Mostrando entradas con la etiqueta quality. Mostrar todas las entradas
Mostrando entradas con la etiqueta quality. Mostrar todas las entradas

In Ciénaga (Magdalena) there is annoyance and disagreement with the mayor Luis Tete-Samperby tourism service providers, after it became known that the municipality had lost the Sustainable Tourism Quality Certification.

(Also read: Commerce and schools closed in El Banco, Magdalena, for fear of Eln)

This recognition, granted by Icontec and endorsed by the Ministry of Commerce, Industry and Tourism and Fontur, had been acquired in 2017.

For Cienagueros, this accreditation was transcendental to continue promoting this municipalityincluded within the Network of Heritage Peoples of Colombia in 2012.

The alleged interest in positioning Ciénaga as a tourist destination is nothing more than a populist proposal

The tourist promoters of Ciénaga consider that the destination has a series of architectural, historical, cultural and natural attractions that allow it to be positioned at a national level.

However, they point out that the administrations on duty they have not given relevance to this matter and, contrary to generating programs, projects and spaces that encourage the arrival of tourists, it has gone backwards in all aspects.

The greatest evidence of this disinterest is having lost the Sustainable Tourism Quality Certification for which they had worked long ago, according to Agustín Lara Algarín, director of the Ciénaga Tourist Information Point.

“The supposed interest in positioning Ciénaga as a tourist destination is nothing more than a populist proposal from each politician at election time. Once they get to the position, they disregard and do not care about working for sustainable tourism”, said the tourism representative.

Another argument used by the Ciénaga tourism sector is the permanent absence of a municipal delegation in Anato tourist showcaseorganized by the National Network of Heritage Towns of Colombia, which takes place annually at the Corferias exhibition center in Bogotá.

“Not being present in such an important scenario prevents the tourist benefits that Ciénaga has from being made visible on the world scene,” added Lara Algarín.

Mayor was unaware of the loss of certification

We do not send the required reports to Icontec on progress in tourism in the municipality

After learning that Ciénaga lost this quality certification, Mayor Samper delivered a statement.

“I cannot be aware of everything,” said the president, who did not hide his upset by the news and promised to establish responsibilities and resolve what happened.

“They did not notify us until this week, but the important thing is that we are going to work,” added the mayor.

On the reasons for losing the accreditation, he accepted that “we do not send the rigorous reports to Icontec on the progress in terms of tourism in the municipality.”

Likewise, he regretted that officials of his administration are not fulfilling their duty, before which he announced changes to your team of work.

(You may be interested in: Governor Caicedo asks for a change of registrars and protection for candidates)

“It is not fair that we are going through this,” added the president, who promised the Cienagueros to recover the certification and take steps to promote tourism in the municipality.

Although he does not see it as relevant, he announced that Ciénaga will be present next year with a stand in Anato’s tourist window.

Roger Urieles
For THE WEATHER Santa Marta
@rogeruv

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The quality of the air in Medellín and in the other nine municipalities of the Aburrá Valley is going through the worst moment, since 19 of the 22 stations that measure this are in orange on this Friday afternoon, February 25.

These are the stations located throughout the metropolitan area that have this color that means that it affects sensitive groups such as older adults and children.

Only the San Cristóbal, Belén and Santa Elena stations have a yellow color.

(You may be interested: Daniel Quintero requested precautionary measures before the IACHR for threats)

The contamination levels are the product of the burning of biomass, that is, of fires in the northern region of Colombia and Venezuela.”, explained Juan David Palacio, director of the Valle de Aburrá Metropolitan Area.

The environmental entity announced that it will meet with the mayors of this region to assess whether restrictive measures would be taken for private vehicles and motorcycles due to the considerable increase in pollution.

(We suggest you read: A young university student was rescued after being kidnapped for a month in Medellín)

Medellin

These are the stations with orange color in the afternoon of this Friday.

Photo:

Screenshot

Due to the increase in contaminating particles, it is estimated that in the next few days, at least, the station located in the House of Justice of the municipality of Itagüí will reach red, which means that it is dangerous for the entire population.

