Cultura organizacional del personal en la Red de Salud Bagua en tiempos de COVID-19

Con la finalidad de analizar la cultura organizacional del personal en la Red de Salud Bagua en tiempos de COVID-19, se ejecutó la investigación de tipo descriptiva, con diseño no experimental-transversal, con una muestra de 36 trabajadores administrativos en le Red de Salud Bagua. Se utilizó un muestreo no probabilístico. Para la recolección de datos se utilizó la técnica de la encuesta y como instrumento el cuestionario, las preguntas estuvieron valorizadas en escala de Likert. La confiabilidad del instrumento se obtuvo a través del coeficiente de Alfa de Cronbach por ser una variable cuantitativa de tipo ordinal, obteniendo un alto grado de confiabilidad de ,821. Los resultados representados en tablas y figuras estadísticas, mostrándose de este modo el análisis alcanzado, de acuerdo a los resultados se evidencian que en todas las dimensiones de la variable en estudio dieron resultados de nivel malo; la dimensión características organizacionales en un 63.9% nivel malo, liderazgo organizacional 69.4% nivel malo, estilo gerencial con el 72.2% nivel malo, compromiso organizacional con el 44.4% nivel malo, énfasis estratégico con el 83.3% nivel malo y criterios de éxito con el 69.4% nivel malo, resultados que demuestran que hubieron cambios fuertes en la variable de estudio, a causa de la crisis sanitaria del COVID-19

El Programa Reactiva Perú y su impacto en la planificación financiera en el sector inmobiliario de Miraflores en el 2021

El presente estudio tiene como objetivo determinar el impacto en la planificación financiera de empresas pertenecientes al sector inmobiliario en Miraflores que accedieron al Programa Reactiva Perú, una subvención del estado peruano que tuvo la finalidad de evitar la paralización de los pagos de las obligaciones de las empresas ocasionada por la propagación del Covid-19. Para poder desarrollar el estudio, se buscó información relevante y relacionada a la coyuntura y el actuar del Estado Peruano, así como eventos similares ocurridos en otros países en otros períodos que pudieran aportar información al estudio. Asimismo, se formularon hipótesis que validarán la tesis, las cuales fueron comprobadas por métodos cualitativos y cuantitativos, en base a una población y muestra del sector inmobiliario en Miraflores. Luego de realizar una prueba estadística, denominada Chi Cuadrado, se validaron las hipótesis planteadas, con la finalidad de llevar a cabo el estudio con éxito.The present research work is focus to determine the impact on the financial planning of companies belonging to the real estate sector of Miraflores that accessed the Reactiva Peru Program, this Peruvian state subsidy, which was granted to companies in order to avoid the stoppage of payments of the companies' obligations caused by the spread of Covid-19. In order to develop the study, relevant information related to the situation and the actions of the Peruvian State was sought, as well as similar events that occurred in other countries in other periods that could contribute information to the study. Likewise, hypotheses were formulated to validate the thesis, which were tested by qualitative and quantitative methods, based on a population and sample of the real estate sector in Miraflores. After performing a statistical test, called Chi Square, the hypotheses were validated in order to carry out the study successfully.Tesi

High pressure treatment and green tea extract synergistically control enteric virus contamination in beverages

Consumers are driving food production toward the use of natural preservatives and minimal processing technologies. Green tea extract (GTE) at low concentration could be combined with high pressure processing (HPP) for reduced treatment times and quality impact on foods in a hurdle concept for synergistic effects on foodborne viral pathogens, specifically human norovirus and hepatitis A virus (HAV). Viral inactivation by HPP (at 300, 400, and 500 MPa for 5 min) combined with 3.3 mg/mL aged-GTE was initially evaluated in buffer (PBS) against murine norovirus (MNV), a culturable human norovirus surrogate, and HAV. Furthermore, human norovirus inactivation was evaluated by the novel human intestinal enteroid system (HIE) and a capsid integrity binding assay (ISC-RT-qPCR). HPP treatment completely inhibits human norovirus GII.4 infectivity when applied at 500 MPa alone and at 400 MPa combined with aged-GTE. Additional experiments investigated the reduction of MNV and HAV infectivity in apple and horchata juices exposed to combined aged-GTE and HPP treatments. Results demonstrated that the addition of aged-GTE to the juices exposed to HPP significantly inactivated MNV and HAV at reduced holding pressure time. This synergistic effect of aged-GTE combined with HPP treatments represents a hurdle technology that could be exploited as a control measure to improve the food safety of beverages

Sustainable bioactive pectin-based films to improve fruit safety via a circular economy approach.

