Unidades 1, 2, 3 Y 4: Fase 6 - Presentar y sustentar proyecto final

El proceso formativo incluye desde cualquier perspectiva el analice de casos reales que permitan la aplicación y el enfoque adecuado del conocimiento adquirido; por esta razón dentro del curso diplomado de profundización supply chain management y logística se define un caso de la industria colombiana al cual se le deben aplicar diferentes estrategias y realizar análisis de mejoramiento basados en las temáticas del curso para tener mayores resultados a nivel competitivo y productivo. En este documento se presenta una síntesis del resultado investigativo y análisis de cada situación del sistema floricultor colombiano basados en los conocimientos adquiridos. Se da respuesta algunos interrogantes planteados como lo son: identificar las competencias logísticas del sistema de flores en Holanda y Colombia estableciendo una gestión propuesta para la industria de Colombia, configurar la red de procesos para el SC (Supply Chain), describir la filosofía de organización del SL, diagramas de flujo de información, producto y dinero, definir estructura organizacional propuesta por el grupo, para la Gestión del Sistema Logístico y del Supply Chain, para la industria de flores en Colombia. Dentro de esta perspectiva se mantiene la obtención de resultados aplicados, trascendiendo en la industria y buscando siempre identificar estrategias de mejoramiento en los diferentes sectores.The training process includes from any perspective, the analysis of real cases, the application and the adequate approach of the acquired knowledge; for this reason, within the course of deepening administration of the supply chain and logistics, a case of the Colombian industry is defined in which the strategies must be applied and the improvement of the topics of the course must be carried out in order to have greater results at a competitive level and productive This document presents a synthesis of the research result and analysis of each situation of the Colombian floriculture system in the acquired knowledge. The answer to the questions posed as they are: identify the logistics skills of the flower system in Holland and Colombia establishing an adequate management for the industry of Colombia, the process network for the SC (Supply Chain), describe the philosophy of organization del SL, flowcharts of information, product and money, define the organizational organization proposed by the group, for the Logistics System Management and the Supply Chain, for the flower industry in Colombia. Within this perspective, the obtained results are obtained, transcending in the industry and always seeking to identify improvement strategies in the different sect

Resultados Semilleros de Investigación 2009-2010

La publicación recoge los doce informes finales de investigación presentados por los estudiantes de ocho Semilleros 1 y cuatro Semilleros 2, correspondientes a la convocatoria 2009–2010 y se constituye en el Número 25 de la Serie de Investigaciones en Construcción, si bien este es el primer Número publicado en formato digital que UNIJUS se permite poner a disposición no sólo de la comunidad universitaria, sino también de la sociedad colombiana e internacional, interesada en los temas estudiados por los jóvenes investigadores de la Facultad de Derecho, Ciencias Políticas y Sociales de la Universidad Nacional de Colombia

XVI International Congress of Control Electronics and Telecommunications: "Techno-scientific considerations for a post-pandemic world intensive in knowledge, innovation and sustainable local development"

Este título, sugestivo por los impactos durante la situación de la Covid 19 en el mundo, y que en Colombia lastimosamente han sido muy críticos, permiten asumir la obligada superación de tensiones sociales, políticas, y económicas; pero sobre todo científicas y tecnológicas. Inicialmente, esto supone la existencia de una capacidad de la sociedad colombiana por recuperar su estado inicial después de que haya cesado la perturbación a la que fue sometida por la catastrófica pandemia, y superar ese anterior estado de cosas ya que se encontraban -y aún se encuentran- muchos problemas locales mal resueltos, medianamente resueltos, y muchos sin resolver: es decir, habrá que rediseñar y fortalecer una probada resiliencia social existente - producto del prolongado conflicto social colombiano superado parcialmente por un proceso de paz exitoso - desde la tecnociencia local; como lo indicaba Markus Brunnermeier - economista alemán y catedrático de economía de la Universidad de Princeton- en su libro The Resilient Society…La cuestión no es preveerlo todo sino poder reaccionar…aprender a recuperarse rápido.This title, suggestive of the impacts during the Covid 19 situation in the world, and which have unfortunately been very critical in Colombia, allows us to assume the obligatory overcoming of social, political, and economic tensions; but above all scientific and technological. Initially, this supposes the existence of a capacity of Colombian society to recover its initial state after the disturbance to which it was subjected by the catastrophic pandemic has ceased, and to overcome that previous state of affairs since it was found -and still is find - many local problems poorly resolved, moderately resolved, and many unresolved: that is, an existing social resilience test will have to be redesigned and strengthened - product of the prolonged Colombian social conflict partially overcome by a successful peace process - from local technoscience; As Markus Brunnermeier - German economist and professor of economics at Princeton University - indicates in his book The Resilient Society...The question is not to foresee everything but to be able to react...learn to recover quickly.Bogot

