Calidad de vida en pacientes con enfermedades respiratorias crónicas con oxigenoterapia domiciliar, unidad médica 15 de septiembre, ISSS.

Estudio descriptivo transversal encontrándose que la calidad de vida relacionada con la salud está deteriorada en los pacientes con enfermedades crónicas respiratorias

Plan de direccionamiento estratégico para la empresa arte aceros de Colombia Ltda

La Planeación Estratégica a través del Direccionamiento Estratégico , es cada vez más importante en las empresas ya que logran, elaboran y ejecutan sus planes estratégicos para afrontar de mejor forma el mercado y sus condiciones cambiantes y aún mas con el avance acelerado de la globalización. La implantación y la puesta en marcha de los Planes Estratégicos en las empresas da mejores herramientas para enfrentar las incertidumbres del mercado, les brinda un horizonte claro y compartido a todos los empleados, a través de la misión, visión, políticas y objetivos corporativos, haciendo a las empresas perdurables, los planes estratégicos van de la mano del estudio y el análisis de su entorno. El plan de Direccionamiento Estratégico para la empresa Arteaceros de Colombia Ltda, tiene como propósito el mejoramiento significativo de los indicadores de efectividad y de los resultados económicos y sociales. La planeación estratégica es el punto central de la investigación, puesto que es de vital importancia la acción empresarial para el negocio porque invita a reflexionar sobre las tareas a emprender y motiva a la utilización de nuevas herramientas de trabajo. La empresa desde su creación carece de un modelo de Direccionamiento estratégico, no posee ningún documento o manual que establezca normas y/o procedimientos, es posible que el desconocimiento y la falta de claridad de las responsabilidades de los empleados afecten la calidad de la empresa en general, es característica de esta empresa la falta de planeación, lo cual impide el mejoramiento de los resultados económicos y sociales. Actualmente la empresa se encuentra estructurada en las áreas Administrativa, comercial, y de producción. Teniendo en cuenta la situación actual de la empresa observamos algunos aspectos positivos e interesantes que deben mantenerse y consolidarse, también aspectos con los que no se cuenta y que se deben entrar a replantear con el fin de superar las deficiencias y consolidar su fortalecimiento. En cuanto al área administrativa es relevante que la Junta Directiva da cumplimiento a la disposición legal en cuanto a reuniones, lo que permite hacer el control, seguimiento y aprobación de las decisiones. Sin embargo, es conveniente diseñar el direccionamiento estratégico, con el fin de establecer los lineamientos generales que orientan el quehacer de la empresa. También se destaca como una fortaleza la toma de decisiones, los directivos son igualmente polifuncionales, factor que constituye una garantía de continuidad, ningún negocio se aplaza, ninguna decisión espera más de lo necesario por ausencia de alguno de los dos, aunque en algunas ocasiones se puede generar sobrecarga laboral. Los procesos que conforman el área de producción funcionan en condiciones de calidad adecuadas y a tiempo para satisfacer las necesidades de los clientes, teniendo en cuenta la planeación, directrices e instrucciones que garantizan la labor de cada uno de los funcionarios y la armonía de la sección en su conjunto, sin embargo estos procesos no se encuentran documentados, como tampoco existen soportes que determinen las funciones o actividades de cada uno de los operarios. Y por ultimo la situación comercial encontrada posee algunos aspectos que deben mejorar tales como la carencia de un documento con las funciones y responsabilidades del área, la necesidad de establecer políticas por escrito con el fin de fijar con anticipación las metas propuestas y los incentivos para su desarrollo. En cuanto a la selección del personal en el área comercial están bien definidos los perfiles y cabe resaltar el conocimiento del portafolio y la experiencia en la parte comercial que poseen los vendedores, lo que garantiza un nivel de ventas adecuado a la capacidad de producción de la empresa. Entonces ¿Cómo se esta construyendo el proceso de planeación en la empresa Arteaceros de Colombia, si no cuenta con un plan de direccionamiento estratégico? En este orden de ideas planteamos un objetivo general que consiste en “Diseñar una propuesta de direccionamiento estratégico para la estructura administrativa de la empresa Arteaceros de Colombia, como herramienta que permita el establecimiento de metas organizacionales, logrando de esta manera el mejoramiento de los resultados económicos y sociales de la empresa.”, para su desarrollo planteamos los siguientes objetivos específicos: Diseñar el direccionamiento estratégico: Misión y visión que le permitan trazarse una proyección a