This work reports on the valorisation of persimmon (Diospyros kaki Thunb.) for the development of food-grade antiviral coatings against major viral foodborne pathogens, human noroviruses (NoVs) and hepatitis A virus (HAV). Initially, the antiviral activity of polyphenol-rich pectin extracts with abundant non-covalent interactions (PPN), pectin extracts enriched with intact pectin-polyphenol ester and O-glycosyl bonds (PPC) and hydro-ethanolic polyphenol-rich extracts (EPE) was compared. Higher viral reductions were found for the pectin extracts rich in polyphenols, mainly in those containing covalent pectin-polyphenol interactions. This specific extract was mixed with commercial citrus pectin (CP) to develop active edible films. Dry films were analysed in terms of their optical, morphological, mechanical and barrier properties. Addition of the bioactive pectin persimmon extract resulted in more coloured films with lower transparency. The presence of covalently-linked polyphenols gave rise to stiffer films, with lower sorption capacity and more hydrophobic nature. The infectivity of MNV and HAV on fresh blueberries after the coating treatments was reduced by approximately 4.28 and 2.38 log, respectively, after overnight incubation, as compared to the controls, when 10% PPC was incorporated into the film. Higher amounts of PPC did not significantly improve the antiviral activity and a complete inactivation for both viruses was observed after 4 days of storage at 25 °C. This paper highlights the potential of persimmon discards as a cheap source of food-grade antiviral coatings with improved physicochemical properties as compared to commercial citrus pectin

Prevalencia, factores de riesgo y características patogénicas diferenciales de EPOC y enfisema en pacientes con infección VIH

Antecedentes: Las anomalías pulmonares están a menudo presentes en pacientes infectados con el virus de la inmunodeficiencia humana (VIH). Objetivos: Determinar la prevalencia, las características patogénicas y los factores de riesgo de anormalidades pulmonares en pacientes VIH +. Métodos: Se incluyeron en el estudio 275 pacientes VIH +, con una media (± desviación estandar) de edad de 48,5 (± 6,6) años y en su mayoría (95,6%) tratados con terapia antirretroviral de gran actividad (TARGA), Se determinó: (1) pruebas funcionales respiratorias completas, (2) enfisema pulmonar medido por TAC, y, (3) estado inmune e inflamatorio, en muestras de esputo y de sangre periférica. Resultados: La limitación del flujo aéreo (LFA) estaba presente en el 17,2%, la baja capacidad de difusión pulmonar en el 52,2%, y el enfisema en el 10,5% y el 37,7% de los pacientes, dependiendo del método utilizado para la cuantificación. La mayoría de estas anomalías no habían sido diagnosticadas o tratadas previamente Para la LFA, los principales factores de riesgo fueron la exposición al tabaco y la historia previa de tuberculosis, mientras que para el enfisema pulmonar y la baja capacidad de difusión, además de la exposición al tabaco, se observaron factores relacionados con la infección porel VIH. Conclusiones: A pesar de la TARGA, son frecuentes las anormalidades estructurales y funcionales pulmonares en los pacientes VIH +, probablemente debido a factores relacionados con el medio ambiente y el VIH. La mayoría de ellos pasan desapercibidos y no son tratados. Dada la relativa edad joven de estos pacientes, estos resultados anticipan un problema de salud importante en los próximos años cuando, debido a la eficacia del TARGA, envejezcan

Factores Asociados a la Adherencia al Tratamiento Farmacológico en Pacientes con Hipertensión Arterial en la Parroquia Palanda, Año 2018

