Gestión del conocimiento. Perspectiva multidisciplinaria. Volumen 6

El libro “Gestión del Conocimiento. Perspectiva Multidisciplinaria”, Volumen 6, de la Colección Unión Global, es resultado de investigaciones. Los capítulos del libro, son resultados de investigaciones desarrolladas por sus autores. El libro es una publicación internacional, seriada, continua, arbitrada de acceso abierto a todas las áreas del conocimiento, que cuenta con el esfuerzo de investigadores de varios países del mundo, orientada a contribuir con procesos de gestión del conocimiento científico, tecnológico y humanístico que consoliden la transformación del conocimiento en diferentes escenarios, tanto organizacionales como universitarios, para el desarrollo de habilidades cognitivas del quehacer diario. La gestión del conocimiento es un camino para consolidar una plataforma en las empresas públicas o privadas, entidades educativas, organizaciones no gubernamentales, ya sea generando políticas para todas las jerarquías o un modelo de gestión para la administración, donde es fundamental articular el conocimiento, los trabajadores, directivos, el espacio de trabajo, hacia la creación de ambientes propicios para el desarrollo integral de las instituciones

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

El Software de letras “ABC Letrado” para fortalecer la escritura de los estudiantes de 6° de la Institución Educativa San Simón - Sede Sagrado Corazón de Jesús de San Andrés De Sotavento Córdoba /

Un CD-Rom (1.620 KB) ; tablas, gráficas, imágenes ; 12 cmLa interacción entre la información visual y la información no visual hace posible la construcción permanente de hipótesis sobre el significado y la forma de lo que está escrito en el texto, así como la elaboración de estrategias para verificar o rechazar dichas hipótesis y formular otras nuevas, más ajustadas al texto. El presente trabajo titulado “EL SOFTWARE DE LETRAS ABC LETRADO” PARA FORTALECER LA ESCRITURA, tiene como objetivo Implementar el Software de Letras “ABC Letrado” como estrategia didáctica para el fortalecimiento de la escritura. Este trabajo tiene además el propósito del hacer continuo y funcional, en actividades de temas de interés. En consecuencia, se fundamenta en varios teóricos, en este caso Schunk (1991) afirma que “las estrategias de aprendizaje son secuencias de procedimientos o planes orientados hacia la consecución de metas de aprendizaje”. El enfoque utilizado en el presente trabajo es el cualitativo, puesto que el investigador debe entrar en contacto con el ente investigado, tomando el papel de investigador y el medio de interacción entre ambos sujetos. El tipo de investigación que se desarrolló en el proyecto es la investigación-acción. La muestra es el 100% de los estudiantes de 6°. Las técnicas de recolección de la información que se utilizaron fueron la observación participante y el cuestionario. Los análisis de los resultados muestran que la propuesta logro que los estudiantes alcanzaran un nivel básico respecto a la producción escrita de textos. Como resultado de fomentar el uso del Software de letras se ha observado en los estudiantes un mejoramiento en la comprensión de textos y en la escritura y en general en la comunicación con los demás. El trabajo.PregradoLicenciado en Educación Básica con Énfasis en HumanidadesTrabajo de grado(Licenciada en Educación Básica con Énfasis Humanidades, Lengua Castellana e inglés) --Corporación Universitaria del Caribe. Facultad de Humanidades y Educación. Licenciatura en Educación Básica con Énfasis en Humanidades, Lengua Castellana e Inglés. Educación a Distancia. Sincelejo, 2018

Global economic burden of unmet surgical need for appendicitis

Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

Global economic burden of unmet surgical need for appendicitis

Background There is a substantial gap in provision of adequate surgical care in many low- and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially