76 research outputs found
Business intelligence maturity models: opportunities and recommendations for future investigation - a systematic literature review - part 1
La globalización de la economía representa grandes desafíos. Uno de ellos es la explotación de la información y el conocimiento de la empresa. Convertir datos en información y la información en conocimiento se denomina inteligencia de negocios- BI. Se han desarrollado varias herramientas de BI para apoyar el proceso de toma de decisiones. Los modelos de madurez son una de estas herramientas. Esta investigación tiene como objetivo mostrar en dos partes, lagunas y proponer oportunidades para el avance en este campo. En general, se reveló un predominio de características genéricas y descriptivas. Se detectaron algunas lagunas relacionadas con modelos que pueden adaptarse a segmentos industriales específicos. Este campo todavía ofrece amplias posibilidades para nuevos modelos de investigación y madurez.The economy globalization represents significant challenges. One of them is information exploitation and company knowledge. Converting data into information and information into knowledge is called Business Intelligence – BI. Several BI tools have been established to support the decision-making process. Maturity Models is one of these tools. This research aims to show in two parts, breaches and to propose prospects for the progression of this field. In general, the prevalence of generic and descriptive features was revealed. Some gaps related to models that can be modified to specific industrial sectors were detected. This field offers great promises for new investigations and maturity models
Derechos humanos, democracia y poder judicial
Esta obra presenta un análisis correlacional de los conceptos democracia, poder
judicial y derechos humanos. Para ello, emplea la noción de legitimidad democrática
como eje trasversal que permite pensar los matices del lenguaje, la óntica
moral de los derechos humanos, las condiciones mínimas del poder democrático
como una representación argumentativa, la doble tensión de la democracia respecto
a los precompromisos constitucionales y el poder judicial ejercido por vía
de la revisión judicial de las leyes. Asimismo, concluye con la necesidad de optar
por un modelo de sustantivismo débil que pregona la figura de un constitucionalismo
democrático.Introducción
Capítulo 1. Semiótica y derechos humanos
Capítulo 2. Calificación lógico-moral de los derechos humanos
Capítulo 3. Las dimensiones de la calidad democrática: un análisis metodológico de la propuesta de Leonardo Morlino
Capítulo 4. ¿Cualquier interés democrático debe producir consecuencias jurídicas y políticas?
Capítulo 5. ¿Es posible un sistema democrático de control de constitucionalidad en Colombia?
Capítulo 6. El sistema de nominación del poder judicial y su influencia en el sistema político.
Referencias1ª ed
Gestión del conocimiento. Perspectiva multidisciplinaria. Volumen 10
El libro “Gestión del Conocimiento. Perspectiva Multidisciplinaria”, Volumen 10, 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
Treatment with tocilizumab or corticosteroids for COVID-19 patients with hyperinflammatory state: a multicentre cohort study (SAM-COVID-19)
Objectives: The objective of this study was to estimate the association between tocilizumab or corticosteroids and the risk of intubation or death in patients with coronavirus disease 19 (COVID-19) with a hyperinflammatory state according to clinical and laboratory parameters.
Methods: A cohort study was performed in 60 Spanish hospitals including 778 patients with COVID-19 and clinical and laboratory data indicative of a hyperinflammatory state. Treatment was mainly with tocilizumab, an intermediate-high dose of corticosteroids (IHDC), a pulse dose of corticosteroids (PDC), combination therapy, or no treatment. Primary outcome was intubation or death; follow-up was 21 days. Propensity score-adjusted estimations using Cox regression (logistic regression if needed) were calculated. Propensity scores were used as confounders, matching variables and for the inverse probability of treatment weights (IPTWs).
Results: In all, 88, 117, 78 and 151 patients treated with tocilizumab, IHDC, PDC, and combination therapy, respectively, were compared with 344 untreated patients. The primary endpoint occurred in 10 (11.4%), 27 (23.1%), 12 (15.4%), 40 (25.6%) and 69 (21.1%), respectively. The IPTW-based hazard ratios (odds ratio for combination therapy) for the primary endpoint were 0.32 (95%CI 0.22-0.47; p < 0.001) for tocilizumab, 0.82 (0.71-1.30; p 0.82) for IHDC, 0.61 (0.43-0.86; p 0.006) for PDC, and 1.17 (0.86-1.58; p 0.30) for combination therapy. Other applications of the propensity score provided similar results, but were not significant for PDC. Tocilizumab was also associated with lower hazard of death alone in IPTW analysis (0.07; 0.02-0.17; p < 0.001).
Conclusions: Tocilizumab might be useful in COVID-19 patients with a hyperinflammatory state and should be prioritized for randomized trials in this situatio
4to. Congreso Internacional de Ciencia, Tecnología e Innovación para la Sociedad. Memoria académica
Este volumen acoge la memoria académica de la Cuarta edición del Congreso Internacional de Ciencia, Tecnología e Innovación para la Sociedad, CITIS 2017, desarrollado entre el 29 de noviembre y el 1 de diciembre de 2017 y organizado por la Universidad Politécnica Salesiana (UPS) en su sede de Guayaquil.
El Congreso ofreció un espacio para la presentación, difusión e intercambio de importantes investigaciones nacionales e internacionales ante la comunidad universitaria que se dio cita en el encuentro. El uso de herramientas tecnológicas para la gestión de los trabajos de investigación como la plataforma Open Conference Systems y la web de presentación del Congreso http://citis.blog.ups.edu.ec/, hicieron de CITIS 2017 un verdadero referente entre los congresos que se desarrollaron en el país.
La preocupación de nuestra Universidad, de presentar espacios que ayuden a generar nuevos y mejores cambios en la dimensión humana y social de nuestro entorno, hace que se persiga en cada edición del evento la presentación de trabajos con calidad creciente en cuanto a su producción científica.
