Diseño del sistema de gestión de calidad en el proceso de atención al cliente para el fondo de pensiones y cesantías PROTECCIÓN S.A. en la oficina de servicio AV. Suba

El presente estudio de estado del arte pretende como principal objetivo afianzar el tema investigativo de la presente tesis, de igual manera permitirá establecer comparaciones con otros conocimientos paralelos, y evidenciar la evolución que han tenido los Sistemas de Calidad aplicados a las empresas de servicios como el Fondo de Pensiones y Cesantías PROTECCIÓN S.A., particularmente en la oficina central de Servicio Av. Suba, aplicando teorías administrativas de calidad

Propuesta de diseño de un producto de microcrédito para el sector informal, aplicado a la banca privada

La pobreza una condición de carencia de lo necesario para vivir, los Gobiernos luchan para aplacarla, por ello se creó el sistema financiero de economía popular y solidaria que ofrece financiamiento a través de microcréditos, instrumento financiero, mundialmente reconocido por su propósito de mejorar la calidad de vida de las personas vulnerables.Poverty is a condition of lacking the necessities of life, and governments struggle to alleviate it, which is why the popular and solidarity economy financial system was created to offer financing through microcredits, a financial instrument recognized worldwide for its purpose of improving the quality of life of vulnerable people

The applicability of the proposed accreditation of external auditors of publicly listed companies and their additional reporting requirements

This research paper aims to determine whether the proposed accreditation of external auditors of publicly listed companies and their additional reporting requirements applicable in the Philippines or not. It determines the reasons on why the SEC proposed such amendments as well as the criteria used in deriving the qualifications from publicly listed companies and from the external auditors are gathered and analyzed. Increase in number of fraud cases and changes in international standards are primary reason that made SEC proposed such accreditation. The BSP criteria for accreditation and its imposed additional reporting requirements and the reactions from external auditors are considered in deriving the criteria for accreditation. Most of the publicly listed companies welcome the accreditation since they believe it is beneficial to them. A more quality audit reports will be presented to the public. However, external auditors commented that such accreditation would mean work on their part and could affect the relationship of the cleint with its external auditor

Propuesta hambre 0 en niños de la Guajira

Se anexan graficas y tablas que permiten conocer los datos concernientes a este tema.Hambre 0 en niños de la Guajira, es una propuesta por medio de la cual pretendemos crear estrategias y realizar diferentes actividades, con el apoyo de entidades publicas y privadas, con el fin de mejorar la calidad de vida de los menores de 5 años y disminuir os índices de mortalidad por desnutrición.Hunger 0 in children of La Guajira, is a proposal through which we intend to create strategies and carry out different activities, with the support of public and private entities, in order to improve the quality of life of children under 5 years of age and reduce Mortality rates from malnutrition

Estudio comparativo de la resistencia flexural de dos materiales utilizados para la reconstrucción de muñones

The prosthetic treatments which require the reconstruction of the stump, they are intended to provide the damaged dental crown with resistance, retention and adequate form to receive the final restoration, that is why the purpose of the present investigation was to determine the flexural strength of two dental materials used for the reconstruction of stumps. For which, an in vitro study was carried out, in which 60 blocks of materials were made, 30 of micro-hybrid resin (TPH SPECTRUM - DENSTPLY) and 30 of glass ionomer type IV (VITREMER - 3M), according to the standard ISO 4049, that establishes the following measures: 25mm long, 2mm wide and 2mm high; the same ones that were subjected to a 3-point bending test using a Universal Testing machine (MARSHALL PS25), at a compression speed of 1.7mm / min until the flexural strength was measured before the fracture of the material occurred. With the results of the laboratory, the statistical analysis was performed with the T-Student test, obtaining the following results: the resistance to bending of the Micro-hybrid resin was 153.98Mpa and the type IV glass ionomer of 68.71 Mpa. Concluding in this way that the two materials meet the minimum value of flexural strength established by ISO 4049, which is 80 Mpa for Micro-hybrid resin and 50 Mpa for glass ionomer. However, it should be noted that the micro-hybrid resin is the material that has a greater resistance to bending.Los tratamientos protésicos que requieren de la reconstrucción del muñón, tienen como finalidad proporcionar a la corona dentaria dañada la resistencia, retención y forma adecuada para recibir la restauración final, es por ello que el objetivo de la presente investigación fue determinar la resistencia flexural de dos materiales dentales utilizados para la reconstrucción de muñones.   Para lo cual, se realizó un estudio in vitro, en el que se elaboraron 60 bloques de materiales, 30 de resina microhíbrida (TPH SPECTRUM – DENSTPLY) y 30 de Ionómero de vidrio tipo IV (VITREMER – 3M), de acuerdo a la norma ISO 4049, que establece las siguientes medidas: 25mm de largo, 2mm de ancho y 2mm de alto;  los mismos que fueron sometidos a una prueba de flexión de 3 puntos empleando una máquina de Ensayos Universal (MARSHALL PS25), a una velocidad de compresión de 1.7mm/min hasta conseguir medir la resistencia a la flexión antes de producirse la fractura del material.   Con los resultados de laboratorio se realizó el análisis estadístico con la prueba T-Student, obteniendo los siguientes resultados: la resistencia a la flexión de la resina Microhíbrida fue de 153.98Mpa y del Ionómero de vidrio tipo IV de 68.71 Mpa.  Concluyendo de esta manera que los dos materiales cumplen con el valor mínimo de resistencia a la flexión establecido por la norma ISO 4049, que es de 80 Mpa para la resina microhíbrida y 50 Mpa para el Ionómerode vidrio tipo IV. sin embargo, cabe destacar que la resina microhíbrida es el material que presenta una mayor resistencia a la flexión

