Impacto de las donaciones y transferencias en la inversión pública en la región Puno, periodo 2009-2019

The objective of the research was to determine the impact of donations and transfers on public investment in the Puno region 2009-2019, given that in recent years, public investment has been questioned mainly because it has not shown significant improvements in the development of the Puno region. A descriptive correlational methodology was applied, considering the database of time series for the analysis of the impact that is had towards the Puno region, the applied model was of maximum likelihood with the execution of the Log-Log model. It was determined that donations and transfers do have a positive impact on public investment in the Puno region, since with an increase in donations and transfers by 1%, then public investment will increase by 54.48%.El objetivo de la investigación fue determinar el impacto de las donaciones y transferencias en la inversión pública de la región Puno 2009-2019, en vista que en los últimos años, la inversión pública ha sido cuestionada principalmente porque ésta no ha mostrado mejoras significativas en el desarrollo de la región de Puno. Se aplicó una metodología de tipo correlacional, descriptiva, considerando la base de datos de series temporales para el análisis del impacto que se tiene hacia la región de Puno, el modelo aplicado fue de máxima verosimilitud con la ejecución del modelo Log-Log. Se pudo determinar que las donaciones y transferencias si tienen un impacto positivo hacia la inversión pública de la región de Puno, toda vez que a un incremento de las donaciones y transferencias en 1% entonces la inversión pública incrementara en 54.48%. &nbsp

Incidence of the collection of municipal taxes in the financing of the institutional budget: an application for the case of the provincial municipality of Puno-Peru, 2009-2020

El objetivo fue analizar la incidencia de los impuestos municipales en el financiamiento del presupuesto institucional de la municipalidad provincial de puno, en el periodo 2009-2020. Se utilizó la metodología cuantitativa, de tipo correlacional, donde se aplicó el modelo econométrico de máxima verosimilitud Log-Lin. Se pudo determinar que las recaudaciones de los impuestos municipales no son altamente significativas en el financiamiento del presupuesto institucional, ya que esta es explicado solo en un 42.11% por las recaudaciones de los impuestos municipales; sin embargo, el impuesto predial si fue significativo con un 54.15% de significancia en el financiamiento del presupuesto institucional.The objective was to analyze the incidence of municipal taxes in the financing of the institutional budget of the provincial municipality of Puno, in the period 2009-2020. The correlational quantitative methodology was used, where the maximum likelihood Log-Lin econometric model was applied. It was determined that municipal tax collections are not highly significant in financing the institutional budget, since this is explained only 42.11% by municipal tax collections; However, the property tax was significant with a 54.15% significance in financing the institutional budget

Risk profiles and one-year outcomes of patients with newly diagnosed atrial fibrillation in India: Insights from the GARFIELD-AF Registry.

BACKGROUND: The Global Anticoagulant Registry in the FIELD-Atrial Fibrillation (GARFIELD-AF) is an ongoing prospective noninterventional registry, which is providing important information on the baseline characteristics, treatment patterns, and 1-year outcomes in patients with newly diagnosed non-valvular atrial fibrillation (NVAF). This report describes data from Indian patients recruited in this registry. METHODS AND RESULTS: A total of 52,014 patients with newly diagnosed AF were enrolled globally; of these, 1388 patients were recruited from 26 sites within India (2012-2016). In India, the mean age was 65.8 years at diagnosis of NVAF. Hypertension was the most prevalent risk factor for AF, present in 68.5% of patients from India and in 76.3% of patients globally (P < 0.001). Diabetes and coronary artery disease (CAD) were prevalent in 36.2% and 28.1% of patients as compared with global prevalence of 22.2% and 21.6%, respectively (P < 0.001 for both). Antiplatelet therapy was the most common antithrombotic treatment in India. With increasing stroke risk, however, patients were more likely to receive oral anticoagulant therapy [mainly vitamin K antagonist (VKA)], but average international normalized ratio (INR) was lower among Indian patients [median INR value 1.6 (interquartile range {IQR}: 1.3-2.3) versus 2.3 (IQR 1.8-2.8) (P < 0.001)]. Compared with other countries, patients from India had markedly higher rates of all-cause mortality [7.68 per 100 person-years (95% confidence interval 6.32-9.35) vs 4.34 (4.16-4.53), P < 0.0001], while rates of stroke/systemic embolism and major bleeding were lower after 1 year of follow-up. CONCLUSION: Compared to previously published registries from India, the GARFIELD-AF registry describes clinical profiles and outcomes in Indian patients with AF of a different etiology. The registry data show that compared to the rest of the world, Indian AF patients are younger in age and have more diabetes and CAD. Patients with a higher stroke risk are more likely to receive anticoagulation therapy with VKA but are underdosed compared with the global average in the GARFIELD-AF. CLINICAL TRIAL REGISTRATION-URL: http://www.clinicaltrials.gov. Unique identifier: NCT01090362

Comparison of international normalized ratio audit parameters in patients enrolled in GARFIELD-AF and treated with vitamin K antagonists

Vitamin K antagonist (VKA) therapy for stroke prevention in atrial fibrillation (AF) requires monitoring of the international normalized ratio (INR). We evaluated the agreement between two INR audit parameters, frequency in range (FIR) and proportion of time in the therapeutic range (TTR), using data from a global population of patients with newly diagnosed non-valvular AF, the Global Anticoagulant Registry in the FIELD\u2013Atrial Fibrillation (GARFIELD-AF). Among 17\ua0168 patients with 1-year follow-up data available at the time of the analysis, 8445 received VKA therapy (\ub1antiplatelet therapy) at enrolment, and of these patients, 5066 with 653 INR readings and for whom both FIR and TTR could be calculated were included in the analysis. In total, 70\ua0905 INRs were analysed. At the patient level, TTR showed higher values than FIR (mean, 56\ub70% vs 49\ub78%; median, 59\ub77% vs 50\ub70%). Although patient-level FIR and TTR values were highly correlated (Pearson correlation coefficient [95% confidence interval; CI], 0\ub7860 [0\ub7852\u20130\ub7867]), estimates from individuals showed widespread disagreement and variability (Lin's concordance coefficient [95% CI], 0\ub7829 [0\ub7821\u20130\ub7837]). The difference between FIR and TTR explained 17\ub74% of the total variability of measurements. These results suggest that FIR and TTR are not equivalent and cannot be used interchangeably