Objective: To describe the presence of abuse in elderly people in Colombia and its association with socio-demographic and functional conditions. Methods: Cross-sectional and descriptive research. Data were taken from the SABE Colombia Survey, a population study, with a national representative sample of 23,694 adults aged over 60 years. Presence and type of abuse by partners or family members, members were investigated. Generalized linear models with Poisson link function were used to estimate the causes of the prevalence of abuse by area of residence, region, age, sex, dependence on activities of daily living and living arrangements. Results: 15.1% of the elderly in Colombia reported some type of abuse, and over 50% reported more than one form of abuse. Abuse proportion is greater in people who are aged 60-69, in women, people with lower levels of education, people who belong to lower socioeconomic status, people who live alone, people who live with children, and people in urban areas. The most frequent abuse form is psychological, followed by neglect and physical abuse. Dependence on basic and instrumental daily living activities increases the probabilities of suffering abuse. Conclusions: Home is a risky place for the elderly people, especially for those with functional dependence, those who belong to low socioeconomic strata and women. Results should encourage debate among researchers, professionals and decision makers on public policy about necessary actions and means to change violent family dynamics in homes with elderly people.
Zika Preparedness Latin American Network (ZikaPLAN) is a research consortium funded by the European Commission to address the research gaps in combating Zika and to establish a sustainable network with research capacity building in the Americas. Here we present a report on ZikaPLAN`s mid-term achievements since its initiation in October 2016 to June 2019, illustrating the research objectives of the 15 work packages ranging from virology, diagnostics, entomology and vector control, modelling to clinical cohort studies in pregnant women and neonates, as well as studies on the neurological complications of Zika infections in adolescents and adults. For example, the Neuroviruses Emerging in the Americas Study (NEAS) has set up more than 10 clinical sites in Colombia. Through the Butantan Phase 3 dengue vaccine trial, we have access to samples of 17,000 subjects in 14 different geographic locations in Brazil. To address the lack of access to clinical samples for diagnostic evaluation, ZikaPLAN set up a network of quality sites with access to well-characterized clinical specimens and capacity for independent evaluations. The International Committee for Congenital Anomaly Surveillance Tools was formed with global representation from regional networks conducting birth defects surveillance. We have collated a comprehensive inventory of resources and tools for birth defects surveillance, and developed an App for low resource regions facilitating the coding and description of all major externally visible congenital anomalies including congenital Zika syndrome. Research Capacity Network (REDe) is a shared and open resource centre where researchers and health workers can access tools, resources and support, enabling better and more research in the region. Addressing the gap in research capacity in LMICs is pivotal in ensuring broad-based systems to be prepared for the next outbreak. Our shared and open research space through REDe will be used to maximize the transfer of research into practice by summarizing the research output and by hosting the tools, resources, guidance and recommendations generated by these studies. Leveraging on the research from this consortium, we are working towards a research preparedness network.
OBJETIVO: Esta investigación identificó el sentido orientador de la producción intelectual en discapacidad que ha desarrollado el programa de Fonoaudiología de la Universidad del Valle, Colombia, durante 1996-2008, estableciendo relación entre los desarrollos históricos del concepto de discapacidad y centrándose en sus modelos sociales de abordaje y su relación con el quehacer disciplinar de la Fonoaudiología. MÉTODOS: Estudio descriptivo-documental que usó la totalidad de los trabajos de grado encontrados en el programa académico durante el periodo estudiado (n=98). La profundización teórica de los documentos incluyó seis variables: modelo de discapacidad, componentes de intervención, campos de acción, áreas de desempeño disciplinar, tipo de estudio y población. RESULTADOS: El modelo rehabilitador de discapacidad (53%) predominó sobre los modelos sociales (32%), aunque estos incrementaron durante los últimos años. Las áreas disciplinares encontradas fueron lenguaje (32%), asuntos profesionales (24%), habla (20%), comunicación (13%) y audición (11%). El componente de intervención de habilitación/rehabilitación (41%) prevaleció sobre el de promoción y prevención (33%) y se observó una fuerte tendencia positivista (65%) y un tímido posicionamiento de enfoques hermenéuticos (21%). El 43% de las poblaciones enfatizaron en el rol ocupacional. CONCLUSIÓN: Se encontró un mayor número de trabajos enmarcados en el modelo rehabilitador pero se demostró la consolidación de una cultura de trabajo investigativo hacia los modelos sociales de discapacidad en años recientes. Es evidente que la Fonoaudiología busca la rehabilitación de los procesos comunicativos y lingüísticos de los sujetos, con un camino ascendente hacia la potencialización de variables sociales y culturales.
Drilling wells in complex geological structures from offshore platforms, or onshore in areas with land access restrictions often creates complex S-shaped wells. In many such wells, high-angle doglegs cause problems with wireline key-seating, thus restricting reservoir access. When Logging While Drilling (LWD) data acquisition is not an option and Pipe-Conveyed Logging (PCL) is discarded because of its risky and time-consuming nature, many wells could end up without critical Formation evaluation data. To overcome reservoir access challenges in the Sirikit Field in Thailand, a Through-Drill pipe Logging (TDL) technique has recently been introduced to complete formation evaluation. This method safely and effectively overcomes the complex well trajectories and associated wireline conveyance problems, such as key-seating. Slim 2.25" OD logging tools including Triple Combo (TC), Quad Combo (QC) and formation pressure tester and fluid sampler are deployed on wireline through open-ended drill pipe into open-hole without difficulties and with full well control maintained at all times. A standard TDL operating procedure has been developed between wireline and drilling crews, allowing for safe and fast operations. The driller is able to have well control, with pipe being reciprocated regularly. Typically the drill pipe is run with a reamer shoe to allow borehole cleanout operations in the same run. The TDL deployement method is now a key component in the standard decision tree for data acquisition strategy in Sirikit Field and it has been successfully introduced in the Sirikit Field in May 2016. Since then, a total of 59 runs have been performed in 31 wells where wireline reservoir access problems were encountered, saving an estimated 1,240 hours of combined rig time not counting any potential wireline fishing jobs that would likely have occurred. A near 100% success rate is maintained, measured by reaching well TD and acquiring all desired wireline data. Petro physicist and geologists are no longer left without the crucial formation evaluation data they require for successful reservoir management. This paper present a case study that clearly demonstrates that the TDL deployment technique can be very effective in providing safe and efficient wireline access to reservoir sections in S-shaped wells with risky wellbore conditions, where high-angle doglegs and key-seating would otherwise have restricted the ability to obtain Formation evaluation log data and fluid samples.
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