Criterios de Implementación ISO 14001:2015 Caso Estudio Sector Ladrillero-Ladrillos el Zipa Ltda

Anexo 1 Lista de chequeoLadrillos el Zipa Ltda. es una empresa que se dedica a la fabricación de productos hechos en cerámica a base de la arcilla como materia prima para la construcción, es reconocida por cumplir con estándares de la más alta calidad a la hora de la fabricación de sus productos, ofrece productos como: bloque, ladrillo, teja cartabón, adoquín, bloquelón fabricados con tecnología de última generación. La forma jurídica de la empresa es por sociedad por acciones simplificada ubicada en el municipio de Paipa en el departamento de Boyacá. Desarrollan proyectos cada día más innovadores que han sido reconocidos a nivel nacional. Cuenta con un equipo de trabajo altamente calificado para el desarrollo de sus procesos productivos y manejo de herramientas y maquinaria, el principal compromiso con sus trabajadores es contribuir al cuidado de su salud por medio del cumplimiento de las políticas y objetivos en Seguridad y Salud en el Trabajo. Ha traído desarrollo a la comunidad de la vereda de Sativa generando 350 empleos y contribuyendo con obras para el bien de la comunidad como pavimentación de la vía principal y construcción de salón comunal. Con el desarrollo de la evaluación ambiental inicial se pudo determinar que en cada proceso se refleja de manera positiva la reutilización de residuos a lo largo de todo el proceso, la reutilización del agua, cuando se realiza explotación de la materia prima cuentan con un programa de reforestación, cumple con la licencia de explotación de la arcilla. Se realizó una adquisición de un horno túnel que genera una baja emisión de material particulado, no se generan vertimientos; se genera un nivel de ruido muy bajo al igual que bajas emisiones de gases contaminantes lo cual permite evidenciar el compromiso de la organización con el cuidado y protección del medio ambiente.Ladrillos el Zipa Ltda. is a company that is dedicated to the manufacture of products made of clay-based ceramics as a raw material for construction, it is recognized for meeting the highest quality standards when manufacturing its products, offers products such as: block, brick, bevel tile, paver, block made with the latest technology. The legal form of the company is a simplified joint-stock company located in the municipality of Paipa in the department of Boyacá. They develop increasingly innovative projects that have been recognized nationally. It has a highly qualified work team for the development of its production processes and the handling of tools and machinery, the main commitment to its workers is to contribute to the care of their health by complying with the policies and objectives in Health and Safety in the Job. It has brought development to the community of the village of Sativa generating 350 jobs and contributing with works for the good of the community such as paving the main road and construction of a community hall. With the development of the initial environmental evaluation it was determined that in each process the reuse of waste is positively reflected throughout the entire process, the reuse of water, when the raw material is exploited, they have a program of reforestation, complies with the clay exploitation license. An acquisition was made of a tunnel kiln that generates a low emission of particulate material, no spillage is generated; a very low noise level is generated as well as low emissions of polluting gases which allows to demonstrate the commitment of the organization with the care and protection of the environment

