Escala childpugh integrado a creatinina como predictor de mortalidad en cirrosis hepática descompensada hospital Belén de Trujillo.

Determinar si la Escala Child Pugh integrado a creatinina tiene exactitud como predictor de mortalidad en cirrosis hepática descompensada en el Hospital Belén de Trujillo. Material y Métodos: Se llevó a cabo un estudio de tipo analítico, observacional, retrospectivo, de pruebas diagnósticas. La población de estudio estuvo constituida por 125 pacientes con cirrosis hepática descompensada; quienes se dividieron en 2 grupos: con y sin mortalidad intrahospitalaria. Resultados: La sensibilidad, especificidad, valor predictivo positivo y negativo de la Escala Child Pugh integrado a creatinina respecto a mortalidad en cirróticos descompensados fue de 80%; 82%; 53%; 94 respectivamente. La exactitud pronóstica de Escala Child Pugh integrado a creatinina respecto a mortalidad en cirróticos descompensados fue de 82%. El promedio de EscalaChildPugh integrado a creatinina fue significativamente mayor en el grupo de cirróticos fallecidos respecto de los sobrevivientes. Conclusiones: La Escala Child Pugh integrado a creatinina tiene exactitud como predictor de mortalidad en cirrosis hepática descompensada en el Hospital Belén de Trujillo.Determine whether the Child Pugh has integrated creatinine accuracy as a predictor of mortality in decompensated liver cirrhosis in the Hospital Belén of Trujillo. Material and Methods: A study of analytical, observational, retrospective type of diagnostic tests was conducted. The study population consisted of 125 patients with decompensated liver cirrhosis; who they were divided into 2 groups: with and without hospital mortality. Results: The sensitivity , specificity, positive predictive value and negative Child Pugh scale integrated creatinine regarding mortality in decompensated cirrhotic patients was 80 % ; 82 % ; 53 % ; 94 respectively. The prognostic accuracy scale integrated creatinine Child regarding decompensated cirrhotic Pugh mortality was 82%. The average Child Pugh scale integrated creatinine was significantly higher in the group of cirrhotic deceased relative of survivors. Conclusions: The Child Pugh has integrated creatinine accuracy as a predictor of mortality in decompensated liver cirrhosis in the Hospital Belénof Trujillo

Who Wants to Work in a Rural Health Post? The Role of Intrinsic Motivation, Rural Background and Faith-Based Institutions in Rwanda and Ethiopia

Most developing countries face shortages of health workers in rural areas. This has profound consequences for health service delivery, and ultimately for health outcomes. To design policies that rectify these geographic imbalances it is vital to understand what factors determine health workers' choice to work in rural areas. But empirical analysis of health worker preferences has remained limited due to the lack of data. Using unique contingent valuation data from a cohort survey of 412 nursing and medical students in Rwanda, this paper examines the determinants of future health workers' willingness to work in rural areas, as measured by rural reservation wages, using regression analysis. These data are also combined with those from an identical survey in Ethiopia to enable a two-country analysis. We find that health workers with higher intrinsic motivation – measured as the importance attached to helping the poor – as well as those who have grown up in a rural area, and Adventists who participate in a local bonding scheme are all significantly more willing to work in a rural area. The main Rwanda result for intrinsic motivation is strikingly similar to that obtained for Ethiopia and Rwanda together. These results suggest that in addition to economic incentives, intrinsic motivation and rural origin play an important role in health workers' decisions to work in a rural area, and that faith-based institutions matter.health care delivery, health workers, labour supply, public service

Who Wants to Work in a Rural Health Post? The Role of Intrinsic Motivation, Rural Background and Faith-Based Institutions in Rwanda and Ethiopia

