Supermercado servir

En la actualidad, las empresas han cambiado su mentalidad debido a que la sociedad exige mayor calidad y compromiso con los productos y servicios que se les ofrecen. Sin embargo, el mercado se ha visto afectado por la falta de innovación y responsabilidad social. La problemática radica en que existen productos y servicios que prestan la misma función, pero se encuentran con diferente presentación. Se ha detectado una falta de innovación y contribución social en estas empresas. Incluso podríamos afirmar que su capacidad de actualizarse es limitada debido a que han empleado una idea durante muchos años y han tenido éxito con ella. Sin embargo, la competencia está cambiando su modelo de negocio y están pensando más allá de sus productos o servicios, innovando y creando valor añadido en cada uno de ellos. Por lo tanto, la actividad que sigue consiste en presentar un proyecto innovador y rentable que tenga un alto grado de contribución a la sociedad. Este proyecto debe identificar, analizar y describir su público objetivo, su situación actual y la necesidad que se resolverá, considerando tres factores: económicos, sociales y ambientales. La toma de decisiones por parte del grupo colaborativo será necesaria para lograr una estructura financiera, administrativa y comercial compacta en el proyecto. De igual forma, podemos basarnos y obtener criterios bastantes solidos con un valor social propuesto por todos y cada uno de los socios, clientes, conocidos, etc, puesto que es de gran importancia el saber identificarnos de manera segura, identificar cada factor de riesgo, clientes potenciales , estrategias de marketing e innovación para un mejor porvenir en nuestra empresa , ya que el estar seguros de nuestro modelo Canvas y propuestas de valor , podremos alcanzar un exito mas seguro. Es asi , como en nuestro proyecto final , hemos identificado de la mejor manera posible todos y cada uno de los procesos que llevaremos a cabo en un futuro no muy lejano , implementando nuestros proyectos futuristas que aporten a la comunidad en general , creando una ficha técnica bastante fundamentada que nos da base solidas de lo que es nuestro proyecto y como lo queremos proyectar ante un público en específico , generando lluvias de idea e innovación para un mejor futuro para todas y cada una de las generaciones que vienen detrás de jóvenes emprendedores y estudiosos que quieren un mejor porvenir para si mismos y para la comunidad donde se encuentren , ya que con un granito de arena , podemos contribuir a mejorar la situación de muchas familias Colombianas. Este es un proyecto en el que nos hemos unido como grupo para sacarlo adelante a pesar de las adversidades, aportando a la creación de grandes profesionales de las diferentes áreas.Currently, companies have changed their mentality because society demands higher quality and commitment to the products and services offered to them. However, the market has been affected by a lack of innovation and social responsibility. The problem is that there are products and services that provide the same function, but have a different presentation. A lack of innovation and social contribution has been detected in these companies. We could even say that their ability to update is limited because they have used an idea for many years and have had success with it. However, the competition is changing their business model and they are thinking beyond their products or services, innovating and creating added value in each of them. Therefore, the activity that follows consists of presenting an innovative and profitable project that has a high degree of contribution to societyThis project must identify, analyze and describe its target audience, its current situation and the need that will be resolved, considering three factors: economic, social and environmental. Decision making by the collaborative group will be necessary to achieve a compact financial, administrative and commercial structure in the project. In the same way, we can base ourselves on and obtain quite solid criteria with a social value proposed by each and every one of the partners, clients, acquaintances, etc., since it is of great importance to know how to identify ourselves safely, identify each risk factor, potential clients, marketing and innovation strategies for a better future in our company, since being sure of our Canvas model and value proposals, we will be able to achieve a more secure success. Thus , as in our final project , we have identified in the best way possible each and every one of the processes that we will carry out in the not too distant future , implementing our futuristic projects that contribute to the community in general , creating a technical file . Quite well-founded that gives us a solid foundation of what our project is and how we want to project it to a specific audience, generating brainstorming ideas and innovation for a better future for each and every one of the generations that come after young entrepreneurs and scholars. who want a better future for themselves and for the community where they are, since with a grain of sand, we can contribute to improving the situation of many Colombian families. This is a project in which we have come together as a group to move forward despite the adversities, contributing to the creation of great professionals from different areas

