Valorización de Unión Andina de Cementos S.A.

El presente trabajo de investigación tiene como fin estimar el valor intrínseco de Unión Andina de Cementos S.A.A. (Unacem), utilizando para ello los conocimientos adquiridos durante la Maestría en Finanzas. La actividad principal de la empresa es la producción y exportación de todo tipo de cemento; y cuenta con dos plantas ubicadas en Lima y en Junín con una producción anual de 6,7 millones de toneladas de clínker y 8,3 millones de toneladas de cemento, respectivamente. Inició operaciones en 1967 bajo el nombre Cementos Lima, y en 1956, las dos cementeras más representativas del país -Cementos Lima y Cemento Andino- se unieron para crear Unacem

National oral health policy in Brazil

El programa Brasil Sonriente (BS) fue creado por el gobierno federal de Brasil, como parte de su Sistema Único de Salud, en el año 2004. Dicho programa provee decenas de miles de equipos de salud bucal en la atención primaria básica, establece atenciones de mediana complejidad y fomenta las políticas municipales de fluorización del suministro de agua y rehabilitación bucal protésica, por medio de los laboratorios regionales de prótesis dental, entre otras acciones. La Política Nacional de Salud Bucal (PNSB) y su programa BS son reconocidos como responsables del aumento en el acceso a los servicios de salud pública. Aproximadamente 15 años después de la implementación de la PNSB, pueden ser observados avances importantes: aumento exponencial en la cobertura de los equipos de salud bucal en la atención básica y un enfoque del cuidado integral de la salud. Sin embargo, los puntos positivos no pueden ocultar los obstáculos que aún existen. La municipalización del sistema de salud se llevó a cabo bajo el amparo de la redemocratiza-ción y la premisa del empoderamiento de los actores locales en la discusión de un modelo de salud más conveniente para ofrecer servicios a los usuarios. Sin embargo, la forma en que el Estado brasilero se organiza y financia distorsionó la estructura de las redes inte-grales de atención en salud.The Smiling Brazil (BS) program was created by the federal government of Brazil, as part of its Unified Health System, in 2004. This program provides tens of thousands of oral health teams in basic primary care, establishes care for medium complexity and promotes municipal policies for fluoridation of the water supply and prosthetic oral rehabilitation, through regional dental prosthesis laboratories, among other actions. The National Oral Health Policy (PNSB) and its BS program are recognized as responsible for increasing access to public health services. Approximately 15 years after the implementation of the PNSB, important advances can be observed: exponential increase in the coverage of oral health teams in basic care and a comprehensive health care approach. However, the accomplishments cannot hide the obstacles that still exist. The municipalization of the health system was carried out under the protection of democratization and the premise of empowerment of local officers in the discussion of a more convenient health model to offer services to users. But the way in which the Brazilian State organized and financed itself distorted the structure of the health care networks

Brasil y su política nacional de salud bucal

The Smiling Brazil (BS) program was created by the federal government of Brazil, as part of its Unified Health System, in 2004. This program provides tens of thousands of oral health teams in basic primary care, establishes care for medium complexity and promotes municipal policies for fluoridation of the water supply and prosthetic oral rehabilitation, through regional dental prosthesis laboratories, among other actions. The National Oral Health Policy (PNSB) and its BS program are recognized as responsible for increasing access to public health services. Approximately 15 years after the implementation of the PNSB, important advances can be observed: exponential increase in the coverage of oral health teams in basic care and a comprehensive health care approach. However, the accomplishments cannot hide the obstacles that still exist. The municipalization of the health system was carried out under the protection of democratization and the premise of empowerment of local officers in the discussion of a more convenient health model to offer services to users. But the way in which the Brazilian State organized and financed itself distorted the structure of the health care networks.El programa Brasil Sonriente (BS) fue creado por el gobierno federal de Brasil, como parte de su Sistema Único de Salud, en el año 2004. Dicho programa provee decenas de miles de equipos de salud bucal en la atención primaria básica, establece atenciones de mediana complejidad y fomenta las políticas municipales de fluorización del suministro de agua y rehabilitación bucal protésica, por medio de los laboratorios regionales de prótesis dental, entre otras acciones. La Política Nacional de Salud Bucal (PNSB) y su programa BS son reconocidos como responsables del aumento en el acceso a los servicios de salud pública. Aproximadamente 15 años después de la implementación de la PNSB, pueden ser observados avances importantes: aumento exponencial en la cobertura de los equipos de salud bucal en la atención básica y un enfoque del cuidado integral de la salud. Sin embargo, los puntos positivos no pueden ocultar los obstáculos que aún existen. La municipalización del sistema de salud se llevó a cabo bajo el amparo de la redemocratización y la premisa del empoderamiento de los actores locales en la discusión de un modelo de salud más conveniente para ofrecer servicios a los usuarios. Sin embargo, la forma en que el Estado brasilero se organiza y financia distorsionó la estructura de las redes integrales de atención en salud

Alternativas de vida: Trece experiencias de desarrollo endógeno en Ecuador

En el libro se compila un estudio introductorio y trece artículos que son los resúmenes de las respectivas tesis de algunos de los profesionales que cursaron la Maestría en Desarrollo Local con Mención e Diseño y Evaluación de Proyectos de Desarrollo Endógeno en el periodo 2007-2009 de la UPS. En este sentido, el libro representa también una visión panorámica de las experiencias de desarrollo endógeno auspiciadas por AeA en el país,por lo que es, de alguna manera una retrospectiva de su presencia en el Ecuador

Data descriptor: freshwater macroinvertebrate samples from a water quality monitoring network in the iberian peninsula

