, peripheral arterial disease, a major index ulcer area, duration of the index ulcer >30 days, Grade III 3D severity according to Texas scale, a greater IDSA classification, the presence of necrosis and osteomyelitis. Nevertheless, multiple logistic regression revealed significant relationships between amputations and necrosis (P

As everyday security becomes more important in society, reflection on scientific evidence obtained in relation to other areas of knowledge is required. The purpose of the article was to explore and analyze social perceptions of values in crisis situations. A correlational hypothesis is proposed, according to which it is demonstrated that, as societies' levels of economic and personal security vary, so do their perceptions of their values and the importance they assign to them. The methodology used was quantitative and correlational, with data obtained through online surveys distributed on social media platforms from June to October 2020, with the participation of 502 adults aged 18 and over. The main results showed that respect was perceived as the most necessary value to face the crisis by women and men and across age groups, while happiness and cultural diversity were the least important in relation to gender and age variables. Schools and households appeared to be the places identified as the most significant foci of values education, not the religious communities to which the participants belonged. However, the results related to religious affiliation revealed that the younger generation (18–30-year-olds), which represented one third of the respondents, did not have any religious beliefs. This may limit the applicability of this conclusion. Findings from this study contribute to the understanding of value-system changes during crises; therefore, further interdisciplinary study of value systems and incidences of values in the Panamanian context are recommended. [ABSTRACT FROM AUTHOR]

The COVID-19 health crisis and its consequences have exacerbated existing issues in the political, economic, and cultural spheres of societies. An exploratory, descriptive, mixed-method study using a phenomenological interpretative approach was conducted to identify the perceptions of Panamanian residents on what type of crisis the country is facing, who is responsible, and how should it be dealt with? This study relies on one online survey distributed across social media platforms over a 5-month period in 2020, generating a non-probabilistic convenience sample of 561 persons. Demographic variables and open-ended questions were included in the survey. We conclude that education, health, and labor were the most commonly identified crises. Training, civic engagement, and solidarity were acknowledged as critical in overcoming the crisis. There is a strong tendency to delegate these overcoming responsibilities exclusively to government authorities. The perception of the crisis varies depending on the respondent's educational level. Higher educational levels encourage a more active and self-reflective response to the circumstances, and the desire to seek social support through community networks corresponds to this perception. This encompasses positive aspects such as the opportunity for a change and improving one's quality of life, and negative aspects such as increased distrust of government institutions and ruling politicians. [ABSTRACT FROM AUTHOR]

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Copyright of Revista Facultad Nacional de Salud Pública is the property of Universidad de Antioquia, Facultad Nacional de Salud Publica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The rapid population growth and the progressive increase in natural phenomena have caused an emerging chaos of habitability, creating difficulties for life, health and for harmonious coexistence in cities. That is why this research attempts to document and make visible the contributions of Urban Geology to the achievement of the goals of the eleventh Sustainable Development Goal (SDG-11) of the United Nations 2030 Agenda. The study was carried out under the documentary-value perspective supported by the linking of this emerging science as a resource to alleviate socio-urban tensions. The recent conceptualizations and applications of Urban Geology have made it possible to link this discipline, as a technical-scientific base to partly solve the problems of unsustainable urbanity and social insecurity through the reduction of vulnerability to threats caused by natural events, health from the design of final disposal of urban waste, substantive contributions in drinking water supply systems, among other requirements of cities for sustainability [ABSTRACT FROM AUTHOR]

Copyright of Revista Médica de Panamá is the property of Academia Panamena Medicina CIR and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Colombiana de Biotecnología is the property of Universidad Nacional de Colombia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)