Estudio de factibilidad para empresa dedicada a la comercialización virtual de servicios para la organización de eventos - creativity event on-line

Dado que las tecnologías de la información y las comunicaciones son la herramienta esencial para hacer competitivos los negocios y que el sector de servicios para eventos sociales, es un mercado de gran demanda y crecimiento se pretende con este estudio de factibilidad, probar que la implementación de un negocio basado en la creación de un software que facilita la comunicación entre el asesor comercial de las empresas dedicadas a la creación de eventos y sus clientes mediante una plataforma en 3d, dicho software contiene información puntual sobre el inventario y las diferentes posibilidades de las empresas a la hora de ofrecer los servicios que el cliente pretende contratar, de esta manera la empresa de servicio y el cliente tendrá la seguridad de cuáles son las características y aspectos mínimos del producto contratado. Es importante resaltar que la inclusión de las tecnologías en los negocios nacientes mejora la transmisión de la información como lo demuestra el siguiente texto llamado las (“cinco ventajas de la tecnología en las empresas,” 2014 ), el cual afirma: En la actualidad la apertura de muchas empresas al mundo digital ha provocado un cambio drástico en el modo de gestionar estas compañías así como en su forma de relacionarse con los clientes. Por ello, las empresas tienen la necesidad de aplicar las innovaciones tecnológicas que permitan mejorar su modelo de negocio en un mercado que es cada día más competitivo.Given that information and communication technologies are the tool essential to make businesses competitive and that the service sector for social events is a market of great growth demand and it is intended with this feasibility study, to test that the implementation of a business based on the creation of a software that facilitates the communication between the commercial advisor of the companies dedicated to the creation of events and their customers through a 3d platform, said software contains specific information about the inventory and the different possibilities of the companies when offering the services that the client intends to hire, in this way the service company and the client will have the security of requirements are the characteristics and minimum aspects of the contracted product. It is important to highlight that the inclusion of technologies in nascent businesses improves the transmission of information as evidenced by the following text called the ("five advantages of technology in companies,” 2014), which states: Currently, the opening of many companies to the digital world has caused a change drastic in the way of managing these companies as well as in their way of relating to the clients. Therefore, companies have the need to apply innovations technologies that allow you to improve your business model in a market that is increasingly more competitive

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030