largo plazo, elaborar la estructura organizacional que permita visualizar una planeación y desarrollo claro de la compañía y finalmente elaborar los manuales de funciones de los cargos y de procesos y procedimientos de las diferentes áreas. La investigación propuesta tiene como fin analizar las variables del Direccionamiento Estratégico de la empresa Arteaceros de Colombia, ya que estas conforman la estructura fundamental de toda organización, razón por la cual se pretende determinar qué efectos produce en el desarrollo y sostenimiento de la empresa el no contar con un modelo de planeación estratégica. El marco teórico comprende los conceptos generales y específicos empleados en el tema de direccionamiento estratégico y actualmente como se aplican a la empresa, finalmente desarrollaremos cada uno de los objetivos específicos con el fin de establecer un modelo de direccionamiento estratégico para mantener y mejorar la situación competitiva actual y futura de la empresa.Strategic Planning through Strategic Management, is increasingly important in companies as they achieve, develop and execute their strategic plans to better cope with the market and its changing conditions and even more with the accelerated progress of globalization. The implementation and implementation of the Strategic Plans in the companies gives better tools to face the market uncertainties, it provides a clear and shared horizon to all the employees, through the mission, vision, policies and corporate objectives, making to the enduring companies, the strategic plans go hand in hand with the study and analysis of their environment. The Strategic Direction plan for the company Arteaceros de Colombia Ltda, has the purpose of significantly improving the indicators of effectiveness and economic and social results. Strategic planning is the central point of the research, since it is of vital importance the business action for the business because it invites to reflect on the tasks to be undertaken and motivates the use of new work tools. The company since its creation lacks a strategic management model, does not have any document or manual that establishes standards and / or procedures, it is possible that ignorance and lack of clarity of the responsibilities of employees affect the quality of the company in In general, the lack of planning is characteristic of this company, which prevents the improvement of economic and social results. Currently the company is structured in the administrative, commercial, and production areas. Taking into account the current situation of the company we observe some positive and interesting aspects that must be maintained and consolidated, also aspects that are not counted and that must be reconsidered in order to overcome the deficiencies and consolidate their strengthening. Regarding the administrative area, it is relevant that the Board of Directors complies with the legal provision regarding meetings, which allows for the control, follow-up and approval of decisions. However, it is convenient to design the strategic direction, in order to establish the general guidelines that guide the work of the company. Decision making is also highlighted as a strength, managers are also polyfunctional, a factor that constitutes a guarantee of continuity, no business is postponed, no decision waits more than necessary due to the absence of one of the two, although in some cases It can generate work overload. The processes that make up the production area work in adequate quality conditions and in time to meet the needs of customers, taking into account the planning, guidelines and instructions that guarantee the work of each of the officials and the harmony of the section in as a whole, however, these processes are not documented, nor are there supports that determine the functions or activities of each of the operators. And finally the commercial situation found has some aspects that should improve such as the lack of a document with the functions and responsibilities of the area, the need to establish policies in writing in order to set in advance the proposed goals and incentives for their developing. As regards the selection of personnel in the commercial area, the profiles are well defined and it is important to highlight the knowledge of the portfolio and the experience in the commercial part that the sellers possess, which guarantees an adequate level of sales to the production capacity of the company.Introducción. -- 1. Marco teórico. -- 2. Marco metodológico. -- 2.1 Línea de investigación. -- 2.2 Método de investigación. -- 2.3 Contextualización. -- 3 Direccionamiento estratégico y estructura organizacional. -- 3.1 Formulación. -- 3.2 Evaluación. -- 3.3 Plan de direccionamiento estratégico. -- 4. Manuales de funciones y procedimientos. -- 5. Conclusiones. -- 6. Bibliografía. -- Glosario

