Plan de negocio: Heliconias musa de la selva

El presente proyecto, está basado en crear una empresa turística denominada HELICONIAS S.A.C. desde un enfoque sostenible con la adecuada conservación, manejo y gestión de la biodiversidad donde se desarrollará el servicio turístico, específicamente el servicio de guiado dentro de un cultivo de 2 hectáreas de heliconias, con un compromiso social frente a la calidad del empleo directo e indirecto que se genere. Su importancia recae en la promoción del agroturismo, mediante la creación de un recorrido dedicado al avistamiento de heliconias con cien variedades de su misma especie en su hábitat y el proceso que sigue desde el cultivo en plántulas in vitro hasta su comercialización, diversificando así la oferta turística dentro de Provincia de San Martín. La idea de negocio que se plantea es crear una empresa de servicio de guiado especializado. Tendrá como Razón Social el nombre de Heliconias S.A.C. El nombre comercial será: Heliconias Musa de la SelvaThe following project is based on creating a tourism company called HELICONIAS S.A.C. from a sustainable approach with adequate conservation, management and management of biodiversity where the tourism service will be developed, specifically the guiding service within a 2-hectare heliconias crop, with a social commitment to the quality of direct and indirect employment that is generated. Its importance lies in the promotion of agro tourism, through the creation of a tour dedicated to the sighting of heliconias with a hundred varieties of the same species in their habitat and the process that follows from the cultivation in in vitro seedlings to their commercialization, thus diversifying the offer tourism within the Province of San Martín. The business idea that arises is to create a specialized guiding service company. It will have the name of Heliconias S.A.C. The commercial name will be: Heliconias Musa de la Selva.Trabajo académicoAp

Use of Marginal Structural Models to Examine the Bidirectional Association between Depression and Excess Body Weight

Thesis (Master's)--University of Washington, 2019Background and aims – There is mixed evidence about the bidirectional association between excess body weight (EBW) and depression during adolescence. This study estimated the effects of cumulative depression or excess body weight during early adolescence (age 12-14) on the likelihood of excess body weight or depression during late adolescence (age 17-18). We also examined the effects of depression or excess body weight at a specific time point in adolescence on the likelihood of excess body weight or depression at the subsequent adolescent time point. Effect modification by sex for each association was also examined. Design: We conducted a prospective cohort study of youth with repeated measurement. The study sample included 521 adolescents from public middle schools in Seattle, Washington, USA. Measured height and weight from five waves were used to determine BMI percentile based on CDC standards. The child-report version of the Mood and Feelings Questionnaire from five waves was used to assess depressive symptoms. Marginal structural models (MSMs) with stabilized inverse probability weighting (SIPW) that accounted for both time-varying and fixed covariates were used to estimate the strength of associations between excess body weight and depression. Result: The prevalence of EBW ranged from 23.43% to 31.45%, and the prevalence of elevated depressive symptoms ranged from 13.36% to 23.71% across time points. Finding from MSM analyses indicated that cumulative elevated depressive symptoms during early adolescence had no statistically significant effect on excess body weight during late adolescence (RR=1.08; 95% CI: 0.72, 1.62; p-value=0.70). Similarly, findings from MSM analyses indicated that cumulative EBW during early adolescence had no statistically significant effect on elevated depressive symptoms during late adolescence (RR=1.01; 95% CI: 0.66, 1.53; p-value=0.98). Likewise, MSM analyses indicated that there was no statistically significant lagged effect of elevated depressive symptoms on EBW at the subsequent time point during adolescence (RR=1.17; 95% CI: 0.88, 1.55; p-value=0.27). There was also no statistically significant lagged effect of EBW on elevated depressive symptoms at the subsequent time point during adolescence (RR=1.13; 0.85, 1.51; P-value=0.39). Sex did not modify any of these observed associations (interaction p-value > 0.05). Conclusion: We found no statistically significant bidirectional cumulative or lagged association between overweight and depression in adolescence, and sex did not modify the associations

