Propuesta Estratégica de Mejora en la Implementación de los Estándares Mínimos del Sistema de Gestión de la Seguridad y Salud en el Trabajo (SG-SST) en la empresa Gytrans para el primer semestre de 2019

Como opción de grado del Programa de Administración de Empresas, hemos elegido el Diplomado de Profundización en Gerencia del Talento Humano; que se constituye en una valiosa herramienta, primordial en la formación del profesional de las ciencias administrativas; la temática del curso se ha desarrollado mediante una investigación del Sistema de Gestión de la Seguridad y Salud en el Trabajo en la empresa Gytrans, con el propósito de fortalecer las competencias en la gestión del capital humano, que nos permita generar valor organizacional y que nos brinden los elementos esenciales para la formación integral en esta importante disciplina, y en esta medida, poder gestionar la acción del personal dentro del entorno laboral; y así mismo lograr desarrollar con total éxito nuestro propósito académico y graduarnos como Administradores de Empresas.Strategic proposal for improvement in the implementation of the Minimum Standards of the Occupational Health and Safety Management System (SG-SST) in the company Gytrans for the first semester of 201

Are the hypertension treatment and prevention programs helping to control the disease?

ABSTRACT: Hypertension is a progressive disease that remains as an asymptomatic disease for a long period of time, causing damage on specific organs like heart, kidney, and blood vessels; for that reason prevention and educational health programs should be implemented. Objective: To analyze, the view that patients have about health service’s hypertension programs that help patients to control and prevent the disease risk factors. Materials and methods: Descriptive cross sectional study; the sample was selected in a not probabilistic approach from the participating health services. Results: 52% of the patients perceived that drinking alcohol decreased due to the recommendations given in the program, and also 42 % that were active smokers at the moment of the interview, 26 % quit smoking with those recommendations. 74 % of participants do exercises then 65% told to start work out when they were involved in the program. About food intake 92% of the Participants reported reduction in fat intake, 91% in salt consumption and 86 % decrease salt addition to food. Conclusions: Health education activities given to patients help them to take part in their control and prevention of hypertension disease.RESUMEN: La hipertensión arterial (HTA) es una enfermedad silenciosa y progresiva que puede desencadenar daños significativos en un órgano blanco, lo que requiere de acciones de educación para la salud. Objetivo: analizar la opinión de los usuarios de diferentes Empresas Prestadoras de Servicios de Salud (EPS) de Medellín, sobre la contribución de los programas de control de HTA al manejo de la enfermedad y a la modificación de factores de riesgo que permitan su control. Materiales y métodos: estudio descriptivo, transversal; se seleccionó una muestra por conveniencia en las EPS participantes. Resultados: el 52% de los usuarios percibe que dejó, o disminuyó, el consumo de licor por las recomendaciones del programa. De los usuarios que no fumaban al momento de la encuesta, el 42% fueron fumadores, y de estos, 26% dejaron de fumar por dichas recomendaciones. El 74% realizaban actividad física, y de estos, el 65% afirmaron haberla iniciado por su participación en el programa. En cuanto a la alimentación, las recomendaciones que más practicaban los asistentes fueron la disminución en el consumo de grasas (92%), disminución del consumo de sal (91%) y la no adición de sal a las preparaciones (86%). Conclusiones: las actividades de educación para la salud, en opinión de los usuarios, fomentan prácticas cotidianas que contribuyen al manejo y control de la HTA

Predictive Power of the "Trigger Tool" for the detection of adverse events in general surgery: a multicenter observational validation study

Background In spite of the global implementation of standardized surgical safety checklists and evidence-based practices, general surgery remains associated with a high residual risk of preventable perioperative complications and adverse events. This study was designed to validate the hypothesis that a new “Trigger Tool” represents a sensitive predictor of adverse events in general surgery. Methods An observational multicenter validation study was performed among 31 hospitals in Spain. The previously described “Trigger Tool” based on 40 specific triggers was applied to validate the predictive power of predicting adverse events in the perioperative care of surgical patients. A prediction model was used by means of a binary logistic regression analysis. Results The prevalence of adverse events among a total of 1,132 surgical cases included in this study was 31.53%. The “Trigger Tool” had a sensitivity and specificity of 86.27% and 79.55% respectively for predicting these adverse events. A total of 12 selected triggers of overall 40 triggers were identified for optimizing the predictive power of the “Trigger Tool”. Conclusions The “Trigger Tool” has a high predictive capacity for predicting adverse events in surgical procedures. We recommend a revision of the original 40 triggers to 12 selected triggers to optimize the predictive power of this tool, which will have to be validated in future studies

Clonal chromosomal mosaicism and loss of chromosome Y in elderly men increase vulnerability for SARS-CoV-2

The pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2, COVID-19) had an estimated overall case fatality ratio of 1.38% (pre-vaccination), being 53% higher in males and increasing exponentially with age. Among 9578 individuals diagnosed with COVID-19 in the SCOURGE study, we found 133 cases (1.42%) with detectable clonal mosaicism for chromosome alterations (mCA) and 226 males (5.08%) with acquired loss of chromosome Y (LOY). Individuals with clonal mosaic events (mCA and/or LOY) showed a 54% increase in the risk of COVID-19 lethality. LOY is associated with transcriptomic biomarkers of immune dysfunction, pro-coagulation activity and cardiovascular risk. Interferon-induced genes involved in the initial immune response to SARS-CoV-2 are also down-regulated in LOY. Thus, mCA and LOY underlie at least part of the sex-biased severity and mortality of COVID-19 in aging patients. Given its potential therapeutic and prognostic relevance, evaluation of clonal mosaicism should be implemented as biomarker of COVID-19 severity in elderly people. Among 9578 individuals diagnosed with COVID-19 in the SCOURGE study, individuals with clonal mosaic events (clonal mosaicism for chromosome alterations and/or loss of chromosome Y) showed an increased risk of COVID-19 lethality

Guía de práctica clínica para la prevención, diagnóstico, tratamiento y rehabilitación de la falla cardiaca en población mayor de 18 años, clasificación B, C y D

La falla cardíaca es un síndrome clínico caracterizado por síntomas y signos típicos de insuficiencia cardíaca, adicional a la evidencia objetiva de una anomalía estructural o funcional del corazón. Guía completa 2016. Guía No. 53Población mayor de 18 añosN/

Estudio de productos y subproductos agroindustriales. Química y tecnología del aroma de frutas tropicales.

IP 1101-07-094-91v.1. Informe final -- v.2. Volatiles libres en las hojas de lulo(Solanumquitoense Lam) y estudios preliminares sobre la presencia de compuestos glicosidicoscomoprecursores inmediatos de volatiles / Coralia Osorio Roa ; directora: Carmenza Duque -- v.3. Componentesvolatiles del tomate de arbol rojo (Cyphomandra betacea) y efecto de la acidez y el tratamiento termico sobresugeneracion / Anita Torrado Pachecho ; directora: Carmenza Duque B. -- v.4. Sistema de informacion comosoporte al uso, investigacion y produccion de los aceites esenciales de las plantas en Colombia / SandraElizabeth PradaPortela, Oscar Rene Zapata Lopez ; director: Ramon Diaz ; codirector: Carmenza Duque.CAPITULO(S) EN LIBRO: Glycosides of C13-Norisoprenoids asaromaprecursorsin lulo (Solanum quitoense L.);Leaves / Coralia Osorio, Carmenza Duque and Yoshinori Fujimoto.-- p. 353-355. -- En: Natural product;analysis : chromatography, spectroscopy, biological testing /Peter Schreier ... [et al.] ; with collaboration;of Matthias Kleinschnitz. -- Wiesbaden : Vieweg, c1998. --xi,416 p. : il. ; 24 cm. -- ISBN 3528069236 --;ARTICULO(S) EN REVISTA: Aliphatic ?-D-glucosides from fruits ofcarica pubescens / Doris Krajewski, Carmenza;Duque and Peter Schreier. -- En: Phytochemistry. -- Vol. 45, no.8 (1997);p. 1627-1631. -- ISSN 00319422 --;Volatile constituents from Andes berry (Rubus glaucus Benth) /Alicia Lucia Morales, Diana Albarracin, Javier;Rodriguez and Carmenza Duque. -- En: Journal of High ResolutionChromatography. -- Vol. 19 (Oct. 1996); p. 585;- 587. -- ISSN 09356304 -- Analisis enantioselectivo de compuestos quirales por cromatografia de gases / Ana;Lucia Morales P. y Carmenza Duque B. -- En: Quimica e Industria. -- Vol.19 (1996); p.33-37. -- ISSN 03702871; 1-O-?-D-Glucopyranosyl anthranilate from piñuela (Bromeliaplumieri) fruit / Fabian Parada, Doris;Krajewski, Carmenza Duque, Elke Jager, Markus Herderich and Peter Schreier. -- En: Phytochemistry. -- Vol. 42;(1996); p.871-873. -- ISSN 0031942 -- Free and glycosidicallybound volatiles in granadilla (Passiflora;vitifolia HBK.) / J. Agudelo, M. Suarez and C. Duque. -- En: Journal of Essential Oil Research. -- Vol. 8;(1996); p. 255-258. -- ISSN 10412905 -- Volatiles generados porhidrolisisenzimatica de glicosidos de hojas;de lulo (Solanum quitoense L.) / Coralia Osorio R. y CarmenzaDuque B. --En: Revista colombiana de quimica.; Vol. 24, no. 2 (1995); p. 69-81. -- ISSN 01202804 -- Volatileconstituents from tamarillo (Cyphomandra;betacea Sendtn.) fruit / A. Torrado, M. Suarez and C. Duque. --En: Flavour and Fragrance Journal. -- Vol.1