Propuesta en Supply Chain Management y Logística en la empresa SurtiLider

Este trabajo se comprende de varias fases en las cuales se quiere aplicar los conocimientos adquiridos sobre Supply Chain Management y Logística, la elaboración de este trabajo se comprende en integrar cada fase compilando uno solo, a través del primer avance se determinó seleccionar una empresa y a través de ella identificar como se encontraba cada uno de los procesos para así tener una idea de que mejoras se podían aplicar con los conocimientos que se pudieron obtener. La empresa seleccionada es un autoservicio llamado SurtiLider el cual se dedica a la venta y distribución de alimentos, aseo personal y aseo para el hogar en la ciudad de Acacias - Meta, garantizando una alta calidad de sus productos a la venta para que sus clientes tengan una gran satisfacción. Es por eso que una vez seleccionado la empresa se decide examinar su estructura como lo son sus proveedores, productos, sus clientes y la competencia en el mercado, es por eso que se decide realizar una red estructural, la estructura genérica y los ochos procesos del Supply Chain Management. Se conocen las estrategias de aprovisionamiento de la empresa a partir de un diagnostico realizado, conociendo como seleccionan a sus proveedores, como los evalúan, siendo este proceso muy importante que con el se sabe que impactos recibe la empresa ya que con estos se permite saber los costos, las características organolépticas y términos de tiempos en entregas. Con los datos obtenidos se realizó observaciones principalmente en la ubicación de la mercancía en la bodega, tecnología de la información y procesos internos, elaborándose una propuesta de mejora con base en los procesos del Supply Chain Management. Finalmente se puede concluir que estamos en tiempos mas eficientes donde las mega tendencias ayudan a surgir y ser mas competitivas en el momento de establecerse en el mercado, a través de las TIC´s, volviendo a SurtiLider no solo local si no abriendo brechas a mas territorios.This document embraces several phases in which it is wanted to apply the acquire knowledge of Supply chain management and logistics, this document tries to integrate each phase in one general job, through first step, it was determined an enterprise and so on, identify how were performed each process inside it, in order to have an idea of what to improve on it. The enterprise that was chosen was SurtiLider, who is in charge of selling and distribute food, cleaning articles, home articles, in the city of Acacias meta, guaranteeing a high-quality product and the costumer’s satisfaction. that's why, once this enterprise was chosen, it us decided to examine their structure, its providers, products, costumers and other similar enterprises on the market, and it is decided to create a structural net in order to apply the 8 stages of Supply Chain Management the provisioning strategies are known through a diagnostic, knowing how providers are picked, how they are assess, being this process very important in order to find out how affected could be the enterprise with this items and also know the costs, the organoleptic characteristics and times of delivery. with this data, an observation was made, mainly in the storage of the enterprise, in the areas of info tech, intern process and based on that, a proposal was made, by the application of the supply chain management headlines, in order to improve it. finally, it can be concluded that we are in more efficient eras, in which mega tendencies help us to rise and be more competitive at the moment of stablish an enterprise on the markets, through TICs, reaching not only local markets, but also other ones as wel

Impact of COVID-19 on cardiovascular testing in the United States versus the rest of the world

Objectives: This study sought to quantify and compare the decline in volumes of cardiovascular procedures between the United States and non-US institutions during the early phase of the coronavirus disease-2019 (COVID-19) pandemic. Background: The COVID-19 pandemic has disrupted the care of many non-COVID-19 illnesses. Reductions in diagnostic cardiovascular testing around the world have led to concerns over the implications of reduced testing for cardiovascular disease (CVD) morbidity and mortality. Methods: Data were submitted to the INCAPS-COVID (International Atomic Energy Agency Non-Invasive Cardiology Protocols Study of COVID-19), a multinational registry comprising 909 institutions in 108 countries (including 155 facilities in 40 U.S. states), assessing the impact of the COVID-19 pandemic on volumes of diagnostic cardiovascular procedures. Data were obtained for April 2020 and compared with volumes of baseline procedures from March 2019. We compared laboratory characteristics, practices, and procedure volumes between U.S. and non-U.S. facilities and between U.S. geographic regions and identified factors associated with volume reduction in the United States. Results: Reductions in the volumes of procedures in the United States were similar to those in non-U.S. facilities (68% vs. 63%, respectively; p = 0.237), although U.S. facilities reported greater reductions in invasive coronary angiography (69% vs. 53%, respectively; p < 0.001). Significantly more U.S. facilities reported increased use of telehealth and patient screening measures than non-U.S. facilities, such as temperature checks, symptom screenings, and COVID-19 testing. Reductions in volumes of procedures differed between U.S. regions, with larger declines observed in the Northeast (76%) and Midwest (74%) than in the South (62%) and West (44%). Prevalence of COVID-19, staff redeployments, outpatient centers, and urban centers were associated with greater reductions in volume in U.S. facilities in a multivariable analysis. Conclusions: We observed marked reductions in U.S. cardiovascular testing in the early phase of the pandemic and significant variability between U.S. regions. The association between reductions of volumes and COVID-19 prevalence in the United States highlighted the need for proactive efforts to maintain access to cardiovascular testing in areas most affected by outbreaks of COVID-19 infection

Environmental Assessment of the production plant kellogg of Colombia S.A.

