Propuesta de un programa de motivación para mejorar la satisfacción laboral de los trabajadores del programa nacional de saneamiento rural urbano del ministerio de vivienda del Perú

La presente investigación es de tipo experimental, la finalidad de este trabajo fue plantear un programa de motivación con la finalidad de mejorar la satisfacción laboral de los trabajadores del ministerio de vivienda del Perú, para ello se recogió los datos de nuestro universo en estudio, conformado por 150 trabajadores, para luego elaborar el procesamiento muestral, la muestra estuvo conformada por 80 personas, a las cuales se le aplico un programa motivacional, con el fin de mejorar la variable dependiente en estudio, en este caso la satisfacción laboral.Trabajo de investigació

PROPUESTA DE UN PROGRAMA DE MOTIVACION PARA MEJORAR LA SATISFACCIÓN LABORAL DE LOS TRABAJADORES DEL PROGRAMA NACIONAL DE SANEAMIENTO RURAL URBANO DEL MINISTERIO DE VIVIENDA DEL PERU

Trabajo de investigaciónLa presente investigación es de tipo experimental, la finalidad de este trabajo fue plantear un programa de motivación con la finalidad de mejorar la satisfacción laboral de los trabajadores del ministerio de vivienda del Perú, para ello se recogió los datos de nuestro universo en estudio, conformado por 150 trabajadores, para luego elaborar el procesamiento muestral, la muestra estuvo conformada por 80 personas, a las cuales se le aplico un programa motivacional, con el fin de mejorar la variable dependiente en estudio, en este caso la satisfacción laboral

La innovación digital en la práctica deportiva de la comunidad tenista aficionada del Perú

El presente proyecto de negocio denominado “La innovación digital en la práctica deportiva de la comunidad tenista aficionada del Perú” fue elaborado en respuesta a la identificación de una creciente necesidad del segmento, por contar con un producto que facilite la logística de la práctica del tenis. La propuesta de valor del negocio unifica la comunidad deportiva amateur del tenis en una red social inclusiva, integrando a todo el mundo del deporte (entrenadores, clubes, canchas, académicas, deportistas, torneos, comercios y fanáticos) del tenis en un solo lugar, mediante una plataforma virtual (App) que los conecte a través de portafolio de servicios. A partir de un sondeo, determinamos que el público objetivo corresponde al segmento socio económico NSE A y B entre 25 a 71 años, de los distritos de San Isidro, Miraflores, Surco, San Borja y La Molina. El proyecto tendrá un crecimiento de la demanda desde el segundo año del 15% y 18%, 21% y 24% para el tercer, cuarto y quinto año respectivamente. Así mismo, un resultado positivo desde el tercer año de operación con un TIR (Tasa Inversión de Retorno) de 52.99% y VAN (Valor Actual Neto) de S/ 322,183, respaldando la factibilidad y viabilidad del negocio.Abstract: This business project called “Digital Innovation in Sports Practice of the Amateur Tennis Community of Peru” was prepared in response to the identification of a growing need for the segment, because it has a product that facilitates the logistics of tennis practice. The business value proposal unifies the amateur sports community of tennis in an inclusive social network, integrating the entire world of sport (coaches, clubs, courts, academics, athletes, tournaments, shops and fans) of tennis in one place, through a virtual platform (App) that connects them through a portfolio of services. From a survey, we determine that the target audience corresponds to the socio-economic segment NSE A and B between 25 and 71 years, of the districts Of San Isidro, Miraflores, Surco, San Borja and La Molina. The project will have a growth in demand from the second year of 15% and 18%, 21% and 24% for the third, fourth and fifth year respectively. Likewise, a positive result from the third year of operation with an TIR of 52.99% and VAN of S/ 322,182 supporting the feasibility and viability of the business.Tesi

La innovación digital en la práctica deportiva de la comunidad tenista aficionada del Perú

Abstract: This business project called “Digital Innovation in Sports Practice of the Amateur Tennis Community of Peru” was prepared in response to the identification of a growing need for the segment, because it has a product that facilitates the logistics of tennis practice. The business value proposal unifies the amateur sports community of tennis in an inclusive social network, integrating the entire world of sport (coaches, clubs, courts, academics, athletes, tournaments, shops and fans) of tennis in one place, through a virtual platform (App) that connects them through a portfolio of services. From a survey, we determine that the target audience corresponds to the socio-economic segment NSE A and B between 25 and 71 years, of the districts Of San Isidro, Miraflores, Surco, San Borja and La Molina. The project will have a growth in demand from the second year of 15% and 18%, 21% and 24% for the third, fourth and fifth year respectively. Likewise, a positive result from the third year of operation with an TIR of 52.99% and VAN of S/ 322,182 supporting the feasibility and viability of the business.TesisEl presente proyecto de negocio denominado “La innovación digital en la práctica deportiva de la comunidad tenista aficionada del Perú” fue elaborado en respuesta a la identificación de una creciente necesidad del segmento, por contar con un producto que facilite la logística de la práctica del tenis. La propuesta de valor del negocio unifica la comunidad deportiva amateur del tenis en una red social inclusiva, integrando a todo el mundo del deporte (entrenadores, clubes, canchas, académicas, deportistas, torneos, comercios y fanáticos) del tenis en un solo lugar, mediante una plataforma virtual (App) que los conecte a través de portafolio de servicios. A partir de un sondeo, determinamos que el público objetivo corresponde al segmento socio económico NSE A y B entre 25 a 71 años, de los distritos de San Isidro, Miraflores, Surco, San Borja y La Molina. El proyecto tendrá un crecimiento de la demanda desde el segundo año del 15% y 18%, 21% y 24% para el tercer, cuarto y quinto año respectivamente. Así mismo, un resultado positivo desde el tercer año de operación con un TIR (Tasa Inversión de Retorno) de 52.99% y VAN (Valor Actual Neto) de S/ 322,183, respaldando la factibilidad y viabilidad del negocio

