Propuesta de mejora de la administración del tiempo en el área de operaciones de Neón Plus E.I.R.L. Trujillo 2017

RESUMEN La presente investigación tuvo como objetivo diseñar una propuesta de mejora que ayude a optimizar la administración del tiempo en el área de operaciones de Neón Plus E.I.R.L. Se utilizó como objetivo de estudio el proceso de fabricación y entrega e instalación de letrero de neón. La metodología utilizada fue la observación directa de los procesos fabricación y entrega e instalación, diagnóstico de análisis de proceso y tiempos dirigida al área de estudio. En la evaluación realizada se encontraron problemas como: excesivo uso del tiempo para la producción, falta de abastecimiento en almacén debido, limitado espacio de trabajo y mala distribución del mismo, escases de herramientas e implementos de trabajo, generando un negativo estándar en la ejecución de las tareas. La implementación de una propuesta de mejora indica un mejor uso de tiempo del recurso humano, aumentando la utilidad de la empresa a S/ 18,240.00 nuevos soles anuales, Por último, a través del análisis económico se determinó que la ejecución de la propuesta brindara una tasa de retorno de inversión de un 82.82% (Ver tabla 21). PALABRAS CLAVES: Estudio de tiempos, análisis de procesos, mejoras, producción, recurso humano.ABSTRACT The objective of this research was to design an improvement proposal that helps optimize time management in the Neon Plus E.I.R.L. The manufacturing and delivery and installation of a neon sign was used as a study objective. The methodology used was the direct observation of the manufacturing and delivery and installation processes, diagnosis of process and time analysis directed to the study area. In the evaluation carried out, problems were found such as: excessive use of time for production, lack of supply in the warehouse due, limited work space and poor distribution of it, lack of tools and work tools, generating a standard negative in the execution of Tasks. The implementation of an improvement proposal indicates a better use of human resources time, increasing the productivity of the company to S / 396,480.00 soles per year, Finally, through the economic analysis it was determined that the execution of the proposal would provide an investment return rate of one 82.82% (See table 21). KEYWORDS: Study of times, analysis of processes, improvements, production, human resources

Erupción basáltica fisural al ne del volcán monogénico de Orchilla (El Hierro, Canarias): caracteres geomorfológicos.

Fissure basaltic eruption to the NE of the monogenetic volcano of Orchilla, El Hierro, Canary Islands. Geomorphologic characters: The sector of Orchilla, located to the W of El Hierro represents an important example of Holocene volcanism. A remarkable eruption in this zone is the fissure eruption to the NE of the monogenetic volcano of Orchilla. This fissure eruption represents a true natural laboratory to study the processes, dynamics and forms that generate this type of events. The most outstanding in this eruption are the spatter deposits, the hornitos and lava flows emitted which are typical forms of Hawaiian eruptions, with low viscosity magmas, high temperatures and low gas content. We have found around 25 small eruptive vents associated to 16 hornitos and lava flows with superficial morphology pahoehoe which, even arrived to the sea

Volcanes y turismo: patrimonio, atractivo, recurso y producto.

Resumen: En este trabajo se analizan los recursos turísticos de los volcanes con especial interés en las aportaciones al congreso ciudades sobre volcanes. Se estudia el caso de Canarias y se resaltan los productos turísticos con la marca volcán. Al mismo tiempo se propone la creación de nuevos productos vinculados con el geoturismo. Palabras clave: Volcanes; Turismo; Patrimonio natural; Recurso; Producto turístico Abstract: This paper analyzes the tourist resources from volcanoes. Our work studies the abstract and posters presented in the two sessions of the 6th Cities on volcanoes: volcanic national parks, protected areas, biosphere, geoparks and lanscape managements and volcanoes a unique adventure and tourist attraction. In Canary Islands exist several volcanic products, but the geotourism is not very present. Keys words: Tourism; Services, Internal market; Canary Islands

Geomorphosites and geotourism in volcanic landscapes: the example of la corona del lajial cinder cone (el hierro, canary islands, Spain)

Geomorphosites and geotourism in volcanic landscape: the example of La Corona del Lajial cinder cone (El Hierro, Canary Islands, Spain). Volcanic landscapes are very often visited by tourists. This paper underlines the relevance of geomorphological heritage as a tourist resource through an assessment of the different geosites (scientific or intrinsic values, cultural or added values and use and managements values) present in La Corona del Lajial Volcano, located in the Canarian island of El Hierro (Spain). El Hierro receives a type of sustainable tourism related to its ecotourist offer based on products like diving or hiking. However, the volcanoes on the island are not appreciated enough as a tourist attraction. The objective of this paper is to highlight the tourist potential of volcanic geomorphology as a tourist resource and alternative activity to diving, by means of the creation of new ecotouristic products such as volcanic hiking

Elective cancer surgery in COVID-19-free surgical pathways during the SARS-CoV-2 pandemic: An international, multicenter, comparative cohort study

PURPOSE As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19–free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19–free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19–free surgical pathways. Patients who underwent surgery within COVID-19–free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19–free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score–matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19–free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION Within available resources, dedicated COVID-19–free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

Elective Cancer Surgery in COVID-19-Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study.

PURPOSE: As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19-free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS: This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19-free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS: Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19-free surgical pathways. Patients who underwent surgery within COVID-19-free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19-free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score-matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19-free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION: Within available resources, dedicated COVID-19-free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Geomorfología de los volcanes de Orchilla y de la erupción fisural del ne (El Hierro, Islas Canarias).

Descripción de los elementos geomorfológicos más representativos de la isla baja de Orchilla en El Hierro (Canarias), donde aparecen morfologías volcánicas muy variadas relacionadas con erupciones de tipo efusivo y estromboliano: conos de piroclastos, coneletes de spatter, hornitos, coladas de lava, represamientos lávicos, erupciones fisurales, etc..

Volcanes y turismo: patrimonio, atractivo, recurso y producto.

Resumen: En este trabajo se analizan los recursos turísticos de los volcanes con especial interés en las aportaciones al congreso ciudades sobre volcanes. Se estudia el caso de Canarias y se resaltan los productos turísticos con la marca volcán. Al mismo tiempo se propone la creación de nuevos productos vinculados con el geoturismo. Palabras clave: Volcanes; Turismo; Patrimonio natural; Recurso; Producto turístico Abstract: This paper analyzes the tourist resources from volcanoes. Our work studies the abstract and posters presented in the two sessions of the 6th Cities on volcanoes: volcanic national parks, protected areas, biosphere, geoparks and lanscape managements and volcanoes a unique adventure and tourist attraction. In Canary Islands exist several volcanic products, but the geotourism is not very present. Keys words: Tourism; Services, Internal market; Canary Islands

Proposal of volcanic geomorphosites itineraries on las cañadas del Teide national park (Tenerife, Spain).

Hiking tourism, which combines other activities with the appreciation of volcanic landcapes, is today one of the main economic activities of sustainable tourism in several Canarian enclaves