MANUAL PARA PRACTICAS DE LA UNIDAD DE APRENDIZAJE INGENIERIA DE SOFTWARE 'FASE DISEÑO'

MANUAL PARA PRACTICAS DE LABORATORIO, TALLER U OTRA AREA DE APOYO A LA DOCENCI

MANUAL PARA PRACTICAS DEL LABORATORIO DE COMPUTO DE LA ASIGNATURA DE INTRODUCCION A LA INTELIGENCIA ARTIFICIAL

MANUAL PARA PRACTICAS DE LABORATORIO, TALLER U OTRA AREA DE APOYO A LA DOCENCI

MANUAL PARA PRÁCTICAS DEL LABORATORIO DE CÓMPUTO DE LA ASIGNATURA DE INTRODUCCIÓN A LA INTELIGENCIA ARTIFICIAL

MANUAL PARA PRÁCTICAS DE LABORATORIO, TALLER U OTRA ÁREA DE APOYO A LA DOCENCI

MANUAL PARA PRACTICAS DE LA UNIDAD DE APDRENDIZAJE DATA WAREHOUSE I

MANUAL PARA PRACTICAS DE LABORATORIO, TALLER U OTRA AREA DE APOYO A LA DOCENCI

MANUAL PARA PRACTICAS DE LA UNIDAD DE APRENDIZAJE TALLER CON WEKA

MANUAL PARA PRACTICAS DE LABORATORIO, TALLER U OTRA AREA DE APOYO A LA DOCENCI

SISTEMA DE INFORMACIÓN PARA APOYO A LA FACTURACIÓN DEL TALLER DE MANTENIMIENTO MECÁNICO INDUSTRIAL RICO

El presente artículo aborda la necesidad de realizar sistemas de información para apoyo a los procesos de facturación del Taller de Mantenimiento Industrial Rico. En este proceso se realizó la implantación del sistema de información basado en computadora, siguiendo las fases que debe tener un desarrollo informático: análisis, diseño, construcción, implantación, operación y mantenimiento. Una vez liberado el sistema, se entregó la documentación completa a la empresa: manual técnico, manual de usuario, diagramas, diagnóstico etc. con la finalidad de facilitar trabajos futuros, mejoras o rediseños

Diagnóstico de aspectos productivos y ambientales en el cultivo de Aguacate Hass del Oriente Antioqueño

En la actualidad el cultivo de aguacate Hass ha venido creciendo en el país como respuesta al mercado internacional demandante. El Oriente Antioqueño, en respuesta a esta dinámica económica, ha respondido positivamente con el aumento en el número de unidades productivas de aguacate. Por este motivo y con el propósito de comprender algunos aspectos de la dinámica aguacatera de la región, se realizó un pequeño estudio diagnóstico basado en encuestas. Las preguntas estuvieron encaminadas a la recolección de información sobre producción y manejo fitosanitario-ambiental, con la cual se construyó una base de datos. La muestra evaluada correspondió en su mayoría a pequeños productores, sin embargo, dejó ver aspectos de inversión, rentabilidad e impactos ambientales en recursos como el agua, los bosques y la biodiversidad. En producción, se puede observar que la región es una buena proveedora de aguacate en especial al principio y mitad del año. A nivel ambiental es positivo la conservación de bosques naturales o plantados dentro de sus fincas. De igual forma, se identificó la utilización de muchos productos químicos sin registro ICA en los cultivos. Este diagnóstico deja claro que se deben llevar a cabo estudios a mayor profundidad y detalle para comprender adecuadamente todos los aspectos que giran alrededor del cultivo de aguacate Hass y ayudarán a potenciar el mercado

Effectiveness of an intervention for improving drug prescription in primary care patients with multimorbidity and polypharmacy:Study protocol of a cluster randomized clinical trial (Multi-PAP project)

This study was funded by the Fondo de Investigaciones Sanitarias ISCIII (Grant Numbers PI15/00276, PI15/00572, PI15/00996), REDISSEC (Project Numbers RD12/0001/0012, RD16/0001/0005), and the European Regional Development Fund ("A way to build Europe").Background: Multimorbidity is associated with negative effects both on people's health and on healthcare systems. A key problem linked to multimorbidity is polypharmacy, which in turn is associated with increased risk of partly preventable adverse effects, including mortality. The Ariadne principles describe a model of care based on a thorough assessment of diseases, treatments (and potential interactions), clinical status, context and preferences of patients with multimorbidity, with the aim of prioritizing and sharing realistic treatment goals that guide an individualized management. The aim of this study is to evaluate the effectiveness of a complex intervention that implements the Ariadne principles in a population of young-old patients with multimorbidity and polypharmacy. The intervention seeks to improve the appropriateness of prescribing in primary care (PC), as measured by the medication appropriateness index (MAI) score at 6 and 12months, as compared with usual care. Methods/Design: Design:pragmatic cluster randomized clinical trial. Unit of randomization: family physician (FP). Unit of analysis: patient. Scope: PC health centres in three autonomous communities: Aragon, Madrid, and Andalusia (Spain). Population: patients aged 65-74years with multimorbidity (≥3 chronic diseases) and polypharmacy (≥5 drugs prescribed in ≥3months). Sample size: n=400 (200 per study arm). Intervention: complex intervention based on the implementation of the Ariadne principles with two components: (1) FP training and (2) FP-patient interview. Outcomes: MAI score, health services use, quality of life (Euroqol 5D-5L), pharmacotherapy and adherence to treatment (Morisky-Green, Haynes-Sackett), and clinical and socio-demographic variables. Statistical analysis: primary outcome is the difference in MAI score between T0 and T1 and corresponding 95% confidence interval. Adjustment for confounding factors will be performed by multilevel analysis. All analyses will be carried out in accordance with the intention-to-treat principle. Discussion: It is essential to provide evidence concerning interventions on PC patients with polypharmacy and multimorbidity, conducted in the context of routine clinical practice, and involving young-old patients with significant potential for preventing negative health outcomes. Trial registration: Clinicaltrials.gov, NCT02866799Publisher PDFPeer reviewe

