Programas de convivencia y desempeño organizacional de la gerencia de cinco Centros Escolares del municipio de Zacatecoluca, departamento de La Paz, comprendido de agosto a diciembre 2020

El propósito de la investigación fue de conocer sobre programas de convivencia y desempeño organizacional de la gerencia de Complejo Educativo Profeso Carlos Lobato, Centro Escolar Lucia de Villacorta, Centro Escolar 15 de septiembre, Instituto Nacional José Simeón Cañas y el Complejo Educativo José Simeón Cañas en un periodo comprendido de agosto a diciembre del año 2,020. En el mismo se enmarca el Enfoque mixto las metodologías Cuantitativa y Cualitativa en modalidad de investigador considerando lo siguiente: Planeación, planificación, recolección de datos , procesamiento de datos , interpretación de resultados de las técnicas la encuesta y la entrevista , siendo las más viables para poder desarrollar la investigación, pese a la Pandemia COVID-19, los actores fueron 5 gerentes y 121 Docentes la cual se integran también por sud-director, la fundamentación teórica genero supuestos de investigación que se convirtieron en las hipótesis surgiendo así las variables en estudio a querer demostrar o rechazar la cual reza así Cuando mayor sea el desarrollo y ejecución de programas de convivencia mayor será la efectividad Organizacional arrojando como resultado que fue aceptada , concluyendo que la investigación, integro lo exploratorio , descriptivo y explicativo. The purpose of the research was to learn about coexistence programs and organizational performance of the management of the Carlos Lovato Educational Complex, Lucia de Villacorta School Center, September 15th School Center, José Simeón Cañas National Institute and the José Simeón Cañas Educational Complex in a period from August to December of the year 2,020. In it the Mixed Approach is framed the Quantitative and Qualitative methodologies in researcher mode considering the following: Planning, planning, data collection, data processing, interpretation of results of the survey and interview techniques, being the most viable for To be able to develop the research, despite the COVID-19 Pandemic, the actors were 5 managers and 121 Teachers, which is also made up of the South-director, the theoretical foundation generated research assumptions that became hypotheses, thus emerging the variables under study to want to demonstrate or reject which reads like this The greater the development and execution of coexistence programs, the greater the Organizational effectiveness, yielding as a result that it was accepted, concluding that the investigation, integrated the exploratory, descriptive and explanator

Model for predicting early and late-onset postoperative pulmonary complications in perioperative patients receiving neuromuscular blockade: a secondary analysis

Pulmonary complications continue to be the most common adverse event after surgery. The main objective was to carry out two independent predictive models, both for early pulmonary complications in the Post-Anesthesia Care Unit and late-onset pulmonary complications after 30 postoperative days. The secondary objective was to determine whether presenting early complications subsequently causes patients to have other late-onset events. This is a secondary analysis of a cohort study. 714 patients were divided into four groups depending on the neuromuscular blocking agent, and spontaneous or pharmacological reversal. Incidence of late-onset complications if we have not previously had any early complications was 4.96%. If the patient has previously had early complications the incidence of late-onset complications was 22.02%. If airway obstruction occurs, the risk of atelectasis increased from 6.88 to 22.58% (p = 0.002). If hypoxemia occurs, the incidence increased from 5.82 to 21.79% (p < 0.001). Based on our predictive models, we conclude that diabetes mellitus and preoperative anemia are two risk factors for early and late-onset postoperative pulmonary complications, respectively. Hypoxemia and airway obstruction in Post-Anesthesia Care Unit increased four times the risk of the development of pneumonia and atelectasis at 30 postoperative days

Ética profesional en educación superior : finalidades, estrategias y desafíos de la formación

Todo proyecto educativo que no responde a su época se expone a problemas de legitimidad y al duro escrutinio y sanción de los usuarios. Las instituciones de educación superior no son la excepción de esta premisa clásica, incluso más validada por eldinamismos, la versatilidad y ojo crítico en el mundo contemporáneo. La ética se ha convertido en el baremo principal para someter a juicio a las instituciones y a las personas que ahí actuan, como a las finalidades que se pretenden en sus acciones. En esta perspectiva, debe examinarse la función de las instituciones de educación superior.Este libro es el esfuerzo colectivo por acercarnos a esa problemática, en especial a las finalidades, estrategias y relaciones en juego para cumplir la tarea de la formación y sus nexos inevitables con la ética profesional

Hugo Chávez: una década en el poder

Una década de Hugo Chávez Frías y su proyecto político en Venezuela trajo consigo un cambio de paradigmas que llama la atención de la sociedad en general. Este libro es el resultado del esfuerzo conjunto de un grupo de académicos de distintas nacionalidades que desde sus líneas de investigación realizan análisis que le brindan al lector elementos para comprender de manera global lo que significa una década de gobierno del Presidente Chávez en Venezuela.Este libro es el resultado del esfuerzo conjunto de un grupo de académicos de distintas nacionalidades que desde sus líneas de investigación realizan análisis que le brindan al lector elementos para comprender de manera global lo que significa una década de gobierno del Presidente Chávez en Venezuela

Raíces y alas: recuerdos y ficciones

El segundo número de la colección Laboratorio Transmedia (ISSN: 2794-0861) contiene 36 relatos escritos durante el curso 2021/2022 por estudiantes de la Universidad para Mayores

Effectiveness of a cognitive behavioral intervention in patients with medically unexplained symptoms: cluster randomized trial

BACKGROUND: Medically unexplained symptoms are an important mental health problem in primary care and generate a high cost in health services.Cognitive behavioral therapy and psychodynamic therapy have proven effective in these patients. However, there are few studies on the effectiveness of psychosocial interventions by primary health care. The project aims to determine whether a cognitive-behavioral group intervention in patients with medically unexplained symptoms, is more effective than routine clinical practice to improve the quality of life measured by the SF-12 questionary at 12 month. METHODS/DESIGN: This study involves a community based cluster randomized trial in primary healthcare centres in Madrid (Spain). The number of patients required is 242 (121 in each arm), all between 18 and 65 of age with medically unexplained symptoms that had seeked medical attention in primary care at least 10 times during the previous year. The main outcome variable is the quality of life measured by the SF-12 questionnaire on Mental Healthcare. Secondary outcome variables include number of consultations, number of drug (prescriptions) and number of days of sick leave together with other prognosis and descriptive variables. Main effectiveness will be analyzed by comparing the percentage of patients that improve at least 4 points on the SF-12 questionnaire between intervention and control groups at 12 months. All statistical tests will be performed with intention to treat. Logistic regression with random effects will be used to adjust for prognostic factors. Confounding factors or factors that might alter the effect recorded will be taken into account in this analysis. DISCUSSION: This study aims to provide more insight to address medically unexplained symptoms, highly prevalent in primary care, from a quantitative methodology. It involves intervention group conducted by previously trained nursing staff to diminish the progression to the chronicity of the symptoms, improve quality of life, and reduce frequency of medical consultations. TRIAL REGISTRATION: The trial was registered with ClinicalTrials.gov, number NCT01484223 [http://ClinicalTrials.gov].S