Proyecto final: La industria de flores en Colombia

En este documento se encuentra el informe final de trabajo de grado en la modalidad de diplomado de profundización, como requisito para obtener el título de ingeniero industrial de la Universidad Abierta y a Distancia "UNAD"; en el cual se presenta un análisis en relación a la situación de la industria de flores en Colombia. El objetivo del trabajo es presentar una síntesis luego de una investigación e indagación de información sobre la situación del sistema floricultor colombiano enfocándose en identificación de las competencias logísticas del sistema de flores, configuración de la red de procesos, establecer la filosofía de organización del SL para finalmente concretar una propuesta de estructura organizacional. El desarrollo del trabajo se base en tres fases fundamentales: la primera que incluye todo el proceso formativo y de conocimiento adquirido durante el desarrollo del diplomado Supply, la segunda donde se relaciona todo el intercambio de información entre integrantes del grupo y la fase final donde se da solución a cada uno de los interrogantes planteados y se propone una estructura organizacional.In this document is the final report of work of degree in the modality of deepening diploma, as a requirement to obtain the title of industrial engineer´s Universidad Nacional Abierta y a Distancia "UNAD"; in which an analysis is presented in relation to the situation of the flower industry in Colombia. The objective of the work is to present a synthesis after a research and information inquiry about the situation of the Colombian floriculture system focusing on identification of the logistic competences of the flower system, configuration of the process network, establish the philosophy of organization of the SL for finally specify a proposal for organizational structure. The development of the work is based on three fundamental phases: the first that includes all the training process and knowledge acquired during the development of the Supply Diploma, the second where all the exchange of information between members of the group and the final phase is related. gives solution to each of the questions raised and proposes an organizational structure

Outcomes in Newly Diagnosed Atrial Fibrillation and History of Acute Coronary Syndromes: Insights from GARFIELD-AF

BACKGROUND: Many patients with atrial fibrillation have concomitant coronary artery disease with or without acute coronary syndromes and are in need of additional antithrombotic therapy. There are few data on the long-term clinical outcome of atrial fibrillation patients with a history of acute coronary syndrome. This is a 2-year study of atrial fibrillation patients with or without a history of acute coronary syndromes

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

© 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licenseBackground: Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide. Methods: A multimethods analysis was performed as part of the GlobalSurg 3 study—a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital. Findings: Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3·85 [95% CI 2·58–5·75]; p<0·0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63·0% vs 82·7%; OR 0·35 [0·23–0·53]; p<0·0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer. Interpretation: Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised. Funding: National Institute for Health and Care Research

Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries

© 2021 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 licenseBackground: 80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative outcomes in breast, colorectal, and gastric cancer surgery in hospitals worldwide, focusing on the effect of disease stage and complications on postoperative mortality. Methods: This was a multicentre, international prospective cohort study of consecutive adult patients undergoing surgery for primary breast, colorectal, or gastric cancer requiring a skin incision done under general or neuraxial anaesthesia. The primary outcome was death or major complication within 30 days of surgery. Multilevel logistic regression determined relationships within three-level nested models of patients within hospitals and countries. Hospital-level infrastructure effects were explored with three-way mediation analyses. This study was registered with ClinicalTrials.gov, NCT03471494. Findings: Between April 1, 2018, and Jan 31, 2019, we enrolled 15 958 patients from 428 hospitals in 82 countries (high income 9106 patients, 31 countries; upper-middle income 2721 patients, 23 countries; or lower-middle income 4131 patients, 28 countries). Patients in LMICs presented with more advanced disease compared with patients in high-income countries. 30-day mortality was higher for gastric cancer in low-income or lower-middle-income countries (adjusted odds ratio 3·72, 95% CI 1·70–8·16) and for colorectal cancer in low-income or lower-middle-income countries (4·59, 2·39–8·80) and upper-middle-income countries (2·06, 1·11–3·83). No difference in 30-day mortality was seen in breast cancer. The proportion of patients who died after a major complication was greatest in low-income or lower-middle-income countries (6·15, 3·26–11·59) and upper-middle-income countries (3·89, 2·08–7·29). Postoperative death after complications was partly explained by patient factors (60%) and partly by hospital or country (40%). The absence of consistently available postoperative care facilities was associated with seven to 10 more deaths per 100 major complications in LMICs. Cancer stage alone explained little of the early variation in mortality or postoperative complications. Interpretation: Higher levels of mortality after cancer surgery in LMICs was not fully explained by later presentation of disease. The capacity to rescue patients from surgical complications is a tangible opportunity for meaningful intervention. Early death after cancer surgery might be reduced by policies focusing on strengthening perioperative care systems to detect and intervene in common complications. Funding: National Institute for Health Research Global Health Research Unit