Sistema web para la gestión documentaria de la Municipalidad Distrital de Ricardo Palma, Lima, 2023

En la actualidad se ha vuelto algo común el uso de herramientas tecnológicas para sistematizar los procesos de las empresas, logrando optimizar tiempos y reduciendo la carga de actividades en el personal, la finalidad de esta investigación es mejora del proceso de gestión documental tomando la tecnología como punto primordial. Es así que la razón de este proyecto de investigación, es incorporación de una herramienta tecnológica almacenada en la nube para mejorar los tiempos y optimizando la carga laboral. Es así que se utilizó la metodología programación extrema(xp), para lograr la clave del éxito, dentro de lo cual se empleó las etapas de diseño, testing, programación colectiva e integración continua, logrando obtener entregas semanales de manera que el desarrollo brinde mayor confiabilidad y nos brinde una mejor planificación. Se utilizo en la programación el lenguaje PHP apoyándose de un gestor de datos MYSQL, bajo la estructura de desarrollo modelo vista controlador (MVC); Por lo que se obtuvo una mejora de 49% en el tiempo de registro de los documentos, de la misma manera obtuvimos una mejora del 53% en el tiempo de consulta de los documentos, los cuales fueron obtenidos gracias a la herramienta web la cual fue implementada. Por lo que nos demuestra que la incorporación de la herramienta web logro una mejora significativa en el proceso de gestión documental minimizando los tiempos de atención en la entidad, minorando la carga laboral y agilizando los tiempos de consultas

Creación de una agencia de turismo terrestre dentro del Cantón Bucay.

El siguiente proyecto tiene como objetivo principal fomentar el turismo y a su vez el desarrollo económico de lugares poco conocidos dentro del cantón Bucay y sus alrededores, así también como incrementar el crecimiento turístico de lugares pocos conocidos a nivel nacional. La creación de una Agencia de Turismo terrestre dentro del cantón Bucay es la forma más idónea para dar a conocer los lugares turísticos que posee este cantón y de esta manera también podernos proyectar a nivel nacional. Realizar una campaña publicitaria exitosa que cause un impacto positivo en los clientes es nuestro principal objetivo para así poder posesionar nuestra Agencia de turismo terrestre. El cantón Bucay y sus alrededores poseen una gran variedad de lugares turísticos que de alguna manera son poco visitados y concurridos por los turistas ya sea extranjero o nacional. Fomentando el turismo en estos sectores también se ayudara al desarrollo socio cultural del Cantón y del país en general

El papel del directivo en el diseño de la estrategia por medio de habilidades estratégicas en el desarrollo de la planeación estratégica para crear mayores ventajas competitivas

El presente informe documental tiene por tema, estrategia empresarial y como sub tema el papel del directivo en el diseño de la estrategia por medio de habilidades estratégicas en el desarrollo de la planeación estratégica para crear mayores ventajas competitivas. Esta investigación tiene como objetivo general analizar el papel del directivo en el diseño de la estrategia por medio de habilidades estratégicas en el desarrollo de la planeación estratégica para crear mayores ventajas competitivas. La base teórica que sustenta este informe corresponde a la habilidad estratégica; la cual referencia al desarrollo de estrategias como una habilidad por parte del directivo y su importancia en la toma de decisiones. Así mismo mapas de estrategia, permite determinar las ventajas tangibles, el paso a paso de la estrategia y el papel del líder en el diseño de una estrategia flexible. Continuando con, planeación estratégica y ventaja competitiva, que contempla el análisis, proceso de planeación, formulación y ejecución de la estrategia. Finalizando con, pilares de la planeación estratégica, parte desde el pensamiento estratégico, puntos clave, la actitud y la intensión estratégica hasta el éxito en la dirección. La metodología empleada para la realización de este informe fue a través de técnicas de investigación tales como: lectura de libros, en la web y otras técnicas de recopilación de documentación bibliográfica basadas en la estrategia empresarial, de igual manera mediante la aplicación de las normas APA sexta edición y aplicando la rúbrica de evaluación establecida por el departamento de administración de empresas, así como también el seguimiento de la estructura del informe con base en la normativa de esta modalidad de graduación de la UNAN-Managua

