Percepción del servicio de los consumidores del restaurante Casa de piedra en La Calera

El presente estudio centraliza su atención en el Restaurante Casa de Piedra ubicado en la Calera Cundinamarca, donde a través de un diagnostico se determinó que en el último año se ha observado una fluctuación en las ventas, situación que ha conllevado a explorar dentro de este contexto el conocer las percepciones de los consumidores que, de acuerdo con sus apreciaciones poder establecer las causas de la problemática presente. En ese sentido se propuso como objetivo general Investigar y describir mediante la recolección de información, la percepción que se tiene de la calidad del servicio, producto, y atención del Restaurante Casa de Piedra, lo cual conduzca a construir estrategias para una experiencia diferente a sus consumidores. Metodológicamente se caracteriza por ser un estudio con enfoque cuantitativo, elaborado bajo un diseño de campo con alcance descriptivo-analítico. La muestra estuvo constituida por 52 personas, a quienes se les aplicó un instrumento tipo encuesta diseñada bajo el modelo de expectativas SERVQUAL con escalas tipo Likert. Los resultados alcanzados ponen en evidencia que el restaurante confirma la aceptación del público objetivo, pues cuenta con excelentes instalaciones, atención y productos de primera calidad. En líneas generales, se concluye que existe una percepción positiva de parte de la cartera de clientes, no obstante, existen algunos aspectos que es necesario considerar para fortalecer el negocio y estar a la altura de los exigentes requerimientos en calidad de servicio de los consumidores y de la competencia directa de los Restaurantes locales.This study focuses its attention on the Casa de Piedra restaurant located in La Calera, where through a diagnosis it was determined that in the last year a fluctuation in sales has been observed, a situation that has led to explore within this context to know the perceptions of consumers and based on their opinions to establish the causes of the current problem. In this sense, it was proposed as a general research objective to describe, through the collection of information, the perception of the service, attention and variables that build a different experience for the consumers of the Casa de Piedra restaurant. Methodologically, it is characterized by being a study with a quantitative approach, elaborated under a field design with a descriptive-analytical scope. The sample consisted of 52 people to whom a survey-type instrument designed under the SERVQUAL expectations model with Likert-type scales was applied. The results achieved show that the restaurant has the acceptance of the attending public, as it has good facilities, first-class service and top-quality products. In general terms, it is concluded that there is a perception of part of the client portfolio, however, there are some aspects that must be addressed to strengthen the business and keep up with the closest competitors. Key Words: Perception, service, consumer, Casa de Piedra restaurant, market This study focuses its attention on the Casa de Piedra restaurant located in La Calera, where through a diagnosis it was determined that in the last year a fluctuation in sales has been observed, a situation that has led to explore within this context to know the perceptions of consumers and based on their opinions to establish the causes of the current problem. In this sense, it was proposed as a general research objective to describe, through the collection of information, the perception of the service, attention and variables that build a different experience for the consumers of the Casa de Piedra restaurant. Methodologically, it is characterized by being a study with a quantitative approach, elaborated under a field design with a descriptive-analytical scope. The sample consisted of 52 people to whom a survey-type instrument designed under the SERVQUAL expectations model with Likert-type scales was applied. The results achieved show that the restaurant has the acceptance of the attending public, as it has good facilities, first-class service and top-quality products. In general terms, it is concluded that there is a perception of part of the client portfolio, however, there are some aspects that must be addressed to strengthen the business and keep up with the closest competitors. Key Words: Perception, service, consumer, Casa de Piedra restaurant, market

Singlet-doublet Dirac fermion dark matter from Peccei-Quinn symmetry

Weakly Interacting Massive Particles (WIMPs) and axions are arguably the most compelling dark matter (DM) candidates in the literature. Here, we consider a model where the PQ symmetry solves the strong CP problem, generates radiatively Dirac neutrino masses, and gives origin to multicomponent dark sector. Specifically, scotogenic Dirac neutrino masses arise at one-loop level. The lightest fermionic mediator acts as the second DM candidate due to a residual $Z_2$ symmetry resulting from the PQ symmetry breaking. The WIMP DM component resembles the well-known singlet-doublet fermion DM. While the lower WIMP dark mass region is usually excluded, our model reopens that portion of the parameter space (for DM masses below $\lesssim 100$ GeV). Therefore, we perform a phenomenological analysis that addresses the constraints from direct searches of DM, neutrino oscillation data, and charged lepton flavor violating (LFV) processes. The model can be tested in future facilities where DM annihilation into SM particles is searched for by neutrino telescopes.Comment: 27 pages, 6 figures and 2 table

