Análisis de la evolución de la prima de riesgo española

Universidad de Sevilla. Grado en Finanzas y Contabilida

La Exposición Universal de Sevilla de 1992: consecuencias de orden territorial

La Exposición Universal de Sevilla en 1992 ha sido posiblemente el acontecimiento más relevante que ha tenido lugar en la ciudad de Sevilla en las últimas décadas. Más allá del éxito de su celebración, la Expo constituyó un revulsivo que puso en tensión las fuerzas e iniciativas de la ciudad para que todo resultase lo mejor posible. Entre los legados de la Expo, uno de los principales para el presente y el futuro de Sevilla fueron las magníficas infraestructuras físicas que se diseñaron y construyeron dentro y fuera del recinto de La Cartuja. Con ellas, de igual manera que había ocurrido con la Exposición Iberoamericana de 1929, le ha sido posible a Sevilla y su entorno recuperar una parte del tiempo perdido, y entrar en el nuevo siglo en mejores condiciones

Diseño de un plan HACCP en la molinera del Pacífico E.I.R.L para mejorar la calidad e inocuidad del producto Ferreñafe- 2014

El presente trabajo de investigación, tiene como título “Diseño de un Plan HACCP en la Molinera Del Pacífico E.I.R.L para mejorar la Calidad e Inocuidad del producto - Ferreñafe 2014”. Este diseño es consecuencia de la necesidad que tiene la molinera de ofrecer a sus clientes un producto sano, libre de alteraciones físicas, químicas o microbiológicas. Inicialmente se elaboró un diagnóstico general cuantitativo, basado en las normas sanitarias de la fabricación de alimentos y Bebidas del MINSA/ DIGESA. El análisis del diagnóstico actual permitió demostrar y conocer las falencias o puntos críticos más resaltantes del proceso, según los aspectos y factores que se habían tomado en cuenta. Posteriormente se elaboraron los programas de prerrequisitos Buenas Prácticas de Manufactura (BPM) y el Programa de Operacionalización de Estandarizado y Saneamiento (POES) a través de un estudio y análisis detallado en el proceso de pilado. Luego se prosiguió a elaborar y documentar los 5 pasos previos a la implementación de los siete principios del Análisis de Peligros y Puntos Críticos de Control (HACCP); y se concluyó con la implementación de un sistema documental de procedimientos y registros para el mantenimiento del sistema y su mejora continua. El desarrollo del Plan HACCP permitió establecer 3 Puntos Críticos de Control (PCC), para cada uno de los PCC se estableció sus respectivos limites, procedimientos de monitoreo, acciones correctivas, procedimientos de verificación y sus respectivos registros.Tesi

Presentación

Artículo revisado por pare

Fish skin grafts versus standard of care on wound healing of chronic diabetic foot ulcers: a systematic review and meta-analysis

This study will explore the effectiveness of fish skin grafts (FSG) in ulcer healing in diabetic foot disease compared to standard of care (SOC). The systematic review and meta-analysis were performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) standard. The electronic databases of PubMed, EMBASE, and Web of Science (WoS) internet were searched for the outcome rate of complete ulcer healing. The risk of bias assessment was conducted using the tool recommended by the Cochrane Collaboration. Statistical analysis included the individual and combined result of the studies, heterogeneity test, the effect size, sensitivity analysis, and publication bias tests. Five randomised controlled trials (RCTs) with a total of 411 patients were included in this study. This meta-analysis showed a higher rate of complete ulcer healing in groups receiving fish skin grafts (OR = 3.34, 95% CI 2.14–5.20, p < 0.01, I2 = 0%) compared to control groups. Fish skin grafts have been shown to be more effective for achieving complete ulcer healing compared to current conventional treatments in diabetic foot disease.Funding for open access charge: Universidad de Málaga / CBU

Risk of recurrent venous thromboembolism in patients with autoimmune diseases:data from the Registro Informatizado de Enfermedad TromboEmbolica (RIETE) registry

Autoimmune disease is a risk factor for first incident venous thromboembolism (VTE). However, data on the risk of recurrent VTE in people with autoimmune disease is sparse. We explored the risk of recurrent VTE using the RIETE registry, comparing people with autoimmune disease (n = 1305) to those without (n = 50608). Overall rates were 6.5 and 5.1 recurrent VTE/100 years for patients with autoimmune disease vs controls, respectively. After adjustment for sex and unprovoked/provoked VTE yielded an adjusted hazard ratio of 1.29 (95%CI 1.03-1.62). The analysis was limited by short median follow up time (161 days overall), precluding definitive conclusions on recurrent VTE risks

Systematic review of the methodological quality of patientreported outcome measure for patients with chronic ankle instability.

Objetive: Chronic ankle instability is generally associated with ankle sprain. Its consequences can be measured by means of patient-reported outcome measures (PROMs). The aim of this review is to identify the PROMs specifically available for chronic ankle instability and to evaluate their methodological quality and that of the cross-cultural adaptations made. Data Sources: Papers were retrieved fromPubMed, Embase, Scopus and Google Scholar databases, with no time limit applied, based on the following inclusion criteria: (1) type of participants: patients with chronic ankle instability, over 18 years of age; (2)type of study: those specifically focused on this pathology, using PROMs specific to chronic ankle instability and published in English; (3) type of outcome: measurement properties based on COSMIN criteria in patient-reported outcomes associated with chronic ankle instability. Methods: This systematic review, following the COSMIN checklist, was conducted to determine the methodological quality of PROMs specific to foot and ankle pathologies, for patients presenting chronic ankle instability. Results: Of the 576 studies identified in the initial search, 34 were included in the final analysis of measurement properties. Four – the Ankle Instability Instrument, the Chronic Ankle Instability Scale, the Cumberland Ankle Instability Tool and the Identification of Functional Ankle Instability – were original questionnaires, and the remaining 30 were cross-cultural adaptations. Conclusion: The Cumberland Ankle Instability Tool and the Identification of Functional Ankle Instability questionnaires can be useful instruments for evaluating chronic ankle instability, both in patients with this condition and also in non-pathological patients

Conservative Treatment for Acute Ankle Sprain: A Systematic Review

The aim was to identify conservative treatments available for acute ankle sprain and to evaluate their e ectiveness with respect to pain relief and short-term recovery of functional capacity. A systematic review of the relevant literature was conducted via a data search of the PROSPERO, PubMed, Scopus, CINAHL, PyscINFO and SPORTDiscus databases, from inception until December 2019, focusing on randomised control trial studies. Two of the authors independently assessed the quality of each study located and extracted the relevant data. The quality of each paper was assessed using the Cochrane risk of bias tool included in RevMan 5. In all, 20 studies met the inclusion criteria. In terms of absence of bias, only nine papers were classed as “high quality”. Studies (75%) were of low quality in terms of the blinding of participants and personnel and uncertainty in blinding of outcome assessment and all presented one or more other forms of bias. Despite the generally low quality of the studies considered, it can be concluded that conservative treatment for acute ankle sprain normally achieves pain relief and rapidly improved functionality. Research based on higher-quality study designs and procedures would enable more definitive conclusions to be drawn