Caracterización de la elección de carreras universitarias en alumnos de undécimo grado de los colegios privados acoandes, adventista la libertad, afelsa, americano, alejandro galvis galvis, bucaramanga, cajasan tejados, cooperativo bucaramanga, cooperativo comfenalco, cooprofesores, divino amor, divino niño, fernando aragón, instituto andino, instituto santa maría micaela, integrado “jorge isaac”, josé acevedo y gómez, juan josé rondon, maría auxiliadora, nuestra señora del transito, presentación, príncipe asturias, príncipe san carlos, psicopedagógico carl rogers, sabio caldas, santa maría maggiore, sagrado corazón de jesús “bethlemitas”, santandereano de comercio, santa teresita del niño jesús, san vicente ferrer, sotomayor, u. C. C., virrey solís de bucaramanga

El estudio investigativo sobre caracterización en la elección de carreras universitarias en alumnos de undécimo grado de los 33 colegios privados de Bucaramanga, desea encontrar respuestas a este planteamiento en ese contexto. La decisión de elegir una carrera universitaria, afecta a los estudiantes interesados en continuar sus estudios superiores, a los colegios de bachillerato, a las universidades, a las municipalidades, a las entidades rectoras de la educación en Colombia como el Ministerio de Educación, secretarias de educación departamentales, secretarias de educación municipales; y sobre todo a la sociedad en general. Se necesita saber qué desean estudiar en la universidad los aspirantes y por qué eligen determinada carrera. En tal sentido, la investigación se desarrolla en forma descriptiva. La delimitación de la investigación se enmarco en el universo a los estudiantes de undécimo grado de todos los 33 colegios privados de la ciudad de Bucaramanga, mediante un muestreo aleatorio estratificado y representativo de cada colegio. Se espera llegar a conocer el comportamiento de las variables referidas a sexo, edad, estado civil, actividad laboral, tiempo libre, características personales, aspectos familiares, aspectos económicos, información académica y aspiración a estudios superiores; y las carreras profesionales que se desean estudiar en la universidad. El objetivo final es saber las preferencias de la muestra estudiada, estableciendo un orden de mayor a menor de las carreras elegidas.1. Problemas y objetivos. -- 1.1 descripción del problema. -- 1.2 formulación del problema. -- 1.3 justificación. -- 1.4 objetivos. -- 1.4.1 objetivo general. -- 1.4.2 objetivos específicos. -- 2. Sustento teórico. -- 3. Desarrollo metodológico. -- 3.1 encuesta. -- 3.1.1 instrumento de medición. -- 3. 1. 2 métodos de supervisión. -- 3.1.3 método de muestreo. -- 3. 1. 4 tamaño de la muestra. -- 3.1.5 trabajo de campo. -- 3.2 procesamiento de la información. -- 3.3 análisis de resultados. -- 4. Caracterización de los estudiantes aspirantesa ingresar a estudiar una carrera universitaria. -- 4.1 sexo. -- 4.2 edad. -- 4.3 estado civil. -- 4.4 trabajo extra escolar. -- 4.5 tiempo libre. -- 4.6 cualidades o características. -- 4.7 núcleo familiar. -- 4.8 condición de los padres. -- 4.9 nivel de estudios de los padres. -- 4.9.1 nivel de estudios de la madre. -- 4.9.2 nivel de estudios del padre. -- 4.10 actividad económica de los padres. -- 4.10.1 actividad económica de la madre. -- 4.10.2 actividad económica del padre. -- 4.11 residencia. -- 4.12 ingresos económicos del núcleo familiar. -- 4.13 materias o asignaturas que mas se le facilitan. -- 4.14 continuación de estudios superiores. -- 4.15 modalidad. -- 4.16 jornada. -- 4.17 tipo de educación. -- 4.18 financiación de los estudios. -- 4.19 tipo de institución. -- 4.20 lugar en el que le gustaría estudiar. -- 4.21 carrera que desea estudiar. -- 5. Tabulación cruzada. -- 5.1 tabulación cruzada por sexo. -- 5.2 tabulación cruzada por edad. -- 5.3 tabulación cruzada por estado civil. -- 5.4 tabulación cruzada por actividad extra escolar. -- 5.5 tabulación cruzada por tiempo libre. -- 5.6 tabulación cruzada cualidades o características. -- 5.7 tabulación cruzada núcleo familiar. -- 5.8 tabulación cruzada condición de los padres. -- 5.9 tabulación cruzada nivel de estudio de los padres. -- 5.9.1 tabulación cruzada nivel de estudios de la madre. -- 5.9.2 tabulación cruzada nivel de estudios del padre. -- 5.10 tabulación cruzada actividad económica de los padres. --5.10.1 tabulación cruzada actividad económica de la madre. -- 5.10.1 tabulación cruzada actividad económica del padre. -- 5.11 tabulación cruzada reside en casa. -- 5.12 tabulación cruzada ingresos del núcleo familiar. -- 5.13 tabulación cruzada de materias que mas se le facilitan. -- 5.14 tabulación cruzada continuación de estudios superiores. -- 5.15 tabulación cruzada modalidad. -- 5.16 tabulación cruzada jornada. -- 5.17 tabulación cruzada tipo de educación. -- 5.18 tabulación cruzada financiación. -- 5.19 tabulación cruzada tipo de institución. -- 5.20 tabulación cruzada lugar en el que le gustaría. -- estudiar. -- conclusiones. – bibliografí[email protected]@[email protected]@campusucc.edu.cosocorrodelpilar.gonzá[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@[email protected]@campusucc.edu.cosergio.serrano@[email protected]@[email protected]í[email protected]@[email protected]@campusucc.edu.coronald.martí[email protected]@[email protected]@[email protected]@[email protected]@[email protected]í[email protected]