Aid, ownership, and coordination in the health sector in Ethiopia

The Government of Ethiopia is seen as a owner of its national programs and policies and thus also as a strong coordinator of the foreign aid it receives. This is also the case in the health sector in Ethiopia, where the Ministry of Health have shown leadership in the last two decades. National health plans have been clear-cut and had ambitious objectives, to which the international donor community has adhered. The government-led coordination structures and joint health financing arrangements have been instrumental for improved donor coordination and aid effectiveness in the sector. This has led to impressive results, looking at the poor state of health that the government inherited from former regimes. However, the sector has at once been heavily dependent on foreign sources and characterized by high aid fragmentation. In this paper, we describe the health plans and health financing between 1990 and 2015. We also look at health leadership, donor coordination, and the results of investments in health

Laproscopic surgery in a Governmental Teaching Hospital: An initial experiance from Ayder Referral Hospital in Northern Ethiopia

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Flood inundation modeling using HEC-RAS: the case of downstream Gumara river, Lake Tana sub basin, Ethiopia

This study presents the preparation of floodwater depth, the velocity of the flood, and water surface elevation profile with the application of unsteady flow 2D Hydrodynamic models and GIS. Flood frequency analysis is used for the prediction of peak flow. The water depth up to 1 m inundated a large amount of area of 52.5134 km2, 52.4756 km2 and 52.4403 km2 for a 10-, 100-, and 1000 years return period respectively. Much amount of inundated area covered with a velocity value up to 0.15 m/s in all flood events, which is 53.207, 52.656, and 52.064 km2 for flood events of 10, 100, and 1000-year respectively. The highest water surface elevation in the 10, 100, and 1000-year flood events was observed between 1785 and 1787 m with an inundated area of 58.806, 58.843, and 58.827 km2 respectively. Finally, the result of this study is useful for early warnings, municipal planning purposes, emergency action plans, flood insurance rates, and ecological studies in the research area

Prevalence and Factors Associated with Road Traffic Crash among Taxi Drivers in Mekelle Town, Northern Ethiopia, 2014: A Cross Sectional Study

<div><p>Objectives</p><p>The 2013 World Health Organization Status Report on Road Safety estimated that approximately 1.24 million deaths occur annually due to road traffic crashes with most of the burden falling on low- and middle-income countries. The objective of this research is to study the prevalence of road traffic crashes in Mekelle, Tigray, Northern Ethiopia and to identify risk factors with the ultimate goal of informing prevention activities and policies.</p><p>Methods</p><p>This study used a cross-sectional design to measure the prevalence and factors associated with road traffic crashes among 4-wheeled minibus (n = 130) and 3-wheeled Bajaj (n = 582) taxi drivers in Mekelle, Ethiopia. Bivariate and multivariate logistic regression were used to evaluate the association between risk factors and drivers’ involvement in a road traffic crash within the 3 years prior to the survey.</p><p>Findings</p><p>Among the 712 taxi drivers, 26.4% (n = 188) of them reported involvement in a road traffic crash within the past 3 years. Drivers who listened to mass media had decreased likelihood of road traffic crash involvement (AOR = 0.51, 0.33–0.78), while speedy driving (AOR = 4.57, 3.05–7.44), receipt of a prior traffic punishment (AOR = 4.57, 2.67–7.85), and driving a mechanically faulty taxi (AOR = 4.91, 2.81–8.61) were strongly associated with road traffic crash involvement. Receiving mobile phone calls while driving (AOR = 1.91, 1.24–2.92) and history of alcohol use (AOR = 1.51, 1.00–2.28) were also associated with higher odds of road traffic crash involvement.</p><p>Conclusion</p><p>The results of this study show that taxi drivers in Mekelle habitually place themselves at increased risk of road traffic crashes by violating traffic laws, especially related to speedy driving, mobile phone use, and taxi maintenance. This research can be used to support re-evaluation of the type, severity, and enforcement of traffic violation penalties.</p></div

Socio-economic characteristics of taxi drivers.

<p>Socio-economic characteristics of taxi drivers.</p

Factors related to RTC among taxi drivers.

<p>Factors related to RTC among taxi drivers.</p