Wearable with integrated piezoelectric energy harvester for geolocation of people with Alzheimer's

Alzheimer's is a progressive disease that affects memory, causing disorientation in the patient, which causes them to lose themselves, generating anguish in families who have to resort to expensive searches. The objective of this research was to implement a device that can remotely provide the location of the Alzheimer's patient over a long period to relatives for greater security. For this, in this research, a mobile application was developed that receives information from a wearable that applies the internet of things using ong-range wide area technology to show the patient's real-time location and uses piezoelectrics for greater battery autonomy. The real-time location of the person and the radius of the safe zone in the application were obtained as results, the received signal strength indicator value where the signal was excellent or good had a value of -30 to -89 dB between 0 to 400 meters and the battery discharge time was 11 hours and 44 minutes. It was concluded that the application is interactive, that the piezoelectric system increased the autonomy of the wearable, and that the long-range wide area (LoRa) technology allowed monitoring of the patient's location with great precision at 400 meters

Percepción de los estudiantes sobre el manejo de residuos sólidos en una institución educativa pública peruana

Currently, educational institutions represent the main components of the promotion of sustainability in our society. For this reason, waste management is one of the challenges they have to face in order to achieve sustainability goals. In this sense, the objective of the present investigation was to describe the perception of the students of the seventh cycle of regular basic education on the management of solid waste in a Peruvian public educational institution. The research was characterized by being quantitative, non-experimental and cross-sectional descriptive. The sample consisted of 152 students to whom the Solid Waste Management Questionnaire was applied, an instrument with adequate levels of reliability and validity. The results indicate that there is a unfavorable favorable perception of the way solid waste is being handled in the educational institution, as well as the segregation, reduction, recycling and reuse strategies that are being implemented. Finally, it was concluded that the application of the 3Rs should be promoted, as well as the active participation of the entire educational community in the care and protection of the environment, through experiential environmental talks and workshops to achieve awareness.En la actualidad, las instituciones educativas representan los principales componentes de la promoción de la sustentabilidad en nuestra sociedad. Por ello, la gestión de residuos es uno de los retos que ellas tienen que afrontar para alcanzar los objetivos de sostenibilidad. En ese sentido, el objetivo de la presente investigación fue describir la percepción de los estudiantes del séptimo ciclo de educación básica regular sobre el manejo de residuos sólidos en una institución educativa pública peruana. La investigación se caracterizó por ser cuantitativa, no experimental y descriptiva transversal. La muestra fue conformada por 152 estudiantes a quienes se les aplicó el Cuestionario de Manejo de Residuos Sólidos, instrumento con adecuados niveles de confiabilidad y validez. Los resultados indican que existe una percepción poco favorable sobre la manera cómo en la institución educativa se vienen manejando los residuos sólidos, así como en las estrategias de segregación, reducción, reciclaje y reutilización que se vienen implementando. Finalmente, se concluyó que se debe promover la aplicación de las 3R, así como la participación activa de toda la comunidad educativa en el cuidado y la protección del ambiente, mediante charlas y talleres ambientales vivenciales para lograr su concientización

La imagen y la narrativa como instrumentos de acción psicosocial en escenarios de violencia San Cayetano, Fusagasugá, Zipaquirá y Buenaventura.