NEOTROPICAL CARNIVORES: a data set on carnivore distribution in the Neotropics

Mammalian carnivores are considered a key group in maintaining ecological health and can indicate potential ecological integrity in landscapes where they occur. Carnivores also hold high conservation value and their habitat requirements can guide management and conservation plans. The order Carnivora has 84 species from 8 families in the Neotropical region: Canidae; Felidae; Mephitidae; Mustelidae; Otariidae; Phocidae; Procyonidae; and Ursidae. Herein, we include published and unpublished data on native terrestrial Neotropical carnivores (Canidae; Felidae; Mephitidae; Mustelidae; Procyonidae; and Ursidae). NEOTROPICAL CARNIVORES is a publicly available data set that includes 99,605 data entries from 35,511 unique georeferenced coordinates. Detection/non-detection and quantitative data were obtained from 1818 to 2018 by researchers, governmental agencies, non-governmental organizations, and private consultants. Data were collected using several methods including camera trapping, museum collections, roadkill, line transect, and opportunistic records. Literature (peer-reviewed and grey literature) from Portuguese, Spanish and English were incorporated in this compilation. Most of the data set consists of detection data entries (n = 79,343; 79.7%) but also includes non-detection data (n = 20,262; 20.3%). Of those, 43.3% also include count data (n = 43,151). The information available in NEOTROPICAL CARNIVORES will contribute to macroecological, ecological, and conservation questions in multiple spatio-temporal perspectives. As carnivores play key roles in trophic interactions, a better understanding of their distribution and habitat requirements are essential to establish conservation management plans and safeguard the future ecological health of Neotropical ecosystems. Our data paper, combined with other large-scale data sets, has great potential to clarify species distribution and related ecological processes within the Neotropics. There are no copyright restrictions and no restriction for using data from this data paper, as long as the data paper is cited as the source of the information used. We also request that users inform us of how they intend to use the data

Ticagrelor in patients with diabetes and stable coronary artery disease with a history of previous percutaneous coronary intervention (THEMIS-PCI) : a phase 3, placebo-controlled, randomised trial