Treatment and Survival Outcomes of Waldenstrom Macroglobulinemia in Latin American Patients: A Multinational Retrospective Cohort Study

PURPOSE: Waldenstrom Macroglobulinemia (WM) is a rare lymphoma with distinct clinical features, and data from Latin American patients are lacking. Therefore, we aim to investigate the clinical, therapy, and outcome patterns of WM in Latin America. METHODS: We retrospectively analyzed patients with WM diagnosed between 1991 and 2019 from 24 centers in seven Latin American countries. The study outcomes were overall survival (OS) and progression-free survival (PFS). RESULTS: We identified 159 cases (median age 67 years, male 62%). Most patients (95%) were symptomatic at diagnosis. The International Prognostic Scoring System for WM (IPSSWM) at diagnosis was available in 141 (89%) patients (high-risk 40%, intermediate-risk 37%, and low-risk 23%). Twenty-seven (17%) patients were tested for MYD88, with 89% (n = 24 of 27) carrying the mutation. First-line and second-line therapies were administered to 142 (89%) and 53 (33%) patients, respectively. Chemoimmunotherapy was the most commonly used first-line (66%) and second-line (45%) approach; only 18 (11%) patients received ibrutinib. With a median follow-up of 69 months, the 5-year OS rate was 81%. In treated patients, the 5-year OS and PFS rates were 78% and 59%, respectively. High-risk IPSSWM at treatment initiation was an independent risk factor for OS (adjusted hazard ratio: 4.73, 95% CI, 1.67 to 13.41, = .003) and PFS (adjusted hazard ratio: 2.43, 95% CI, 1.31 to 4.50, = .005). CONCLUSION: In Latin America, the management of WM is heterogeneous, with limited access to molecular testing and novel agents. However, outcomes were similar to those reported internationally. We validated the IPSSWM score as a prognostic factor for OS and PFS. There is an unmet need to improve access to recommended diagnostic approaches and therapies in Latin America

Seminario de Investigación Aplicada 2017 – I

Este trabajo tiene como objetivo mostrar la internacionalización y la importancia de cada uno de los temas a tratar en este libro que se llevó a cabo en el seminario de investigación aplicada que tomo por nombre de gestión financiera y contable bajo estándares internacionales. Colombia al ser uno de los últimos países de américa latina en implementar las normas de información financiera – NIIF busca la necesidad de llevar a cabo esta nueva normatividad logrando aplicar el decreto 1314 del 2009, por ende los estudiantes de último semestre del programa de contaduría pública de la Universidad Piloto de Colombia Seccional Alto Magdalena quienes tomaron por opción de grado el seminario de investigación aplicada, buscan consolidar por medio de varias problemáticas que se presentan actualmente en la mayoría de empresas tanto de personas naturales como jurídicas, obteniendo de esta manera aclarar dudas e inquietudes que se generan por medio de un trabajo realizado como una monografía de grado