Epidemiology, practice of ventilation and outcome for patients at increased risk of postoperative pulmonary complications

BACKGROUND Limited information exists about the epidemiology and outcome of surgical patients at increased risk of postoperative pulmonary complications (PPCs), and how intraoperative ventilation was managed in these patients. OBJECTIVES To determine the incidence of surgical patients at increased risk of PPCs, and to compare the intraoperative ventilation management and postoperative outcomes with patients at low risk of PPCs. DESIGN This was a prospective international 1-week observational study using the ‘Assess Respiratory Risk in Surgical Patients in Catalonia risk score’ (ARISCAT score) for PPC for risk stratification. PATIENTS AND SETTING Adult patients requiring intraoperative ventilation during general anaesthesia for surgery in 146 hospitals across 29 countries. MAIN OUTCOME MEASURES The primary outcome was the incidence of patients at increased risk of PPCs based on the ARISCAT score. Secondary outcomes included intraoperative ventilatory management and clinical outcomes. RESULTS A total of 9864 patients fulfilled the inclusion criteria. The incidence of patients at increased risk was 28.4%. The most frequently chosen tidal volume (VT) size was 500 ml, or 7 to 9 ml kg1 predicted body weight, slightly lower in patients at increased risk of PPCs. Levels of positive end-expiratory pressure (PEEP) were slightly higher in patients at increased risk of PPCs, with 14.3% receiving more than 5 cmH2O PEEP compared with 7.6% in patients at low risk of PPCs (P < 0.001). Patients with a predicted preoperative increased risk of PPCs developed PPCs more frequently: 19 versus 7%, relative risk (RR) 3.16 (95% confidence interval 2.76 to 3.61), P < 0.001) and had longer hospital stays. The only ventilatory factor associated with the occurrence of PPCs was the peak pressure. CONCLUSION The incidence of patients with a predicted increased risk of PPCs is high. A large proportion of patients receive high VT and low PEEP levels. PPCs occur frequently in patients at increased risk, with worse clinical outcome

Epidemiology, practice of ventilation and outcome for patients at increased risk of postoperative pulmonary complications: LAS VEGAS - An observational study in 29 countries

BACKGROUND Limited information exists about the epidemiology and outcome of surgical patients at increased risk of postoperative pulmonary complications (PPCs), and how intraoperative ventilation was managed in these patients. OBJECTIVES To determine the incidence of surgical patients at increased risk of PPCs, and to compare the intraoperative ventilation management and postoperative outcomes with patients at low risk of PPCs. DESIGN This was a prospective international 1-week observational study using the ‘Assess Respiratory Risk in Surgical Patients in Catalonia risk score’ (ARISCAT score) for PPC for risk stratification. PATIENTS AND SETTING Adult patients requiring intraoperative ventilation during general anaesthesia for surgery in 146 hospitals across 29 countries. MAIN OUTCOME MEASURES The primary outcome was the incidence of patients at increased risk of PPCs based on the ARISCAT score. Secondary outcomes included intraoperative ventilatory management and clinical outcomes. RESULTS A total of 9864 patients fulfilled the inclusion criteria. The incidence of patients at increased risk was 28.4%. The most frequently chosen tidal volume (V T) size was 500 ml, or 7 to 9 ml kg−1 predicted body weight, slightly lower in patients at increased risk of PPCs. Levels of positive end-expiratory pressure (PEEP) were slightly higher in patients at increased risk of PPCs, with 14.3% receiving more than 5 cmH2O PEEP compared with 7.6% in patients at low risk of PPCs (P ˂ 0.001). Patients with a predicted preoperative increased risk of PPCs developed PPCs more frequently: 19 versus 7%, relative risk (RR) 3.16 (95% confidence interval 2.76 to 3.61), P ˂ 0.001) and had longer hospital stays. The only ventilatory factor associated with the occurrence of PPCs was the peak pressure. CONCLUSION The incidence of patients with a predicted increased risk of PPCs is high. A large proportion of patients receive high V T and low PEEP levels. PPCs occur frequently in patients at increased risk, with worse clinical outcome.</p