Influencia de las medidas de bioseguridad implementadas por la pandemia COVID19 en la disminución de infecciones nosocomiales en el área de hospitalización de Pediatría en el Hospital General Guasmo Sur, en el período 2019-2020
Tesis
Materias > Biomedicina
Universidad Internacional Iberoamericana México > Docencia > Trabajos finales de Máster
Universidad Internacional Iberoamericana Puerto Rico > Docencia > Trabajos finales de Máster
Cerrado
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Las infecciones nosocomiales en nuestro país son un problema de salud pública ya que eleva la tasa de mortalidad además de significar mayor gasto para el Estado debido al mayor uso de medicamentos, se alarga la estancia hospitalaria, lo que duplica o incluso triplica el gasto que representa la patología por la cual el paciente es hospitalizado. Se llama infección nosocomial a aquella que se produce dentro del ambiente hospitalario después de 48 horas de haber sido ingresado por cualquier tipo de patología. Este estudio se realizó con la revisión de las historias clínicas de los pacientes que fueron hospitalizados en el área de pediatría en el período 2019-2020, ya que con la información obtenida de las mismas se podrá evidenciar el porcentaje de infecciones nosocomiales presentadas y además es importante el tiempo de estancia hospitalaria debido a que para que una infección sea catalogada como nosocomial el paciente debe ser ingresado por más de 48 horas. Además se sabe que todo el personal de salud también se sometía con rigor a todas las medidas de bioseguridad por miedo a contagiarse de COVID 19 o de llevarlo a sus casas, además que el uso correcto de las prendas de protección era supervisado en la unidad hospitalaria y era sancionado en caso de no ser cumplidas , así mismo se implementó un protocolo para el ingreso de los pacientes a la unidad , por lo cual dicho cuidado por parte del personal de salud y de los pacientes se refleja en las historias clínicas donde se espera encontrar una disminución importante de la aparición de infecciones nosocomiales. En relación a la presencia de infecciones nosocomiales de pacientes pediátricos en los años estudiados, encontramos que en el año 2019 (prepandemia) un 55% (55/100) de los pacientes fueron afectados por infecciones nosocomiales, mientras que un 45% (45/100) no fue afectado por esta patología; mientras que en el año 2020 (pandemia) un 20% (20/100) de los pacientes fueron afectados por infecciones nosocomiales, mientras que un 80% (80/100) no fue afectado por esta patología. En este estudio se concluye que las infecciones nosocomiales son una complicación de la estancia hospitalaria prevenible mediante el correcto uso de las medidas de bioseguridad y estas son el lavado de manos constante, uso de alcohol tanto en gel como en su presentación liquida y el uso de la bata quirúrgica y mascarilla.
metadata
Medina Molina, Cynthia Estefania
mail
cynthiamedinamolina@outlook.com
(2022)
Influencia de las medidas de bioseguridad implementadas por la pandemia COVID19 en la disminución de infecciones nosocomiales en el área de hospitalización de Pediatría en el Hospital General Guasmo Sur, en el período 2019-2020.
Masters thesis, SIN ESPECIFICAR.
