BOGOTA COLOMBIA). Monday, February 28, 2022 (RPTV NEWS AGENCY). The Comptroller General of the Republic revealed that the mayor of Cartagena, William Dau, would have allowed the irregular payment of representation expenses of his officials, causing damage to public finances.
“The facts on which the fiscal responsibility process deals is the payment of representation expenses were not authorized,” said Eduardo Pineda.
The presumed patrimonial detriment exceeds one billion pesos. Additionally, the control entity linked the solidarity insurance company of Colombia, as a civilly liable third party.
“The opening and imputation of these alleged fiscal responsible was ordered and all the sessions of the same will be carried out within the Comptroller’s Office,” he added.
Finally, the Comptroller’s Office indicated that all actions within this process will be framed within the strict adherence to the right of defense and contradiction, which will be guaranteed to each and every one of those linked to this process.
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The Jorge Garcés Borrero Departmental Library.
Photo:
John Paul Wheel. TIME
The Jorge Garcés Borrero Departmental Library.
Inside there would have been an explosion. The damage was electrical and was fixed by Emcali.
Find the validation of El Cazamentiras at the end of the news.
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TIME WRITING Article publication time
Author’s name Article publication time
SC
February 25, 2022, 03:50 AM
JM
Jose Antonio Minota Hurtado February 25, 2022, 03:50 AM
Moments of fright were experienced by some people who were in the Jorge Garcés Borrero Departmental Library, for damage to the electrical system.
Emcali personnel came to the establishment and repaired the damage. The services of the institution that had been suspended will be restored this Friday.
(Also read: The Pacific Park begins to become a reality in Cali)
The incident occurred at noon this Thursday, February 24, when the Cali Fire Department received a report of a possible fire at the power plant, due to a strong explosion that some people heard.
Upon arrival at the site, firefighters determined that it was an electrical discharge in the power transformer system. They also clarified that there was no fire.
Experts from Emcali also intervened on the site.
(Also read: Buenaventura marched against the armed strike of the Eln and the violence)
Faced with this situation, directors of the departmental institution had decided to suspend their services.
And in the night hours of the same Thursday, they announced that thanks to the timely intervention of the entity’s operators, from Friday morning they will work without setbacks.
CALI
SC
February 25, 2022, 03:50 AM
JM
Jose Antonio Minota Hurtado February 25, 2022, 03:50 AM
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Strong tremor of 5.6 degrees shakes the north and center of the countryAround 7:50 in the morning, the inhabitants of municipalities in the south of Bolívar, the metropolitan area of Bucaramanga and Magdalena Medio reported a strong tremor that was also felt in neighboring departments such as Antioquia.
Geological Survey of Colombia
There is damage to the infrastructure of the María Inmaculada Educational Institution in Santa Rosa Sur.
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AC
February 23, 2022, 10:05 AM
JM
John Montano February 23, 2022, 10:05 AM
AC
February 23, 2022, 10:05 AM
JM
John Montano February 23, 2022, 10:05 AM
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Strong tremor of 5.6 degrees shakes the north and center of the countryAround 7:50 in the morning, the inhabitants of municipalities in the south of Bolívar, the metropolitan area of Bucaramanga and Magdalena Medio reported a strong tremor that was also felt in neighboring departments such as Antioquia.
Geological Survey of Colombia
There is damage to the infrastructure of the María Inmaculada Educational Institution in Santa Rosa Sur.
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Cartagena Article publication time
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AC
February 23, 2022, 09:38 AM
JM
John Montano February 23, 2022, 09:38 AM
AC
February 23, 2022, 09:38 AM
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John Montano February 23, 2022, 09:38 AM
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There are already several face-to-face procedures that are beginning to be transferred to the digital medium, in order to provide a better service. In this case, being part of innovation and digital progress, Cali continues to position itself as one of the smartest cities.
(We recommend you read: Capture by grenade attack near Comfandi El Prado in Cali)
In addition to making requests related to the maintenance of public lighting on the social networks of the Municipal Companies of CaliFrom now on, Caleños can streamline their requirements for irregularities so that the process is easier.
Citizens can now report damage through the website www.alumbradocali.comand these requests will be answered in a maximum time of 72 hours.
“The main benefit of this new digital channel is that people no longer have to file petitions related to damage to public lighting at the single window of the District Administrative Center,” he said. Laura Ordonez Cardona, engineer of the Special Administrative Unit of Public Services (UAESP).
(Also: Couple denounces case of xenophobia in a condominium in southern Cali)
In the same way, Ordóñez added that the page will allow to have a channeling line of the requests that are presented during the 24 hours of the day.
This is how now the damage reports must be determined according to the type of anomaly that the service presents. Then, on the map that the web page shows, the location or pole number must be identified, since between more details are registered in the “Report description” box, the easier it will be to attend to the request.