Una evaluación ambiental, forma parte del desarrollo ambiental sostenible, el cual busca facilitar acciones de mejora en cuanto a mitigación, corrección o control de los efectos que está causando dicha actividad; En este caso se realizó la evaluación ambiental para la planta de producción de Kellogg de Colombia, para lo que fue necesario conocer todo el procesos de producción, identificando así sus principales entradas, salidas y sus respectivos impactos, esto por medio de la realización de listas de chequeo y matriz combinada; encontrando resultados de efectos ambientales que están afectando el medio ambiente, como el consumo de energía eléctrica, el consumo del recurso hídrico, los vertimientos y la contaminación auditiva, por ser estos los de mayor importancia en los resultados obtenidos, para ello se plantearon alternativas cuya finalidad es la disminución del agente contaminante de cada uno de los procesos, cabe resaltar que el proyecto genero un aporte significativo en cuanto a la identificación de las actividades altamente impactantes y sus posibles alternativas de control, corrección o mitigación en cuanto a los efectos ambientales que se están generando.An environmental assessment is part of sustainable environmental development, which seeks to facilitate improvement actions regarding mitigation, correction or control the effects that is causing such activity; In this case the environmental assessment for the production plant Kellogg of Colombia took place, for it was necessary to know the entire production process, identifying its main inputs, outputs and their respective impacts, this by making lists and combined check matrix; They found results of environmental effects that are affecting the environment, these were, consumption of electricity, consumption of water resources, discharges and pollution hearing, because these are the most important in the results, raised alternatives whose purpose is to reduce the pollutant of each of the processes, it is worth noting that the project generated a significant contribution in terms of identifying high-impact activities and possible control alternatives, correction or mitigation regarding environmental effects they are being generated

Environmental Assessment of the production plant kellogg of Colombia S.A.

Una evaluación ambiental, forma parte del desarrollo ambiental sostenible, el cual busca facilitar acciones de mejora en cuanto a mitigación, corrección o control de los efectos que está causando dicha actividad; En este caso se realizó la evaluación ambiental para la planta de producción de Kellogg de Colombia, para lo que fue necesario conocer todo el procesos de producción, identificando así sus principales entradas, salidas y sus respectivos impactos, esto por medio de la realización de listas de chequeo y matriz combinada; encontrando resultados de efectos ambientales que están afectando el medio ambiente, como el consumo de energía eléctrica, el consumo del recurso hídrico, los vertimientos y la contaminación auditiva, por ser estos los de mayor importancia en los resultados obtenidos, para ello se plantearon alternativas cuya finalidad es la disminución del agente contaminante de cada uno de los procesos, cabe resaltar que el proyecto genero un aporte significativo en cuanto a la identificación de las actividades altamente impactantes y sus posibles alternativas de control, corrección o mitigación en cuanto a los efectos ambientales que se están generando.An environmental assessment is part of sustainable environmental development, which seeks to facilitate improvement actions regarding mitigation, correction or control the effects that is causing such activity; In this case the environmental assessment for the production plant Kellogg of Colombia took place, for it was necessary to know the entire production process, identifying its main inputs, outputs and their respective impacts, this by making lists and combined check matrix; They found results of environmental effects that are affecting the environment, these were, consumption of electricity, consumption of water resources, discharges and pollution hearing, because these are the most important in the results, raised alternatives whose purpose is to reduce the pollutant of each of the processes, it is worth noting that the project generated a significant contribution in terms of identifying high-impact activities and possible control alternatives, correction or mitigation regarding environmental effects they are being generated

Reduction of cardiac imaging tests during the COVID-19 pandemic: The case of Italy. Findings from the IAEA Non-invasive Cardiology Protocol Survey on COVID-19 (INCAPS COVID)

Background: In early 2020, COVID-19 massively hit Italy, earlier and harder than any other European country. This caused a series of strict containment measures, aimed at blocking the spread of the pandemic. Healthcare delivery was also affected when resources were diverted towards care of COVID-19 patients, including intensive care wards. Aim of the study: The aim is assessing the impact of COVID-19 on cardiac imaging in Italy, compare to the Rest of Europe (RoE) and the World (RoW). Methods: A global survey was conducted in May–June 2020 worldwide, through a questionnaire distributed online. The survey covered three periods: March and April 2020, and March 2019. Data from 52 Italian centres, a subset of the 909 participating centres from 108 countries, were analyzed. Results: In Italy, volumes decreased by 67% in March 2020, compared to March 2019, as opposed to a significantly lower decrease (p &lt; 0.001) in RoE and RoW (41% and 40%, respectively). A further decrease from March 2020 to April 2020 summed up to 76% for the North, 77% for the Centre and 86% for the South. When compared to the RoE and RoW, this further decrease from March 2020 to April 2020 in Italy was significantly less (p = 0.005), most likely reflecting the earlier effects of the containment measures in Italy, taken earlier than anywhere else in the West. Conclusions: The COVID-19 pandemic massively hit Italy and caused a disruption of healthcare services, including cardiac imaging studies. This raises concern about the medium- and long-term consequences for the high number of patients who were denied timely diagnoses and the subsequent lifesaving therapies and procedures