Resumen
Las infecciones nosocomiales en nuestro país son un problema de salud pública ya que eleva la tasa de mortalidad además de significar mayor gasto para el Estado debido al mayor uso de medicamentos, se alarga la estancia hospitalaria, lo que duplica o incluso triplica el gasto que representa la patología por la cual el paciente es hospitalizado. Se llama infección nosocomial a aquella que se produce dentro del ambiente hospitalario después de 48 horas de haber sido ingresado por cualquier tipo de patología. Este estudio se realizó con la revisión de las historias clínicas de los pacientes que fueron hospitalizados en el área de pediatría en el período 2019-2020, ya que con la información obtenida de las mismas se podrá evidenciar el porcentaje de infecciones nosocomiales presentadas y además es importante el tiempo de estancia hospitalaria debido a que para que una infección sea catalogada como nosocomial el paciente debe ser ingresado por más de 48 horas. Además se sabe que todo el personal de salud también se sometía con rigor a todas las medidas de bioseguridad por miedo a contagiarse de COVID 19 o de llevarlo a sus casas, además que el uso correcto de las prendas de protección era supervisado en la unidad hospitalaria y era sancionado en caso de no ser cumplidas , así mismo se implementó un protocolo para el ingreso de los pacientes a la unidad , por lo cual dicho cuidado por parte del personal de salud y de los pacientes se refleja en las historias clínicas donde se espera encontrar una disminución importante de la aparición de infecciones nosocomiales. En relación a la presencia de infecciones nosocomiales de pacientes pediátricos en los años estudiados, encontramos que en el año 2019 (prepandemia) un 55% (55/100) de los pacientes fueron afectados por infecciones nosocomiales, mientras que un 45% (45/100) no fue afectado por esta patología; mientras que en el año 2020 (pandemia) un 20% (20/100) de los pacientes fueron afectados por infecciones nosocomiales, mientras que un 80% (80/100) no fue afectado por esta patología. En este estudio se concluye que las infecciones nosocomiales son una complicación de la estancia hospitalaria prevenible mediante el correcto uso de las medidas de bioseguridad y estas son el lavado de manos constante, uso de alcohol tanto en gel como en su presentación liquida y el uso de la bata quirúrgica y mascarilla.
Tipo de Documento: | Tesis (Masters) |
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Palabras Clave: | Infecciones nosocomiales, Medidas de bioseguridad, Prevención |
Clasificación temática: | Materias > Biomedicina |
Divisiones: | Universidad Internacional Iberoamericana México > Docencia > Trabajos finales de Máster Universidad Internacional Iberoamericana Puerto Rico > Docencia > Trabajos finales de Máster |
Depositado: | 07 Dic 2023 23:30 |
Ultima Modificación: | 07 Dic 2023 23:30 |
URI: | https://repositorio.unib.org/id/eprint/2696 |
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A systematic review of deep learning methods for community detection in social networks
Introduction: The rapid expansion of generated data through social networks has introduced significant challenges, which underscores the need for advanced methods to analyze and interpret these complex systems. Deep learning has emerged as an effective approach, offering robust capabilities to process large datasets, and uncover intricate relationships and patterns. Methods: In this systematic literature review, we explore research conducted over the past decade, focusing on the use of deep learning techniques for community detection in social networks. A total of 19 studies were carefully selected from reputable databases, including the ACM Library, Springer Link, Scopus, Science Direct, and IEEE Xplore. This review investigates the employed methodologies, evaluates their effectiveness, and discusses the challenges identified in these works. Results: Our review shows that models like graph neural networks (GNNs), autoencoders, and convolutional neural networks (CNNs) are some of the most commonly used approaches for community detection. It also examines the variety of social networks, datasets, evaluation metrics, and employed frameworks in these studies. Discussion: However, the analysis highlights several challenges, such as scalability, understanding how the models work (interpretability), and the need for solutions that can adapt to different types of networks. These issues stand out as important areas that need further attention and deeper research. This review provides meaningful insights for researchers working in social network analysis. It offers a detailed summary of recent developments, showcases the most impactful deep learning methods, and identifies key challenges that remain to be explored.