After registration, users can Consult at any time the status of your request, just by indicating the ID number or the filing number.
(You may be interested: Cali reached 80% of first doses and 63% of complete schemes)
On the new website are classified the 10 novelties that can be reported; such as the lack of installation, repair or change of luminaires, lighting obstructed by trees, problems with a public lighting pole that is about to fall or the collision of vehicles against them, exposed cables with the possibility of an electrical accident and vandalism to lighting elements
CALI
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There are already 15 people dead and more than 20 injured left by the landslide registered in Pereira, which fell on the Otún River, generating a damming of the riverbed, and plugged several houses in the La Esneda neighborhood, located between streets 26 and 27 in the River Avenue.
From the moment the registration emergency Local and departmental authorities, relief agencies, the National Police, the Army and hundreds of citizens have come to the scene who have joined efforts to search for survivors in the rubble.
The search work has become difficult and has had to be suspended on several occasions because the rains do not stop over the Risaraldense capital and this has caused earth movements in the place where the emergency occurred.
TO Pereira In the last few hours, 30 men specializing in search and rescue assistance from the Eighth Brigade of the National Army also arrived, who were located in Manizales in a preventive manner to attend to any situation that the Nevado del Ruiz Volcano could generate.
(You can read: The heartbreaking stories of the survivors of the Pereira tragedy).
So far, five houses have been completely destroyed and another 26 have been evacuated, which has left 32 families victims.
Faced with this situation, the mayor of Pereira, Carlos Mayanannounced that temporary shelters and hotels will be adapted, in addition to food supplies, for these affected people.
From the National Disaster Risk Management Unit they announced the deployment of aid for the people affected by this tragedy, which consist of accommodation in hotels, humanitarian aidfood rations and, in the long term, a relocation process.
According to the preliminary report of the UNGRD, this landslide was caused by the “anthropic intervention of a canal in the upper part that was intentionally perforated and generated an oversaturation of the land helped by the rainfall that occurred in Pereira that was around of the 93 mm of rain, that is what it rains in Pereira in a normal condition in 15 days”.
(You can read: Tragedy in Pereira: how and where to help those affected by the collapse).
Meanwhile, the Pereira authorities advance the identification of the people deceased because of this massive landslide:
Silvana Suarez Buitrago, 6 years old Mariana Ochoa, 13 years old Medardo Antonio Ochoa, 40 years old Doralba Idárraga Ocampo, 40 years old Ernesto Franco Toro, 55 years old Natalia Ayala Gutierrez, 23 years old Cesar Augusto Alzate Gaspar, 55 years old David de Jesus Alzate Grisales, 80 years old Kelly Dahiana Lopez, 15 years old Ednuar Eduardo Porras, 67 years old Humberto Quintero Toro Gloria Inés Gómez, approximately 54 years old Cástulo de Jesús Chiquito, approximately 59 years old Andres Felipe Giraldo Gomez, 28 years old
Heart Newscast: «Corticosteroids and covid, physiological pacemaker and coronacardiac damage»
Chronic treatment with corticosteroids, a risk factor for severe covid
Corticosteroids, powerful medicines, show an estimable benefit during the inflammatory phase of SARS-CoV-2 infection, but this is not the case in those covid patients who take these drugs to treat their chronic diseases: they had a worse prognosis after hospitalization , something that did not happen with those taking other immunosuppressants.
This is what emerges from the study «Influence of chronic use of corticosteroids and calcineurin inhibitors on COVID-19 clinical outcomes: analysis of a nationwide registry» that the Spanish Society of Internal Medicine (SEMI) has published in the International Journal of Infectious Diseases.
The research concludes that chronic corticosteroid intake prior to hospitalization for covid is associated with a worse prognosis of the disease:
Of 14,973 patients evaluated, 868 (5.2%) were considered immunosuppressed patients and 14,105 (94.2%) were not. More than half were men (56.5%) and the mean age was 69 years.
Among the immunosuppressed, 654 had a history of immune-mediated inflammatory disease (4.36% overall) and 214 were solid organ transplant recipients (1.42% overall, with 151, 32, 16, and 15 undergoing kidney transplant, liver, lung and heart, respectively). People with cancer were not included.
All together there were 1,243 prescriptions for immunosuppressive drugs, the most frequent being glucocorticoids (68.3%), followed by antimetabolites such as mycophenolate, azathioprine and methotrexate (42.5%), calcineurin inhibitors (17.9%) and m -TOR (65 patients).
The hospital mortality rate was 19.1% (2,857 deaths); between specific treatments of chronic immunosuppressants, only the use of corticosteroids on admission was associated with higher mortality.
