Motivación y desempeño laboral de los trabajadores de la Dirección Regional de Salud Ancash, 2016

El presente trabajo de investigación a nivel internacional, nacional y regional por los constantes cambios tecnológicos y la modernización del mundo globalizado es fundamental que las empresas y instituciones públicas del estado, realizan constante cambios referente en la organización operativa de la administración, y gestión por resultados; por esta razón el recursos humanos es un potencial humano y una herramienta estratégica dentro de una entidad, que contribuya el desarrollo integral e individual. El proyecto de investigación titulado Motivación y desempeño laboral de los trabajadores de la Dirección Regional de Salud Ancash 2016. Su objetivo general es determinar la relación entre la motivación y desempeño laboral de los trabajadores; la naturaleza de la investigación es cuantitativa, tipo de estudio no experimental y diseño de investigación es correlacional; porque busca la relación entre las dos variables (Motivación y desempeño laboral), según el alcance temporal es una investigación transversal, porque se delimita a un determinado espacio y tiempo; la población del estudio lo constituyen todos los trabajadores nombrados y contratados de la Dirección Regional de Salud, siendo en total de 254 empleados; se utilizó un muestreo aleatorio simple, obteniendo como muestra a 153 trabajadores; para realizar el análisis se consideró aplicar cuestionarios validados, la ficha de motivación de Herzberg y la Ficha de desempeño laboral de Chiavenato; se utilizó las técnicas de encuesta y entrevista para la recogida de datos que dieron los siguientes resultados, solo el 15 % de los trabajadores está motivado tanto en los factores motivacionales como higiénicos, un 17% tienen mala motivación y los demás se encuentran entre una regular motivación; a la vez los resultados referentes a la variable de desempeño laboral demuestran que el 17 % de los trabajadores tienen un buen desempeño, mientras que el 28.8% tienen un mal desempeño y los demás regular desempeño; se ha determinado la relación y dimensión significativa entre variable de motivación y el desempeño laboral de los trabajadores . Donde la tabla 7 y 8 muestra los resultados estadísticos de prueba de chi cuadrado, indica, existe relación significativa

Identification and Distribution of Human-Biting Ticks in Northwestern Spain

Ticks transmit a wide diversity of pathogens to a great variety of hosts, including humans. We conducted a tick surveillance study in northwestern Spain between 2014 and 2019. Ticks were removed from people and identified. Tick numbers, species, development stages, the timeline, seasonal and geographical distribution and epidemiological characteristics of people bitten by ticks were studied. We collected ticks from 8143 people. Nymphs of I. ricinus were the most frequently collected. Rhipicephalus bursa, R. sanguineus s.l., Hy. marginatum, Hy. lusitanicum, D. marginatus, D. reticulatus and H. punctata were also found, with adults as the main stage. The number of collected Hyalomma spp. and R. bursa has been progressively increasing over time. Although bites occurred throughout the year, the highest number of incidents was reported from April to July. The distribution patterns of the tick species were different between the north and the south of the region, which was related to cases detected in humans of the pathogens they carried. Adult men were more likely to be bitten by ticks than women. Ticks were most frequently removed from adults from the lower limbs, while for children, they were mainly attached to the head. Epidemiological surveillance is essential given the increase in tick populations in recent years, mainly of species potentially carrying pathogens causing emerging diseases in Spain, such as Crimean-Congo hemorrhagic fever (CCFH).This research was funded by Junta de Castilla y León. Consejería de Sanidad.S

National rare diseases registry in Spain: pilot study of the Spanish Rare Diseases Registries Research Network (SpainRDR)

Supplement 7th European Conference on Rare Diseases and Orphan Products (ERCD 2014)Background The development of a national Rare Diseases (RD) registry in Spain was launched in 2012 with the project SpainRDR, supported by the International Rare Diseases Research Consortium (IRDiRC). SpainRDR includes two different strategies: patient registries addressed to patient outcome research and population-based registries addressed to epidemiologic research, health and social planning [1]. The pilot study aims to detect the difficulties of developing the national and population-based RD registry

Motivación y desempeño laboral de los trabajadores de la Dirección Regional de Salud Ancash, 2016

