Plan de marketing para decorautos publicidad en la ciudad Pasto

La formulación del plan estratégico de marketing para Decorautos Publicidad, se elaboró teniendo en cuenta teorías como planeación, competitividad, marketing y Kaizen en la administración. Se realizó la evaluación interna y externa, el análisis de la información y la respectiva propuesta de mejoramiento. La consecución de la información necesaria para la realización del trabajo se llevó a cabo a través de encuestas, entrevista, análisis de documentos y observación directa. La información obtenida permitió elaborar las matrices MEFI, MEFI y así encontrar variables claves para la formulación de estrategias. Las estrategias planteadas son el resultado de diversos análisis que se presentan en la siguiente investigación, por ello se proponen como las factibles para el desarrollo integral de la planeación estratégica en este negocio. El trabajo realizado le permitirá a la empresa obtener elementos claves para guiarse y le servirá de apoyo para la toma de decisiones que impulsen el crecimiento del negocio.The formulation of strategic marketing plan for Decorautos Advertising, was developed taking into account theories such as planning, competitiveness, marketing and Kaizen in administration. internal and external evaluation information analysis and the respective proposal of improvement was carried out. Achieving the necessary information to carry out the work it was conducted through surveys, interviews, document analysis and direct observation. The information obtained allowed to elaborate the MEFI, MEFI matrices and thus find key variables for formulating strategies. The strategies proposed are the result of various analyzes presented in the following investigation therefore proposed as feasible for the comprehensive development of strategic planning in this business. The work will allow the company to obtain key elements to guide and will support decisions that drive business growth

Evolution over Time of Ventilatory Management and Outcome of Patients with Neurologic Disease∗

OBJECTIVES: To describe the changes in ventilator management over time in patients with neurologic disease at ICU admission and to estimate factors associated with 28-day hospital mortality. DESIGN: Secondary analysis of three prospective, observational, multicenter studies. SETTING: Cohort studies conducted in 2004, 2010, and 2016. PATIENTS: Adult patients who received mechanical ventilation for more than 12 hours. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Among the 20,929 patients enrolled, we included 4,152 (20%) mechanically ventilated patients due to different neurologic diseases. Hemorrhagic stroke and brain trauma were the most common pathologies associated with the need for mechanical ventilation. Although volume-cycled ventilation remained the preferred ventilation mode, there was a significant (p < 0.001) increment in the use of pressure support ventilation. The proportion of patients receiving a protective lung ventilation strategy was increased over time: 47% in 2004, 63% in 2010, and 65% in 2016 (p < 0.001), as well as the duration of protective ventilation strategies: 406 days per 1,000 mechanical ventilation days in 2004, 523 days per 1,000 mechanical ventilation days in 2010, and 585 days per 1,000 mechanical ventilation days in 2016 (p < 0.001). There were no differences in the length of stay in the ICU, mortality in the ICU, and mortality in hospital from 2004 to 2016. Independent risk factors for 28-day mortality were age greater than 75 years, Simplified Acute Physiology Score II greater than 50, the occurrence of organ dysfunction within first 48 hours after brain injury, and specific neurologic diseases such as hemorrhagic stroke, ischemic stroke, and brain trauma. CONCLUSIONS: More lung-protective ventilatory strategies have been implemented over years in neurologic patients with no effect on pulmonary complications or on survival. We found several prognostic factors on mortality such as advanced age, the severity of the disease, organ dysfunctions, and the etiology of neurologic disease