La Planificación Estratégica como proceso de integración de un equipo de salud.

Strategic Planning is a process that leads to human capital to establish organizational goals, strategies and policies for achieving those goals, develop plans to ensure implementation of strategies and obtain the ends sought. This study is framed in the research: Human Resource Management, whose purpose was to design a strategic plan for integration of the healthcare team to optimize service to users who visited the outpatient IVSS" in the state of Carabobo. This study was characterized as a feasible project, based on field research and descriptive, the sample was intentional and consisted of 17 people who belong to health strategists of the ambulance team. For data collection technique was used as an instrument survey and structured questionnaire of 30 items, which was validated by experts, who provided positive results to determine the internal reliability was calculated Cronbach alpha coefficient, obtaining significant value of 0.83%. The data were analyzed using simple percentage analysis technique and were presented by tables and circle graphs. It proposes anintegration plan based on strategic planning in order to provide the tools necessary to enable it to overcome the weaknesses and threats and capitalize on the strengths and opportunities to improving health care for the users who come to the ambulanceLa Planificación Estratégica es un proceso que conduce al capital humano a establecer metas organizacionales, definir estrategias y  políticas para el logro de esas metas,  desarrollar planes para asegurar la implantación de las estrategias y así obtener los fines buscados. Este estudio está enmarcado en la línea de investigación: Administración de los Recursos Humanos, cuyo propósito fue diseñar un plan estratégico de integración del equipo de salud para optimizar la atención a los usuarios que acuden a un ambulatorio del IVSS“en el Estado Carabobo. Este estudio se caracterizo como un proyecto factible, basado en una investigación de campo de tipo descriptivo, la muestra fue de tipo intencional y estuvo conformada por 17 personas que corresponden a estrategas del equipo de salud del ambulatorio. Para la recolección de la información se utilizó la técnica de encuesta y como instrumento el cuestionario estructurado en 30 ítems, el cual fue validado por juicio de expertos, quienes aportaron resultados positivos; para determinar la confiabilidad interna se calculo el coeficiente Alpha de Cronbach, obteniendo un valor significativo de 0,83%. Los datos fueron analizados mediante la técnica de análisis porcentual simple y fueron presentados por cuadros y graficas circulares. Se propone un plan de integración  fundamentado en la planificación estratégica con el objetivo de proporcionar las herramientas necesarias que le permitan superar las debilidades y amenazas y aprovechar las fortalezas y oportunidades para optimizar la atención en salud a los usuarios que acuden al ambulatorio

Beyond the culture effect on credibility perception on microblogs

We investigated the credibility perception of tweet readers from the USA and by readers from eight Arabic countries; our aim was to understand if credibility was affected by country and/or by culture. Results from a crowd-sourcing experiment, showed a wide variety of factors affected credibility perception, including a tweet author's gender, profile image, username style, location, and social network overlap with the reader. We found that culture determines readers' credibility perception, but country has no effect. We discuss the implications of our findings for user interface design and social media systems

Recurrence of hepatitis C virus during leucocytopenia and spontaneous clearance after recovery from cytopenia: a case report

<p>Abstract</p> <p>Introduction</p> <p>There is little information about the risk of HCV recurrence in immunosuppressed patients. Although the presence of antibodies to HCV and the absence of HCV-RNA is usually considered to indicate viral elimination, the virus may not be completely eliminated but may be under control of an effective immune response.</p> <p>Case presentation</p> <p>A 69 year old man presented with jaundice, elevated ALT, AST, lipase and concomitant abdominal pain. He was found to be positive for HCV-RNA (genotype 3a) and was diagnosed with acute hepatitis C. Six weeks later no HCV-RNA was detected, and the patient was diagnosed with hyperthyreosis and started on propylthiouracil. After 4 weeks of propylthiouracil treatment, the patient developed leucocytopenia, followed by liver function deterioration and reappearance of HCV-RNA. Propylthiouracil was discontinued and his leukocyte counts increased. Twenty-eight weeks after onset of acute hepatitis C, no HCV-RNA was detected.</p> <p>Conclusion</p> <p>This case history shows the risk of recurrence of HCV during leucocytopenia. These findings indicate that patients who are anti-HCV positive but HCV-RNA negative may be at risk of cytopenia-induced HCV reactivation.</p

Transient peak-strain matching partially recovers the age-impaired mechanoadaptive cortical bone response

Mechanoadaptation maintains bone mass and architecture; its failure underlies age-related decline in bone strength. It is unclear whether this is due to failure of osteocytes to sense strain, osteoblasts to form bone or insufficient mechanical stimulus. Mechanoadaptation can be restored to aged bone by surgical neurectomy, suggesting that changes in loading history can rescue mechanoadaptation. We use non-biased, whole-bone tibial analyses, along with characterisation of surface strains and ensuing mechanoadaptive responses in mice at a range of ages, to explore whether sufficient load magnitude can activate mechanoadaptation in aged bone. We find that younger mice adapt when imposed strains are lower than in mature and aged bone. Intriguingly, imposition of short-term, high magnitude loading effectively primes cortical but not trabecular bone of aged mice to respond. This response was regionally-matched to highest strains measured by digital image correlation and to osteocytic mechanoactivation. These data indicate that aged bone’s loading response can be partially recovered, non-invasively by transient, focal high strain regions. Our results indicate that old murine bone does respond to load when the loading is of sufficient magnitude, and bones’ age-related adaptation failure may be due to insufficient mechanical stimulus to trigger mechanoadaptation

Diets containing sea cucumber (Isostichopus badionotus) meals are hypocholesterolemic in young rats

Peer reviewedPublisher PD

Sex-biased parental care and sexual size dimorphism in a provisioning arthropod

The diverse selection pressures driving the evolution of sexual size dimorphism (SSD) have long been debated. While the balance between fecundity selection and sexual selection has received much attention, explanations based on sex-specific ecology have proven harder to test. In ectotherms, females are typically larger than males, and this is frequently thought to be because size constrains female fecundity more than it constrains male mating success. However, SSD could additionally reflect maternal care strategies. Under this hypothesis, females are relatively larger where reproduction requires greater maximum maternal effort – for example where mothers transport heavy provisions to nests. To test this hypothesis we focussed on digger wasps (Hymenoptera: Ammophilini), a relatively homogeneous group in which only females provision offspring. In some species, a single large prey item, up to 10 times the mother’s weight, must be carried to each burrow on foot; other species provide many small prey, each flown individually to the nest. We found more pronounced female-biased SSD in species where females carry single, heavy prey. More generally, SSD was negatively correlated with numbers of prey provided per offspring. Females provisioning multiple small items had longer wings and thoraxes, probably because smaller prey are carried in flight. Despite much theorising, few empirical studies have tested how sex-biased parental care can affect SSD. Our study reveals that such costs can be associated with the evolution of dimorphism, and this should be investigated in other clades where parental care costs differ between sexes and species