Propuesta de Supply Chain Management y Logística para la empresa Óptica Atenas

El proyecto desarrollado tuvo como fin realizar un análisis a todos los aspectos involucrados en la cadena de suministro de la empresa Óptica Atenas. Se procuró ejecutar este propósito, mediante el uso de una metodología de apoyo bibliográfico especializado, detallando los procesos desarrollados en la actualidad por todas las áreas de la empresa e identificando y analizando algunas tendencias y conceptos relacionados con la cadena de suministro como el efecto látigo, las mega tendencias, la política nacional de logística CONPES 3982 y el Índice de Desempeño Logístico. De igual manera, se identificaron y caracterizaron las estructuras, los procesos logísticos y la cadena de suministro de la empresa; y se propusieron mejoras a los procesos logísticos de dicha empresa, usando técnicas y herramientas propias de la gestión de cadenas de suministro y logística. Finalmente se plantearon propuestas de mejora en los procesos de la empresa, con el propósito de optimizarlos, buscando lograr un nivel de competitividad en el mercado de forma ágil, práctica y eficaz.The project developed was aimed to perform an analysis of all aspects involved in the supply chain of the company Óptica Atenas. This purpose was achieved through the use of a specialized bibliographic support methodology, detailing the processes currently developed by all areas of the company and identifying and analyzing some trends and concepts related to the supply chain such as the bullwhip effect, the mega trends, the national logistics policy CONPES 3982 and the Logistics Performance Index. Likewise, the company's structures, logistics processes and supply chain were identified and characterized; and improvements to the company's logistics processes were proposed, using techniques and tools of supply chain and logistics management. Finally, proposals were made to improve the company's processes, with the purpose of optimizing them, seeking to achieve a level of competitiveness in the market in an agile, practical and efficient manner

Global attitudes in the management of acute appendicitis during COVID-19 pandemic: ACIE Appy Study

Background: Surgical strategies are being adapted to face the COVID-19 pandemic. Recommendations on the management of acute appendicitis have been based on expert opinion, but very little evidence is available. This study addressed that dearth with a snapshot of worldwide approaches to appendicitis. Methods: The Association of Italian Surgeons in Europe designed an online survey to assess the current attitude of surgeons globally regarding the management of patients with acute appendicitis during the pandemic. Questions were divided into baseline information, hospital organization and screening, personal protective equipment, management and surgical approach, and patient presentation before versus during the pandemic. Results: Of 744 answers, 709 (from 66 countries) were complete and were included in the analysis. Most hospitals were treating both patients with and those without COVID. There was variation in screening indications and modality used, with chest X-ray plus molecular testing (PCR) being the commonest (19\ub78 per cent). Conservative management of complicated and uncomplicated appendicitis was used by 6\ub76 and 2\ub74 per cent respectively before, but 23\ub77 and 5\ub73 per cent, during the pandemic (both P < 0\ub7001). One-third changed their approach from laparoscopic to open surgery owing to the popular (but evidence-lacking) advice from expert groups during the initial phase of the pandemic. No agreement on how to filter surgical smoke plume during laparoscopy was identified. There was an overall reduction in the number of patients admitted with appendicitis and one-third felt that patients who did present had more severe appendicitis than they usually observe. Conclusion: Conservative management of mild appendicitis has been possible during the pandemic. The fact that some surgeons switched to open appendicectomy may reflect the poor guidelines that emanated in the early phase of SARS-CoV-2