The aim of this study was to combine three different analytical methods from three different disciplines to diagnose the ergonomic conditions, manufacturing and supply chain operation of a baking company. The study explores a summary of comprehensive working methods that combines the ergonomics, automation and logistics study methods in the diagnosis of working conditions and productivity. The participatory approach of this type of study that involves the feelings and first-hand knowledge of workers of the operation are determining factors in defining points of action and ergonomic interventions, as well as defining opportunities in the automation of manufacturing and logistics, to cope with the needs of the company. The study identified an ergonomic situation (high prevalence of wrist-hand pain), and the combination of interdisciplinary techniques applied allowed to improve this condition in the company. This type of study allows a primary basis of the opportunities presented by the combination of specialized methods of different disciplines, for the definition of comprehensive action plans for the company. Additionally, it outlines opportunities for improvement and recommendations to mitigate the burden associated with occupational diseases and as an end result improve the quality of life and productivity of workers.

Objetivo: Describir el perfil epidemiológico en menores de 18 años atendidos en el Hospital Universitario San Ignacio (HUSI) por una etiología diferente a una infección respiratoria aguda o confirmada de COVID-19 durante el primer aislamiento social obligatorio. Metodología: Estudio observacional descriptivo retrospectivo de los registros de pacientes menores de 18 años atendidos en el HUSI por una patología diferente a infección respiratoria aguda o por COVID-19, desde el 24 de marzo hasta el 31 de agosto de 2020. Resultados: De 955 pacientes recolectados, 461 (48 %) consultaron por causas no respiratorias ni diagnóstico de infección por SARS-CoV-2. El 40,3 % tenía entre 0, y 3 años y el 33,2 %, de 12 a 17 años. El 25 % correspondió a una patología crónica agudizada y el 75 % de las atenciones requirieron hospitalización. Los principales diagnósticos globales fueron ictericia neonatal, apendicitis aguda, infección urinaria y patología de salud mental en adolescentes. Conclusiones: La mayoría de los pacientes cursaron con patologías agudas y no prevenibles. Se evidenciaron consultas tardías, cuadros clínicos de mayor severidad con mayor porcentaje de hospitalización y un número importante de problemas de salud mental en el grupo de adolescentes.

Objective: To describe the characteristics of the care of patients under 16 years old with acute appendicitis taken to appendectomy between January 2014 and May 2019. Methodology: Retrospective descriptive observational study of the records of patients with acute appendicitis over 5 years. Results: 257 records met the inclusion criteria. The average age of the patients was 9.5 years. The average diagnosis time from admission was 7 hours and they were taken to surgery in the first 6 hours after diagnosis. The majority were uncomplicated appendicitis with a low percentage of postoperative complications. Six percent of patients underwent intraoperative peritoneal fluid culture without this involving significant changes in medical behavior. Conclusions: The success in the management of acute appendicitis in pediatric patients of hospital reflects high quality care. The use of ampicillin sulbactam as an empirical management shows favorable results with a low complication rate. Peritoneal fluid culture did not generate changes in medical or surgical behavior. Given the above, it is feasible to make reasonable use of resources, providing high quality care with optimal results and a lower cost to the health system.

Aim: To characterize a group of pediatric patients diagnosed with post-infectious bronchiolitis obliterans (PBO) at a university hospital in Bogotá. Methods: A total of 2,635 PBO-compatible clinical histories were reviewed. Pre-defined inclusion and exclusion criteria were applied, and 19 cases were retrieved and used to develop an observational, descriptive, and retrospective study. Results: The mean age for developing acute lower respiratory tract infection (ALRTI) was 18 months. The average hospitalization was 14.5 days. Approximately 21.5% of patients required attention at a pediatric intensive care unit (PICU), and mechanical ventilation was applied for 10% of these cases. A total of 30% of the patients had microbiological isolation, 10.5% corresponded to a respiratory syncytial virus (RSV), and 5% corresponded to a mixed isolation (adenovirus and RSV). All patients had chest high-resolution computed tomography (HRCT) scans, which revealed a mosaic pattern of attenuation in 89.4% of all cases. Conclusions: The sample showed clinical and radiological characteristics similar to those described in other case series worldwide.