Quienes estuvimos al frente de la organización, dejamos plasmado en estas memorias académicas el intenso y prolífico trabajo de los días de realización del Congreso Internacional de Ciencia, Tecnología e Innovación para la Sociedad al alcance de todos y todas
All-cause mortality in the cohorts of the Spanish AIDS Research Network (RIS) compared with the general population: 1997Ł2010
Abstract Background: Combination antiretroviral therapy (cART) has produced significant changes in mortality of HIVinfected persons. Our objective was to estimate mortality rates, standardized mortality ratios and excess mortality rates of cohorts of the AIDS Research Network (RIS) (CoRIS-MD and CoRIS) compared to the general population. Methods: We analysed data of CoRIS-MD and CoRIS cohorts from 1997 to 2010. We calculated: (i) all-cause mortality rates, (ii) standardized mortality ratio (SMR) and (iii) excess mortality rates for both cohort for 100 personyears (py) of follow-up, comparing all-cause mortality with that of the general population of similar age and gender. Results: Between 1997 and 2010, 8,214 HIV positive subjects were included, 2,453 (29.9%) in CoRIS-MD and 5,761 (70.1%) in CoRIS and 294 deaths were registered. All-cause mortality rate was 1.02 (95% CI 0.91-1.15) per 100 py, SMR was 6.8 (95% CI 5.9-7.9) and excess mortality rate was 0.8 (95% CI 0.7-0.9) per 100 py. Mortality was higher in patients with AIDS, hepatitis C virus (HCV) co-infection, and those from CoRIS-MD cohort (1997. Conclusion: Mortality among HIV-positive persons remains higher than that of the general population of similar age and sex, with significant differences depending on the history of AIDS or HCV coinfection
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
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
New electrical parameters extraction method based on simplified 3D model using finite element analysis
Purpose–The purpose of this paper is the presentation of an electrical equivalent circuit for inductivecomponents as well as the methodology for electrical parameter extraction by using a 3 Dfinite elementanalysis (FEA) tool.Design/methodology/approach–A parameter extraction based on energies has been modified forthree dimensions. Some simplifications are needed in a real model to make the 3 Dfinite element method(FEM) analysis operative for design engineers. Material properties for the components are modified atthe pre-modeling step and a corrector factor is usedat the post-modeling step to achieve the desiredaccuracy.Findings–The current hardware computational limitations do not allow the 3 D FEA for every magneticcomponent, and due to the component asymmetries, the 2 D analysis are not precise enough. The applicationof the new methodology for three dimensions to several actual components has shown its usefulness andaccuracy. Details concerning model parameters extration are presented with simulation and measurementresults at different operation frequencies from 1 kHz to 1 GHz being the range of switching frequencies usedby power electronic converters based on Si, SiC or GaN semiconductors.Practical implications–This new model includes the high-frequency effects (skin effect, proximityeffect, interleaving and core gap) and other effects can be only analyzed in 3 D analysis for non-symmetriccomponents. The electrical parameters like resistance and inductance (self and mutual ones) are frequency-dependent; thus, the model represents the frequency behavior of windings in detail. These parametersdetermine the efficiency for the inductive component and operation capabilities for the power converters (as inthe voltage boost factor), which define their success on the market.Originality/value–The user can develop 3 Dfinite element method (FEM)-based analyses withgeometrical simplifications, reducing the CPU time and extracting electrical parameters. The corrector factorpresented in this paper allows obtaining the electrical parameters when 3D FE simulation would have developed without any geometry simplications. The contribution permits that the simulations do not need ahigh computational resource, and the simulation times are reduced drastically. Also, the reduced CPU timeneeded per simulation gives a potential tool to optimize the non-symmetric components with 3 D FEManalysis
New electrical parameters extraction method based on simplified 3D model using finite element analysis
Purpose. The purpose of this paper is the presentation of an electrical equivalent circuit for inductive components as well as the methodology for electrical parameter extraction by using a 3 D finite element analysis (FEA) tool. Design/methodology/approach. A parameter extraction based on energies has been modified for three dimensions. Some simplifications are needed in a real model to make the 3 D finite element method (FEM) analysis operative for design engineers. Material properties for the components are modified at the pre-modeling step and a corrector factor is used at the post-modeling step to achieve the desired accuracy. Findings. The current hardware computational limitations do not allow the 3 D FEA for every magnetic component, and due to the component asymmetries, the 2 D analysis are not precise enough. The application of the new methodology for three dimensions to several actual components has shown its usefulness and accuracy. Details concerning model parameters extration are presented with simulation and measurement results at different operation frequencies from 1 kHz to 1 GHz being the range of switching frequencies used by power electronic converters based on Si, SiC or GaN semiconductors. Practical implications. This new model includes the high-frequency effects (skin effect, proximity effect, interleaving and core gap) and other effects can be only analyzed in 3 D analysis for non-symmetric components. The electrical parameters like resistance and inductance (self and mutual ones) are frequency-dependent; thus, the model represents the frequency behavior of windings in detail. These parameters determine the efficiency for the inductive component and operation capabilities for the power converters (as in the voltage boost factor), which define their success on the market. Originality/value. The user can develop 3 D finite element method (FEM)-based analyses with geometrical simplifications, reducing the CPU time and extracting electrical parameters. The corrector factor presented in this paper allows obtaining the electrical parameters when 3D FE simulation would have developed without any geometry simplications. The contribution permits that the simulations do not need a high computational resource, and the simulation times are reduced drastically. Also, the reduced CPU time needed per simulation gives a potential tool to optimize the non-symmetric components with 3 D FEM analysis
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