This dataset gathers information about the macroinvertatebrate samples and environmental variables collected on rivers of the Ebro River Basin (NE Iberian Peninsula), the second largest catchment in the Iberian Peninsula. The collection is composed of 1,776 sampling events carried out between 2005 and 2015 at more than 400 sampling sites. This dataset is part of a monitoring network set up by the Ebro Hydrographic Confederation, the official body entrusted with the care of the basin, to fulfill the requirements of the European Water Framework Directive. Biological indices based on the freshwater macroinvertebrate communities were used to evaluate the ecological status of the water bodies within the basin. Samples were qualitatively screened for all occurring taxa. Then, all individuals from all taxa in a quantitative subsample of each sample were counted. Biological indices were calculated to estimate water quality at each sampling site. All samples are kept at the Museum of Zoology of the University of Navarra

Multiomics Assessment of Gene Expression in a Clinical Strain of CTX-M-15-Producing ST131 Escherichia coli

Extended-spectrum beta-lactamase (ESBL)-producing strain C999 was isolated of a Spanish patient with urinary tract infection. Previous genotyping indicated that this strain presented a multidrug-resistance phenotype and carried beta-lactamase genes encoding CTX-M-15, TEM-1, and OXA-1 enzymes. The whole-cell proteome, and the membrane, cytoplasmic, periplasmic and extracellular sub-proteomes of C999 were obtained in this work by two-dimensional gel electrophoresis (2DE) followed by fingerprint sequencing through matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF/MS). A total of 602 proteins were identified in the different cell fractions, several of which are related to stress response systems, cellular responses, and antibiotic and drug responses, consistent with the multidrug-resistance phenotype. In parallel, whole genome sequencing (WGS) and RNA sequencing (RNA-Seq) was done to identify and quantify the genes present and expressing. The prediction following WGS confirmed our strain as being serotype O25:H4 and sequence type ST131. The presence of proteins related to antibiotic resistance and virulence in an O25:H4-ST131 clone are serious indicators of the continued threat of antibiotic resistance spread amongst healthcare institutions. On a positive note, a multiomics approach can facilitate surveillance and more detailed characterization of virulent bacterial clones from hospital environments

Carbon isotopic ratios of modern C3 and C4 vegetation on the Indian peninsula and changes along the plant–soil–river continuum – implications for vegetation reconstructions

The large difference in the fractionation of stable carbon isotopes between C3 and C4 plants is widely used in vegetation reconstructions, where the predominance of C3 plants suggests wetter and that of C4 plants drier conditions. The stable carbon isotopic composition of organic carbon (OC) preserved in soils or sediments may be a valuable (paleo-)environmental indicator, based on the assumption that plant-derived material retains the stable carbon isotopic value of its photosynthetic pathway during transfer from plant to sediment. In this study, we investigated the bulk carbon isotopic values of C3 and C4 plants (δ13C) and of organic carbon (δ13Corg) in soils, river suspended particulate matter (SPM) and riverbed sediments to gain insight into the control of precipitation on C3 and C4 plant δ13C values and to assess changes in δ13Corg values along the plant–soil–river continuum. This information allows us to elucidate the implications of different δ13C end-members on C3 / C4 vegetation reconstructions. Our analysis was performed in the Godavari River basin, located in the core monsoon zone in peninsular India, a region that integrates the hydroclimatic and vegetation changes caused by variation in monsoonal strength. The basin has distinct wet and dry seasons and is characterised by natural gradients in soil type (from clay-rich to sandy), precipitation (∼ 500 to 1500 mm yr−1) and vegetation type (from mixed C3 / C4 to primarily C3) from the upper to the lower basin. The δ13C values of Godavari C3 plants were strongly controlled by mean annual precipitation (MAP), showing an isotopic enrichment of ∼ 2.2 ‰ from ∼ 1500 to 500 mm yr−1. Tracing δ13Corg values from plant to soils and rivers revealed that soils and riverbed sediments reflected the transition from mixed C3 and C4 vegetation in the dry upper basin to more C3 vegetation in the humid lower basin. Soil degradation and stabilisation processes and hydrodynamic sorting within the river altered the plant-derived δ13C signal. Phytoplankton dominated the δ13Corg signal carried by SPM in the dry season and year-round in the upper basin. Application of a linear mixing model showed that the %C4 plants in the different subbasins was ∼ 7 %–15 % higher using plant end-members based on measurement of the Godavari vegetation and tailored to local moisture availability than using those derived from data compilations of global vegetation. Including a correction for the 13C enrichment in Godavari C3 plants due to drought resulted in maximally 6 % lower estimated C4 plant cover. Our results from the Godavari basin underline the importance of making informed choices about the plant δ13C end-members for vegetation reconstructions, considering characteristics of the regional vegetation and environmental factors such as MAP in monsoonal regions

The role of rehabilitation care workers in South African healthcare: A Q-methodological study

The South African Department of Health identified the need to train a new cadre of community health worker (CHW) in the field of rehabilitation as part of their 2030 Health Plan that aims to improve primary healthcare (PHC) and community-based rehabilitation (CBR). Community health workers can be effectively utilised in CBR if their role is understood and their potential is not limited by professional protectionism and scepticism. A clear understanding of the scope of practice of a new cadre will minimise resistance by health professionals. Objectives: The aim of this study was to explore rehabilitation health professionals’ perception of the role of the new cadre, called rehabilitation care workers (RCWs), in South African healthcare. Q-methodology was used to gather and interpret the data. A convenient sample of 16 health professionals participated in the study. Participants ranked statements about the role of the RCWs from strongly agree to strongly disagree. Data were entered into PQMethod software program for statistical and factor analysis