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  1. Article ; Online: Impact of conflict and pandemic on women's health in Latin America: implementation to improve equity in the provision and access to safe obstetric anesthesia.

    Haylock-Loor, C / Guevara, J

    International journal of obstetric anesthesia

    2023  Volume 55, Page(s) 103651

    Abstract: Latin America is one of the regions with the most significant inequalities in women's health as a result of factors such as social disparity, lack of work opportunities, unemployment, violence, and corruption. Adding a health crisis like the COVID-19 ... ...

    Abstract Latin America is one of the regions with the most significant inequalities in women's health as a result of factors such as social disparity, lack of work opportunities, unemployment, violence, and corruption. Adding a health crisis like the COVID-19 pandemic to these elements created a perfect storm that perpetuated extreme inequalities. The crisis negatively impacted Latin-American women, and economic recession in our region was one of the main consequences, resulting in women compared with men having higher rates of poverty, poorer access to and experience of healthcare, a wider gender gap, and adverse effects on well-being. This consequently made women more vulnerable. Several initiatives to allow better access and to provide safe anesthesia to pregnant patients have been taken in the region to improve obstetric patient care during the pandemic and beyond. Education has been pivotal and one of the most essential tools in bridging the gap in inequalities between men and women.
    MeSH term(s) Pregnancy ; Female ; Humans ; Latin America ; Pandemics ; Anesthesia, Obstetrical ; Developing Countries ; COVID-19 ; Women's Health
    Language English
    Publishing date 2023-03-21
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 1086024-1
    ISSN 1532-3374 ; 0959-289X
    ISSN (online) 1532-3374
    ISSN 0959-289X
    DOI 10.1016/j.ijoa.2023.103651
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Carta al editor respecto a «Prevalencia de hipertensión arterial en pacientes pediátricos hospitalizados».

    Almora-Orellana, Marilyn A / Espinoza-Guevara, Jannipsa

    Archivos de cardiologia de Mexico

    2024  Volume 94, Issue 2, Page(s) 261–262

    Title translation Letter to the editor regarding "Prevalence of arterial hypertension in hospitalized pediatric patients".
    Language Spanish
    Publishing date 2024-02-15
    Publishing country Mexico
    Document type Journal Article
    ZDB-ID 2059019-2
    ISSN 1665-1731 ; 1665-1731
    ISSN (online) 1665-1731
    ISSN 1665-1731
    DOI 10.24875/ACM.23000233
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Exploring the evidence behind the comparable impact of the pneumococcal conjugate vaccines PHiD-CV and PCV13 on overall pneumococcal disease.

    Izurieta, Patricia / Nieto Guevara, Javier

    Human vaccines & immunotherapeutics

    2021  Volume 18, Issue 1, Page(s) 1872341

    Abstract: The worldwide implementation of pneumococcal conjugate vaccines (PCVs) in children has reduced the overall pneumococcal disease burden. Two PCVs are widely available for infant vaccination: the pneumococcal non- ... ...

    Abstract The worldwide implementation of pneumococcal conjugate vaccines (PCVs) in children has reduced the overall pneumococcal disease burden. Two PCVs are widely available for infant vaccination: the pneumococcal non-typeable
    MeSH term(s) Child ; Humans ; Infant ; Pneumococcal Infections/prevention & control ; Pneumococcal Vaccines ; Serogroup ; Streptococcus pneumoniae ; Vaccines, Conjugate ; Viral Vaccines
    Chemical Substances Pneumococcal Vaccines ; Vaccines, Conjugate ; Viral Vaccines
    Language English
    Publishing date 2021-02-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2664176-8
    ISSN 2164-554X ; 2164-5515
    ISSN (online) 2164-554X
    ISSN 2164-5515
    DOI 10.1080/21645515.2021.1872341
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Promoting prosociality in Colombia: Is music more effective than other cultural interventions?

    Cespedes-Guevara, Julian / Dibben, Nicola

    Musicae scientiae : the journal of the European Society for the Cognitive Sciences of Music

    2021  Volume 25, Issue 3, Page(s) 332–357

    Abstract: This article reports a two-part study into the prosocial impacts of third sector cultural activities with children and adolescents in impoverished and violence-stricken urban neighbourhoods in Cali, Colombia. First, a year-long field study set out to ... ...

