Incidencia de la gestión de cobranza y recaudación del impuesto predial en la Municipalidad Distrital de Calzada, periodo 2018.

La investigación titulada “Incidencia de la gestión de cobranza y recaudación del impuesto predial en la Municipalidad Distrital de Calzada, periodo 2018”, investigación aplicada; nivel descriptivo – correlacional, con diseño no experimental; aplicando la técnica de cuestionario y análisis documental; y teniendo como población los trabajadores de la Municipalidad Distrital de Calzada, referida a la gestión de cobranza y su correlato con la recaudación del impuesto predial de la Municipalidad Distrital de Calzada, periodo 2018; se Concluye que, la gestión de cobranza incide significativamente en la recaudación del impuesto predial en la Municipalidad Distrital de Calzada, periodo 2018; la gestión de cobranza, incide significativamente en la recaudación del impuesto en predios urbanos y rústicos; se pudo establecer que los empleados encomendados en el trabajo de recaudación no realizan adecuadamente su labor, el cual repercute directamente en los resultados en función a la inscripción en el registro de contribuyentes, identificación de los contribuyentes omisos y morosos; además de una débil acción de cobranza.The research entitled "Incidence of the collection management and collection of property tax in the District Municipality of Calzada, period 2018", is an applied research with descriptive - correlational level, non-experimental design. The technique of questionnaire and documentary analysis was applied; and the population consisted of the workers of the District Municipality of Calzada, referred to the collection management and its correlation with the collection of property tax in the District Municipality of Calzada, period 2018. It is concluded that the collection management has a significant impact on the collection of property tax in the District Municipality of Calzada, period 2018; the collection management has a significant impact on the collection of the tax in urban and rustic properties. It could be established that the employees entrusted with the collection work do not perform their work properly, which has a direct impact on the results in terms of registration in the taxpayer registry, identification of defaulting and delinquent taxpayers, as well as a weak collection action

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

Incidencia de la gestión de cobranza y recaudación del impuesto predial en la Municipalidad Distrital de Calzada, periodo 2018.

La investigación titulada “Incidencia de la gestión de cobranza y recaudación del impuesto predial en la Municipalidad Distrital de Calzada, periodo 2018”, investigación aplicada; nivel descriptivo – correlacional, con diseño no experimental; aplicando la técnica de cuestionario y análisis documental; y teniendo como población los trabajadores de la Municipalidad Distrital de Calzada, referida a la gestión de cobranza y su correlato con la recaudación del impuesto predial de la Municipalidad Distrital de Calzada, periodo 2018; se Concluye que, la gestión de cobranza incide significativamente en la recaudación del impuesto predial en la Municipalidad Distrital de Calzada, periodo 2018; la gestión de cobranza, incide significativamente en la recaudación del impuesto en predios urbanos y rústicos; se pudo establecer que los empleados encomendados en el trabajo de recaudación no realizan adecuadamente su labor, el cual repercute directamente en los resultados en función a la inscripción en el registro de contribuyentes, identificación de los contribuyentes omisos y morosos; además de una débil acción de cobranza.The research entitled "Incidence of the collection management and collection of property tax in the District Municipality of Calzada, period 2018", is an applied research with descriptive - correlational level, non-experimental design. The technique of questionnaire and documentary analysis was applied; and the population consisted of the workers of the District Municipality of Calzada, referred to the collection management and its correlation with the collection of property tax in the District Municipality of Calzada, period 2018. It is concluded that the collection management has a significant impact on the collection of property tax in the District Municipality of Calzada, period 2018; the collection management has a significant impact on the collection of the tax in urban and rustic properties. It could be established that the employees entrusted with the collection work do not perform their work properly, which has a direct impact on the results in terms of registration in the taxpayer registry, identification of defaulting and delinquent taxpayers, as well as a weak collection action

Stress neuropeptide levels in adults with chest pain due to coronary artery disease: potential implications for clinical assessment

: Substance P (SP) and neuropeptide Y (NPY) are neuropeptides involved in nociception. The study of biochemical markers of pain in communicating critically ill coronary patients may provide insight for pain assessment and management in critical care. Purpose of the study was to to explore potential associations between plasma neuropeptide levels and reported pain intensity in coronary critical care adults, in order to test the reliability of SP measurements for objective pain assessment in critical care