Review of control algorithms for mobile robotics

This article presents a comprehensive review of control algorithms used in mobile robotics, a field in constant evolution. Mobile robotics has seen significant advances in recent years, driven by the demand for applications in various sectors, such as industrial automation, space exploration, and medical care. The review focuses on control algorithms that address specific challenges in navigation, localization, mapping, and path planning in changing and unknown environments. Classical approaches, such as PID control and methods based on classical control theory, as well as modern techniques, including deep learning and model-based planning, are discussed in detail. In addition, practical applications and remaining challenges in implementing these algorithms in real-world mobile robots are highlighted. Ultimately, this review provides a comprehensive overview of the diversity and complexity of control algorithms in mobile robotics, helping researchers and practitioners to better understand the options available to address specific problems in this exciting area of study.Comment: 8 pages, in Spanis

Estudio de caso en atención domiciliaria de pacientes: Condiciones de la tarea y sus efectos en trabajadores del sector salud

La hospitalización domiciliaria se basa en acompañar al paciente en su proceso de recuperación y que este se encuentre en la comodidad y tranquilidad de su domicilio, por lo cual la idea es, entonces, que un grupo de profesionales se traslade al domicilio del paciente y presten sus servicios. Para que lo anteriormente expuesto funcione, los pacientes deben cumplir con ciertos criterios para entrar al programa de hospitalización domiciliaria. Los estudios realizados a esta población son escasos, por tanto esta investigación buscó evidenciar los riesgos, específicamente los psicosociales a los que ven enfrentados en el cumplimiento de las actividades en esta modalidad.

Severe Pediatric TBI Management in a Middle-Income Country and a High-Income Country: A Comparative Assessment of Two Centers.

Background: Traumatic brain injury (TBI) is a global public health issue with over 10 million deaths or hospitalizations each year. However, access to specialized care is dependent on institutional resources and public health policy. Phoenix Children's Hospital USA (PCH) and the Neiva University Hospital, Colombia (NUH) compared the management and outcomes of pediatric patients with severe TBI over 5 years to establish differences between outcomes of patients managed in countries of varying resources availability. Methods: We conducted a retrospective review of individuals between 0 and 17 years of age, with a diagnosis of severe TBI and admitted to PCH and NUH between 2010 and 2015. Data collected included Glasgow coma scores, intensive care unit monitoring, and Glasgow outcome scores. Pearson Chi-square, Fisher exact, T-test, or Wilcoxon-rank sum test was used to compare outcomes. Results: One hundred and one subjects met the inclusion criteria. NUH employed intracranial pressure monitoring less frequently than PCH (p = 0.000), but surgical decompression and subdural evacuation were higher at PCH (p = 0.031 and p = 0.003). Mortality rates were similar between the institutions (15% PCH, 17% NUH) as were functional outcomes (52% PCH, 54% NUH). Conclusions: Differences between centers included time to specialized care and utilization of monitoring. No significant differences were evidenced in survival and the overall functional outcomes

Proactive listening to a training commentary improves hazard prediction

The aim of this work was to explore the effect of Proactive Listening to a Training Commentary, using the recently developed version of the Spanish Hazard Perception test. Firstly, 16 videos were used in the pre-test session in its short version, cut to black just before the hazard appearance. The What Happens Next Assessment (at the pre-test stage) generates expectations about the outcome of the traffic situation. Then, the training (8 minutes in length) uses the complete version of the same 16 videos, revealing the hazards unfolding. It involves listening to a voice with relevant information about where to allocate attention in the complex driving scene in order to recognise and anticipate the hazard successfully. A total of 121 participants were included in this study The sample consisted of learner, novice and experienced drivers, including re-offender and non-offender drivers. The participants were divided into 2 groups: a trained and an untrained group. Two assessment times were used: pre-test (16 videos) and post-test sessions (another 16 videos). The test presented a high internal consistency (Alpha = 0.875). This training shows significant positive effects for all types and groups of participants. No significant differences were found between the non-offender and the offender groups. Performance in gradual-onset hazard events can be improved after training but also by practice; however this training is essential and especially beneficial for training the ability to detect hazards that appear abruptly (which seems to be difficult to improve just by practice)

What happens when drivers face hazards on the road?

