Sistema de gestión para las inversiones de Suelos del Ministerio de la Agricultura en Granma

Various processes are carried out in the Soil and Fertilizer Department of the Ministry of Agriculture at Granma's province in Cuba, including information management for investment approval. It becomes difficult due to the fact that it is carried out manually and through printed models, leading to insufficiencies in the personnel in charge of recording the information, difficulty in preserving relevant information and delay in the response process. In response to these needs, in this investigation, an informatics system is developed that will enrich the management of the information for the approval of investments of Soils and Fertilizers in Granma. For the development of the system was utilized as methodology of development of software Extreme Programming (XP). PHP 7.3.3 and SQL as server-side, client-side programming languages HTML 5, CSS 3, JavaScript and JQuery 1.2.2. APACHE 2.4.38 web application server, MySQL 5.0.12 as Database manager, CodeIgniter 3.1.10 as Framework and DBDesigner 4 as an aid to database modeling. As a result of investigation, a system validated by means of proofs of software was obtained, which vouch for his correct functioning.

The Role of Urban Informatics in Monitoring the Physical Deteriortion of Urban Environment

The twenty-first century is witnessing a rapid growth population in urban areas; this growth needs intelligent urban planning and management. The field of urban informatics is one of the new and vital specialties to organize and analyse the urban system at all levels and areas. ICT works with interactive community participation to guide and manage the urban environment to serve, provide the residents with safety and security. The paper presents a new vision in terms of employing the field of urban informatics in mapping and monitoring the urban deterioration of the built environment in general and buildings in particular. The urban informatics system is still taking its first steps to manage and serve the city's facilities (transportation, communication, air pollution, etc.). The built environment and the deterioration through time and other factors are still far from this area. This paper aims to identify the urban information field, the situations, and types of urban deterioration and move to capture urban deterioration indicators (main and secondary), which can be measured in urban informatics. This paper recommends the adoption of such a mechanism in managing and controlling the deterioration that contributes to the reduction of material and human losses, saving time and money away from traditional methods, and the possibility of employing them in times of crisis and disasters in the urban environment.

From Data to Marine Ecosystem Assessments of the Southern Ocean: Achievements, Challenges, and Lessons for the Future

Southern Ocean ecosystems offer numerous benefits to human society and the global environment, and maintaining them requires well-informed and effective ecosystem-based management. Up to date and accurate information is needed on the status of species, communities, habitats and ecosystems and the impacts of fisheries, tourism and climate change. This information can be used to generate indicators and undertake assessments to advise decision-makers. Currently, most marine assessments are derivative: reliant on the review of published peer-reviewed literature. More timely and accurate information for decision making requires an integrated Marine Biological Observing and Informatics System that combines and distributes data. For such a system to work, data needs to be shared according to the FAIR principles (Findable, Accessible, Interoperable, and Reusable), use transparent and reproducible science, adhere to the principle of action ecology and complement global initiatives. Here we aim to provide an overview of the components of such a system currently in place for the Southern Ocean, the existing gaps and a framework for a way forward.

EP.WE.608Hospital within the Hospital – Renaissance of Elective Surgery Amidst the Pandemic

Aim COVID had an unprecedented effect on the NHS elective surgical care. To overcome the deficit created due to the pandemic, the concept of a ‘COVID protected zone’ gave birth to the ‘hospital within the hospital’. This included 9 elective theatres, 28 ring fenced elective beds, a surgical enhanced care unit, a canteen and a separated entrance. Of the fundamentals of the model were enhanced infection control and PPE guidance for staff. The aim of our study was to evaluate the recovery of elective activity brought about by this elective centre. Methods Theatre activity data was collected weekly (7/20 to 1/21) through the business informatics system. This was used to compare the activity achieved during the recovery phase from COVID after the first and subsequent wave. Results Pre COVID-19, 11 theatres were operating. These managed an average of 263 cases were per week. In the first week of operation of elective centre, 31% of theatre capacity was achieved. By week 7, 106% of pre COVID was recorded and 130% by week 11. During the 2nd wave the capacity was reduced to 42% as opposed to 0% during the first wave. This was only possible due to our model elective centre. Conclusion This model elective centre has enabled elective care to return to above normal levels, with increased efficiencies. This has not only shortened patient waiting times and cleared the back-log but also delivered training to surgical trainees without compromising safety.

1358 Does A COVID Protected Hospital Within A COVID Hospital Enable Elective Care and Training Opportunities?

Introduction Elective care in the UK came to a standstill with the advent of the COVID-19 pandemic. A restart could only be enabled with ‘green site’ separation and a ‘covid protected’ zone. A ‘hospital within the hospital’ concept was developed including 9 elective theatres, 28 ring fenced elective beds, a surgical enhanced care unit, a canteen, and a separated entrance. This model was underpinned with PPE, enhanced infection control and guidance for staff. The study documented the ability to recover elective activity and therefore provide a training environment for surgical trainees. Method Data was collected weekly (7/20 to 1/21) through the business informatics system with regard to theatres cases completed compared to the activity achieved in the 11-theatre elective estate pre COVID-19. Results Pre COVID-19, an average of 263 cases were completed per week. In the first week of operation, 31% of theatre capacity was achieved. By week 7, 106% of pre COVID was recorded and 130% by week 11. This was maintained until the impact of the second wave where activity has reduced to 50% but is not anticipated to reduce further as local anaesthetic and blocks maybe utilised. Conclusions This ‘hospital within the hospital’ has enabled elective care to return to above normal levels, with increased efficiencies. This has enabled a rapid return to a training environment for trainees disheartened with deployment to critical care in the first wave.

Growing home dialysis: The Ontario Renal Network Home Dialysis Initiative 2012–2019

The Ontario Renal Network (ORN), a provincial government agency in Ontario, Canada, launched an initiative in 2012 to increase home dialysis use province-wide. The initiative included a new modality-based funding formula, a standard mandatory informatics system, targets for prevalent home dialysis rates, the development of a ‘network’ of renal programmes with commitment to home dialysis and a culture of accountability with frequent meetings between ORN and each renal programme leadership to review their results. It also included funding of home dialysis coordinators, encouragement and funding of assisted peritoneal dialysis (PD), and support for catheter insertion and urgent start PD. Between 2012 and 2017, home dialysis use rose from 21.9% to 26.5% and then between 2017 and 2019 stabilised at 26% to 26.5%. Over 7 years, the absolute number of people on home dialysis increased 40% from 2222 to 3105, while the number on facility haemodialysis grew 11% from 7935 to 8767. PD prevalence rose from 16.6% to 20.9%, a relative increase of 25%. The initiative showed that a sustained multifaceted approach can increase home dialysis utilisation.