Estrategias para la mejora de la productividad, la calidad y competitividad en las empresas del sector confección en el Estado Táchira, Venezuela.

The objective of the article is to propose strategies to improve productivity, quality and competitiveness in companies in the clothing sector in the State of Táchira, Venezuela. It was a quantitative study of a descriptive level, with a field design, and a population of 98 companies in the textile manufacturing sector located in the municipalities of San Cristóbal, Bolívar and Pedro María Ureña in the state of Táchira. The survey was used as a collection technique, and as an instrument validated by expert judgment, being the variables: the state of the aspects of the production chain, and the determination of the dynamics of the management of productivity, quality and competitiveness in these companies. Among the main results there are some inconsistencies about the conception of productivity, difficulties in accessing inputs and raw materials, low production level, machinery only with corrective maintenance. Regarding quality management, there are quality policies, goals and objectives, but they do not have a quality system or technical specifications for the products. Regarding competitiveness, suppliers have high bargaining power; companies have advantages over customers in terms of setting prices and the quality and quantity of products; The entry of new competitors is low due to external difficulties and the high level of investment. Proposals were designed based on correcting the aspects that presented the greatest weaknesses for companies in the clothing sector.El objetivo del artículo es plantear estrategias para la mejora de la productividad, la calidad y competitividad en las empresas del sector confección en el Estado Táchira, Venezuela. Fue un estudio cuantitativo de nivel descriptivo, con diseño de campo, y una población de 98 empresas del sector confección textil ubicadas en los municipios San Cristóbal, Bolívar y Pedro María Ureña del estado Táchira. Se utilizó como técnica de recolección la encuesta, y como instrumento validado por juicio de expertos, siendo las variables: el estado de los aspectos de la cadena de producción, y la determinación de la dinámica de la gestión de la productividad, la calidad y la competitividad en dichas empresas. Entre los principales resultados se tiene algunas inconsistencias sobre la concepción de la productividad, dificultades en el acceso a insumos y materia prima, nivel de producción bajo, maquinaria solo con mantenimiento correctivo. En cuanto a la gestión de calidad, se cuenta con políticas, metas y objetivos de calidad, pero no poseen un sistema de calidad ni especificaciones técnicas de los productos. En cuanto a la competitividad los proveedores tienen alto poder de negociación; las empresas presentan ventajas sobre los clientes en cuanto al establecimiento de precios y la calidad y cantidad de productos; la entrada de nuevos competidores es baja por las dificultades externas y el alto nivel de inversión. Se diseñaron propuestas en función de subsanar los aspectos que presentaron mayores debilidades para las empresas del sector de la confección

Fortalecimiento del manejo y conservación de corales en Áreas Naturales Protegidas del Pacífico mexicano mediante una red colaborativa

