Elaboración y comercialización de infusiones naturales de frutas en la ciudad de lima

Actualmente, se está promoviendo la venta de productos más saludables y naturales en el mercado. El consumidor se preocupa más por su salud y espera que las empresas, en este caso las empresas de infusiones, hagan todo lo posible para satisfacer esa necesidad, evitando hacer uso de saborizantes u otros elementos artificiales en sus productos; debido al efecto negativo que resulta para las personas. Junto a ello, hay una preocupación por el uso de materiales no renovables en la industria de infusiones que generan una contaminación constante; el público quiere apoyar a cambiar eso. La búsqueda de lograr el bienestar en el consumo y el compromiso medioambiental, propone que se realice un producto capaz de considerar ambas problemáticas y tratar de resolverlas con su consumo. Para apoyar ese cambio, se crea “Fruit Essence” S.A.C., una empresa de elaboración y comercialización de infusiones de frutas, que busca integrarse en el mercado de infusiones con su receta 100% natural e innovadora que hace uso de una variedad de frutas y elementos ecológicos. Está dirigido a mujeres y hombres de 18 a 55 años que residan en los distritos de Villa María del Triunfo, San Juan de Miraflores, Surco y Miraflores, considerando el NSE A, B y C. La venta del producto puede ser a través de nuestro local o por pedido en la página web de la empresa; a precios accesibles de entre S/. 2.80 a S/.2.90. La investigación que se realizó en los Focus Group y encuestas, brindó resultados que motivan a impulsar la empresa; debido al gran porcentaje (92%) de aceptación e interés que mostraron los participantes sobre las infusiones de frutas. Para este proyecto se tendrá que contar con una inversión inicial de s/. 95,035; esta inversión se recuperará al 2do. año puesto en marcha el proyecto. Hay que destacar que el proyecto es viable debido a que se obtuvo datos de rentabilidad positivos como un VAN de 83,647 y una TIR de 49,7%.Trabajo de suficiencia profesiona

Reporting quality of music intervention research in healthcare: A systematic review

INTRODUCTION: Concomitant with the growth of music intervention research, are concerns about inadequate intervention reporting and inconsistent terminology, which limits validity, replicability, and clinical application of findings. OBJECTIVE: Examine reporting quality of music intervention research, in chronic and acute medical settings, using the Checklist for Reporting Music-based Interventions. In addition, describe patient populations and primary outcomes, intervention content and corresponding interventionist qualifications, and terminology. METHODS: Searching MEDLINE, PubMed, CINAHL, HealthSTAR, and PsycINFO we identified articles meeting inclusion/exclusion criteria for a five-year period (2010-2015) and extracted relevant data. Coded material included reporting quality across seven areas (theory, content, delivery schedule, interventionist qualifications, treatment fidelity, setting, unit of delivery), author/journal information, patient population/outcomes, and terminology. RESULTS: Of 860 articles, 187 met review criteria (128 experimental; 59 quasi-experimental), with 121 publishing journals, and authors from 31 countries. Overall reporting quality was poor with <50% providing information for four of the seven checklist components (theory, interventionist qualifications, treatment fidelity, setting). Intervention content reporting was also poor with <50% providing information about the music used, decibel levels/volume controls, or materials. Credentialed music therapists and registered nurses delivered most interventions, with clear differences in content and delivery. Terminology was varied and inconsistent. CONCLUSIONS: Problems with reporting quality impedes meaningful interpretation and cross-study comparisons. Inconsistent and misapplied terminology also create barriers to interprofessional communication and translation of findings to patient care. Improved reporting quality and creation of shared language will advance scientific rigor and clinical relevance of music intervention research

Calcitonin prescribing criteria for the management of hypercalcemia in a community hospital

