Calidad de servicio y su relación con la fidelización con el cliente en la empresa de Reciclaje Carmen Rosa E.I.R.L, en el distrito de Puente Piedra, año 2016

El presente trabajo de investigación tuvo como objetivo principal determinar la relación entre la calidad de servicio y la fidelización del cliente, lo cual implicó la búsqueda de fuentes de información científica. La población objeto de estudio fueron los colaboradores de la empresa de reciclaje Carmen Rosa E.I.R.L, la muestra del estudio estuvo conformada por 42 colaboradores entre jefes, personal del área administrativa y del área de ventas; para la recolección de datos se utilizó la técnica de la encuesta. Como instrumento el cuestionario compuesta de 24 preguntas en medición de escala de Likert, luego de ello estos resultados fueron procesados, analizados y estudiados mediante el programa de estadístico SPSS, gracias a ello se logró medir el nivel de confiabilidad de las preguntas mediante el uso del alfa de Cronbach, asimismo para medir el nivel de correlación de las variables se usó la prueba de correlación de Spearman y por último se analizaron e interpretaron de forma individual los gráficos estadísticos obtenidos por cada pregunta

Outcomes of Patients Presenting with Mild Acute Respiratory Distress Syndrome Insights from the LUNG SAFE Study

BACKGROUND: Patients with initial mild acute respiratory distress syndrome are often underrecognized and mistakenly considered to have low disease severity and favorable outcomes. They represent a relatively poorly characterized population that was only classified as having acute respiratory distress syndrome in the most recent definition. Our primary objective was to describe the natural course and the factors associated with worsening and mortality in this population. METHODS: This study analyzed patients from the international prospective Large Observational Study to Understand the Global Impact of Severe Acute Respiratory Failure (LUNG SAFE) who had initial mild acute respiratory distress syndrome in the first day of inclusion. This study defined three groups based on the evolution of severity in the first week: "worsening" if moderate or severe acute respiratory distress syndrome criteria were met, "persisting" if mild acute respiratory distress syndrome criteria were the most severe category, and "improving" if patients did not fulfill acute respiratory distress syndrome criteria any more from day 2. RESULTS: Among 580 patients with initial mild acute respiratory distress syndrome, 18% (103 of 580) continuously improved, 36% (210 of 580) had persisting mild acute respiratory distress syndrome, and 46% (267 of 580) worsened in the first week after acute respiratory distress syndrome onset. Global in-hospital mortality was 30% (172 of 576; specifically 10% [10 of 101], 30% [63 of 210], and 37% [99 of 265] for patients with improving, persisting, and worsening acute respiratory distress syndrome, respectively), and the median (interquartile range) duration of mechanical ventilation was 7 (4, 14) days (specifically 3 [2, 5], 7 [4, 14], and 11 [6, 18] days for patients with improving, persisting, and worsening acute respiratory distress syndrome, respectively). Admissions for trauma or pneumonia, higher nonpulmonary sequential organ failure assessment score, lower partial pressure of alveolar oxygen/fraction of inspired oxygen, and higher peak inspiratory pressure were independently associated with worsening. CONCLUSIONS: Most patients with initial mild acute respiratory distress syndrome continue to fulfill acute respiratory distress syndrome criteria in the first week, and nearly half worsen in severity. Their mortality is high, particularly in patients with worsening acute respiratory distress syndrome, emphasizing the need for close attention to this patient population.status: publishe