Background: Patients with stable coronary artery disease and diabetes with previous percutaneous coronary intervention (PCI), particularly those with previous stenting, are at high risk of ischaemic events. These patients are generally treated with aspirin. In this trial, we aimed to investigate if these patients would benefit from treatment with aspirin plus ticagrelor. Methods: The Effect of Ticagrelor on Health Outcomes in diabEtes Mellitus patients Intervention Study (THEMIS) was a phase 3 randomised, double-blinded, placebo-controlled trial, done in 1315 sites in 42 countries. Patients were eligible if 50 years or older, with type 2 diabetes, receiving anti-hyperglycaemic drugs for at least 6 months, with stable coronary artery disease, and one of three other mutually non-exclusive criteria: a history of previous PCI or of coronary artery bypass grafting, or documentation of angiographic stenosis of 50% or more in at least one coronary artery. Eligible patients were randomly assigned (1:1) to either ticagrelor or placebo, by use of an interactive voice-response or web-response system. The THEMIS-PCI trial comprised a prespecified subgroup of patients with previous PCI. The primary efficacy outcome was a composite of cardiovascular death, myocardial infarction, or stroke (measured in the intention-to-treat population). Findings: Between Feb 17, 2014, and May 24, 2016, 11 154 patients (58% of the overall THEMIS trial) with a history of previous PCI were enrolled in the THEMIS-PCI trial. Median follow-up was 3·3 years (IQR 2·8–3·8). In the previous PCI group, fewer patients receiving ticagrelor had a primary efficacy outcome event than in the placebo group (404 [7·3%] of 5558 vs 480 [8·6%] of 5596; HR 0·85 [95% CI 0·74–0·97], p=0·013). The same effect was not observed in patients without PCI (p=0·76, p interaction=0·16). The proportion of patients with cardiovascular death was similar in both treatment groups (174 [3·1%] with ticagrelor vs 183 (3·3%) with placebo; HR 0·96 [95% CI 0·78–1·18], p=0·68), as well as all-cause death (282 [5·1%] vs 323 [5·8%]; 0·88 [0·75–1·03], p=0·11). TIMI major bleeding occurred in 111 (2·0%) of 5536 patients receiving ticagrelor and 62 (1·1%) of 5564 patients receiving placebo (HR 2·03 [95% CI 1·48–2·76], p<0·0001), and fatal bleeding in 6 (0·1%) of 5536 patients with ticagrelor and 6 (0·1%) of 5564 with placebo (1·13 [0·36–3·50], p=0·83). Intracranial haemorrhage occurred in 33 (0·6%) and 31 (0·6%) patients (1·21 [0·74–1·97], p=0·45). Ticagrelor improved net clinical benefit: 519/5558 (9·3%) versus 617/5596 (11·0%), HR=0·85, 95% CI 0·75–0·95, p=0·005, in contrast to patients without PCI where it did not, p interaction=0·012. Benefit was present irrespective of time from most recent PCI. Interpretation: In patients with diabetes, stable coronary artery disease, and previous PCI, ticagrelor added to aspirin reduced cardiovascular death, myocardial infarction, and stroke, although with increased major bleeding. In that large, easily identified population, ticagrelor provided a favourable net clinical benefit (more than in patients without history of PCI). This effect shows that long-term therapy with ticagrelor in addition to aspirin should be considered in patients with diabetes and a history of PCI who have tolerated antiplatelet therapy, have high ischaemic risk, and low bleeding risk

The LHCb upgrade I

International audienceThe LHCb upgrade represents a major change of the experiment. The detectors have been almost completely renewed to allow running at an instantaneous luminosity five times larger than that of the previous running periods. Readout of all detectors into an all-software trigger is central to the new design, facilitating the reconstruction of events at the maximum LHC interaction rate, and their selection in real time. The experiment's tracking system has been completely upgraded with a new pixel vertex detector, a silicon tracker upstream of the dipole magnet and three scintillating fibre tracking stations downstream of the magnet. The whole photon detection system of the RICH detectors has been renewed and the readout electronics of the calorimeter and muon systems have been fully overhauled. The first stage of the all-software trigger is implemented on a GPU farm. The output of the trigger provides a combination of totally reconstructed physics objects, such as tracks and vertices, ready for final analysis, and of entire events which need further offline reprocessing. This scheme required a complete revision of the computing model and rewriting of the experiment's software