Most of the coral communities of the Mexican Pacific Ocean are located in Natural Protected Areas (NPAs); nevertheless, they are in risk for climatic and anthropogenic threats. In order to promote the conservation of coral reefs in the Mexican Pacific Ocean, one has formed the Coral Conservation Network of the Mexican Pacific. The efforts of collaboration have focused on four principal axes a) strengthening of the management in NPAs, b) training and diffusion of good tourism practices, c) evaluation of the state of conservation of the coral reefs, and d) environmental sensitization. There has been achieved the publication and diffusion of the State of Conservation of the Corals of the Mexican Pacific, in which there are estimated the indicators of coral coverage, abundance and biomass of fish, abundance of invertebrates, and the calculation of the Integrated Index of Reef Health. These indicators reflect the management implemented in the ANPs, participants of these analyses; the utility of standardized protocols that allow comparisons in the time and between NPAs, as well as the need to carry out the monitoring, adapted to the region, and coherent with the capacities of the actors on each ANP. On the other hand, sensitization has been carried out on the importance and the threats towards the corals to persons of different sectors across campaigns of environmental sensitization that reached 5,000 students, as well as the distribution of 12,000 guides of the identification of species and good tourism practices in NPAs. These efforts have been important, nevertheless the creation and permanence of the Coral Conservation Network of the Mexican Pacific Ocean has been perhaps the most impactful achievement on management and conservation in the Region.La mayoría de las comunidades coralinas del Pacífico mexicano están ubicadas en Áreas Naturales Protegidas (ANPs); sin embargo, están en riesgo por amenazas climáticas y antropogénicas. Con el fin de promover la conservación de arrecifes de coral en el Pacífico mexicano, se ha formado la Red de Conservación de los Corales del Pacífico mexicano. Los esfuerzos de colaboración se han enfocado en cuatro ejes principales a) fortalecimiento del manejo de ANPs, b) capacitación y difusión de buenas prácticas turísticas, c) evaluación del estado de conservación de los sistemas arrecifales, y d) sensibilización ambiental. Se ha logrado la publicación y difusión del Estado de Conservación de los Corales del Pacífico mexicano, en el cual se estiman los indicadores de cobertura de coral, abundancia y biomasa de peces, abundancia de invertebrados y el cálculo del Índice Integrado de Salud Arrecifal. Estos indicadores reflejan las medidas de manejo en las ANPs que participaron, la utilidad de protocolos estandarizados que permiten realizar comparaciones en el tiempo y entre ANPs, así como la necesidad de llevar a cabo los monitoreos de forma adaptada a la región y congruente con las capacidades de los actores en cada ANP. Por otro lado, también se ha llevado a cabo la sensibilización sobre la importancia y las amenazas hacia los corales a personas de diferentes sectores, a través de campañas de sensibilización ambiental que han alcanzado 5,000 estudiantes, así como de la distribución de 12,000 guías de identificación de especies y buenas prácticas turísticas en ANPs. Estos esfuerzos han sido importantes, sin embargo la creación y permanencia de la Red de Conservación de los Corales del Pacífico mexicano ha sido quizás el mayor logro de manejo y conservación en la Región

Patterns of reef fish taxonomic and functional diversity in the Eastern Tropical Pacific

A core challenge in ecology is identifying the factors that determine species distribution and functional diversity of species assemblages. Reef fish are the most diverse group of vertebrates, form taxonomically rich and functionally diverse communities and represent a key source of food for humans. We examine regional distribution patterns of reef fish species richness and functional diversity and investigate how these are determined by historical, biogeographic, energetic, and anthropogenic factors. We compiled data from 3,312 underwater visual censuses performed at 122 locations comprising rocky and coral reefs along the Eastern Tropical Pacific (ETP). We used generalized linear mixed‐effects models (GLMMs) implemented in a Bayesian framework to investigate whether distance from quaternary refugia, distance from mainland, shelf area, primary productivity, sea surface temperature (SST), human population gravity, and conservation status influence reef fish species richness and functional diversity in the ETP. Species richness and functional richness (FRic) peaked towards the center of the ETP and our null model suggests that FRic followed a spatial pattern that would be predicted by species richness. Additionally, functional evenness (FEve) was highest at higher latitudes whereas functional dispersion (FDis) was homogeneous throughout the ETP. Species richness was negatively influenced by shelf area and distance from mainland, but positively influenced by SST and conservation status. FEve was influenced by human population gravity and FDis by shelf area. Reef fish species richness and functional diversity in the ETP exhibited a strong division within the region mainly mediated by SST and human population gravity. Our results also suggest that dominant species within small shelf areas share more common traits than dominant species in large areas. This study uncovers previously unknown regional patterns of reef fish functional diversity and provides new insights into how historical, biogeographic, energetic, and anthropogenic factors influence complementary biodiversity facets

Análisis de los conceptos del modelo de adaptación de Callista Roy

El artículo presenta el análisis sobre los elementos básicos del modelo de adaptación, que viene realizando el grupo de estudio de la Facultad de Enfermería. Partiendo de una revisión histórica, de los principios filosóficos y científicos que sustentan el modelo, se abordan conceptos como sistema adaptativo humano, ambiente, estímulos, mecanismos de enfrentamiento, nivel de adaptación, salud y meta de enfermería, los cuales orientan el cuidado, teniendo en cuenta la autodeterminación de la persona y los mecanismos que emplea para lograr su adaptación

Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries

Background Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)