    Abstract This article reports a two-part study into the prosocial impacts of third sector cultural activities with children and adolescents in impoverished and violence-stricken urban neighbourhoods in Cali, Colombia. First, a year-long field study set out to compare a pre-existing music-training programme with a dance-training programme and a football-training programme with 9-14 year olds, to determine the extent to which each affords the development of empathic attitudes and prosocial behaviours. The music and dance programmes produced few significant changes in participants' empathy or prosociality, and there were few significant differences between the empathy and prosociality of the participants in the two groups. Participant dropout prevented comparison with the football-training programme. Second, an interview study was used to understand the place of prosociality in the aims and work of policymakers, funders and third-sector practitioners running cultural activities for social impacts in the Cali region. The study revealed that the organisations aimed to achieve individual and social transformation by creating the conditions for transformation, evidenced as positive outcomes. Neither the measures used by the organisations themselves nor the psychosocial constructs of prosociality and empathy used by the researchers adequately evidenced some of the intended outcomes, such as enabling individuals to build a
    Language English
    Publishing date 2021-06-17
    Publishing country Belgium
    Document type Journal Article
    ZDB-ID 2609855-6
    ISSN 2045-4147 ; 1029-8649
    ISSN (online) 2045-4147
    ISSN 1029-8649
    DOI 10.1177/10298649211013505
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Development and validation of a Spanish version of the Obstetric Quality of Recovery-10 item score (ObsQoR-10-Spanish).

    Guevara, Jennifer / Sánchez, Carlos / Organista-Montaño, Jessica / Domingue, Benjamin W / Guo, Nan / Sultan, Pervez

    BJA open

    2024  Volume 10, Page(s) 100269

    Abstract: Background: Spanish is the second most spoken language globally with around 475 million native speakers. We aimed to validate a Spanish version of the Obstetric Quality of Recovery-10 item (ObsQoR-10) patient-reported outcome measure.: Methods: ... ...

    Abstract Background: Spanish is the second most spoken language globally with around 475 million native speakers. We aimed to validate a Spanish version of the Obstetric Quality of Recovery-10 item (ObsQoR-10) patient-reported outcome measure.
    Methods: ObsQoR-10-Spanish was developed using EuroQoL methodology. ObsQoR-10-Spanish was assessed in 100 Spanish-speaking patients undergoing elective Caesarean or vaginal delivery. Patients <38 weeks, undergoing an intrapartum Caesarean delivery, intrauterine death, or maternal admission to the intensive care unit (ICU) were excluded. Validity was assessed by evaluating (i) convergent validity-correlation with 24-h EuroQoL and global health visual analogue scale (GHVAS) scores (0-100); (ii) discriminant validity-difference in ObsQoR-10-Spanish score for patients with GHVAS scores >70
    Results: One hundred patients were approached, recruited, and completed surveys. Validity: (i) convergent validity: the ObsQoR 24-h score correlated moderately with the 24-h EuroQoL (
    Conclusions: The ObsQoR-10-Spanish patient-reported outcome measure is valid, reliable, and clinically feasible, and should be considered for use in Spanish-speaking women to assess quality of inpatient postpartum recovery.
    Language English
    Publishing date 2024-03-21
    Publishing country England
    Document type Journal Article
    ISSN 2772-6096
    ISSN (online) 2772-6096
    DOI 10.1016/j.bjao.2024.100269
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Impacto percibido en la salud de los mineros artesanales del municipio de Quinchía (Colombia) por el uso de mercurio y cianuro en el proceso de amalgamiento de oro.

    López-Jiménez, Claudia L / Uribe-Guevara, Javier / Cuesta-Ramírez, Jhouben J

    Revista de salud publica (Bogota, Colombia)

    2023  Volume 21, Issue 3, Page(s) 368–375

    Abstract: Objective: Determine the Perceived Impact on the Artisanal Miner's Health from Quinchía's Municipality (Colombia) by the Use of Cyanide and Mercury in the Amalgamation Process of Gold.: Methods: Quantitative, descriptive research in a sample of 28 ... ...

    Title translation Perceived impact on the artisanal miner's health from quinchias municipality (Colombia) by the use of cyanide and mercury in the amalgamation process of gold.
    Abstract Objective: Determine the Perceived Impact on the Artisanal Miner's Health from Quinchía's Municipality (Colombia) by the Use of Cyanide and Mercury in the Amalgamation Process of Gold.
    Methods: Quantitative, descriptive research in a sample of 28 active miners exposed to cyanide and mercury. The process of gold amalgamation was characterized, a survey of symptom perception was carried out and laboratory tests were carried out to detect the concentration of mercury and cyanide in blood.
    Results: 50% of the miners are in the trade between 21 and 30 years, with an exposure of 2.6 hours/day to mercury and cyanide. 33% of miners have levels of mercury concentration in blood between 4-4.9 micrograms per liter (μg/L), as well as refer to symptoms in the nervous and digestive systems. The results of cyanide in blood are negative.
    Conclusions: Blood mercury concentrations are associated with time in the trade, hours of exposure to mercury and perception of symptoms. The results of cyanide in blood are not coincident with the symptoms reported by the miners. Although the toxicity of these chemical substances is recognized, traditional and prohibited methods are still used without taking into account safety protocols and the use of appropriate protection elements. Miners are constantly exposed to procedures that involve health risks, refer undiagnosed symptoms and that could affect the organism in the long term. Prevention and promotion measures are not adopted.
    MeSH term(s) Humans ; Mercury/analysis ; Gold ; Occupational Exposure/analysis ; Cyanides/toxicity ; Colombia
    Chemical Substances Mercury (FXS1BY2PGL) ; Gold (7440-57-5) ; Cyanides
    Language Spanish
    Publishing date 2023-01-18
    Publishing country Colombia
    Document type English Abstract ; Journal Article
    ZDB-ID 2060572-9
    ISSN 0124-0064
    ISSN 0124-0064
    DOI 10.15446/rsap.V21n3.81048
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Cryptococcus neoformans

    Firacative, Carolina / Zuluaga-Puerto, Natalia / Guevara, José

    Journal of fungi (Basel, Switzerland)

    2022  Volume 8, Issue 12

    Abstract: Cryptococcosis, caused predominantly by Cryptococcus neoformans, is a potentially fatal, opportunistic infection that commonly affects the central nervous system of immunocompromised patients. Globally, this mycosis is responsible for almost 20% of AIDS- ... ...

    Abstract Cryptococcosis, caused predominantly by Cryptococcus neoformans, is a potentially fatal, opportunistic infection that commonly affects the central nervous system of immunocompromised patients. Globally, this mycosis is responsible for almost 20% of AIDS-related deaths, and in countries like Peru, its incidence remains high, mostly due to the annual increase in new cases of HIV infection. This study aimed to establish the genotypic diversity and antifungal susceptibility of C. neoformans isolates causing meningoencephalitis in 25 adults and a 9-year-old girl with HIV and other risk factors from Lima, Peru. To identify the genotype of the isolates, multilocus sequence typing was applied, and to establish the susceptibility of the isolates to six antifungals, a YeastOne® broth microdilution was used. From the isolates, 19 were identified as molecular type VNI, and seven as VNII, grouped in eight and three sequence types, respectively, which shows that the studied population was highly diverse. Most isolates were susceptible to all antifungals tested. However, VNI isolates were less susceptible to fluconazole, itraconazole and voriconazole than VNII isolates (p < 0.05). This study contributes data on the molecular epidemiology and the antifungal susceptibility profile of the most common etiological agent of cryptococcosis, highlighting a pediatric case, something which is rare among cryptococcal infection.
    Language English
    Publishing date 2022-12-16
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2784229-0
    ISSN 2309-608X ; 2309-608X
    ISSN (online) 2309-608X
    ISSN 2309-608X
    DOI 10.3390/jof8121306
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Multiple Fragmentations: A Subnational Analysis of the Early Childhood Education and Care Workforce in Argentina.

    Guevara, Jennifer / Florito, José / Camisassa, Juan

    International journal of early childhood = Revue internationale de l'enfance prescolaire = Revista internacional de la infancia pre-escolar

    2022  Volume 54, Issue 3, Page(s) 473–489

    Abstract: The divided nature of the ECEC workforce is widely acknowledged. While scholarship has focused primarily on the consequences of the education-care divide, few studies have examined the workforce's fragmentation from a subnational perspective, ... ...

