Ecoserm-Rancas: una experiencia exitosa de desarrollo económico local desde la percepción de los miembros de la empresa comunal

Pasco es una región milenariamente minera, contexto en el cual existe la Comunidad Campesina de Rancas con un pasado histórico relacionado a comuneros que han luchado por la recuperación de sus terrenos y el respeto de sus derechos por las tierras comunales; con el paso del tiempo y mejores relaciones con la minería, en la década del 90’, la comunidad de Rancas forma su empresa comunal de servicios múltiples Ecoserm-Rancas, y en convenios con empresas mineras se logran capitalizar e iniciar su etapa empresarial basada en el capital social y el emprendimiento. Hoy, este dinamismo económico generado por Ecoserm-Rancas ha significado su contribución al desarrollo económico de la misma Comunidad y es por ello que justificamos la investigación en la necesidad de conocer un caso eficaz y eficiente para la toma de decisiones de otras empresas comunales de la región, y en la responsabilidad que estas tiene para contribuir al proceso de desarrollo económico local (DEL). Para ello se tiene un objetivo general de investigación, el demostrar que la empresa comunal Ecoserm-Rancas de la Comunidad San Antonio de Rancas ha contribuido al DEL de su comunidad en los últimos años 2016-2017; y como ya se hace referencia, la investigación tiene un enfoque DEL en base a lo trabajado por Francisco Alburquerque como un proceso endógeno y endogenizador. Así mismo, la presente es una investigación cualitativa que tiene como fuente principal las entrevistas semiestructuradas de los principales actores involucrados y otras fuentes de información; el documento demuestra el rol contribuidor de Ecoserm-Rancas al desarrollo de su comunidad, así como la necesidad de dar mayor apertura al espacio multiactor, es decir trabajando de la mano con más instituciones existentes en el territorio con las cuales se pueda planificar y enriquecer este proceso para el bienestar de todos los comuneros.Tesi

Senior Recital: Simon Needle, guitar

This recital is presented in partial fulfillment of requirements for the degree Bachelor of Music in Performance. Mr. Needle studies guitar with Trey Wright.https://digitalcommons.kennesaw.edu/musicprograms/2144/thumbnail.jp

Análisis estratégico de la cadena de valor para el desarrollo de modelo de negocio más rentable en la Empresa CHC Ingenieros S.A.C., 2013

El presente trabajo titulado: “Análisis estratégico de la cadena de valor para el desarrollo de modelo de negocio más rentable en la empresa CHC INGENIEROS SAC., 2013 “; tuvo como principal objetivo Diseñar un modelo de negocio más rentable para la Empresa, identificando aquellas actividades que aportan valor. En el análisis realizado en la investigación se determinó que en la actualidad en la industria de la construcción ha alcanzado un buen desarrollo; pues este sector es un mercado altamente atractivo por el gran número de competidores debido a la tendencia de los clientes. Por lo que la empresa CHC INGENIEROS SAC, no puede perder su prestigio y debe continuar brindando una buena atención al cliente para satisfacerlos cumpliendo con sus expectativas y exigencias, conociendo así que la satisfacción del cliente es el camino que lleva a la empresa al éxito. Por tal razón, las empresas deben contar con esta herramienta útil para conocer e identificar cuáles de sus actividades generan o destruyen valor para corregirlas o fortalecerlas y así lograr la satisfacción del cliente siendo capaces de adaptarse a los cambios que se dan continuamente en este mercado tan competitivo, logrando el crecimiento de la empresa y por ende de todos sus colaboradores. Para constatar la hipótesis planteada en la investigación se realizaron entrevistas y la revisión a la documentación de la empresa, y luego se elaboraron los cuadros donde se reflejan los resultados, haciendo también una guía de recomendaciones. El estudio concluye con la identificación de aquellas actividades de la cadena de valor de CHC INGENIEROS SAC, que aportan valor a sus procesos, permitiendo buscar un modelo de negocio más rentable para mejorar la situación actual de la empresa ya antes mencionada.This present work entitled "Strategic analysis of the value chain to develop more profitable business model in the company CHC ENGINEERS SAC, 2013"; main objective was to design a more profitable business model for the company, identifying those activities that add value. In the analysis in the investigation that is currently in the construction industry has reached a good development; because this sector is a highly attractive market for the large number of competitors due to the tendency of customers. So the company CHC ENGINEERS SAC, can’t lose their prestige and must continue providing good customer service to satisfy fulfilling their expectations and demands, and knowing that customer satisfaction is the way that leads the company to success. For this reason, companies must have this handy tool to find and identify which of their activities create or destroy value to correct or strengthen and achieve customer satisfaction being able to adapt to changes that continually occur in this market as competitive, achieving business growth and therefore of all its employees. To verify the hypothesis in research interviews and reviewing the documentation of the company were performed, and then the tables where the results are reflected were developed, also making a recommendation guide.Tesi

Conocimiento sobre deshidratación que poseian las madres menores de 20 años con niños de 2 meses a 5 años, que consultaron en la unidad comunitaria de salud familiar- Especializada (UCSF-E) Anamorós en los meses de junio, julio y agosto del 2018.

