Incidencia del gasto en educación sobre los hogares en Bogotá en 2003

Se evalúa el impacto redistributivo de las políticas educativas en Bogotá mediante elAnálisis de Incidencia del Beneficio. A pesar que los hogares son autónomos conrespecto a la elección entre la educación oficial y no oficial, la provisión pública de laeducación genera fuertes impactos progresivos en el ingreso que se explayan haciareducciones de pobreza y desigualdad, sin importar el cálculo del subsidio que seimpute al ingreso.************************************************************************************************************Applying Benefit Incidence Analysis we assessed the redistributive impact of publicpolicies concerned with education in Bogotá. Though the household choices aboutpublic or private schooling are decentralized and respond to market constraints, thepublic provision policy of education achieves strong progressive impacts on incomeimplying reductions both on poverty and inequality, no matter which calculation ofsubsidy is implemented.

Diseño de un sistema de control de gestión para el Hospital Santander E.S.E del municipio de Caicedonia Valle del Cauca.

La presente investigación, tiene por objeto diseñar un sistema de control de gestión para el Hospital Santander E.S.E del municipio de Caicedonia Valle del Cauca, con el cual se puedan evaluar los resultados de los procesos asistenciales y administrativos, de modo que se puedan plantear acciones de mejora de manera oportuna y permanente, mediante fuentes de información primarias y secundarias. El control de gestión es en sí, una actividad de apoyo, que busca contribuir al logro de una gestión eficiente y eficaz, haciendo aún más potente la acción basada en el conocimiento y en la habilidad, tanto en el ambiente de la creación estratégica como en el ambiente de la concreción. Del mismo modo se dice que, el control de gestión es un nivel diferente de control, debido a que es un control que habla de la gestión, por tal motivo se dice que se debe evitar generar una actividad que analice el pensamiento de la acción, lo directivo de lo operativo, este a su vez da mayor agilidad a la gestión y la realimenta. El concepto de control de gestión no sustituye al clásico control, o a sus herramientas, ya que el control forma parte del proceso de gestión. Este trabajo, pretende desarrollar una herramienta para el control de gestión de la empresa de salud más importante del municipio, con el fin de medir las actuaciones a nivel administrativo y de prestación de servicio, para lo cual se realizaran análisis a los procesos institucionales y procesamiento de la información, aplicando el método descriptivo como tipo de investigación, debido a que busca detallar características de personas, grupos, etc. acompañado con un método de investigación mixto, con un enfoque cualitativo y un enfoque cuantitativo, que busca generalización y comprensión

TRIBUNAL ARBITRAL DE CONTRALORIA GENERAL DE LA REPUBLICA VS. PROYECTOS Y DESARROLLOS I S.A.

369

TRIBUNAL ARBITRAL DE CONCESIONARIA VIAL DE COLOMBIA S.A.S. VS. AGENCIA NACIONAL DE INFRAESTRUCTURA - ANI

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Reporte de caso de necrosis apical en un cultivo de mango (Mangifera indica L.) establecido bajo condiciones del Caribe seco colombiano

Bacterial apical necrosis of mango (Mangifera indica L.) is an acute disease reported mainly in Southern Europe, characterized by the generation of necrotic lesions in buds and leaves that spread through the petioles towards the stems. Its incidence results in significant economic losses due to a decrease in production. Known causative agents of this disease are the bacteria Pseudomonas syringae and Pantoea spp., which survive as epiphytes on plant surfaces. In a two-year-old mango cv. Keitt orchard, established at the Colombian Corporation for Agricultural Research (AGROSAVIA), Motilonia Research Station, mango trees exhibited symptoms of necrosis in buds, leaves, and branches. The mango plants were affected downwards, causing their death 30 days after the first symptoms. Five samples of affected leaf tissue and petioles were taken to isolate the causative agent and make a diagnosis to manage the disease properly. The samples were superficially disinfected and incubated in a humid chamber and culture media for three days. After incubation, hyphae, exudates, and bacterial colonies were plated on solid culture media. The isolates obtained were characterized morphologically and biochemically. The results showed the presence of bacteria identified as Pantoea spp. by amplifying and sequencing the region coding for the 16S subunit of rRNA. In vitro pathogenicity tests preliminarily suggest Pantoea spp. as the causative agent of the disease. This work is the first report of apical necrosis by Pantoea spp. in mango for Colombia.La necrosis apical bacteriana del mango es una enfermedad crítica reportada principalmente en Europa, que se caracteriza por la generación de lesiones necróticas en yemas y hojas, las cuales se extienden a través de los peciolos hacia los tallos. Su incidencia resulta en pérdidas económicas importantes debido a una disminución de la producción. Los agentes causales conocidos de esta enfermedad son las bacterias Pseudomonas syringae y Pantoea spp., que sobreviven como epífitas en la superficie de las plantas.  En un cultivo de mango cv. Keitt de dos años, establecido en la Corporación Colombiana de Investigación Agropecuaria (AGROSAVIA), Centro de Investigación Motilonia, se evidenciaron síntomas de necrosis en yemas, hojas y ramas.  Las plantas de mango se vieron afectadas de forma descendente hasta su muerte a los 30 días después los primeros síntomas. Se tomaron cinco muestras de tejido foliar afectado y pecíolos para aislar el agente causal y generar un diagnóstico a fin de realizar un manejo preciso de la enfermedad. Las muestras se desinfectaron superficialmente y se incubaron en cámara húmeda y medios de cultivo por tres días. Después de la incubación, las hifas, los exudados y las colonias bacterianas se sembraron en medios de cultivo sólidos. Los aislamientos obtenidos se caracterizaron a nivel morfológico y bioquímico. Los resultados arrojaron la presencia de bacterias identificadas como Pantoea spp. por amplificación y secuenciación de la región que codifica para la subunidad 16S del ARNr. Las pruebas de patogenicidad in vitro sugieren preliminarmente a Pantoea spp. como el agente causal de la enfermedad. Este trabajo es el primer reporte de necrosis apical por Pantoea spp. en mango para Colombia

