We study four discrete-time stochastic systems on N, modeling processes of rumor spreading. The involved individuals can either have an active or a passive role, speaking up or asking for the rumor. The appetite for spreading or hearing the rumor is represented by a set of random variables whose distributions may depend on the individuals. Our goal is to understand-based on the distribution of the random variables-whether the probability of having an infinite set of individuals knowing the rumor is positive or not.
We study a rumour model from a percolation theory and branching process point of view. The existence of a giant component is related to the event where the rumour spreads out trough an infinite number of individuals. We present sharp lower and upper bounds for the probability of that event, according to the distribution of the random variables that defines the radius of influence of each individual.
This is a case report of a successful right ventricle stab wound suture through a video-assisted pericardial thoracoscopic window, avoiding the need of a thoracotomy diminishing its associated risks, morbidity and costs. A 22-year-old patient was admitted to the emergency room with a stab wound on the left side of his chest, the patient showed symptoms of dyspnea and signs of pulmonary hypoventilation on his left lung, a chest tube were placed on the affected side with an improvement on his symptoms. A video-assisted thoracoscopic pericardial window (VATPW) was performed within the next 24 hours to rule out underlying heart wound. A VATPW shows a 1 cm right ventricle wound which was treated through the same portals avoiding a thoracotomy. The left chest tube was removed 48 hours after de procedure and the patient underwent a control echocardiogram, with no abnormalities reported and no symptoms of dyspnea, respiratory distress or palpitation the patient was subsequently discharged. The VATPW is a feasible and safe procedure to rule out underlying heart injury in individualized cases and it provides a minimally invasive treatment option in selected patients avoiding major surgery like thoracotomy or sternotomy and the added morbidity that carry with them.
Este consenso presenta las recomendaciones de la División de Educación de la Asociación Colombiana de Cirugía para los programas de especialización en cirugía general del país, con el fin de enfrentar la Pandemia Covid-19 en los próximos años. Las recomendaciones se realizaron mediante un método informal de consenso de expertos conformado por todos los directores de los programas de especialización en cirugía general en Colombia. Las principales recomendaciones se relacionan con los procesos de selección en los programas, investigación, bioseguridad, vigilancia de volumen operatorio, evaluación, simulación y virtualidad, rotaciones especiales, esquemas de trabajo y evaluación de la calidad programática.
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