Sistema de seguridad y salud en el trabajo para reducir los riesgos laborales en la empresa SEA Perú SAC, Trujillo

Hoy en día la seguridad es uno de los aspectos más importantes dentro de las actividades desarrolladas en las organizaciones. Un sin número de leyes, reglamentos y acuerdos han existido en el mundo desde muchos años atrás, pero el tema de la seguridad viene tomando relevancia en la actualidad por acciones de las organizaciones actuales que exhortan su cumplimiento a las diferentes empresas de diferentes rubros. Por lo tanto, la empresa SEA PERÚ SAC se ve en la necesidad de implementar un SGSST con la finalidad de reducir los riesgos laborales ocurridos en sus instalaciones, que le permitan disminuir los costos económicos que acarrea una posible sanción que pueda ocasionarle SUNAFIL. SEA PERÚ SAC es una empresa dedicada a fabricación y ensamblaje de tableros electrónicos, que venía operando sin las normas mínimas de seguridad que exige la Ley N.º 29783, dando lugar a la ocurrencia de accidentes en sus trabajadores y a su vez estos ocasionándole pérdidas económicas. Este estudio comenzó con el diagnóstico inicial de la situación actual de la empresa que nos permita ver en qué porcentaje estaba cumpliendo con respecto a lo que ordena la Ley N.º 29783. Al realizar el análisis de Identificación de Peligros, Evaluación de Riesgos y Control se encontró un 45% de riesgos no aceptables, dando paso a la ocurrencia de los accidentes y por ende a que la empresa exponga la vida y la salud de sus trabajadores y a la vez se exponga a verse infraccionada y multada por incumplimiento de la ley. Luego de aplicar las medidas de control realizamos un nuevo análisis y se logró reducir los riesgos No Aceptables a 1%. También se elaboró un diagrama de Ishikawa donde se analizaron los peligros más relevantes que existen en la empresa. Para esto revisamos los datos históricos de accidentes que existen en la empresa se encontró que el 80% de accidentes se registran en 4 principales partes del cuerpo (mano, pie, v rodilla y brazo); y el 20% restantes se registran en pierna, dedos, cadera, tobillo, antebrazo y cabeza. También se elaboró la política de seguridad, el manual del supervisor de seguridad, el reglamento interno de seguridad, el IPERC, el mapa de riesgos, el plan de contingencia y el programa anual y otros documentos requeridos por Ley N.º 29783. Al realizar la implementación y mantenimiento del SGSST en la empresa SEA PERÚ SAC, se calculó el ahorro económico estimado que obtendría a partir de la disminución accidentes de trabajo, ausentismo laboral, indemnización y el costo por sanciones administrativas. Dicho monto estimado seria de S/ 55 318.96. Teniendo en cuenta que la implementación y mantenimiento le costaría a la empresa la suma de S/ 21 968.71.Today security is one of the most important aspects of the activities carried out in organizations. A number of laws, regulations and agreements have existed in the world for many years, but the issue of security is gaining relevance today due to the actions of current organizations that urge compliance to different companies in different areas. Therefore, the company SEA PERÚ SAC sees the need to implement an SGSST in order to manage the occupational risks that occur in its facilities, which allow it to reduce the economic costs that a possible sanction that SUNAFIL may cause. SEA PERÚ SAC is a company dedicated to the manufacture, assembly and sale of distribution devices, which had been operating without the minimum safety standards required by law No. 29783, giving rise to the occurrence of accidents in its workers and in turn causing them economic losses. This study began with the initial diagnosis of the current situation of the company that allows us to see in what percentage it was complying with what is ordered by law No. 29783. When carrying out the Hazard Identification, Risk Assessment and Control analysis, 45% of NON-ACCEPTABLE risks were found, giving way to the occurrence of accidents and therefore to the company exposing the life and health of its workers and the Once you risk being infringed and fined for breach of the law. After applying the control measures, we conducted a new analysis and it was possible to reduce the Unacceptable risks to 1%. An Ishikawa diagram was also prepared where the most relevant dangers that exist in the company were analyzed. For this, we review the historical data of accidents that exist in the company, it was found that 80% of accidents are registered in 4 main parts of the body (hand, foot, knee and arm); and the remaining 20% are registered in the leg, fingers, hip, ankle, forearm and head. The security policy, the security supervisor's manual, the internal security regulations, the IPERC, the risk map, the contingency plan and the annual program, and other documents required by law No. 29783 were also prepared. vii When carrying out the implementation and maintenance of the SGSST in the company SEA PERÚ SAC, the estimated economic savings that it would obtain from the decrease in work accidents, absenteeism, compensation and the cost of administrative penalties was calculated. Said estimated amount would be S / 55 318.96. Taking into account that the implementation and maintenance would cost the company the sum of S / 21 968.71Tesi

