Perfil profesional para el sector turismo del distrito central de la provincia de Limón, Costa Rica

Proyecto de Graduación (Bachillerato en Gestión del Turismo Sostenible) Instituto Tecnológico de Costa Rica, Escuela de Ciencias Sociales, 2017.The research project "Professional profile for the tourism sector of the central district of the province of Limón" seeks to identify the knowledge, skills and attitudes that a professional in tourism should have within the province of the Caribbean of Costa Rica, in order to generate a professional profile according to the needs of the tourism sector in that province and mainly in the central district

Uma proposta exploratória do perfil profissional em turismo desde Limón, Costa Rica

The following research arises from the lack of current studies conducted in Costa Rica and the province of Limon itself, which refers to the preparation of professionals for the tourism sector. The objective of the following investigation gives answer to which is the professional profile that is required to respond to the current and future necessities of the tourism sector, where variables will be offered, knowledge, abilities and attitudes will be identified in order to formulate the professional profile according to the province. In order to base this work, we proceed to the extraction and bibliographic revision, besides a mapping and a method that will define concepts and theories of tourism, professional profile, giving to the investigation a qualitative approach and an ethnographic investigation. The work presents contributions from various professional areas, academic degree, education, local government sector, business sector, graduates of the Sustainable Tourism Management career, which gave important and different perspectives, to provide a proposal for the professional profile of Tourism for the Central district of Limon.La siguiente investigación surge a partir de la falta de estudios actuales realizados en Costa Rica y propiamente de la provincia de Limón, que refiere a la preparación de profesionales para el sector turismo. El objetivo de la siguiente investigación da respuesta a cuál es el perfil profesional que se requiere para responder a las necesidades actuales y futuras del sector turismo, donde se brindarán variables, se identificarán conocimientos, habilidades y actitudes con el fin de formular el perfil profesional acorde para la provincia. Para fundamentar dicho trabajo se procede a la extracción y revisión bibliográfica, además de un mapeo y un método que definirá conceptos y teorías de turismo, perfil profesional, dando a la investigación un enfoque cualitativo y una investigación etnográfica. El trabajo presenta aportes de diversas áreas profesionales, de grado académico, educativo, sector de gobierno local, sector empresarial, egresados de la carrera de Gestión de Turismo Sostenible, que dieron importantes y diferentes perspectivas, para brindar una propuesta del perfil profesional de Turismo para el distrito Central de Limón.A seguinte pesquisa surge da falta de estudos atuais realizados na Costa Rica e especificamente na província de Limón, que se refere à preparação de profissionais para o setor turístico. O objectivo da pesquisa seguinte é responder qual é o perfil profissional necessário para responder às necessidades actuais e futuras do sector turístico, onde serão fornecidas variáveis, serão identificados conhecimentos, habilidades e atitudes para formular o perfil profissional adequado para a província. Para basear este trabalho, procedemos à extração e revisão bibliográfica, bem como a um mapeamento e um método que definirá conceitos e teorias de turismo, perfil profissional, dando à pesquisa uma abordagem qualitativa e uma pesquisa etnográfica. O trabalho apresenta contribuições de diversas áreas profissionais, de grau acadêmico, educativo, setor da administração local, setor empresarial, graduados da carreira de Gestão do Turismo Sustentável, que deram importantes e diferentes perspectivas, para oferecer uma proposta do perfil profissional do Turismo para o distrito central de Limón

Risk factors and outcome of COVID-19 in patients with hematological malignancies

Background: Prognostic factors of poor outcome in patients with hematological malignancies and COVID-19 are poorly defined. Patients and methods: This was a Spanish transplant group and cell therapy (GETH) multicenter retrospective observational study, which included a large cohort of blood cancer patients with laboratory-confirmed SARS-CoV-2 infection through PCR assays from March 1st 2020 to May 15th 2020. Results: We included 367 pediatric and adult patients with hematological malignancies, including recipients of autologous (ASCT) (n = 58) or allogeneic stem cell transplantation (allo-SCT) (n = 65) from 41 hospitals in Spain. Median age of patients was 64 years (range 1-93.8). Recipients of ASCT and allo-SCT showed lower mortality rates (17% and 18%, respectively) compared to non-SCT patients (31%) (p = 0.02). Prognostic factors identified for day 45 overall mortality (OM) by logistic regression multivariate analysis included age > 70 years [odds ratio (OR) 2.1, 95% confidence interval (CI) 1.2-3.8, p = 0.011]; uncontrolled hematological malignancy (OR 2.9, 95% CI 1.6-5.2, p 20 mg/dL (OR 3.3, 95% CI 1.7-6.4, p < 0.0001). In multivariate analysis of 216 patients with very severe COVID-19, treatment with azithromycin or low dose corticosteroids was associated with lower OM (OR 0.42, 95% CI 0.2-0.89 and OR 0.31, 95% CI 0.11-0.87, respectively, p = 0.02) whereas the use of hidroxycloroquine did not show significant improvement in OM (OR 0.64, 95% CI 0.37-1.1, P = 0.1). Conclusions: In most patients with hematological malignancies COVID-19 mortality was directly driven by older age, disease status, performance status, as well as by immune (neutropenia) parameters and level of inflammation (high CRP). Use of azithromycin and low dose corticosteroids may be of value in very severe COVID-19.Ye