Weaning from mechanical ventilation in intensive care units across 50 countries (WEAN SAFE): a multicentre, prospective, observational cohort study

Background Current management practices and outcomes in weaning from invasive mechanical ventilation are poorly understood. We aimed to describe the epidemiology, management, timings, risk for failure, and outcomes of weaning in patients requiring at least 2 days of invasive mechanical ventilation. Methods WEAN SAFE was an international, multicentre, prospective, observational cohort study done in 481 intensive care units in 50 countries. Eligible participants were older than 16 years, admitted to a participating intensive care unit, and receiving mechanical ventilation for 2 calendar days or longer. We defined weaning initiation as the first attempt to separate a patient from the ventilator, successful weaning as no reintubation or death within 7 days of extubation, and weaning eligibility criteria based on positive end-expiratory pressure, fractional concentration of oxygen in inspired air, and vasopressors. The primary outcome was the proportion of patients successfully weaned at 90 days. Key secondary outcomes included weaning duration, timing of weaning events, factors associated with weaning delay and weaning failure, and hospital outcomes. This study is registered with ClinicalTrials.gov, NCT03255109. Findings Between Oct 4, 2017, and June 25, 2018, 10 232 patients were screened for eligibility, of whom 5869 were enrolled. 4523 (77·1%) patients underwent at least one separation attempt and 3817 (65·0%) patients were successfully weaned from ventilation at day 90. 237 (4·0%) patients were transferred before any separation attempt, 153 (2·6%) were transferred after at least one separation attempt and not successfully weaned, and 1662 (28·3%) died while invasively ventilated. The median time from fulfilling weaning eligibility criteria to first separation attempt was 1 day (IQR 0–4), and 1013 (22·4%) patients had a delay in initiating first separation of 5 or more days. Of the 4523 (77·1%) patients with separation attempts, 2927 (64·7%) had a short wean (≤1 day), 457 (10·1%) had intermediate weaning (2–6 days), 433 (9·6%) required prolonged weaning (≥7 days), and 706 (15·6%) had weaning failure. Higher sedation scores were independently associated with delayed initiation of weaning. Delayed initiation of weaning and higher sedation scores were independently associated with weaning failure. 1742 (31·8%) of 5479 patients died in the intensive care unit and 2095 (38·3%) of 5465 patients died in hospital. Interpretation In critically ill patients receiving at least 2 days of invasive mechanical ventilation, only 65% were weaned at 90 days. A better understanding of factors that delay the weaning process, such as delays in weaning initiation or excessive sedation levels, might improve weaning success rates

Weaning from mechanical ventilation in intensive care units across 50 countries (WEAN SAFE): a multicentre, prospective, observational cohort study

Background: Current management practices and outcomes in weaning from invasive mechanical ventilation are poorly understood. We aimed to describe the epidemiology, management, timings, risk for failure, and outcomes of weaning in patients requiring at least 2 days of invasive mechanical ventilation. Methods: WEAN SAFE was an international, multicentre, prospective, observational cohort study done in 481 intensive care units in 50 countries. Eligible participants were older than 16 years, admitted to a participating intensive care unit, and receiving mechanical ventilation for 2 calendar days or longer. We defined weaning initiation as the first attempt to separate a patient from the ventilator, successful weaning as no reintubation or death within 7 days of extubation, and weaning eligibility criteria based on positive end-expiratory pressure, fractional concentration of oxygen in inspired air, and vasopressors. The primary outcome was the proportion of patients successfully weaned at 90 days. Key secondary outcomes included weaning duration, timing of weaning events, factors associated with weaning delay and weaning failure, and hospital outcomes. This study is registered with ClinicalTrials.gov, NCT03255109. Findings: Between Oct 4, 2017, and June 25, 2018, 10 232 patients were screened for eligibility, of whom 5869 were enrolled. 4523 (77·1%) patients underwent at least one separation attempt and 3817 (65·0%) patients were successfully weaned from ventilation at day 90. 237 (4·0%) patients were transferred before any separation attempt, 153 (2·6%) were transferred after at least one separation attempt and not successfully weaned, and 1662 (28·3%) died while invasively ventilated. The median time from fulfilling weaning eligibility criteria to first separation attempt was 1 day (IQR 0-4), and 1013 (22·4%) patients had a delay in initiating first separation of 5 or more days. Of the 4523 (77·1%) patients with separation attempts, 2927 (64·7%) had a short wean (≤1 day), 457 (10·1%) had intermediate weaning (2-6 days), 433 (9·6%) required prolonged weaning (≥7 days), and 706 (15·6%) had weaning failure. Higher sedation scores were independently associated with delayed initiation of weaning. Delayed initiation of weaning and higher sedation scores were independently associated with weaning failure. 1742 (31·8%) of 5479 patients died in the intensive care unit and 2095 (38·3%) of 5465 patients died in hospital. Interpretation: In critically ill patients receiving at least 2 days of invasive mechanical ventilation, only 65% were weaned at 90 days. A better understanding of factors that delay the weaning process, such as delays in weaning initiation or excessive sedation levels, might improve weaning success rates. Funding: European Society of Intensive Care Medicine, European Respiratory Society