The study shows that solid organ transplant recipients had a higher risk of mortality, while patients with immune-mediated inflammatory disease had a risk similar to that of the general population without immunosuppression.
In addition, patients receiving chronic corticosteroid treatment before admission had more in-hospital complications, such as severe Acute Respiratory Distress Syndrome (ARDS), sepsis, septic shock, acute renal failure, and Multi-Organ Dysfunction Syndrome.
Finally, chronic treatment with systemic corticosteroids was also associated with worse outcomes among solid organ transplant recipients.
In contrast, chronic treatment with calcineurin inhibitors before hospitalization was not associated with worse outcomes, and most patients on this medication were solid organ transplant recipients.
“While corticosteroids have a well-established benefit during the inflammatory phase of COVID-19, chronic glucocorticoid therapy at admission carries a special risk of severe COVID-19, complications, and death.”
Conclusion of the researchers of the Spanish Society of Internal Medicine (SEMI)
However, they specify that “more studies are needed to clarify the profile of COVID-19 in different immunosuppressed patients and the influence of specific immunosuppressive drugs on their results.”
Single-chamber, dual-chamber, and triple-chamber pacemaker implantation
Pacemakers to stimulate the heart more naturally
Physiological stimulation in pacemaker implantation, a technique that allows the heart to be stimulated using natural electrical conduction pathways, is one of the latest innovations in cardiology that can benefit thousands of patients a year in countries like Spain.
This technique, which is being a success in Europe, allows correcting the weakness in the heart that can be caused by the pacemaker in certain patients.
Patients whose hearts are weakened by bundle branch block or constant pacing can be corrected by selective connection of the pacemaker inserted into the patient’s conduction system.
To implant a pacemaker in a classical way, a lead was placed at the tip of the right ventricle, where it could be, but that is not the normal conduction path and the contraction could weaken the heart muscle. What this new technique does is use the natural way, the way we are designed.
The natural path of the electrical impulse is recovered and for this reason the cables of the device are placed in a physiological zone, making a kind of electrical bypass. The heart re-contracts in a more natural way.
Cardiology considers essential any medical advance in terms of arrhythmiasa problem that affects many patients, so many that 40% of consultations in Spain in this specialty correspond to palpitations, which can often lead to arrhythmias.
The slippers of a patient hospitalized in an Intermediate Respiratory Care Unit (UCRI).
One in 16 hospitalized for covid suffered cardiovascular events per year
One in 16 covid patients admitted suffered a major cardiovascular event (MACE) – such as stroke, venous thromboembolic diseaseheart failure or cardiovascular mortality- in the first year after hospitalization, one third in the first 30 days.
It is one of the conclusions of a study published in the Spanish Journal of Cardiology in which the incidence of this type of events during the first year after hospitalization for COVID-19.
Of the participants, 53.9% were male with a mean age of 66.7 years; the prevalence of vascular risk factors was high, with 17.9% smokers, 30.3% diabetics and 20.8% obese, and the most prevalent comorbidities of those analyzed were cardiological (23.1 %).
Under these premises, the first finding that the researchers found was the high incidence of cardiovascular events after admission, since one of every sixteen patients hospitalized for COVID-19 suffered some MACE in the first year after admission and a third of these, during the first 30 days.
The most frequent cardiovascular event in the follow-up, which lasted for one year until April 18, 2021, was hospitalization for heart failurewhile venous thromboembolic disease was the earliest, especially in the form of pulmonary thromboembolism.
Specifically, 75% of VTE cases occurred in the first 30 days and 62.5% were pulmonary thromboembolisms, all of them early after hospitalization.
Data that contribute to emphasizing the association of covid with cardiovascular disease and lend plausibility to the hypothesis that SARS-CoV-2 acts as a modifying factor of cardiovascular disease, in a manner analogous to how other more studied agents such as the Influenza virus.
Spanish Society of Cardiology
However, more studies are required to delve into the long-term cardiovascular impact of the virus and to characterize the underlying pathophysiological mechanisms.
Dr. Macaya summarizes the “Noticiero del Corazón” with three messages
Patients receiving a continuing medical prescription for corticosteroids due to some chronic pathology, they must prevent, even more so, the spread of SARS-CoV-2 by maintaining all measures: vaccination recommended by their doctors, FFP2 masks outside the private home, even avoiding direct contact with people outside the family bubble , social distance, hand hygiene, etc.
We have pacemaker technologically much more efficient and minimalist, more natural and physiological, suitable for the “electric” structure of the heart, which also allow patients to do daily physical exercise of a certain mechanical intensity.
The coronavirus infection of the COVID-19 pandemic it is one more trigger, but not a minor one, of cardiovascular disease, so prevention, prevention and prevention must be extreme, concludes our cardiojournalist.