The current study aims to obtain knowledge about the nature of the processes involved in Hazard Perception, using measurement techniques to separate and independently quantify these suspected sub-processes: Sensation, Situation Awareness (recognition, location and projection) and Decision-Making. It applies Signal Detection Theory analysis to Hazard Perception and Prediction Tasks. To enable the calculation of Signal Detection Theory parameters, video-recorded hazardous vs. quasi-hazardous situations were presented to the participants. In the hazardous situations it is necessary to perform an evasive action, for instance, braking or swerving abruptly, while the quasi-hazardous situations do not require the driver to make any evasive manoeuvre, merely to carry on driving at the same speed and following the same trajectory. A first Multiple Choice Hazard Perception and Prediction test was created to measure participants’ performance in a What Happens Next? Task. The sample comprised 143 participants, 47 females and 94 males. Groups of non-offender drivers (learner, novice and experienced) and offender drivers (novice and experienced) were recruited. The Multiple Choice Hazard Perception and Prediction test succeeded in finding differences between drivers according to their driving experience. In fact, differences exist with regard to the level of hazard discrimination (d’ prime) by drivers with different experience (learner, novice and experienced drivers) and profile (offenders and non-offenders) and these differences emerge from Signal Detection Theory analysis. In addition, it was found that experienced drivers show higher Situation Awareness than learner or novice drivers. On the other hand, although offenders do worse than non-offenders on the hazard identification question, they do just as well when their Situation Awareness is probed (in fact, they are as aware as non-offenders of what the obstacles on the road are, where they are and what will happen next). Nevertheless, when considering the answers participants provided about their degree of cautiousness, experienced drivers were more cautious than novice drivers, and non-offender drivers were more cautious than offender drivers. That is, a greater number of experienced and non-offender drivers chose the answer “I would make an evasive manoeuvre such as braking gradually”

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Predictors of Survival After Head and Neck Squamous Cell Carcinoma in South America: The InterCHANGE Study.

PURPOSE: Head and neck squamous cell carcinoma (HNSCC) incidence is high in South America, where recent data on survival are sparse. We investigated the main predictors of HNSCC survival in Brazil, Argentina, Uruguay, and Colombia. METHODS: Sociodemographic and lifestyle information was obtained from standardized interviews, and clinicopathologic data were extracted from medical records and pathologic reports. The Kaplan-Meier method and Cox regression were used for statistical analyses. RESULTS: Of 1,463 patients, 378 had a larynx cancer (LC), 78 hypopharynx cancer (HC), 599 oral cavity cancer (OC), and 408 oropharynx cancer (OPC). Most patients (55.5%) were diagnosed with stage IV disease, ranging from 47.6% for LC to 70.8% for OPC. Three-year survival rates were 56.0% for LC, 54.7% for OC, 48.0% for OPC, and 37.8% for HC. In multivariable models, patients with stage IV disease had approximately 7.6 (LC/HC), 11.7 (OC), and 3.5 (OPC) times higher mortality than patients with stage I disease. Current and former drinkers with LC or HC had approximately 2 times higher mortality than never-drinkers. In addition, older age at diagnosis was independently associated with worse survival for all sites. In a subset analysis of 198 patients with OPC with available human papillomavirus (HPV) type 16 data, those with HPV-unrelated OPC had a significantly worse 3-year survival compared with those with HPV-related OPC (44.6% v 75.6%, respectively), corresponding to a 3.4 times higher mortality. CONCLUSION: Late stage at diagnosis was the strongest predictor of lower HNSCC survival. Early cancer detection and reduction of harmful alcohol use are fundamental to decrease the high burden of HNSCC in South America

Impact of the first wave of the SARS-CoV-2 pandemic on the outcome of neurosurgical patients: A nationwide study in Spain

Objective To assess the effect of the first wave of the SARS-CoV-2 pandemic on the outcome of neurosurgical patients in Spain. Settings The initial flood of COVID-19 patients overwhelmed an unprepared healthcare system. Different measures were taken to deal with this overburden. The effect of these measures on neurosurgical patients, as well as the effect of COVID-19 itself, has not been thoroughly studied. Participants This was a multicentre, nationwide, observational retrospective study of patients who underwent any neurosurgical operation from March to July 2020. Interventions An exploratory factorial analysis was performed to select the most relevant variables of the sample. Primary and secondary outcome measures Univariate and multivariate analyses were performed to identify independent predictors of mortality and postoperative SARS-CoV-2 infection. Results Sixteen hospitals registered 1677 operated patients. The overall mortality was 6.4%, and 2.9% (44 patients) suffered a perioperative SARS-CoV-2 infection. Of those infections, 24 were diagnosed postoperatively. Age (OR 1.05), perioperative SARS-CoV-2 infection (OR 4.7), community COVID-19 incidence (cases/10 5 people/week) (OR 1.006), postoperative neurological worsening (OR 5.9), postoperative need for airway support (OR 5.38), ASA grade =3 (OR 2.5) and preoperative GCS 3-8 (OR 2.82) were independently associated with mortality. For SARS-CoV-2 postoperative infection, screening swab test <72 hours preoperatively (OR 0.76), community COVID-19 incidence (cases/10 5 people/week) (OR 1.011), preoperative cognitive impairment (OR 2.784), postoperative sepsis (OR 3.807) and an absence of postoperative complications (OR 0.188) were independently associated. Conclusions Perioperative SARS-CoV-2 infection in neurosurgical patients was associated with an increase in mortality by almost fivefold. Community COVID-19 incidence (cases/10 5 people/week) was a statistically independent predictor of mortality. Trial registration number CEIM 20/217