Purpose/Background: Hypercalcemia is a clinical condition in which serum calcium levels exceed the upper limit of normal (\u3e10.5 mg/dL). The most common causes of hypercalcemia are primary hyperparathyroidism and malignancy, however, it can also be caused by vitamin D intoxication, endocrine disorders, and immobilization due to an increase in bone resorption. First-line treatment of hypercalcemia includes hydration with intravenous (IV) normal saline and IV bisphosphonates. Calcitonin (Miacalcin®) is a synthetic hormone with a rapid onset of action and used intramuscularly (IM) or subcutaneously (SQ) as a second-line treatment in the management of hypercalcemia, specifically in severe and in symptomatic cases. The purpose of this performance improvement initiative is to assess the prescribing practices of calcitonin at Baptist Hospital of Miami (BHM) and to optimize the utilization of calcitonin in patients with hypercalcemia by facilitating the establishment of a calcitonin prescribing criteria. Methods: This was a single center biphasic study including both a retrospective and prospective phase of adult patients receiving calcitonin for hypercalcemia management at BHM. Phase I retrospective data was obtained from October 1st 2017 to September 30th 2019 and phase II prospective data was collected during January 6th 2020 to April 24th 2020. Data collection for both phases included patient demographics, indication, prescriber’s specialty, severity of hypercalcemia, presence or absence of symptoms, duration of therapy and use of first line therapy. Furthermore, pharmacy interventions pertaining to first line therapy usage or adjustments of duration of calcitonin as well as financial impact of accepted interventions were calculated for phase II. Primary outcome of the study included duration of calcitonin therapy for correction of hypercalcemia. Secondary outcomes included number of pharmacy interventions and percentage of patients treated with IV fluids and IV bisphosphonates. Results: A total of 94 patients in phase I and 16 patients in phase II met study inclusion criteria. The baseline demographics were primarily differentiated by the severity of hypercalcemia in the two phases. A greater proportion of patients in phase I (43.6%) was noted to have severe hypercalcemia compared to phase II (18.8%). In both phases, hypercalcemia of malignancy and oncology specialty accounted for the most common indication and prescriber specialty, respectively. In terms of primary outcome, duration of calcitonin therapy was significantly improved through pharmacist interventions in phase II as evidenced by 0% of patients receiving calcitonin beyond 48 hours versus 28.7% of patients in phase I (p= 0.0107). Evaluation of first line therapy demonstrated that 81% of patients received IV fluids and 88% of patients received IV bisphosphonate therapy in phase I while 100% of the patients in phase II received both IV fluids and IV bisphosphonates (p= 0.0689; p= 0.3613). In phase II, a total of 16 pharmacy interventions were performed with 75% acceptance rate including discontinuation or reduction in duration of calcitonin therapy and addition of IV fluids. These interventions resulted in 29 calcitonin doses avoided during phase II study period that amounts to an extrapolated annual cost savings of ~ $158,000. Conclusion: Implementation of a calcitonin prescribing criteria through prospective pharmacist review and recommendations can facilitate the optimization of calcitonin use in patients with hypercalcemia at BHM and potentially lead to significant cost savings

Academic Service-Learning Experience Embraces the Vincentian Mission in Physician Assistant Education

Motivated by the belief that health care is a basic human right and driven by a Vincentian mission, St. John’s University Physician Assistant Program incorporates service minded educational experiences created to expose students to the necessity to reach those most in need—“the poor, alienated and the aged.” In Spring 2018, in conjunction with the SJU Academic Service-Learning program, a geriatric service assignment was integrated into the geriatric course curriculum. Working with Selfhelp Virtual Senior Center, local senior centers and nursing homes, students participated in an outreach project to serve senior citizens. Students shared their experiences through reflection and pre- and post-experience surveys. The reflections included open-ended questions to encourage students to examine and explore ideas regarding older patient’s unique needs to promote empathy and understanding. Conscious and subconscious prejudices and assumptions regarding “old people” were challenged. Students found that participants were more knowledgeable and willing to try new things than they thought. They also discovered that seniors were able to utilize technology and were much more informed than the students anticipated. Together with the teachings of St. Vincent, this AS-L program not only provided an opportunity for senior citizen participants to socialize with the community, but helped our students grow personally and professionally. The results and student reflections collected favor providing service opportunities to enhance the learning objectives of the geriatric course, as well as instill or reinforce compassion and service to aged underserved communities

A Push for Inclusive Data Collection in STEM Organizations

Professional organizations in STEM (science, technology, engineering, and mathematics) can use demographic data to quantify recruitment and retention (R&R) of underrepresented groups within their memberships. However, variation in the types of demographic data collected can influence the targeting and perceived impacts of R&R efforts - e.g., giving false signals of R&R for some groups. We obtained demographic surveys from 73 U.S.-affiliated STEM organizations, collectively representing 712,000 members and conference-attendees. We found large differences in the demographic categories surveyed (e.g., disability status, sexual orientation) and the available response options. These discrepancies indicate a lack of consensus regarding the demographic groups that should be recognized and, for groups that are omitted from surveys, an inability of organizations to prioritize and evaluate R&R initiatives. Aligning inclusive demographic surveys across organizations can provide baseline data that can be used to target and evaluate R&R initiatives to better serve underrepresented groups throughout STEM