Mohamed El-Moussaoui mail , Mohamed Hanine mail , Ali Kartit mail , Mónica Gracia Villar mail monica.gracia@uneatlantico.es, Helena Garay mail helena.garay@uneatlantico.es, Isabel de la Torre Díez mail ,
El-Moussaoui
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Association between blood cortisol levels and numerical rating scale in prehospital pain assessment
Background Nowadays, there is no correlation between levels of cortisol and pain in the prehospital setting. The aim of this work was to determine the ability of prehospital cortisol levels to correlate to pain. Cortisol levels were compared with those of the numerical rating scale (NRS). Methods This is a prospective observational study looking at adult patients with acute disease managed by Emergency Medical Services (EMS) and transferred to the emergency department of two tertiary care hospitals. Epidemiological variables, vital signs, and prehospital blood analysis data were collected. A total of 1516 patients were included, the median age was 67 years (IQR: 51–79; range: 18–103) with 42.7% of females. The primary outcome was pain evaluation by NRS, which was categorized as pain-free (0 points), mild (1–3), moderate (4–6), or severe (≥7). Analysis of variance, correlation, and classification capacity in the form area under the curve of the receiver operating characteristic (AUC) curve were used to prospectively evaluate the association of cortisol with NRS. Results The median NRS and cortisol level are 1 point (IQR: 0–4) and 282 nmol/L (IQR: 143–433). There are 584 pain-free patients (38.5%), 525 mild (34.6%), 244 moderate (16.1%), and 163 severe pain (10.8%). Cortisol levels in each NRS category result in p < 0.001. The correlation coefficient between the cortisol level and NRS is 0.87 (p < 0.001). The AUC of cortisol to classify patients into each NRS category is 0.882 (95% CI: 0.853–0.910), 0.496 (95% CI: 0.446–0.545), 0.837 (95% CI: 0.803–0.872), and 0.981 (95% CI: 0.970–0.991) for the pain-free, mild, moderate, and severe categories, respectively. Conclusions Cortisol levels show similar pain evaluation as NRS, with high-correlation for NRS pain categories, except for mild-pain. Therefore, cortisol evaluation via the EMS could provide information regarding pain status.
Raúl López-Izquierdo mail , Elisa A. Ingelmo-Astorga mail , Carlos del Pozo Vegas mail , Santos Gracia Villar mail santos.gracia@uneatlantico.es, Luis Alonso Dzul López mail luis.dzul@uneatlantico.es, Silvia Aparicio Obregón mail silvia.aparicio@uneatlantico.es, Rubén Calderón Iglesias mail ruben.calderon@uneatlantico.es, Ancor Sanz-García mail , Francisco Martín-Rodríguez mail ,
López-Izquierdo
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Botnet detection in internet of things using stacked ensemble learning model
Botnets are used for malicious activities such as cyber-attacks, spamming, and data theft and have become a significant threat to cyber security. Despite existing approaches for cyber attack detection, botnets prove to be a particularly difficult problem that calls for more advanced detection methods. In this research, a stacking classifier is proposed based on K-nearest neighbor, support vector machine, decision tree, random forest, and multilayer perceptron, called KSDRM, for botnet detection. Logistic regression acts as the meta-learner to combine the predictions from the base classifiers into the final prediction with the aim of increasing the overall accuracy and predictive performance of the ensemble. The UNSW-NB15 dataset is used to train machine learning models and evaluate their effectiveness in detecting cyber-attacks on IoT networks. The categorical features are transformed into numerical values using label encoding. Machine learning techniques are adopted to recognize botnet attacks to enhance cyber security measures. The KSDRM model successfully captures the complex patterns and traits of botnet attacks and obtains 99.99% training accuracy. The KSDRM model also performs well during testing by achieving an accuracy of 97.94%. Based on 3, 5, 7, and 10 folds, the k-fold cross-validation results show that the proposed method’s average accuracy is 99.89%, 99.88%, 99.89%, and 99.87%, respectively. Further, the demonstration of experiments and results shows the KSDRM model is an effective method to identify botnet-based cyber attacks. The findings of this study have the potential to improve cyber security controls and strengthen networks against changing threats.