Introduction: High blood pressure is an important cause of morbidity and mortality worldwide, so its control is imperative. Hypertensive patients require multidisciplinary health care, as well as careful follow-up of the treatment, since it is estimated that their adherence to pharmacological therapy is 50%., Objective: To determine the factors associated with adherence to antihypertensive drug treatment. Methodology: Observational, descriptive, cross-sectional, prospective study. A interview is conducted with hypertensive patients, who come to the Palanda Health Center. This patients respond to a questionnaire, a test of adherence measurement and blood pressure is measured to establish the relationship between the evaluated factors and adherence. Conclusion: Knowing the factors associated with therapeutic adherence is a priority to control hypertension and thereby increase the life’s quality of patients.La Introducción: La hipertensión arterial es una importante causa de morbimortalidad a nivel mundial, por lo que su control resulta imperioso. Los pacientes hipertensos ameritan atención sanitaria multidisciplinaria, así como el seguimiento minucioso del tratamiento, puesto que, se estima que su adherencia a la terapia farmacológica es de 50%. Objetivo: Determinar los factores asociados a la adherencia al tratamiento farmacológico antihipertensivo. Metodología: Estudio observacional, descriptivo, transversal, prospectivo, mediante el cual se realiza una entrevista a los pacientes hipertensos, que acuden al Centro de Salud de Palanda, quienes responden un cuestionario, un test de medición de adherencia y se les mide la presión arterial, para establecer la relación que existe entre los factores evaluados y la adherencia. Conclusión: Conocer los factores asociados a la adherencia terapéutica es prioritario para controlar la hipertensión arterial y con ello aumentar la calidad de vida de los paciente

Insights from quantitative and mathematical modelling on the proposed WHO 2030 goals for Chagas disease

article publié sur la plateforme Gates Open researchChagas disease (CD) persists as one of the neglected tropical diseases (NTDs) with a particularly large impact in the Americas. The World Health Organization (WHO) recently proposed goals for CD elimination as a public health problem to be reached by 2030 by means of achieving intradomiciliary transmission interruption (IDTI), blood transfusion and transplant transmission interruption, diagnostic and treatment scaling-up and prevention and control of congenital transmission. The NTD Modelling Consortium has developed mathematical models to study Trypanosoma transmission dynamics and the potential impact of control measures. cruzi Modelling insights have shown that IDTI is feasible in areas with sustained vector control programmes and no presence of native triatomine vector populations. However, IDTI in areas with native vectors it is not feasible in a sustainable manner. Combining vector control with trypanocidal treatment can reduce the timeframes necessary to reach operational thresholds for IDTI (<2% seroprevalence in children aged <5 years), but the most informative age groups for serological monitoring are yet to be identified. Measuring progress towards the 2030 goals will require availability of vector surveillance and seroprevalence data at a fine scale, and a more active surveillance system, as well as a better understanding of the risks of vector re-colonization and disease resurgence after vector control cessation. Also, achieving scaling-up in terms of access to treatment to the expected levels (75%) will require a substantial increase in screening asymptomatic populations, which is anticipated to become very costly as CD prevalence decreases. Further modelling work includes refining and extending mathematical models (including transmission dynamics and statistical frameworks) to predict transmission at a sub-national scale, and developing quantitative tools to inform IDTI certification, post-certification and re-certification protocols. Potential perverse incentives associated with operational thresholds are discussed. These modelling insights aim to inform discussions on the goals and treatment guidelines for CD

Botanical itinerary by the Guadalquivir river on its way through the city of Cordoba

UNIVERSIDAD DE CÓRDOBA: Material de Prácticas Docentes Curso 2017-2018 (Código: 2017-1-2018)In this paper we presente the results obtained in the framework of the programme Material de Prácticas Docentes Curso 2017-2018 (Código: 2017-1-2018) granted by the Universidad de Córdoba. In particular, we describe the main features of the gallery and riparian vegetation, linked with the Guadalquivir river on its way through the city of Cordoba. The physiognomy of the vegetation is reported in seven selected transects, and the main floristic elements are indicated. The visit to these points, guided by the teaching staff, is an adequate tool for the practical training of our university students interested in Botany. Information on the main species of this riparian forest could be found in a supplementary document referred to below