Background: Most developing countries face shortages of health workers in rural areas. This has profound consequences for health service delivery, and ultimately for health outcomes. To design policies that rectify these geographic imbalances it is vital to understand what factors determine health workers’ choice to work in rural areas. But empirical analysis of health worker preferences has remained limited due to the lack of data. Methods: Using unique contingent valuation data from a cohort survey of 412 nursing and medical students in Rwanda, this paper examines the determinants of future health workers’ willingness to work in rural areas, as measured by rural reservation wages, using regression analysis. These data are also combined with those from an identical survey in Ethiopia to enable a two-country analysis. Results: Health workers with higher intrinsic motivation - measured as the importance attached to helping the poor - as well as those who have grown up in a rural area, and Adventists who participate in a local bonding scheme are all significantly more willing to work in a rural area. The main Rwanda result for intrinsic motivation is strikingly similar to that obtained for Ethiopia and Rwanda together. Discussion: The results suggest that in addition to economic incentives, intrinsic motivation and rural origin play an important role in health workers’ decisions to work in a rural area, and that faith-based institutions matter.

Control interno para mejorar la rentabilidad económica en la empresa Ferreteria Danka 2021

Existen diferentes obstáculos que generan que la renta se reduzca, la debilidad es la falta de control interno en empresas, la cual es considerada una herramienta vital para estos contextos. Mediante ello se tiene como finalidad de la investigación; determinar de qué manera el control interno mejora la rentabilidad económica de la empresa Ferretería Danka, 2021. Para ello, la metodología usada fue mixta, de nivel descriptivo realizada en un periodo año 2021 y es no experimental. Asimismo, la unidad de estudio fueron todos los colaboradores (5 participantes) y se usó información documentaria cuantitativa que refleja el desempeño de las actividades de la organización. El instrumento utilizado es el cuestionario y tuvo una confiabilidad de 0.843 para un 10 ítem que permitieron recolectar la información pertinente sobre las variables, mientras que para el procesamiento se usó SPSS 26 y para el análisis documental se empleó Microsoft Excel. Los resultados arrojaron efectos positivos cuando el control interno es aplicado por la empresa, reflejándose en el desempeño eficiente de los colaboradores, en consecuencia, repercute en la rentabilidad económica de la ferretería Danka.TesisGestión empresarial y emprendimient

Two cases of subcutaneous dirofilariasis in Barcelona, Spain

In recent years, the number of reported cases of human dirofilariasis in Europe has increased and the circulation of Dirofilaria spp. in mosquitoes in several European countries has been proven. We report here two likely autochthonous cases of subcutaneous human dirofilariasis from Barcelona, Spain, caused by Dirofilaria repens. The potential for an increase in human infection is high given the number of cases published recently and the ability of vectors to spread through the Mediterranean basin

Sensitization to avian and fungal proteins in different work environments

Birds; Fungi; Hypersensitivity pneumonitisOcells; Fongs; Pneumonitis per hipersensibilitatAves; Hongos; Neumonitis por hipersensibilidadIntroduction Hypersensitivity pneumonitis (HP) is usually caused by the inhalation of avian and fungal proteins. The present study assesses a cohort of Urban Pest Surveillance and Control Service (UPSCS) workers with high exposure to avian and fungal antigens, in order to identify their degree of sensitization and the potential risk of developing HP. Methods Workers were divided according to their work activity into Nest pruners (Group 1) and Others (Group 2). All individuals underwent a medical interview, pulmonary function tests and the determination of specific IgG antibodies. Antigenic proteins of pigeon sera were analysed using two-dimensional immunoblotting. Proteins of interest were sequenced by liquid-chromatography–mass spectrometry (LC–MS). Results 101 workers were recruited (76 men, average age: 42 yrs); (Group 1 = 41, Group 2 = 60). Up to 30% of the study population exhibited increased levels of IgGs to pigeon, small parrot and parrot, and up to 60% showed high levels of Aspergillus and Penicillium IgGs. In Group 1, specific parakeet and Mucor IgGs were higher (p = 0.044 and 0.003 respectively) while DLCO/VA% were lower (p = 0.008) than in Group 2. Two-dimensional immunoblotting showed protein bands of 20–30 KDa recognized by HP patients but not by workers. LC–MS analysis identified Ig Lambda chain and Apolipoprotein A-I as candidate proteins for distinguishing HP patients from exposed workers. Conclusions Two pigeon proteins were identified that may play a role in the development of pathological differences between HP patients and exposed workers. DLCO/VA may have a predictive value in the development of HP disease.SSD is a researcher supported by CIBER, MJC is supported by the Miguel Servet program of the Instituto de Salud Carlos III (MSII17/00025) and IO is a researcher supported by the Pla Estrategic de Recerca i Innovaci en Salut (PERIS) 2016–2020 (SLT008/18/00108; G60594009). This project received funding from FIS PI PI15/01954, Fondo Europeo de Desarrollo Regional (FEDER), Fundació Catalana de Pneumologia (FUCAP) and Sociedad Española de Patología respiratoria (SEPAR). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript

Arbovirus surveillance: first dengue virus detection in local Aedes albopictus mosquitoes in Europe, Catalonia, Spain, 2015

Dengue has emerged as the most important viral mosquito-borne disease globally. The current risk of dengue outbreaks in Europe appeared with the introduction of the vector Aedes albopictus mosquito in Mediterranean countries. Considering the increasing frequency of dengue epidemics worldwide and the movement of viraemic hosts, it is expected that new autochthonous cases will occur in the future in Europe. Arbovirus surveillance started in Catalonia in 2015 to monitor imported cases and detect possible local arboviral transmission. During 2015, 131 patients with a recent travel history to endemic countries were tested for dengue virus (DENV) and 65 dengue cases were detected. Twenty-eight patients with a febrile illness were viraemic, as demonstrated by a positive real-time RT-PCR test for DENV in serum samples. Entomological investigations around the viraemic cases led to the detection of DENV in a pool of local Ae. albopictus captured in the residency of one case. The sequence of the DENV envelope gene detected in the mosquito pool was identical to that detected in the patient. Our results show how entomological surveillance conducted around viraemic travellers can be effective for early detection of DENV in mosquitoes and thus might help to prevent possible autochthonous transmission

MEDIATING EFFECTS OF WORK VALUES ON THE RELATIONSHIP OF PSYCHOLOGICAL CAPITAL AND PERSONALITY TRAITS TO TEAM CLIMATE

This study investigated the mediating effects of work values on the relationship between psychological capital and personality  traits and team climate. A validated self-constructed questionnaire was administered to randomly selected 347 regular workers of the three organizations which include hospital and business firms in  Zimbabwe. Using Structural Equation Modeling (SEM) the mediating effects of work values on psychological capital and personality traits to team climate was established. This study revealed  that the respondents’ psychological capital was rated high in terms of optimism and average in resilience. The personality traits in terms of neuroticism and agreeableness were high. The work values in terms of altruism and management  were also rated high by the respondents. Interpersonal relations and cooperation as dimensions of team climate were rated average. In the alternative model, both components of work values have a positive relationship with psychological capital.  Furthermore, among the components of work values, only altruism partially mediated the relationship between psychological capital and team climate. This result implies that psychological capital can improve the employees’ work values, which in turn improves teamwork. A confirmatory model was developed based on the result of this study

Local Environment but Not Genetic Differentiation Influences Biparental Care in Ten Plover Populations

Peer reviewe

Prevalence of ESBL and/or carbapenemase-producing Escherichia coli isolated from yellow-legged gulls from Barcelona, Spain

Seventy two (54.5%) out of 132 fecal samples were positive for either extended spectrum beta-lactamases (ESBL) (51.5%), carbapenemase (1.5%) or cephamycinase (1.5%) producing Escherichia coli from a group of yellow-legged gulls in Barcelona, Spain. The isolation of two carbapenemase-producing E. coli strains is a matter of concern