Se investiga el conocimiento sobre deshidratación que poseen las madres menores de 20 años con niños de 2 meses a 5 años, que consultan en la Unidad de Cuidados de Salud Familiar-Especializada ( UCSF-E ) Anamoros, en los meses de Junio, Julio y Agosto del 2018. Con el objetivo de determinar el nivel de conocimiento sobre deshidratación de las madres y el grado de aplicación de este, incluyendo edad, paridad y nivel educativo de la madre; edad y sexo del niño; controles de niño sano; fuentes de información y consulta por deshidratación. La presente investigación es de tipo descriptivo y de corte transversal. De 121 madres que cumplían los criterios de inclusión durante el año 2018, se entrevistaron a 40 madres. De estas, el 40% presentaron embarazos de alto riesgo por ser menores de 18 años. Las madres de 18 a 19 años poseían mayor conocimiento sobre deshidratación que las de 16 a 17 años. Las madres que cursaron secundaria presentaron mayor conocimiento que aquellas que solo tenían primaria. Las madres con hijos mayores de un año tuvieron mayor conocimiento que las madres con hijos menores de un año

Senior Capstone Lecture Recital: Chloe Lincoln, composition

This recital is presented in partial fulfillment of requirements for the degree Bachelor of Arts in Music. Ms. Lincoln studies composition with Laurence Sherr.https://digitalcommons.kennesaw.edu/musicprograms/1514/thumbnail.jp

Hi-sAFe: a 3D agroforestry model for integrating dynamic tree–crop interactions

Agroforestry, the intentional integration of trees with crops and/or livestock, can lead to multiple economic and ecological benefits compared to trees and crops/livestock grown separately. Field experimentation has been the primary approach to understanding the tree–crop interactions inherent in agroforestry. However, the number of field experiments has been limited by slow tree maturation and difficulty in obtaining consistent funding. Models have the potential to overcome these hurdles and rapidly advance understanding of agroforestry systems. Hi-sAFe is a mechanistic, biophysical model designed to explore the interactions within agroforestry systems that mix trees with crops. The model couples the pre-existing STICS crop model to a new tree model that includes several plasticity mechanisms responsive to tree–tree and tree–crop competition for light, water, and nitrogen. Monoculture crop and tree systems can also be simulated, enabling calculation of the land equivalent ratio. The model’s 3D and spatially explicit form is key for accurately representing many competition and facilitation processes. Hi-sAFe is a novel tool for exploring agroforestry designs (e.g., tree spacing, crop type, tree row orientation), management strategies (e.g., thinning, branch pruning, root pruning, fertilization, irrigation), and responses to environmental variation (e.g., latitude, climate change, soil depth, soil structure and fertility, fluctuating water table). By improving our understanding of the complex interactions within agroforestry systems, Hi-sAFe can ultimately facilitate adoption of agroforestry as a sustainable land-use practice

Student Compostiton Recital

Kennesaw State University School of Music presents Student Composition Recital.https://digitalcommons.kennesaw.edu/musicprograms/1390/thumbnail.jp

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

Activity Limitations, Use of Assistive Devices or Personal Help, and Well-Being: Variation by Education

Objectives. This study examined the associations among self-care or mobility limitations, use of assistive devices or personal help, and well-being while giving special attention to 3 dimensions of well-being and older adults ’ educational attainment. Method. The analysis was based on 4,456 community-dwelling older adults with self-care or mobility limitations who completed interviews in the first round of the National Health and Aging Trends Study. Path models were estimated to examine the associations among limitations, use of assistive devices or personal help, and 3 dimensions of well-being (positive affect, self-realization, and self-efficacy) for different educational groups of older adults. Results. Self-care or mobility limitations had a negative association with 3 dimensions of well-being. The use of assistive devices was positively related, but the use of personal help was negatively related to well-being. Older adults with more education demonstrated weaker associations between assistive devices and well-being and stronger inverse associations between personal help and well-being than those with less education. Discussion. The use of coping strategies to address self-care or mobility limitations is not necessarily associated with better well-being, and education does not seem to play a protective role once limitations develop. More research is needed to unpack population heterogeneity in the association between coping strategies and well-being