(You can also read: Medical College of Antioquia asks to respect conscientious objection in abortions)

The Metropolitan Area of ​​Valle de Aburrá will continue in the period of analysis, taking into account the fires that are occurring in various parts of the country”, detailed the entity.

MEDELLIN

The UCRI, efficiency and quality of care, also against the coronavirus

In fact, this good health data, always maintaining the utmost respect for the deceased and their families, and assessing the strengths and mutations of the microorganism, which is so devastating, has been achieved during the sixth wave of the COVID-19 pandemic.

“As of February 11, 570 patients had been admitted to La Princesa, of which 143 were treated at the UCRI. Twenty-six died, ”says Dr. Enrique Zamora García, head of the Intermediate Respiratory Care Unit of the Pneumology Service.

If the almost 5,000 patients who were admitted to this level 3 hospital center during the entire pandemic period, from March 2020, were counted, the sum of resulting deaths, both in the ICU and IRCU and on the hospital ward, would reach 14.5% of cases treated to date.

Admissions, discharges and deaths in La Princesa since the start of the COVID-19 pandemic
Admissions, discharges and deaths at the Hospital de La Princesa since the start of the COVID-19 pandemic

“The first wave caught us off guard, since no one expected the huge number of infections that we suffered. This collapse of the health system forced us to organize and coordinate as quickly as possible, but, once the first major impact was overcome, we managed to anticipate the virus day after day », he highlights.

According to a study published in the Journal of Respiratory Pathology of the NeumoMadrid Foundation at the end of 2021, severe pneumonia caused by SARS-CoV-2 infection led to more than 15% of the cases registered in fourteen hospitals being admitted to critical care. Madrilenians (85% of the referenced population).

25% of these people with severe respiratory failure required invasive or non-invasive ventilatory support, with a recognized mortality rate between 8% and 36% depending on the series.

Dr. Enrique Zamora García tells us about the UCRI.

On the occasion of the SEPAR 2022 year dedicated to the UCRI, and in an interview granted to EFEsalud, the specialized website of the EFE Agency, Dr. Zamora García underlines the keys to achieving a high level of success for the ucri in the face of the merciless coronavirus and other pathologies with lung involvement, such as COPD: «Training, clinical experience and scientific evidence«.

The respiratory reasons of the UCRI

The Intermediate Respiratory Care Units offer medical assistance to patients with pulmonary insufficiency caused by any disease that decreases oxygen levels in the blood or increases carbon dioxide levels dangerously.

“We are talking about respiratory patients whose prognosis is not so serious as to require invasive mechanical ventilation (IMV), and remain in the ICU, but who do need much more attention, monitoring and surveillance than any other patient hospitalized on the ward,” says the pulmonologist .

Ucri nurse monitors vital signs patient covid-efe

“Therefore, they are patients who require high-concentration oxygen with non-invasive mechanical ventilation (NIMV) and monitoring of vital signs, such as blood pressure, blood oxygen saturation level or heart rate,” he adds.

In the IRCU, patients with acute respiratory failure caused by a primary disease, such as a viral or bacterial pneumoniaamyotrophic lateral sclerosis (neuromuscular), rib cage pathologies, hypoventilation-obesity syndrome, COPD or a tuberculosis.

“Also, we care for post-thoracic surgical patients, with tracheotomy or with difficulty in weaning from Invasive Mechanical Ventilation (IMV), always a relief for the overload of critical patients in the ICU”, reports Dr. Zamora.

Covid patient in a room at the ucri of La Princesa.

Invasive and Non-Invasive Ventilation

“With IMV, the airway is entered through sedation and endotracheal intubation, that is, inserting a tube through the nose or mouth in most cases. This tube is connected to a mechanical ventilator (respirator) », he describes.

If the patient requires a tracheotomy to be able to breathe, a hole will be made in the front outer area of ​​the neck through which a tube will be inserted to where the trachea branches into the lungs.

“With NIMV, air is delivered through a mask that can cover the patient’s nose and mouth. The tubing of the automatic respirator sends a positive pressure to the patient without the need to intubate him, that is, without the need to insert a tube through his airways.

Dr. Enrique Zamora Garcia

In covid times, in addition, the ucris have kept the back of the ucis.

Pulmonology was forced to offer NIMV as a therapy in cases of pneumonia with severe hypoxemia, where the ICUs were overwhelmed to offer invasive support.

“At the same time, there are patients who need to leave intensive care to receive treatment in intermediate care; a protocol based on clinical experience that has substantially improved its prognosis », she indicates.

There are more and more publications that support the usefulness and safety of non-invasive therapy as support for patients with severe pneumonia without ICU criteria or as a way to try to reduce the number of orotracheal intubations.

«In summary -he adds-, in the ICUs we provide all kinds of respiratory support and specialized hospital care, except for Invasive Mechanical Ventilation -intubation-. Nor do we take care of patients with involvement of any other organ that puts their lives in danger.

Vital signs control UCRI of Hospital de La Princesa-efe

In this clinical sense, the ucris already existed, although not in all hospitals.

“Before the coronavirus pandemic, there were fewer ucris, but the ones that worked were not equipped with enough beds with their corresponding applied technologies,” he mentions.

“What the covid has come to highlight is the relevance of these units, which were perhaps not so well known to the vast majority of the population. The ucris free ICU beds and manage many patients with high quality and efficiency“, he emphasizes.

In the case of the Autonomous Community of Madrid, most hospital centers have expanded or implemented these resources during the pandemic, a clear opportunity that has improved and improves the respiratory situation of thousands of covid patients.

For the Spanish Society of Pulmonology and Thoracic Surgery (SEPAR), the Intermediate Respiratory Care Units enhance the role of pulmonology, nursing and respiratory physiotherapy.

“The National Health System must promote the training of professionals, scientific research and the publication of knowledge around the ucris”, SEPAR emphasized in a press release.

In turn, Dr. Enrique Zamora García demands, with the calm that characterizes him, a significant increase in personnel contracts for these “essential” respiratory units: more well-trained doctors, nurses and auxiliaries.

“It is the open secret that conditions health quality of any hospital unit, such as the UCRI of La Princesa”, concludes one of the most experienced specialists of the Pneumology Service that directs the Dr. Julio Ancochea Bermudezprofessor of Medicine at the UAM and president of Asomega.

The Medical Association of Antioquia called on the National Government, as well as the regional and local ones, to establish long-term measures for air pollution, due to the effects on health that this represents.

As of this February 14, Medellín and the other nine municipalities of the Aburrá Valley are in the first episode of air quality, which will last until April 8.

For this occasion, additional measures such as the pick and plate for cargo vehicles and the extension of the restriction for motorcycles and cars, outside the usual, have not yet been activated. In addition, the circulation permit was not suspended either, which gives people the possibility of paying to leave on the day that the peak and license plate corresponds to them.

“The transitory measures that establish social differentiations based on the possibility of paying money or not to be able to circulate do not solve the problem and are just lukewarm water wipes (…) Taking into account the serious impact on human health, which represents the air pollution,” said Carlos Valdivieso, president of the Antioquia Medical College.

From the environmental authority they indicated that, according to the measurements and forecasts, this episode will not be as strong as the one that occurred in 2020, but not as mild as it was last year, in which there was no restrictive measure.

However, according to how the measurements evolve and external factors such as forest fires that affect air quality, strict measures would be taken.

“It is very possible that from February 21 there will be a peak and license plate for cargo vehicles, but it will depend on how the indicators are. It will be time that will tell if additional measures are taken, such as the suspension of the special circulation payment,” said Juan David. Palacio, director of the Aburrá Valley Metropolitan Area.

In any case, Valdivieso asked the authorities to issue more long-term measures.

“We invite the authorities of the national, regional and local order to seriously and responsibly address the present and the future of urban mobility. It is essential to generate regulations and incentives that will allow us, within 15 to 20 years, to replace the mobility linked to fossil fuels,” he said.

MEDELLIN

The Aburrá Valley Metropolitan Area (AMVA), the subregion’s environmental and mobility authority, announced the schedule for the first air quality episode in Medellin and its metropolitan area.

Historically, the subregion experiences two moments of air quality episodes due to the transitions between dry and rainy seasons: the first is between February and March and the second between October and November.

Juan David Palacio, director of AMVA, reported that this first episode will begin on February 14 and indicated that it would last until April 8.

“We calculate that there will be three complex weeks, between March 7 and 25in which the stations could present an Orange Air Quality Index (ICA), and even five or more stations could present a Red ICA, which indicates conditions that are harmful to the health of the inhabitants,” explained the director.

However, for the beginning of the episode no additional changes or restrictions are contemplated to those that already exist.

That is to say, there will be no environmental pick and plate and the charge for circulation during pico y placa will not be eliminated either.

(Also read: In Medellín, 49,270 vehicles paid to circulate during the peak and plate)

From the environmental authority they indicated that, according to measurements and forecasts, this episode will not be as strong as the one that occurred in 2020, but neither will it be as mild as last year, in which there was no restrictive measure.

However, according to how the measurements evolve and external factors such as forest fires that affect air quality, strict measures would be taken.

“It is quite possible that from February 21 there is a pick and plate to cargo vehicles, but it will depend on how the indicators are. It will be time that will tell if additional measures are taken, such as the suspension of the special circulation payment,” Palacio said.

(You may be interested in: A young woman would have been tied up and killed inside her house in Medellín)

The Metropolitan Area made a recommendation to the population to avoid prolonged physical activity outdoors and to use public transport during this period.

“The only solution to improve circulation in the territory, and in all the cities of the world, is the promotion of public transport as the backbone of mobility,” said Palacio.

MEDELLIN

The Aburrá Valley Metropolitan Area (AMVA), the subregion’s environmental and mobility authority, announced the schedule for the first air quality episode in Medellin and its metropolitan area.

Historically, the subregion experiences two moments of air quality episodes due to the transitions between dry and rainy seasons: the first is between February and March and the second between October and November.

Juan David Palacio, director of AMVA, reported that this first episode will begin on February 14 and indicated that it would last until April 8.

“We calculate that there will be three complex weeks, between March 7 and 25in which the stations could present an Orange Air Quality Index (ICA), and even five or more stations could present a Red ICA, which indicates conditions that are harmful to the health of the inhabitants,” explained the manager.

However, for the beginning of the episode no additional changes or restrictions are contemplated to those that already exist.

That is to say, there will be no environmental pick and plate and the charge for circulation during pico y placa will not be eliminated either.

(Also read: In Medellín, 49,270 vehicles paid to circulate during the peak and plate)

From the environmental authority they indicated that, according to measurements and forecasts, this episode will not be as strong as the one that occurred in 2020, but neither will it be as mild as last year, in which there was no restrictive measure.

However, according to how the measurements evolve and external factors such as forest fires that affect air quality, strict measures would be taken.

“It is quite possible that from February 21 there is a pick and plate to cargo vehicles, but it will depend on how the indicators are. It will be time that will tell if additional measures are taken, such as the suspension of the special circulation payment,” Palacio said.

(You may be interested in: A young woman would have been tied up and killed inside her house in Medellín)

The Metropolitan Area made a recommendation to the population to avoid prolonged physical activity outdoors and to use public transport during this period.

“The only solution to improve circulation in the territory, and in all the cities of the world, is the promotion of public transport as the backbone of mobility,” said Palacio.

MEDELLIN

Due to its innovative pedagogical model, the Institution Ceipa Business School received the Institutional Accreditation of High Quality by the Ministry of National Education, for a period of four years.

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It is within the select 24 percent of HEIs in the country that are accredited and recognized.

Ceipa is a pioneer in virtual education in Colombia, knowledge management leader in face-to-face settings.

“During these 50 years, Ceipa has worked to build an educational proposal centered on the student. For us, education begins with identifying the potential of young people,” said Rector Diego Mauricio Mazo Cuervo.

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The student scene in this institution

Ceipa has 5,800 students (70 percent virtual) located in 20 countries and 174 cities in the country.

In addition, they have more than 18,000 graduates, where undergraduate graduates stand out, as they have the second best salary average in Antioquia and the first in the Atlantic.

The occupancy rate of Ceipa graduates in the latter department is 92.1 percent, while that of specialists is 94.9 percent, which makes them competitive compared to the national average of HEIs, which is 79 percent.

BARRANQUILLA

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