El presente trabajo de investigación a nivel internacional, nacional y regional por los constantes cambios tecnológicos y la modernización del mundo globalizado es fundamental que las empresas y instituciones públicas del estado, realizan constante cambios referente en la organización operativa de la administración, y gestión por resultados; por esta razón el recursos humanos es un potencial humano y una herramienta estratégica dentro de una entidad, que contribuya el desarrollo integral e individual. El proyecto de investigación titulado Motivación y desempeño laboral de los trabajadores de la Dirección Regional de Salud Ancash 2016. Su objetivo general es determinar la relación entre la motivación y desempeño laboral de los trabajadores; la naturaleza de la investigación es cuantitativa, tipo de estudio no experimental y diseño de investigación es correlacional; porque busca la relación entre las dos variables (Motivación y desempeño laboral), según el alcance temporal es una investigación transversal, porque se delimita a un determinado espacio y tiempo; la población del estudio lo constituyen todos los trabajadores nombrados y contratados de la Dirección Regional de Salud, siendo en total de 254 empleados; se utilizó un muestreo aleatorio simple, obteniendo como muestra a 153 trabajadores; para realizar el análisis se consideró aplicar cuestionarios validados, la ficha de motivación de Herzberg y la Ficha de desempeño laboral de Chiavenato; se utilizó las técnicas de encuesta y entrevista para la recogida de datos que dieron los siguientes resultados, solo el 15 % de los trabajadores está motivado tanto en los factores motivacionales como higiénicos, un 17% tienen mala motivación y los demás se encuentran entre una regular motivación; a la vez los resultados referentes a la variable de desempeño laboral demuestran que el 17 % de los trabajadores tienen un buen desempeño, mientras que el 28.8% tienen un mal desempeño y los demás regular desempeño; se ha determinado la relación y dimensión significativa entre variable de motivación y el desempeño laboral de los trabajadores . Donde la tabla 7 y 8 muestra los resultados estadísticos de prueba de chi cuadrado, indica, existe relación significativa

Detection and identification of Rickettsia helvetica and Rickettsia sp. IRS3/IRS4 in Ixodes ricinus ticks found on humans in Spain

2 pages.-- PMID: 15252721 [PubMed].-- Printed version published Aug 2004.New Rickettsia spp. are continuously being isolated from ticks around the world, but in most cases their pathogenicity remains to be determined. Some rickettsiae first thought to be nonpathogenic have later been associated with human disease, such as Rickettsia slovaca, Rickettsia helvetica, Rickettsia aeschlimannii and, more recently, the Spanish strain Bar29 (Rickettsia massiliae genogroup), which seems to play a role in the pathogenesis of Mediterranean spotted fever. There are many other rickettsiae that, at least to date, have only been found in ticks, namely (i) genotypes IRS3/IRS4, first isolated in Ixodes ricinus ticks from Slovakia; (ii) genotypes RpA4 and DnS14, DnS28, DnS79, DnS94 (belonging to the R. massiliae genogroup), which were first isolated, respectively, from Rhipicephalus pumilio and Dermacentor nutalli ticks from the former Soviet Union; and more recently (iii) the spotted fever group rickettsiae detected in Dermacentor marginatus ticks collected from vegetation in Jaén and La Rioja (Spain), which are closely related to the genotypes DnS14/DnS28. The pathogenicity of all of these rickettsiae remains uncertain, but since other tick-isolated rickettsiae of previously unknown pathogenicity have been shown to cause human disease, the pathogenic potential of these new rickettsiae deserves specific attention.This work was supported by the Ministerio de Sanidad y Consumo, Fondo de Investigación Sanitaria (FIS), Red temática de Investigación Cooperativa EBATRAG-G03/057.Peer reviewe

Rickettsia slovaca in Dermacentor ticks found on humans in Spain

3 pages, 1 table.-- PMID: 16450104 [PubMed].Rickettsia slovaca, a spotted fever group (SFG) rickettsiae, was first isolated in 1968 from a Dermacentor marginatus tick in Slovakia. Since then, it has been found in both D. marginatus and D. reticulatus ticks from Western Europe to central Asia. The first human infection by R. slovaca was reported in 1997 in a patient who presented with a single inoculation lesion of the scalp and enlarged cervical lymph nodes after receiving a bite from a D. marginatus tick. Later, the isolation of R. slovaca from a French patient provided the first definitive evidence that R. slovaca was a human pathogen. Currently, the rickettsial disease caused by R. slovaca is called tick-borne lymphadenopathy (TIBOLA) or Dermacentor-bornenecrosis- erythema-lymphadenopathy (DEBONEL) and its epidemiological pattern and clinical features in patients from France, Hungary and Spain are being unveiled.This work was supported by Consejería de Sanidad, Junta de Castilla y León and Ministerio de Sanidad y Consumo, Fondo de Investigación Sanitaria (FIS), Red Temática de Investigación Cooperativa EBATRAG-G03/057.Peer reviewe