International Impact of COVID-19 on the Diagnosis of Heart Disease

Background: The coronavirus disease 2019 (COVID-19) pandemic has adversely affected diagnosis and treatment of noncommunicable diseases. Its effects on delivery of diagnostic care for cardiovascular disease, which remains the leading cause of death worldwide, have not been quantified. Objectives: The study sought to assess COVID-19's impact on global cardiovascular diagnostic procedural volumes and safety practices. Methods: The International Atomic Energy Agency conducted a worldwide survey assessing alterations in cardiovascular procedure volumes and safety practices resulting from COVID-19. Noninvasive and invasive cardiac testing volumes were obtained from participating sites for March and April 2020 and compared with those from March 2019. Availability of personal protective equipment and pandemic-related testing practice changes were ascertained. Results: Surveys were submitted from 909 inpatient and outpatient centers performing cardiac diagnostic procedures, in 108 countries. Procedure volumes decreased 42% from March 2019 to March 2020, and 64% from March 2019 to April 2020. Transthoracic echocardiography decreased by 59%, transesophageal echocardiography 76%, and stress tests 78%, which varied between stress modalities. Coronary angiography (invasive or computed tomography) decreased 55% (p &lt; 0.001 for each procedure). In multivariable regression, significantly greater reduction in procedures occurred for centers in countries with lower gross domestic product. Location in a low-income and lower–middle-income country was associated with an additional 22% reduction in cardiac procedures and less availability of personal protective equipment and telehealth. Conclusions: COVID-19 was associated with a significant and abrupt reduction in cardiovascular diagnostic testing across the globe, especially affecting the world's economically challenged. Further study of cardiovascular outcomes and COVID-19–related changes in care delivery is warranted

Impact of COVID-19 on Diagnostic Cardiac Procedural Volume in Oceania: The IAEA Non-Invasive Cardiology Protocol Survey on COVID-19 (INCAPS COVID)

Objectives: The INCAPS COVID Oceania study aimed to assess the impact caused by the COVID-19 pandemic on cardiac procedure volume provided in the Oceania region. Methods: A retrospective survey was performed comparing procedure volumes within March 2019 (pre-COVID-19) with April 2020 (during first wave of COVID-19 pandemic). Sixty-three (63) health care facilities within Oceania that perform cardiac diagnostic procedures were surveyed, including a mixture of metropolitan and regional, hospital and outpatient, public and private sites, and 846 facilities outside of Oceania. The percentage change in procedure volume was measured between March 2019 and April 2020, compared by test type and by facility. Results: In Oceania, the total cardiac diagnostic procedure volume was reduced by 52.2% from March 2019 to April 2020, compared to a reduction of 75.9% seen in the rest of the world (p&lt;0.001). Within Oceania sites, this reduction varied significantly between procedure types, but not between types of health care facility. All procedure types (other than stress cardiac magnetic resonance [CMR] and positron emission tomography [PET]) saw significant reductions in volume over this time period (p&lt;0.001). In Oceania, transthoracic echocardiography (TTE) decreased by 51.6%, transoesophageal echocardiography (TOE) by 74.0%, and stress tests by 65% overall, which was more pronounced for stress electrocardiograph (ECG) (81.8%) and stress echocardiography (76.7%) compared to stress single-photon emission computerised tomography (SPECT) (44.3%). Invasive coronary angiography decreased by 36.7% in Oceania. Conclusion: A significant reduction in cardiac diagnostic procedure volume was seen across all facility types in Oceania and was likely a function of recommendations from cardiac societies and directives from government to minimise spread of COVID-19 amongst patients and staff. Longer term evaluation is important to assess for negative patient outcomes which may relate to deferral of usual models of care within cardiology