Top Paper Panel

Panel Chair: Jenny Warren, Collin College 4-year University Presenters: Alexandra Neenan, UTD A Review of Early Interventions for Children with Autism Corey Olszewski, UNT Emergency Management Collaboration: A Review and New Cyclical Framework 2-year College Presenters: Trexiea Hernandez Diversity of Perspective in Cabeza de Vaca\u27s Relacion and Colonial Literature Cristine Espinosa Latino Representation in Television Exemplified in Jane the Virgin Health Science Academy Presenters: Nicole To Holistic Medicine: Combining the East and West Through Diet Sharin Salam The Balanced Die

Supporting the inclusion and retention of autistic students: Exploring teachers' and paraeducators' use of evidence-based practices in public elementary schools

Introduction: Educators in public schools are required to serve students in their least restrictive environment. While many evidence-based practices (EBPs), defined as practices and strategies shown by research to have meaningful effectson outcomes for autistic students are documented in the literature, less is known about EBP use among educators in public schools. Methods: Eighty-six general and special education teachers and para educators completed a survey about familiarity, training, and EBP use for included autistic children. Results: Across roles, educators reported familiarity (98.8%), use (97.7%), and training (83.7%) in reinforcement. They reported the least familiarity with behavioral momentum (29.1%), training in both video modeling and peer-mediated instruction and intervention (18.6%), and use of video modeling (14.0%). Follow-up interviews (n = 80) highlighted mixed understanding of EBP definitions and use. Discussion: Implications for inclusive education are discussed including autism-specific EBP training within pre-service teacher preparation programs

They did what? A Systematic Review of Music Intervention Reporting in Healthcare Research

poster abstractAbstract Background/Purpose: Both public interest in and publication of music intervention studies are increasing, with more than 1,000 articles published in healthcare journals over the last twenty years. Concomitant with this growth are concerns about inadequate intervention descriptions and inconsistent terminology in published research which limits cross-study comparisons, interdisciplinary communication, and integration of findings into practice. Purposes of this systematic review were to summarize and describe music intervention reporting in published research for patients with chronic or acute medical conditions including intervention content, outcomes of interest, interventionist qualifications, and terminology used to label and describe interventions. Theoretical/Conceptual Framework: Our review is based on published Reporting Guidelines for Musicbased Interventions which specifies 7 areas of reporting: theory, content, delivery schedule, interventionist, treatment fidelity, setting, and unit of delivery. Method: We identified experimental music intervention studies for patients with chronic/acute medical conditions, published 2010 - 2014, using MEDLINE, PubMed, CINAHL, and PsycINFO databases. Our initial search identified 620 articles, with 133 retained based on specific inclusion/exclusion criteria. Five nurse/music therapy student dyads reviewed full articles and abstracted data for analysis. Faculty mentors conducted interrater reliability checks and resolved data extraction discrepancies through discussion/consensus. This interdisciplinary approach provided a rich context for exploring how intervention descriptions/terminology may be interpreted and understood differently based on background and discipline-specific training. Results: Data are summarized based on Reporting Guidelines for Music-based interventions. Areas poorly reported: 1) intervention theory (i.e., mechanisms of action), 2) references for sound recordings/musical arrangements, 3) decibel level/sound controls, 4) interventionist qualifications and training. Two hundred music terms were cited (84 terms defined; 116 terms not defined), and often misapplied. Conclusions: Improved reporting will allow better cross-study comparisons, replication, and translation to practice. Additionally, standardization of music intervention terminology will improve interdisciplinary communication, delineation of music interventions across disciplines, and implementation

The Genetic contribution to solving the cocktail-party problem

Communicating in everyday situations requires solving the cocktail-party problem, or segregating the acoustic mixture into its constituent sounds and attending to those of most interest. Humans show dramatic variation in this ability, leading some to experience real-world problems irrespective of whether they meet criteria for clinical hearing loss. Here, we estimated the genetic contribution to cocktail-party listening by measuring speech-reception thresholds (SRTs) in 425 people from large families and ranging in age from 18 to 91 years. Roughly half the variance of SRTs was explained by genes (h 2 = 0.567). The genetic correlation between SRTs and hearing thresholds (HTs) was medium (ρ G = 0.392), suggesting that the genetic factors influencing cocktail-party listening were partially distinct from those influencing sound sensitivity. Aging and socioeconomic status also strongly influenced SRTs. These findings may represent a first step toward identifying genes for hidden hearing loss, or hearing problems in people with normal HTs