Ensiling on chemical composition and in vitro fermentation in rabbits of different forages

The effect of chemical composition of silages on in vitro gas fermentation profiles in rabbits was examined. The study was performed using 7 silages: beans (Phaseolus vulgaris), faba bean (FB, Vicia faba), common vetch (CV, Vicia sativa), ryegrass (Lolium perenne), barley (B, Hordeum vulgare), barley with common vetch (BCV) and barley with faba bean (BFB). We used 3 New Zealand White (NZW) rabbits as donors of caecal content in each incubation run (n=3). Data were analyzed in a completely randomized experimental design. The CV silage showed higher values of crude protein (CP), followed by FB and bean silages (P<0.001). Barley silage had the lowest CP content (96g kg -1 DM) (P=0.001). The NDF and ADF content were lower (P<0.001) for beans and CV compared with the rest of the forage silages. Ryegrass silage had higher values of dry matter degradation, organic matter degradation, relative GP and SCFA (P<0.001). The highest values of digestible energy were for CV and bean silages (P<0.001). Ryegrass and CV silages showed higher levels in GP parameters, which could be associated with their better chemical composition characteristics, mainly pr otein and fiber content

Quality improvement of mixed and ceramic recycled aggregates by biodeposition of calcium carbonate

This research focuses on improving the quality of mixed and ceramic recycled aggregates by microbially induced carbonate precipitation (Bacillus sphaericus). The precipitation contributed to a weight increase and unleashed a waterproofing response. The roughness of the ceramic particles created a more uniform layer compared to natural or concrete particles. For the concrete fraction, which had a higher macroporosity, the consolidation effect was more pronounced. High ceramic content aggregates profited from a greater biodeposition, leading to a remaining amount of precipitates after sonication which was still greater than in cementitious materials. Pore-filling effect was detected by SEM, supporting the waterproofing result. (C) 2017 Elsevier Ltd. All rights reserved

Eco-friendly healing agents for recycled concrete

Abstract An innovative option to extend the service life of construction and building materials is the use of bio-healing agents. This study was focused on assessing the protection and consolidation effect of eco-friendly healing agents by analysing the water absorption of recycled concrete. A recycled concrete with 50% replacement of natural coarse aggregate by construction and demolition waste (CDW) aggregate and a similar recycled concrete in which, additionally, the Portland cement was replaced by recycled cement (with 25% ceramic waste) were biotreated by healing agents. These agents were obtained by using waste biomass of two different mixed microbial cultures from polyhydroxyalkanoates production processes. Results have shown that biotreatments decreased the water absorption significantly, more evident in concrete samples with both recycled cement and aggregates than on the other type of concrete. Resumen Una innovadora posibilidad planteada para prolongar la vida útil de los materiales de construcción y edificación es el uso de agentes bioreparadores. Este estudio se centró en la evaluación del efecto protector y consolidante de agentes reparadores y respetuosos con el medio ambiente mediante el análisis de la absorción de agua del hormigón reciclado. Un hormigón reciclado con sustitución del 50% de los áridos gruesos naturales por residuos de construcción y demolición (RCD) y un hormigón reciclado similar en el cual, además, se sustituyó el cemento convencional Portland por cemento reciclado (con 25% de residuo cerámico) fueron biotratados con agentes reparadores. Estos agentes se obtuvieron en el proceso de producción de polihidroxialcanoatos utilizando biomasa residual de dos cultivos microbianos mixtos diferentes. Los resultados mostraron que los biotratamientos disminuyen significativamente la absorción de agua del hormigón, siendo más eficaces en las muestras de hormigón que combinan cemento y árido reciclado que en el otro tipo de hormigón.authorsversionpublishe