    Abstract The divided nature of the ECEC workforce is widely acknowledged. While scholarship has focused primarily on the consequences of the education-care divide, few studies have examined the workforce's fragmentation from a subnational perspective, particularly in the Global South. This article explores multiple fragmentations in the workforce, drawing on three provincial case studies in Argentina. The study included 17 interviews with national and subnational policy makers and three focus groups with ECEC workers. We explore ECEC workers' heterogeneous conditions and experiences across three provinces and demonstrate how vertical and horizontal fragmentation combine to create multiple fragmentations. We argue that subnational approaches are critical for better understanding the ECEC workforce's complexities and, ultimately, ECEC systems.
    Language English
    Publishing date 2022-10-26
    Publishing country Ireland
    Document type Journal Article
    ZDB-ID 2531679-5
    ISSN 1878-4658 ; 0020-7187
    ISSN (online) 1878-4658
    ISSN 0020-7187
    DOI 10.1007/s13158-022-00340-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Reply to '

    Nieto Guevara, Javier / Izurieta, Patricia

    Human vaccines & immunotherapeutics

    2020  Volume 16, Issue 9, Page(s) 2307–2308

    MeSH term(s) Child ; Colombia/epidemiology ; Humans ; Pneumococcal Infections/epidemiology ; Pneumococcal Infections/prevention & control ; Pneumococcal Vaccines ; Serogroup ; Streptococcus pneumoniae
    Chemical Substances 10-valent pneumococcal conjugate vaccine ; Pneumococcal Vaccines
    Language English
    Publishing date 2020-07-09
    Publishing country United States
    Document type Letter ; Research Support, Non-U.S. Gov't ; Comment
    ZDB-ID 2664176-8
    ISSN 2164-554X ; 2164-5515
    ISSN (online) 2164-554X
    ISSN 2164-5515
    DOI 10.1080/21645515.2020.1784654
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Book ; Online: Self-Confirming Transformer for Locally Consistent Online Adaptation in Multi-Agent Reinforcement Learning

    Li, Tao / Guevara, Juan / Xie, Xinghong / Zhu, Quanyan

    2023  

    Abstract: Offline reinforcement learning (RL) leverages previously collected data to extract policies that return satisfying performance in online environments. However, offline RL suffers from the distribution shift between the offline dataset and the online ... ...

    Abstract Offline reinforcement learning (RL) leverages previously collected data to extract policies that return satisfying performance in online environments. However, offline RL suffers from the distribution shift between the offline dataset and the online environment. In the multi-agent RL (MARL) setting, this distribution shift may arise from the nonstationary opponents (exogenous agents beyond control) in the online testing who display distinct behaviors from those recorded in the offline dataset. Hence, the key to the broader deployment of offline MARL is the online adaptation to nonstationary opponents. Recent advances in large language models have demonstrated the surprising generalization ability of the transformer architecture in sequence modeling, which prompts one to wonder \textit{whether the offline-trained transformer policy adapts to nonstationary opponents during online testing}. This work proposes the self-confirming loss (SCL) in offline transformer training to address the online nonstationarity, which is motivated by the self-confirming equilibrium (SCE) in game theory. The gist is that the transformer learns to predict the opponents' future moves based on which it acts accordingly. As a weaker variant of Nash equilibrium (NE), SCE (equivalently, SCL) only requires local consistency: the agent's local observations do not deviate from its conjectures, leading to a more adaptable policy than the one dictated by NE focusing on global optimality. We evaluate the online adaptability of the self-confirming transformer (SCT) by playing against nonstationary opponents employing a variety of policies, from the random one to the benchmark MARL policies. Experimental results demonstrate that SCT can adapt to nonstationary opponents online, achieving higher returns than vanilla transformers and offline MARL baselines.

    Comment: 8 figures, 6 tables
    Keywords Computer Science - Machine Learning ; Computer Science - Multiagent Systems
    Subject code 629
    Publishing date 2023-10-06
    Publishing country us
    Document type Book ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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