Mudasir Ali mail , Muhammad Faheem Mushtaq mail , Urooj Akram mail , Daniel Gavilanes Aray mail daniel.gavilanes@uneatlantico.es, Manuel Masías Vergara mail manuel.masias@uneatlantico.es, Hanen Karamti mail , Imran Ashraf mail ,
Ali
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Enhanced schizophrenia detection using multichannel EEG and CAOA-RST-based feature selection
Schizophrenia is a mental disorder characterized by hallucinations, delusions, disorganized thinking and behavior, and inappropriate affect. Early and accurate diagnosis of schizophrenia remains a challenge due to the disorder’s complex nature and the limitations of state-of-the-art techniques. It is evident from the literature that electroencephalogram (EEG) signals provide valuable insights into brain activity, but their high dimensionality and complexity pose remain key challenges. Thus, our research introduces a novel approach by integrating the multichannel EGG, Crossover-Boosted Archimedes Optimization Algorithm (CAOA), and Rough Set Theory (RST) for schizophrenia detection. It is a four-stage model. In the first stage, Raw EGG data is collected. The data is passed to the next stage, which is called data preprocessing. This is used for artifact removal, band-pass filtering, and data normalization. The preprocessed data passed to the next stage. In the feature extraction stage, feature selection is performed using CAOA. In addition, classification is performed using a Support Vector Machine (SVM) based on features extracted through Multivariate Empirical Mode Function (MEMF) and entropy measures. The data interpretation stage displays the results to the end user using the data interpretation stage. We experimented and tested our proposed model using real EEG datasets. The simulation results prove that the proposed model achieved an average accuracy of 94.9%, sensitivity of 93.9%, specificity of 96.4%, and precision of 92.7%. Thus, our proposed model demonstrates significant improvements over state-of-the-art methods. In addition, the integration of CAOA and RST effectively addresses the challenges of high-dimensional EEG data, helps optimize the feature selection process, and increases accuracy. In future work, we suggest incorporating large-size datasets that include more diverse patient groups and refining the model with advanced machine-learning models and techniques.
Mohammad Abrar mail , Abdu Salam mail , Ahmed Albugmi mail , Fahad Al-otaibi mail , Farhan Amin mail , Isabel de la Torre mail , Thania Chio Montero mail , Perla Aracely Arroyo Gala mail ,
Abrar
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Methodology and content for the design of basketball coach education programs: a systematic review
Background: The increasing complexity of basketball and the need for optimal decision-making in order to maximize competitive performance highlight the necessity of specialized training for basketball coaches. This systematic review aims to compile, synthesize, and integrate international research published in specialized journals on the training of basketball coaches and students, examining their characteristics and needs. Specifically, it analyzes the content, technical-tactical actions, and methodologies used in practice and education programs to determine which essential parameters for their technical and tactical development. Methods: A structured search was carried out following the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA®) guidelines and the PICOS® model until January 30, 2025, in the MEDLINE/PubMed, Web of Science (WOS), ScienceDirect, Cochrane Library, SciELO, EMBASE, SPORTDiscus, and Scopus databases. The risk of bias was assessed and the PEDro scale was used to analyze methodological quality. Results: A total of 14,090 articles were obtained in the initial search. After inclusion and exclusion criteria, the final sample was 23 articles. These studies maintained a high standard of quality. This revealed data on the technical-tactical actions addressed in different categories; the profiles, characteristics, and influence of coaches on player development; and the approaches, teaching methods, and evaluation methodologies used in acquiring knowledge and competencies for the professional development of basketball coaches. Conclusions: Adequate theoretical and practical training for basketball coaches is essential for player development. Therefore, training programs for basketball coaches must integrate technical-tactical, physical, and psychological knowledge with the acquisition of skills and competencies that are refined through practice. This training should be continuous, more specialized, and comprehensive, focusing on understanding and constructing knowledge that supports the professional growth of basketballers. Additionally, training should incorporate digital tools and informal learning opportunities, with blended learning emerging as the most effective methodology for this purpose.
Josep Alemany Iturriaga mail josep.alemany@uneatlantico.es, Julio Calleja-González mail , Jeisson Mosquera-Maturana mail , Álvaro Velarde-Sotres mail alvaro.velarde@uneatlantico.es,
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