Rickettsia massiliae in ticks removed from humans in Castilla y León, Spain

3 pages, 1 table.-- PMID: 17061097 [PubMed].-- Printed version published Dec 2006.Rickettsia massiliae, a spotted fever group (SFG) rickettsia, was first isolated from Rhipicephalus sanguineus collected in Marseille in 1992. Since then, this rickettsia has been commonly detected by molecular tools in Rhipicephalus ticks from France, Greece, Portugal, Switzerland, Spain, Central Africa and Mali. Recently, R. massiliae has been reported as a human pathogen. This strain was first isolated in 1985 from a Sicilian patient who was hospitalized for fever and a rash. He presented with a necrotic eschar on his right ankle, a maculopapular rash on his palms and soles, and slight hepatomegaly. The strain was stored for 20 years and definitively identified as R. massiliae in 2005.From 1997 to 2003, as part of a currently ongoing study, we analyzed 4,049 ticks that had been removed from 3,685 asymptomatic patients seen for tick bites at hospitals in the region of Castilla y León (northwestern Spain). All of these ticks were sent to our laboratory for specific identification and for PCR analysis to look for DNA of Anaplasma phagocytophilum, Borrelia burgdorferi, Francisella tularensis and Rickettsia spp. In this way, we found R. massiliae not only in Rhipicephalus ticks but also in Ixodes ricinus ticks.This work was supported by Consejería de Sanidad, Junta de Castilla y León and Ministerio de Sanidad y Consumo, Fondo de Investigación Sanitaria (FIS), Red Temática de Investigación Cooperativa EBATRAG-G03/057.Peer reviewe

Diseño de un estudio poblacional del riesgo cardiovascular en Castilla y León a través de los equipos de atención primaria Design of a population-based study of cardiovascular risk in Castile and Leon (Spain) through primary care teams

Se describe el diseño y los indicadores de respuesta de un estudio transversal para estimar diferentes parámetros del riesgo cardiovascular en la población de Castilla y León. Se obtuvo una muestra de 4.950 personas de 15 y más años de edad en dos etapas: en la primera etapa se eligieron 198 médicos de atención primaria, y en la segunda se seleccionó una muestra de 25 personas del cupo de cada médico. Las tasas de respuesta de los médicos alcanzaron el 98%, y las de la población superaron el 80%. Se encontraron diferencias estadísticamente significativas en la distribución por edad del marco muestral y la muestra definitiva. Después de realizar las ponderaciones derivadas del diseño, sólo el grupo de edad de 35-64 años se encuentra significativamente sobredimensionado. El acceso a la población general en atención primaria es un procedimiento factible y eficaz. La alta tasa de respuesta contribuye a la validez de la información.<br>We describe the design and the response indicators in a cross sectional study to estimate several factors associated with cardiovascular risk in the population of Castile and Leon. A sample of 4,950 individuals aged 15 years and above was obtained in two stages: in the first stage, 198 primary care physicians were selected and in the second stage a sample of 25 persons from each primary care physician's list was obtained. The response rate was 98% among primary care physicians and 80% among the population. Statistically significant differences were found in age distribution between the frame sample and the definitive sample. After applying design adjustments, only the group aged 35-64 years was significantly overdimensioned. Access to the general population in primary health care is a feasible and effective procedure. A high response rate contributes to the validity of the information

The seroprevalence of human infection with Rickettsia slovaca, in an area of northern Spain

7 pages, 1 table.-- PMID: 16762114 [PubMed].An epidemiological survey was undertaken to explore human exposure to Rickettsia slovaca in two provinces of northern Spain. When IFAT were used to test 200 members of the general population for antibodies to rickettsiae of the spotted-fever group, six (3.3%) were found positive, presumably, since Dermacentor is one of the most common genera of human-biting tick in the study area, for antibodies to R. slovaca. Thirty-one (16.9%) of an additional 183 subjects who presented shortly after being bitten by ticks were also found seropositive. The difference in seroprevalence between the general and the tick-bitten populations was significant. Subject gender had no influence on seroprevalence in either population, although, in the tick-bitten group, age and occupation did have a significant influence on the prevalence recorded. Immunoblotting was used to confirm the presence of antibodies in the five subjects, all from the tick-bitten group, found to have acute infections. Three D. marginatus ticks obtained from three of these acute cases were found PCR-positive for R. slovaca DNA.The authors would like to thank all the physicians who provided serum samples, and the members of the EBATRAG (Enfermedades Bacterianas Transmitidas por Garrapatas) network in Castilla-León (G03/057).Peer reviewe