4 research outputs found
Programa de felicidad organizacional para mejorar el compromiso de los colaboradores de la Clínica ONCORAD, Chiclayo
Los directivos, gerentes y líderes de empresas alrededor del mundo concuerdan en
que existe una gran problemática dentro de las organizaciones, y esta es que los
colaboradores no se sienten comprometidos con la institución en la que laboran; no sienten
afecto ni deseo de retribución o identificación con esta. En cuanto a la Clínica ONCORAD,
se detectó la mencionada problemática y fue así como se dio por inicio este trabajo.
La presente investigación tuvo como objetivo demostrar que el programa de felicidad
organizacional mejorará el nivel de compromiso de los colaboradores de la Clínica
ONCORAD, Chiclayo, por lo que se trabajó con una muestra no probabilística por
conveniencia de 13 colaboradores, la técnica utilizada fue de encuesta, con la aplicación de
un cuestionario referente a la variable de compromiso organizacional, siendo esta el
Cuestionario de Compromiso Organizacional (18 ítems y 3 dimensiones: Compromiso
afectivo, compromiso de continuidad y compromiso normativo) según la teoría de Allen y
Meyer en 1990, se probó la confiabilidad del cuestionario a través del coeficiente Alfa de
Cronbach, cuyos resultado es 0.791.
El programa se diseñó especialmente para resolver el problema encontrado, el cual
fue elaborado y aplicado bajo las dimensiones del Modelo de Felicidad Organizacional de
Fernández, el cual involucra Positividad, Sentido, Relaciones Confiables, Desarrollo
Personal y Profesional, Engagement y Logro y Reconocimiento. El programa de felicidad
organizacional obtuvo una significancia de p_valor = 0,001 < 0,05, afirmando así que el
programa incrementó el nivel de compromiso organizacional en los colaboradores de la
Clínica ONCORAD, Chiclayo, siendo su aplicación demostrada como efectiva
Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study
Summary
Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally.
Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies
have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of
the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income
countries globally, and identified factors associated with mortality.
Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to
hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis,
exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a
minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical
status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary
intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause,
in-hospital mortality for all conditions combined and each condition individually, stratified by country income status.
We did a complete case analysis.
Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital
diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal
malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome
countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male.
Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3).
Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income
countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups).
Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome
countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries;
p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients
combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11],
p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20
[1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention
(ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety
checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed
(ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of
parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65
[0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality.
Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome,
middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will
be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger
than 5 years by 2030
ENGIU: Encuentro Nacional de Grupos de Investigación de UNIMINUTO.
El desarrollo del prototipo para el sistema de detección de Mina Antipersona
(MAP), inicia desde el semillero ADSSOF perteneciente al programa de Administración en Seguridad y Salud en el trabajo de la UNIMINUTO, se realiza a partir de un
detector de metales que emite una señal audible, que el usuario puede interpretar
como aviso de presencia de un objeto metálico, en este caso una MAP. La señal
audible se interpreta como un dato, como ese dato no es perceptible a 5 metros de
distancia, se implementa el transmisor de Frecuencia Modulada FM por la facilidad
de modulación y la escogencia de frecuencia de transmisión de acuerdo con las
normas y resolución del Ministerio de Comunicaciones; de manera que esta sea la
plataforma base para enviar los datos obtenidos a una frecuencia establecida. La
idea es que el ser humano no explore zonas peligrosas y buscar la forma de crear
un sistema que permita eliminar ese riesgo, por otro lado, buscar la facilidad de uso
de elementos ya disponibles en el mercado
Neotropical freshwater fisheries : A dataset of occurrence and abundance of freshwater fishes in the Neotropics
The Neotropical region hosts 4225 freshwater fish species, ranking first among the world's most diverse regions for freshwater fishes. Our NEOTROPICAL FRESHWATER FISHES data set is the first to produce a large-scale Neotropical freshwater fish inventory, covering the entire Neotropical region from Mexico and the Caribbean in the north to the southern limits in Argentina, Paraguay, Chile, and Uruguay. We compiled 185,787 distribution records, with unique georeferenced coordinates, for the 4225 species, represented by occurrence and abundance data. The number of species for the most numerous orders are as follows: Characiformes (1289), Siluriformes (1384), Cichliformes (354), Cyprinodontiformes (245), and Gymnotiformes (135). The most recorded species was the characid Astyanax fasciatus (4696 records). We registered 116,802 distribution records for native species, compared to 1802 distribution records for nonnative species. The main aim of the NEOTROPICAL FRESHWATER FISHES data set was to make these occurrence and abundance data accessible for international researchers to develop ecological and macroecological studies, from local to regional scales, with focal fish species, families, or orders. We anticipate that the NEOTROPICAL FRESHWATER FISHES data set will be valuable for studies on a wide range of ecological processes, such as trophic cascades, fishery pressure, the effects of habitat loss and fragmentation, and the impacts of species invasion and climate change. There are no copyright restrictions on the data, and please cite this data paper when using the data in publications