Assessment of platelet REACtivity after transcatheter aortic valve replacement

OBJECTIVES: The REAC-TAVI (Assessment of platelet REACtivity after Transcatheter Aortic Valve Implantation) trial enrolled patients with aortic stenosis (AS) undergoing transcatheter aortic valve replacement (TAVR) pre-treated with aspirin + clopidogrel, aimed to compare the efficacy of clopidogrel and ticagrelor in suppressing high platelet reactivity (HPR) after TAVI. BACKGROUND: Current recommendations support short-term use of aspirin + clopidogrel for patients with severe AS undergoing TAVR despite the lack of compelling evidence. METHODS: This was a prospective, randomized, multicenter investigation. Platelet reactivity was measured at 6 different time points with the VerifyNow assay (Accriva Diagnostics, San Diego, California). HPR was defined as (P2Y12 reaction units (PRU) ≥208. Patients with HPR before TAVR were randomized to either aspirin + ticagrelor or aspirin + clopidogrel for 3 months. Patients without HPR continued with aspirin + clopidogrel (registry cohort). The primary endpoint was non-HPR status (PRU <208) in ≥70% of patients treated with ticagrelor at 90 days post-TAVR. RESULTS: A total of 68 patients were included. Of these, 48 (71%) had HPR (PRU 273 ± 09) and were randomized to aspirin + ticagrelor (n = 24, PRU 277 ± 08) or continued with aspirin + clopidogrel (n = 24, PRU 269 ± 49). The remaining 20 patients (29%) without HPR (PRU 133 ± 12) were included in the registry. Overall, platelet reactivity across all the study time points after TAVR was lower in patients randomized to ticagrelor compared with those treated with clopidogrel, including those enrolled in the registry (p < 0.001). The primary endpoint was achieved in 100% of patients with ticagrelor compared with 21% with clopidogrel (p < 0.001). Interestingly, 33% of clopidogrel responder patients at baseline developed HPR status during the first month after TAVR. CONCLUSIONS: HPR to clopidogrel is present in a considerable number of patients with AS undergoing TAVR. Ticagrelor achieves a better and faster effect, providing sustained suppression of HPR to these patients. (Platelet Reactivity After TAVI: A Multicenter Pilot Study [REAC-TAVI]; NCT02224066)

Unravelling interspecific relationships among highland lizards: First phylogenetic hypothesis using total evidence of the Liolaemus montanus group (Iguania: Liolaemidae)

The South American lizard genus Liolaemus comprises > 260 species, of which > 60 are recognized as members of the Liolaemus montanus group, distributed throughout the Andes in central Peru, Bolivia, Chile and central Argentina. Despite its great morphological diversity and complex taxonomic history, a robust phylogenetic estimate is still lacking for this group. Here, we study the morphological and molecular diversity of the L. montanus group and present the most complete quantitative phylogenetic hypothesis for the group to date. Our phylogeny includes 103 terminal taxa, of which 91 are members of the L. montanus group (58 are assigned to available species and 33 are of uncertain taxonomic status). Our matrix includes 306 morphological and ecological characters and 3057 molecular characters. Morphological characters include 48 continuous and 258 discrete characters, of which 70% (216) are new to the literature. The molecular characters represent five mitochondrial markers. We performed three analyses: A morphology-only matrix, a molecular-only matrix and a matrix including both morphological and molecular characters (total evidence hypothesis). Our total evidence hypothesis recovered the L. montanus group as monophyletic and included ≥ 12 major clades, revealing an unexpectedly complex phylogeny.Fil: Abdala, Cristian Simón. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico - Tucumán. Unidad Ejecutora Lillo; ArgentinaFil: Quinteros, Andres Sebastian. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Salta. Instituto de Bio y Geociencias del NOA. Universidad Nacional de Salta. Facultad de Ciencias Naturales. Museo de Ciencias Naturales. Instituto de Bio y Geociencias del NOA; ArgentinaFil: Semhan, Romina Valeria. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico - Tucumán. Unidad Ejecutora Lillo; ArgentinaFil: Bulacios Arroyo, Ana Lucia. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico - Tucumán. Unidad Ejecutora Lillo; ArgentinaFil: Schulte, James. Belloit College; Estados UnidosFil: Paz, Marcos Maximiliano. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico - Tucumán. Unidad Ejecutora Lillo; ArgentinaFil: Ruiz Monachesi, Mario Ricardo. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Salta. Instituto de Bio y Geociencias del NOA. Universidad Nacional de Salta. Facultad de Ciencias Naturales. Museo de Ciencias Naturales. Instituto de Bio y Geociencias del NOA; ArgentinaFil: Laspiur, Julio Alejandro. Universidad Nacional de San Juan. Facultad de Ciencias Exactas, Físicas y Naturales; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - San Juan; ArgentinaFil: Aguilar Kirigin, Alvaro Juan. Colección Boliviana de Fauna; Bolivia. Universidad Mayor de San Andrés; BoliviaFil: Gutierrez Poblete, Ricardo. Universidad Nacional de San Agustín. Facultad de Ciencias Biológicas. Departamento Académico de Biología. Museo de Historia Natural; PerúFil: Valladares Faundez, Pablo. Universidad de Tarapaca.; ChileFil: Valdes, José Julian. Universidad Nacional del Nordeste. Facultad de Ciencias Exactas y Naturales y Agrimensura; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Nordeste. Instituto de Botánica del Nordeste. Universidad Nacional del Nordeste. Facultad de Ciencias Agrarias. Instituto de Botánica del Nordeste; ArgentinaFil: Portelli, Sabrina Noelia. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Salta. Instituto de Bio y Geociencias del NOA. Universidad Nacional de Salta. Facultad de Ciencias Naturales. Museo de Ciencias Naturales. Instituto de Bio y Geociencias del NOA; ArgentinaFil: Santa Cruz, Roy. Universidad Nacional de San Agustín. Facultad de Ciencias Biológicas. Departamento Académico de Biología. Museo de Historia Natural; PerúFil: Aparicio, James. Colección Boliviana de Fauna; Bolivia. Universidad Mayor de San Andrés; BoliviaFil: García, Noelia. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico - Tucumán. Unidad Ejecutora Lillo; ArgentinaFil: Langstroth, Robeert. Colección Boliviana de Fauna; Bolivia. Universidad Mayor de San Andrés; Bolivi

