Conocimientos, actitudes y prácticas de salud de fisioterapia y laboratorio del Hospital Vicente Corral Moscoso, José Carrasco Arteaga y Homero Castanier en el control de las infecciones intrahospitalaria, Cuenca 2009

Las Infecciones Intrahospitalarias tienen una elevada morbi-mortalidad y su incidencia se relaciona directamente con la calidad de atención del centro hospitalario. Se conoce como principal fuente de contagio la trasmisión exógena por parte del personal de salud que no es capacitado adecuadamente para adquirir prácticas de prevención durante la manipulación de procedimientos a los pacientes. Las manos son un medio que pueden recoger microorganismos y transmitirlos generando así infecciones, el correcto lavado de las mismas se considera una forma eficaz de reducir la transmisión de infecciones nosocomiales, por ello creemos necesario describir la importancia de esta norma, sus diferentes técnicas, los microorganismos de la flora permanente y transeúnte, además de otras medidas de bioseguridad durante el contacto para la atención de cada paciente. A raíz de la pandemia de influenza A H1N1 se difundió campañas para su prevención siendo el lavado de manos la primera medida de bioseguridad. Nuestro estudio se basa en la evaluación de los Conocimientos, Actitudes y Prácticas del personal de salud de las Áreas de Laboratorio Clínico y Fisioterapia en los Hospitales Vicente Corral Moscoso, José Carrasco Arteaga de la ciudad de Cuenca y Homero Castanier de la ciudad de Azogues; fue realizado a 78 personas, las cuales se describen por su profesión, área de trabajo y hospital. Mediante está investigación demostramos que el 34% del personal tiene conocimientos adecuados ante el control de IIH, el 26% se lavó las manos antes y después de los procedimientos realizados y el 10% lo hizo de forma adecuada

Acute Q Fever Presenting with Multi-Organ Failure: Re-Evaluation of the Initial Diagnosis

We present the case of a 48-year-old man admitted to the critical care unit with atrial fibrillation, and acute heart and kidney failure accompanied by coagulopathy and an abnormal liver test. Initially diagnosed as a non-ST elevation myocardial infarction, re-evaluation of the case led to the consideration of severe sepsis. Q fever and leptospirosis were the most probable causes and empiric treatment was initiated. A complete recovery was achieved following treatment.

THERE GOES THE ELECTORAL NEIGHBORHOOD: LOCAL NETWORKS, ATTRIBUTION OF RESPONSIBILITY, AND THE (UN) FAIRNESS OF ELECTIONS

During the last two decades there have been but a handful of recorded cases of electoral fraud in Latin America. However, survey research consistently shows that often citizens do not trust the integrity of the electoral process. This dissertation addresses the puzzle by explaining the mismatch between how elections are conducted and how the process is perceived. My theoretical contribution provides a double-folded argument. First, voters’ trust in their community members (“the local experience”) impacts their level of confidence in the electoral process. Since voters often find their peers working at polling stations, negative opinions about them translate into negative opinions about the election. Second, perceptions of unfairness of the system (“the global effect”) negatively impact the way people perceive the transparency of the electoral process. When the political system fails to account for social injustice, citizens lose faith in the mechanism designed to elect representatives -and ultimately a set of policies. The fact that certain groups are systematically disregarded by the system triggers the notion that the electoral process is flawed. This is motivated by either egotropic or sociotropic considerations. To test these hypotheses, I employ a survey conducted in Costa Rica, El Salvador, Honduras, and Guatemala during May/June 2014, which includes a population-based experiment. I show that Voters who trust their peers consistently have higher confidence in the electoral process. Whereas respondents who were primed about social unfairness (treatment) expressed less confidence in the quality of the election. Finally, I find that the local experience is predominant over the global effect. The treatment has a statistically significant effect only for respondents who trust their community. Attribution of responsibility for voters who are skeptics of their peers is clear and simple, leaving no room for a more diffuse mechanism, the unfairness of the political system. Finally, now I extend analysis to the Latin America region. Using data from LAPOP that comprises four waves of surveys in 22 countries, I confirm the influence of the “local experience” and the “global effect” as determinants of the level of confidence in the electoral process.

Fundamentación teórico metodológica para una propuesta de desarrollo local alternativo, en pequeñas comunidades rurales. El caso de la comunidad de Acchayacu

Especialista en Estudios de Población y Desarrollo Local Sustentable

Implementación de un sistema de monitoreo a través de cámaras de video en el albergue para adulto mayor Hogar Casa Nostra

65 p.

Tectonic evolution of Variscan Iberia: Gondwana–Laurussia

An integrated interpretation of the late Paleozoic structural and geochronological record of the Iberian Massif is presented and discussed under the perspective of a Gondwana-Laurussia collision giving way to the Variscan orogen. Compressional and extensional structures developed during the building of the Variscan orogenic crust of Iberia are linked together into major tectonic events operating at lithosphere scale. A review of the tectonometamorphic and magmatic evolution of the IberianMassif reveals backs and forths in the overall conver- gence between Gondwana and Laurussia during theamalgamation of Pangea in late Paleozoic times. Stages dom- inated by lithosphere compression are characterized by subduction, both oceanic and continental, development of magmatic arcs, (over- and under-) thrusting of continental lithosphere, and folding. Variscan convergence re- sulted in the eventual transference of a large allochthonous set of peri-Gondwanan terranes, the Iberian Allochthon, onto the Gondwana mainland. The Iberian Allochthon bears the imprint of previous interaction be- tween Gondwana and Laurussia, including their juxtaposition after the closure of the Rheic Ocean in Lower De- vonian times. Stages governed by lithosphere extension are featured by the opening of two short-lived oceanic basins that dissected previous Variscan orogenic crust, first in the Lower-Middle Devonian, following the closure of the Rheic Ocean, and then in the early Carboniferous, following the emplacement of the peri-Gondwanan allochthon. An additional, major intra-orogenic extensional event in the early-middle Carboniferous dismem- bered the Iberian Allochthon into individual thrust stacks separated by extensional faults and domes. Lateral tec- tonics played an important role through the Variscan orogenesis, especially during the creation of new tectonic blocks separated by intracontinental strike-slip shear zones in the late stages of continental convergence.

Produção de bactérias entomopatogênicas na América Latina.

2008