Actividades de enfermería asociadas al manejo de la epidemiología en las prácticas docentes de la profesión

This article collects the results of an analysis of nursing activities and their association with the management of epidemiology in the teaching practices of the profession from a systematic review that is derived from the consultation of scientific bases, such as Sciencedirect and Google Scholar, in which a search was carried out for scientific articles and research relevant to the topic. As a criterion for locating and selecting the works, a period from 2019 to 2024 was estimated, whose systematization was generated through the PRISMA protocol, obtaining 16 documents in total for analysis. When interpreting the works, it is highlighted that, even from the different aspects located on the approach to the relationship between Nursing and Epidemiology as derivatives of the teaching practices of this profession, its development in an integrated manner is inherent considering the changing and challenging of the current and future context, which is why a restructuring is evoked in the professional training of nurses that corresponds to the new scenarios and social environments characterized by their dynamism, complexity and vertiginous changes, to the point that it can be generate a comprehensive view of teaching actions to train nurses of today and the future. &nbsp;El presente artículo recoge los resultantes de un análisis acerca de las actividades de enfermería y su asociación al manejo de la epidemiología en las prácticas docentes de la profesión desde una revisión sistemática que se deriva de la consulta de bases científicas, tales como Sciencedirect y Google Académico, en las cuales se efectuó una búsqueda de artículos científicos e investigaciones pertinentes con la temática. Como criterio de localización y selección de los trabajos se estimó un período desde 2019 a 2024, cuya sistematización de generó por medio del protocolo PRISMA, obteniendo para el análisis 16 documentos en total. Al hacer la interpretación de los trabajos se destaca que, aun desde las diferentes vertientes localizadas sobre el abordaje de la relación entre Enfermería y Epidemiología como derivativos de las prácticas docentes de esta profesión, se hace inherente su desarrollo de manera integrada considerando lo cambiante y desafiante del contexto actual y del futuro, por lo cual se evoca a una reestructuración en la formación profesional de los enfermeros que guarde correspondencia con los nuevos escenarios y entornos sociales caracterizados por su dinamismo, complejidad y vertiginosidad en los cambios, al punto de que se pueda generar una mirada integral del accionar docente para formar enfermeros del hoy y del futuro. &nbsp

Modelling the mid-late Holocene evolution of the Huelva Estuary and its human colonization, South-Western Spain

The major changes that occurred in the southwestern estuaries of the Spanish Atlantic coast during the last 6500 yr BP were simultaneous to human settlement and therefore the understanding of their coastal evolution will help interpreting human patterns in these areas. The study of the morpho-sedimentary features of new outcrops appearing in the middle sector of Saltés Island (Huelva Estuary, Spain) has been used to develop a model to understand the complex evolution of sand barriers than can be applied to similar inlets along the Atlantic Iberian coast. The first human settlements (6000–4000 yr BP) in the early Huelva Estuary (Tinto and Odiel rivers) were located in the ancient coastal banks or in the nearby hills. From 4000 yr BP onwards, the estuarine sediments started to emerge as sand barriers and chenier plains, prograding towards the mouth. As the littoral strands stabilized morphologically, they were colonized by human settlements in successive periods, the oldest inland (Almendral) and more recent outward (Cascajera). The study of the upper sedimentary layers of La Cascajera barrier display a tempestitic sequence of landward progradational washover-fans. The calibrated and modelled AMS dates in marine shells provide a storminess time range between the second half of first century BCE and the entire first century CE. Sedimentary records are useful to evaluate environmental changes, either from natural or anthropogenic causes, such as global and climate change. The interrelationship between the archaeological findings (mainly salting fish factories and old ports) and the morpho sedimentary evolution at the mouth of the Tinto and Odiel rivers allows us to highlight not only the Huelva Estuary's dynamics evolution, but also the possible regional patterns of human habitation from the beginning of the present sea-level highstand (middle Holocene).Ministerio de Economía y Competitividad CGL2010-15810/BTEEuropean Union (UE) EU Excellence Project of the Andalusia Board SEJ-477