Systolic blood pressure and mortality in acute symptomatic pulmonary embolism

BACKGROUND: The optimal cutoff for systolic blood pressure (SBP) level to define high-risk pulmonary embolism (PE) remains to be defined. METHODS: To evaluate the relationship between SBP levels on admission and mortality in patients with acute symptomatic PE, the current study included 39,257 consecutive patients with acute symptomatic PE from the RIETE registry between 2001 and 2018. Primary outcomes included all-cause and PE-specific 30-day mortality. Secondary outcomes included major bleeding and recurrent venous thromboembolism (VTE). RESULTS: There was a linear inverse relationship between admission SBP and 30-day all-cause and PE-related mortality that persisted after multivariable adjustment. Patients in the lower SBP strata had higher rates of all-cause death (reference: SBP 110-129 mmHg) (adjusted odds ratio [OR] 2.9; 95% confidence interval [CI], 2.0-4.2 for SBP 190 mmHg). Consistent findings were also observed for 30-day PE-related death. CONCLUSIONS: In patients with acute symptomatic PE, a low SBP portends an increased risk of all-cause and PE-related mortality. The highest mortality was observed in patients with SBP <70 mmHg.status: publishe

Natural history of patients with venous thromboembolism and hereditary hemorrhagic telangiectasia. Findings from the RIETE registry

Background: Limited data exist about the clinical presentation, ideal therapy and outcomes of patients with hereditary hemorrhagic telangiectasia (HHT) who develop venous thromboembolism (VTE). Methods: We used the data in the RIETE Registry to assess the clinical characteristics, therapeutic approaches and clinical outcomes during the course of anticoagulant therapy in patients with HHT according to initial presentation as pulmonary embolism (PE) or deep venous thrombosis (DVT). Results: Of 51,375 patients with acute VTE enrolled in RIETE from February 2009 to January 2019, 23 (0.04%) had HHT: 14 (61%) initially presented with PE and 9 (39%) with DVT alone. Almost half (47.8%) of the patients with VTE had a risk factor for VTE. Most PE and DVT patients received low-molecular-weight heparin for initial (71 and 100%, respectively) and long-term therapy (54 and 67%, respectively). During anticoagulation for VTE, the rate of bleeding events (major 2, non-major 6) far outweighed the rate of VTE recurrences (recurrent DVT 1): 50.1 bleeds per 100 patient-years (95%CI: 21.6-98.7) vs. 6.26 recurrences (95%CI: 0.31-30.9; p = 0.020). One major and three non-major bleeding were epistaxis. No patient died of bleeding. One patient died shortly after being diagnosed with acute PE. Conclusions: During anticoagulation for VTE in HHT patients, there were more bleeding events than VTE recurrences. Most bleeding episodes were non-major epistaxis

Combined dark matter searches towards dwarf spheroidal galaxies with Fermi-LAT, HAWC, H.E.S.S., MAGIC, and VERITAS

Cosmological and astrophysical observations suggest that 85\% of the total matter of the Universe is made of Dark Matter (DM). However, its nature remains one of the most challenging and fundamental open questions of particle physics. Assuming particle DM, this exotic form of matter cannot consist of Standard Model (SM) particles. Many models have been developed to attempt unraveling the nature of DM such as Weakly Interacting Massive Particles (WIMPs), the most favored particle candidates. WIMP annihilations and decay could produce SM particles which in turn hadronize and decay to give SM secondaries such as high energy $\gamma$ rays. In the framework of indirect DM search, observations of promising targets are used to search for signatures of DM annihilation. Among these, the dwarf spheroidal galaxies (dSphs) are commonly favored owing to their expected high DM content and negligible astrophysical background. In this work, we present the very first combination of 20 dSph observations, performed by the Fermi-LAT, HAWC, H.E.S.S., MAGIC, and VERITAS collaborations in order to maximize the sensitivity of DM searches and improve the current results. We use a joint maximum likelihood approach combining each experiment's individual analysis to derive more constraining upper limits on the WIMP DM self-annihilation cross-section as a function of DM particle mass. We present new DM constraints over the widest mass range ever reported, extending from 5 GeV to 100 TeV thanks to the combination of these five different $\gamma$-ray instruments