Assessment of Platelet REACtivity After Transcatheter Aortic Valve Replacement: The REAC-TAVI Trial

OBJECTIVES: The REAC-TAVI (Assessment of platelet REACtivity after Transcatheter Aortic Valve Implantation) trial enrolled patients with aortic stenosis (AS) undergoing transcatheter aortic valve replacement (TAVR) pre-treated with aspirin + clopidogrel, aimed to compare the efficacy of clopidogrel and ticagrelor in suppressing high platelet reactivity (HPR) after TAVI. BACKGROUND: Current recommendations support short-term use of aspirin + clopidogrel for patients with severe AS undergoing TAVR despite the lack of compelling evidence. METHODS: This was a prospective, randomized, multicenter investigation. Platelet reactivity was measured at 6 different time points with the VerifyNow assay (Accriva Diagnostics, San Diego, California). HPR was defined as (P2Y12 reaction units (PRU) ≥208. Patients with HPR before TAVR were randomized to either aspirin + ticagrelor or aspirin + clopidogrel for 3 months. Patients without HPR continued with aspirin + clopidogrel (registry cohort). The primary endpoint was non-HPR status (PRU <208) in ≥70% of patients treated with ticagrelor at 90 days post-TAVR. RESULTS: A total of 68 patients were included. Of these, 48 (71%) had HPR (PRU 273 ± 09) and were randomized to aspirin + ticagrelor (n = 24, PRU 277 ± 08) or continued with aspirin + clopidogrel (n = 24, PRU 269 ± 49). The remaining 20 patients (29%) without HPR (PRU 133 ± 12) were included in the registry. Overall, platelet reactivity across all the study time points after TAVR was lower in patients randomized to ticagrelor compared with those treated with clopidogrel, including those enrolled in the registry (p < 0.001). The primary endpoint was achieved in 100% of patients with ticagrelor compared with 21% with clopidogrel (p < 0.001). Interestingly, 33% of clopidogrel responder patients at baseline developed HPR status during the first month after TAVR. CONCLUSIONS: HPR to clopidogrel is present in a considerable number of patients with AS undergoing TAVR. Ticagrelor achieves a better and faster effect, providing sustained suppression of HPR to these patients. (Platelet Reactivity After TAVI: A Multicenter Pilot Study [REAC-TAVI]; NCT02224066)