The LHCb upgrade I

International audienceThe LHCb upgrade represents a major change of the experiment. The detectors have been almost completely renewed to allow running at an instantaneous luminosity five times larger than that of the previous running periods. Readout of all detectors into an all-software trigger is central to the new design, facilitating the reconstruction of events at the maximum LHC interaction rate, and their selection in real time. The experiment's tracking system has been completely upgraded with a new pixel vertex detector, a silicon tracker upstream of the dipole magnet and three scintillating fibre tracking stations downstream of the magnet. The whole photon detection system of the RICH detectors has been renewed and the readout electronics of the calorimeter and muon systems have been fully overhauled. The first stage of the all-software trigger is implemented on a GPU farm. The output of the trigger provides a combination of totally reconstructed physics objects, such as tracks and vertices, ready for final analysis, and of entire events which need further offline reprocessing. This scheme required a complete revision of the computing model and rewriting of the experiment's software

The LHCb upgrade I

International audienceThe LHCb upgrade represents a major change of the experiment. The detectors have been almost completely renewed to allow running at an instantaneous luminosity five times larger than that of the previous running periods. Readout of all detectors into an all-software trigger is central to the new design, facilitating the reconstruction of events at the maximum LHC interaction rate, and their selection in real time. The experiment's tracking system has been completely upgraded with a new pixel vertex detector, a silicon tracker upstream of the dipole magnet and three scintillating fibre tracking stations downstream of the magnet. The whole photon detection system of the RICH detectors has been renewed and the readout electronics of the calorimeter and muon systems have been fully overhauled. The first stage of the all-software trigger is implemented on a GPU farm. The output of the trigger provides a combination of totally reconstructed physics objects, such as tracks and vertices, ready for final analysis, and of entire events which need further offline reprocessing. This scheme required a complete revision of the computing model and rewriting of the experiment's software

The LHCb upgrade I

The LHCb upgrade represents a major change of the experiment. The detectors have been almost completely renewed to allow running at an instantaneous luminosity five times larger than that of the previous running periods. Readout of all detectors into an all-software trigger is central to the new design, facilitating the reconstruction of events at the maximum LHC interaction rate, and their selection in real time. The experiment's tracking system has been completely upgraded with a new pixel vertex detector, a silicon tracker upstream of the dipole magnet and three scintillating fibre tracking stations downstream of the magnet. The whole photon detection system of the RICH detectors has been renewed and the readout electronics of the calorimeter and muon systems have been fully overhauled. The first stage of the all-software trigger is implemented on a GPU farm. The output of the trigger provides a combination of totally reconstructed physics objects, such as tracks and vertices, ready for final analysis, and of entire events which need further offline reprocessing. This scheme required a complete revision of the computing model and rewriting of the experiment's software

The LHCb upgrade I

International audienceThe LHCb upgrade represents a major change of the experiment. The detectors have been almost completely renewed to allow running at an instantaneous luminosity five times larger than that of the previous running periods. Readout of all detectors into an all-software trigger is central to the new design, facilitating the reconstruction of events at the maximum LHC interaction rate, and their selection in real time. The experiment's tracking system has been completely upgraded with a new pixel vertex detector, a silicon tracker upstream of the dipole magnet and three scintillating fibre tracking stations downstream of the magnet. The whole photon detection system of the RICH detectors has been renewed and the readout electronics of the calorimeter and muon systems have been fully overhauled. The first stage of the all-software trigger is implemented on a GPU farm. The output of the trigger provides a combination of totally reconstructed physics objects, such as tracks and vertices, ready for final analysis, and of entire events which need further offline reprocessing. This scheme required a complete revision of the computing model and rewriting of the experiment's software