Management of professional competences

A continuación se encontrará la aplicación de un proceso pedagógico orientado al desarrollo de un trabajo de grado, como requerimiento dentro de las políticas del Centro de Investigaciones de la Facultad de Estudios a Distancia – FAEDIS, y la selección de un proyecto de investigación para la Especialización en Alta Gerencia, como factores determinantes del éxito en el proceso de graduación. En consecuencia se tomaron como ejes de ejecución de la metodología académica los siguientes parámetros: investigación por el método de estudio de caso, incorporando conceptos científicos, implementando el componente teórico-práctico y el sentido ético integrador entre la visión y la acción, además de analizar posibilidades y desarrollar habilidades para la asertividad en la toma estratégica de decisiones. El Plan de Estudios fortalece la investigación concretamente en la Gestión Humana; es por ello que en este documento se hará referencia a la gestión del talento humano empresarial (o estatal), teniendo en la cuenta las competencias laborales individuales de sus empleados en procura del bienestar integral y general de éstos, y por ende del cumplimiento de los objetivos empresariales.Following is the implementation of an educational process aimed at developing a thesis, as a requirement within the policies of the Facultad de Estudios a Distancia - FAEDIS, and the selection of a research project for Specialization in Senior Management, as determinants of success in the process of graduation. Consequently the following parameters were taken as fundamental in the execution of the academic methodology: case study investigation method, incorporating scientific concepts, implementing the theoretical and practical component and integrating ethical sense between vision and action, in addition to analyzing possibilities and developing skills for the assertiveness in strategic decision making. The curriculum strengthens research specifically in Human Resources, which is why management of the enterprise (or state) human talent will be referred to in the present document, taking into account the individual work skills of their employees in pursuit of full and comprehensive welfare of these, and therefore the fulfillment of business objectives

Mortality and pulmonary complications in patients undergoing surgery with perioperative SARS-CoV-2 infection: an international cohort study

Background: The impact of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on postoperative recovery needs to be understood to inform clinical decision making during and after the COVID-19 pandemic. This study reports 30-day mortality and pulmonary complication rates in patients with perioperative SARS-CoV-2 infection. Methods: This international, multicentre, cohort study at 235 hospitals in 24 countries included all patients undergoing surgery who had SARS-CoV-2 infection confirmed within 7 days before or 30 days after surgery. The primary outcome measure was 30-day postoperative mortality and was assessed in all enrolled patients. The main secondary outcome measure was pulmonary complications, defined as pneumonia, acute respiratory distress syndrome, or unexpected postoperative ventilation. Findings: This analysis includes 1128 patients who had surgery between Jan 1 and March 31, 2020, of whom 835 (74·0%) had emergency surgery and 280 (24·8%) had elective surgery. SARS-CoV-2 infection was confirmed preoperatively in 294 (26·1%) patients. 30-day mortality was 23·8% (268 of 1128). Pulmonary complications occurred in 577 (51·2%) of 1128 patients; 30-day mortality in these patients was 38·0% (219 of 577), accounting for 81·7% (219 of 268) of all deaths. In adjusted analyses, 30-day mortality was associated with male sex (odds ratio 1·75 [95% CI 1·28–2·40], p\textless0·0001), age 70 years or older versus younger than 70 years (2·30 [1·65–3·22], p\textless0·0001), American Society of Anesthesiologists grades 3–5 versus grades 1–2 (2·35 [1·57–3·53], p\textless0·0001), malignant versus benign or obstetric diagnosis (1·55 [1·01–2·39], p=0·046), emergency versus elective surgery (1·67 [1·06–2·63], p=0·026), and major versus minor surgery (1·52 [1·01–2·31], p=0·047). Interpretation: Postoperative pulmonary complications occur in half of patients with perioperative SARS-CoV-2 infection and are associated with high mortality. Thresholds for surgery during the COVID-19 pandemic should be higher than during normal practice, particularly in men aged 70 years and older. Consideration should be given for postponing non-urgent procedures and promoting non-operative treatment to delay or avoid the need for surgery. Funding: National Institute for Health Research (NIHR), Association of Coloproctology of Great Britain and Ireland, Bowel and Cancer Research, Bowel Disease Research Foundation, Association of Upper Gastrointestinal Surgeons, British Association of Surgical Oncology, British Gynaecological Cancer Society, European Society of Coloproctology, NIHR Academy, Sarcoma UK, Vascular Society for Great Britain and Ireland, and Yorkshire Cancer Research