Canagliflozin and renal outcomes in type 2 diabetes and nephropathy

BACKGROUND Type 2 diabetes mellitus is the leading cause of kidney failure worldwide, but few effective long-term treatments are available. In cardiovascular trials of inhibitors of sodium–glucose cotransporter 2 (SGLT2), exploratory results have suggested that such drugs may improve renal outcomes in patients with type 2 diabetes. METHODS In this double-blind, randomized trial, we assigned patients with type 2 diabetes and albuminuric chronic kidney disease to receive canagliflozin, an oral SGLT2 inhibitor, at a dose of 100 mg daily or placebo. All the patients had an estimated glomerular filtration rate (GFR) of 30 to &lt;90 ml per minute per 1.73 m2 of body-surface area and albuminuria (ratio of albumin [mg] to creatinine [g], &gt;300 to 5000) and were treated with renin–angiotensin system blockade. The primary outcome was a composite of end-stage kidney disease (dialysis, transplantation, or a sustained estimated GFR of &lt;15 ml per minute per 1.73 m2), a doubling of the serum creatinine level, or death from renal or cardiovascular causes. Prespecified secondary outcomes were tested hierarchically. RESULTS The trial was stopped early after a planned interim analysis on the recommendation of the data and safety monitoring committee. At that time, 4401 patients had undergone randomization, with a median follow-up of 2.62 years. The relative risk of the primary outcome was 30% lower in the canagliflozin group than in the placebo group, with event rates of 43.2 and 61.2 per 1000 patient-years, respectively (hazard ratio, 0.70; 95% confidence interval [CI], 0.59 to 0.82; P=0.00001). The relative risk of the renal-specific composite of end-stage kidney disease, a doubling of the creatinine level, or death from renal causes was lower by 34% (hazard ratio, 0.66; 95% CI, 0.53 to 0.81; P&lt;0.001), and the relative risk of end-stage kidney disease was lower by 32% (hazard ratio, 0.68; 95% CI, 0.54 to 0.86; P=0.002). The canagliflozin group also had a lower risk of cardiovascular death, myocardial infarction, or stroke (hazard ratio, 0.80; 95% CI, 0.67 to 0.95; P=0.01) and hospitalization for heart failure (hazard ratio, 0.61; 95% CI, 0.47 to 0.80; P&lt;0.001). There were no significant differences in rates of amputation or fracture. CONCLUSIONS In patients with type 2 diabetes and kidney disease, the risk of kidney failure and cardiovascular events was lower in the canagliflozin group than in the placebo group at a median follow-up of 2.62 years

Sloan Digital Sky Survey IV: Mapping the Milky Way, Nearby Galaxies, and the Distant Universe

We describe the Sloan Digital Sky Survey IV (SDSS-IV), a project encompassing three major spectroscopic programs. The Apache Point Observatory Galactic Evolution Experiment 2 (APOGEE-2) is observing hundreds of thousands of Milky Way stars at high resolution and high signal-to-noise ratios in the near-infrared. The Mapping Nearby Galaxies at Apache Point Observatory (MaNGA) survey is obtaining spatially resolved spectroscopy for thousands of nearby galaxies (median $z\sim 0.03$). The extended Baryon Oscillation Spectroscopic Survey (eBOSS) is mapping the galaxy, quasar, and neutral gas distributions between $z\sim 0.6$ and 3.5 to constrain cosmology using baryon acoustic oscillations, redshift space distortions, and the shape of the power spectrum. Within eBOSS, we are conducting two major subprograms: the SPectroscopic IDentification of eROSITA Sources (SPIDERS), investigating X-ray AGNs and galaxies in X-ray clusters, and the Time Domain Spectroscopic Survey (TDSS), obtaining spectra of variable sources. All programs use the 2.5 m Sloan Foundation Telescope at the Apache Point Observatory; observations there began in Summer 2014. APOGEE-2 also operates a second near-infrared spectrograph at the 2.5 m du Pont Telescope at Las Campanas Observatory, with observations beginning in early 2017. Observations at both facilities are scheduled to continue through 2020. In keeping with previous SDSS policy, SDSS-IV provides regularly scheduled public data releases; the first one, Data Release 13, was made available in 2016 July

Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research