The outcomes of patients with diabetes mellitus in The Philippine CORONA Study

Patients diagnosed with diabetes mellitus (DM) who are infected with severe acute respiratory syndrome coronavirus 2 (SARS-COV-2) belong to the most vulnerable patient subgroups. Emerging data has shown increased risks of severe infections, increased in ICU admissions, longer durations of admission, and increased mortality among coronavirus disease 2019 (COVID-19) patients with diabetes. We performed a subgroup analysis comparing the outcomes of patients diagnosed with DM (n = 2191) versus patients without DM (n = 8690) on our data from our study based on a nationwide, comparative, retrospective, cohort study among adult, hospitalized COVID-19 patients involving 37 hospital sites from around the Philippines. We determined distribution differences between two independent samples using Mann–Whitney U and t tests. Data on the time to onset of mortality, respiratory failure, intensive care unit (ICU) admission were used to build Kaplan–Meier curves and to compute for hazard ratios (HR). The odds ratios (OR) for longer ventilator dependence, longer ICU stay, and longer hospital stays were computed via multivariate logistic regression. Adjusted hazard ratios (aHR) and ORs (aOR) with 95% CI were calculated. We included a total of 10,881 patients with confirmed COVID-19 infection (2191 have DM while 8690 did not have DM). The median age of the DM cohort was 61, with a female to male ratio of 1:1.25 and more than 50% of the DM population were above 60 years old. The aOR for mortality was significantly higher among those in the DM group by 1.46 (95% CI 1.28–1.68; p \u3c 0.001) as compared to the non-DM group. Similarly, the aOR for respiratory failure was also significantly higher among those in the DM group by 1.67 (95% CI 1.46–1.90). The aOR for developing severe COVID-19 at nadir was significantly higher among those in the DM group by 1.85 (95% CI 1.65–2.07; p \u3c 0.001). The aOR for ICU admission was significantly higher among those in the DM group by 1.80 (95% CI 1.59–2.05) than those in the non-DM group. DM patients had significantly longer duration of ventilator dependence (aOR 1.33, 95% CI 1.08–1.64; p = 0.008) and longer hospital admission (aOR 1.13, 95% CI 1.01–1.26; p = 0.027). The presence of DM among COVID-19 patients significantly increased the risk of mortality, respiratory failure, duration of ventilator dependence, severe/critical COVID-19, ICU admission, and length of hospital stay

Worldwide trends in population-based survival for children, adolescents, and young adults diagnosed with leukaemia, by subtype, during 2000–14 (CONCORD-3): analysis of individual data from 258 cancer registries in 61 countries

Background: Leukaemias comprise a heterogenous group of haematological malignancies. In CONCORD-3, we analysed data for children (aged 0–14 years) and adults (aged 15–99 years) diagnosed with a haematological malignancy during 2000–14 in 61 countries. Here, we aimed to examine worldwide trends in survival from leukaemia, by age and morphology, in young patients (aged 0–24 years). Methods: We analysed data from 258 population-based cancer registries in 61 countries participating in CONCORD-3 that submitted data on patients diagnosed with leukaemia. We grouped patients by age as children (0–14 years), adolescents (15–19 years), and young adults (20–24 years). We categorised leukaemia subtypes according to the International Classification of Childhood Cancer (ICCC-3), updated with International Classification of Diseases for Oncology, third edition (ICD-O-3) codes. We estimated 5-year net survival by age and morphology, with 95% CIs, using the non-parametric Pohar-Perme estimator. To control for background mortality, we used life tables by country or region, single year of age, single calendar year and sex, and, where possible, by race or ethnicity. All-age survival estimates were standardised to the marginal distribution of young people with leukaemia included in the analysis. Findings: 164 563 young people were included in this analysis: 121 328 (73·7%) children, 22 963 (14·0%) adolescents, and 20 272 (12·3%) young adults. In 2010–14, the most common subtypes were lymphoid leukaemia (28 205 [68·2%] patients) and acute myeloid leukaemia (7863 [19·0%] patients). Age-standardised 5-year net survival in children, adolescents, and young adults for all leukaemias combined during 2010–14 varied widely, ranging from 46% in Mexico to more than 85% in Canada, Cyprus, Belgium, Denmark, Finland, and Australia. Individuals with lymphoid leukaemia had better age-standardised survival (from 43% in Ecuador to ≥80% in parts of Europe, North America, Oceania, and Asia) than those with acute myeloid leukaemia (from 32% in Peru to ≥70% in most high-income countries in Europe, North America, and Oceania). Throughout 2000–14, survival from all leukaemias combined remained consistently higher for children than adolescents and young adults, and minimal improvement was seen for adolescents and young adults in most countries. Interpretation: This study offers the first worldwide picture of population-based survival from leukaemia in children, adolescents, and young adults. Adolescents and young adults diagnosed with leukaemia continue to have lower survival than children. Trends in survival from leukaemia for adolescents and young adults are important indicators of the quality of cancer management in this age group