Reviewing the connection between speech and obstructive sleep apnea

The electronic version of this article is the complete one and can be found online at: http://link.springer.com/article/10.1186/s12938-016-0138-5Background: Sleep apnea (OSA) is a common sleep disorder characterized by recurring breathing pauses during sleep caused by a blockage of the upper airway (UA). The altered UA structure or function in OSA speakers has led to hypothesize the automatic analysis of speech for OSA assessment. In this paper we critically review several approaches using speech analysis and machine learning techniques for OSA detection, and discuss the limitations that can arise when using machine learning techniques for diagnostic applications. Methods: A large speech database including 426 male Spanish speakers suspected to suffer OSA and derived to a sleep disorders unit was used to study the clinical validity of several proposals using machine learning techniques to predict the apnea–hypopnea index (AHI) or classify individuals according to their OSA severity. AHI describes the severity of patients’ condition. We first evaluate AHI prediction using state-of-theart speaker recognition technologies: speech spectral information is modelled using supervectors or i-vectors techniques, and AHI is predicted through support vector regression (SVR). Using the same database we then critically review several OSA classification approaches previously proposed. The influence and possible interference of other clinical variables or characteristics available for our OSA population: age, height, weight, body mass index, and cervical perimeter, are also studied. Results: The poor results obtained when estimating AHI using supervectors or i-vectors followed by SVR contrast with the positive results reported by previous research. This fact prompted us to a careful review of these approaches, also testing some reported results over our database. Several methodological limitations and deficiencies were detected that may have led to overoptimistic results. Conclusion: The methodological deficiencies observed after critically reviewing previous research can be relevant examples of potential pitfalls when using machine learning techniques for diagnostic applications. We have found two common limitations that can explain the likelihood of false discovery in previous research: (1) the use of prediction models derived from sources, such as speech, which are also correlated with other patient characteristics (age, height, sex,…) that act as confounding factors; and (2) overfitting of feature selection and validation methods when working with a high number of variables compared to the number of cases. We hope this study could not only be a useful example of relevant issues when using machine learning for medical diagnosis, but it will also help in guiding further research on the connection between speech and OSA.Authors thank to Sonia Martinez Diaz for her effort in collecting the OSA database that is used in this study. This research was partly supported by the Ministry of Economy and Competitiveness of Spain and the European Union (FEDER) under project "CMC-V2", TEC2012-37585-C02

Speech Signal and Facial Image Processing for Obstructive Sleep Apnea Assessment

Obstructive sleep apnea (OSA) is a common sleep disorder characterized by recurring breathing pauses during sleep caused by a blockage of the upper airway (UA). OSA is generally diagnosed through a costly procedure requiring an overnight stay of the patient at the hospital. This has led to proposing less costly procedures based on the analysis of patients' facial images and voice recordings to help in OSA detection and severity assessment. In this paper we investigate the use of both image and speech processing to estimate the apnea-hypopnea index, AHI (which describes the severity of the condition), over a population of 285 male Spanish subjects suspected to suffer from OSA and referred to a Sleep Disorders Unit. Photographs and voice recordings were collected in a supervised but not highly controlled way trying to test a scenario close to an OSA assessment application running on a mobile device (i.e., smartphones or tablets). Spectral information in speech utterances is modeled by a state-of-the-art low-dimensional acoustic representation, called i-vector. A set of local craniofacial features related to OSA are extracted from images after detecting facial landmarks using Active Appearance Models (AAMs). Support vector regression (SVR) is applied on facial features and i-vectors to estimate the AHI.The activities in this paper were funded by the Spanish Ministry of Economy and Competitiveness and the European Union (FEDER) as part of the TEC2012-37585-C02 (CMC-V2) project. Authors also thank Sonia Martinez Diaz for her effort in collecting the OSA database that is used in this study

Current misconceptions in diagnosis and management of iron deficiency

The prevention and treatment of iron deficiency is a major public health goal. Challenges in the treatment of iron deficiency include finding and addressing the underlying cause and the selection of an iron replacement product which meets the needs of the patient. However, there are a number of non-evidence-based misconceptions regarding the diagnosis and management of iron deficiency, with or without anaemia, as well as inconsistency of terminology and lack of clear guidance on clinical pathways. In particular, the pathogenesis of iron deficiency is still frequently not addressed and iron not replaced, with indiscriminate red cell transfusion used as a default therapy. In our experience, this imprudent practice continues to be endorsed by non-evidence-based misconceptions. The intent of the authors is to provide a consensus that effectively challenges these misconceptions, and to highlight evidence-based alternatives for appropriate management (referred to as key points). We believe that this approach to the management of iron deficiency may be beneficial for both patients and healthcare systems. We stress that this paper solely presents the Authors' independent opinions. No pharmaceutical company funded or influenced the conception, development or writing of the manuscript