Políticas, Casos de estudio, Técnicas de simulación y programas de competencias en la educación de logística y cadena de suministro en México.

En esta obra se plasman las distintas formaciones académicas pero afines por la visión multi-transdisciplinaria que hoy día permea en el oficio académico permitiendo con ello comprender de manera explicativa las fronteras del conocimiento de la logística en sus distintas aristas tales como la ingeniería industrial, la economía, la administración, las relaciones económicas internacionales, las tecnologías como herramientas de simulación y optimización a través de técnicas formales que permitan establecer diversos escenarios de operación para simular matemáticamente minimización de costos y al mismo tiempo coadyuve a los estudiantes e interesados en asimilar la complejidad de desarrollar las capacidades necesarias para la toma de decisiones en relación con el diseño y operación de las políticas y cadenas de suministros. En esa lógica se inscribe el conjunto de libro colectivo.Políticas, casos de estudio, técnicas de simulación y programas de competencias en la educación de logística y cadena de suministro en México, tiene como objetivo principal estudiar manera holística las políticas y cadenas de suministro, a través del comercio internacional, la transportación, las técnicas formales en operaciones de un CEDIS 3PL de productos terminados, los procedimientos matemáticos en la enseñanza de planificación de requerimientos de materiales y algoritmos genéticos en el problema picking, con la finalidad de explicar las competencias en la educación de logística y cadena de suministro en el país. De tal suerte, la secuencia metodológica de la presente investigación se apoya en el eclecticismo cuyo enfoque conceptual que se basa en múltiples teorías e ideas que configuran un todo en torno a la narrativa teórica y empírica aplicada de la logística y cadena de suministro. Ello nos ofrece una forma de observar mejor el fenómeno objeto de estudio y contribuir al análisis de las políticas de logística, guiados por la premisa de averiguar que agentes hacen qué, cómo lo hacen y con qué resultados

Hospital triage system for adult patients using an influenza-like illness scoring system during the 2009 pandemic--Mexico.

Pandemic influenza A (H1N1) virus emerged during 2009. To help clinicians triage adults with acute respiratory illness, a scoring system for influenza-like illness (ILI) was implemented at Hospital Civil de Guadalajara, Mexico.A medical history, laboratory and radiology results were collected on emergency room (ER) patients with acute respiratory illness to calculate an ILI-score. Patients were evaluated for admission by their ILI-score and clinicians' assessment of risk for developing complications. Nasal and throat swabs were collected from intermediate and high-risk patients for influenza testing by RT-PCR. The disposition and ILI-score of those oseltamivir-treated versus untreated, clinical characteristics of 2009 pandemic influenza A (H1N1) patients versus test-negative patients were compared by Pearson's Chi(2), Fisher's Exact, and Wilcoxon rank-sum tests.Of 1840 ER patients, 230 were initially hospitalized (mean ILI-score = 15), and the rest were discharged, including 286 ambulatory patients given oseltamivir (median ILI-score = 11), and 1324 untreated (median ILI-score = 5). Fourteen (1%) untreated patients returned, and 3 were hospitalized on oseltamivir (median ILI-score = 19). Of 371 patients tested by RT-PCR, 104 (28%) had pandemic influenza and 42 (11%) had seasonal influenza A detected. Twenty (91%) of 22 imaged hospitalized pandemic influenza patients had bilateral infiltrates compared to 23 (38%) of 61 imaged hospital test-negative patients (p<0.001). One patient with confirmed pandemic influenza presented 6 days after symptom onset, required mechanical ventilation, and died.The triaging system that used an ILI-score complimented clinicians' judgment of who needed oseltamivir and inpatient care and helped hospital staff manage a surge in demand for services

Influenza Scoring System at the Hospital Civil de Guadalajara during the (H1N1) pandemic 2009—Mexico_‡.

<p>Influenza Scoring System at the Hospital Civil de Guadalajara during the (H1N1) pandemic 2009—Mexico_‡.</p

Histogram of patients seeking care for acute respiratory infections at Hospital Civil de Guadalajara during the (H1N1) pandemic 2009—Mexico.

<p>Histogram of patients seeking care for acute respiratory infections at Hospital Civil de Guadalajara during the (H1N1) pandemic 2009—Mexico.</p

Demographic Characteristics of Patients Seeking Care for acute respiratory infection at the Hospital Civil de Guadalajara during the (H1N1) pandemic 2009—Mexico.

<p>*Difference between seasonal influenza and pandemic (H1N1), 2009, p = 0.0007.</p><p>¥2% of pandemic (H1N1) 2009 missing risk assessment information.</p><p>‡Includes all hospitalized cases regardless of influenza RT-PCR test results.</p><p>∞Includes all hospitalized cases and ambulatory patients treated with oseltamivir who tested positive for influenza A.</p

Patients seeking care with acute respiratory infections at the Hospital Civil de Guadalajara during the (H1N1) pandemic 2009—Mexico.

<p>Patients seeking care with acute respiratory infections at the Hospital Civil de Guadalajara during the (H1N1) pandemic 2009—Mexico.</p

Typical radiological findings of Pandemic (H1N1) 2009 patient at the Hospital Civil de Guadalajara—Mexico.

<p>Typical radiological findings of Pandemic (H1N1) 2009 patient at the Hospital Civil de Guadalajara—Mexico.</p

Symptoms of Patients Seeking Care for Acute Respiratory Infections at the Hospital Civil de Guadalajara during the (H1N1) pandemic 2009—Mexico_◊.

<p>‡Includes all hospitalized cases regardless of influenza RT-PCR test results.</p><p>∞Includes all hospitalized cases and ambulatory patients treated with oseltamivir who tested positive for influenza A.</p><p>◊Insufficient data available from patients discharged from triage without oseltamivir to include in table.</p

Findings of patients seeking care for acute respiratory infections at the Hospital Civil de Guadalajara during the (H1N1) pandemic 2009—Mexico _◊.

<p>¥p = 0.01 when comparing patients who tested positive for seasonal influenza A with those who tested positive for pandemic (H1N1) 2009.</p><p>*p≤0.009 when comparing patients who tested positive for pandemic (H1N1) 2009 to those who tested negative.</p><p>‡Includes all hospitalized cases regardless of influenza RT-PCR test results.</p><p>∞Includes all hospitalized cases and ambulatory patients treated with oseltamivir who tested positive for influenza A.</p><p>◊Insufficient data available from patients discharged from triage without oseltamivir to include in table.</p