Analizar contextualmente la realidad del país y la afectación de las personas que han sido expuestas directa o de alguna forma a la violencia, ha dinamizado en diferentes áreas del conocimiento social, la creación y puesta en marcha de diferentes herramientas que permitan articular la teoría, la experiencia profesional y la de las mismas poblaciones afectadas en el acompañamiento psicosocial en momentos en que la salud mental, física y espiritual de los territorios se ve afectada. Esta intensidad académica más que ser un diplomado se ha convertido en contenidos internos de alto impacto, en donde nuestros pensamientos son fácilmente trasladados a la realidad del país en proceso de construcción de paz. Podemos considerarnos victimas todos, ahora el trabajo está en honrar con nuestra disposición de escucha, la puesta en marcha de las acciones psicosociales, sin permitir que algunos aspectos políticos como la falta de atención, políticas públicas, acciones internacionales presenten síntomas mentales relacionadas con el TEPT como Inhabilidad para concentrarse, problemas de memoria, intentos de dejar atrás los recuerdos dolorosos imágenes angustiantes y flashbacks, generando en las victimas síntomas emocionales como Rabia frente a los programas, fácil irritabilidad debido a otras personas y perdida de interés en actividades normales e hipervigilancia y que podrían llevar a un proceso de silenciamiento de nuevas propuestas de abordaje de los diferentes tipos de violencia.Analyze contextually the reality of the country and the affectation of people who have been exposed directly or in some way to violence, dynamized in different areas of social knowledge, the creation and implementation of different tools to articulate the theory, the professional experience and that of the same affected populations in the psychosocial Accompaniment at times when the mental, physical and spiritual health of the territories is affected. This academic intensity, rather than being a diploma, has become high-impact internal content, where our thoughts are easily transferred to the reality of the country in the process of building peace. We can consider ourselves all victims, now the work is in honor with our willingness to listen, the implementation of psychosocial actions, without allowing some political aspects such as lack of attention, public policies, international actions to present mental symptoms related to PTSD As inability to concentrate, memory problems, attempts to leave behind painful memories, distressing images and flashbacks, generating in the victims emotional symptoms such as rage in front of the programs, easy irritability due to other people and loss of interest in normal activities and hypervigilance and that could lead to a process of silencing new proposals to address different types of violence

Global, regional, and national burden of chronic kidney disease, 1990–2017 : a systematic analysis for the Global Burden of Disease Study 2017

Background Health system planning requires careful assessment of chronic kidney disease (CKD) epidemiology, but data for morbidity and mortality of this disease are scarce or non-existent in many countries. We estimated the global, regional, and national burden of CKD, as well as the burden of cardiovascular disease and gout attributable to impaired kidney function, for the Global Burden of Diseases, Injuries, and Risk Factors Study 2017. We use the term CKD to refer to the morbidity and mortality that can be directly attributed to all stages of CKD, and we use the term impaired kidney function to refer to the additional risk of CKD from cardiovascular disease and gout. Methods The main data sources we used were published literature, vital registration systems, end-stage kidney disease registries, and household surveys. Estimates of CKD burden were produced using a Cause of Death Ensemble model and a Bayesian meta-regression analytical tool, and included incidence, prevalence, years lived with disability, mortality, years of life lost, and disability-adjusted life-years (DALYs). A comparative risk assessment approach was used to estimate the proportion of cardiovascular diseases and gout burden attributable to impaired kidney function. Findings Globally, in 2017, 1·2 million (95% uncertainty interval [UI] 1·2 to 1·3) people died from CKD. The global all-age mortality rate from CKD increased 41·5% (95% UI 35·2 to 46·5) between 1990 and 2017, although there was no significant change in the age-standardised mortality rate (2·8%, −1·5 to 6·3). In 2017, 697·5 million (95% UI 649·2 to 752·0) cases of all-stage CKD were recorded, for a global prevalence of 9·1% (8·5 to 9·8). The global all-age prevalence of CKD increased 29·3% (95% UI 26·4 to 32·6) since 1990, whereas the age-standardised prevalence remained stable (1·2%, −1·1 to 3·5). CKD resulted in 35·8 million (95% UI 33·7 to 38·0) DALYs in 2017, with diabetic nephropathy accounting for almost a third of DALYs. Most of the burden of CKD was concentrated in the three lowest quintiles of Socio-demographic Index (SDI). In several regions, particularly Oceania, sub-Saharan Africa, and Latin America, the burden of CKD was much higher than expected for the level of development, whereas the disease burden in western, eastern, and central sub-Saharan Africa, east Asia, south Asia, central and eastern Europe, Australasia, and western Europe was lower than expected. 1·4 million (95% UI 1·2 to 1·6) cardiovascular disease-related deaths and 25·3 million (22·2 to 28·9) cardiovascular disease DALYs were attributable to impaired kidney function. Interpretation Kidney disease has a major effect on global health, both as a direct cause of global morbidity and mortality and as an important risk factor for cardiovascular disease. CKD is largely preventable and treatable and deserves greater attention in global health policy decision making, particularly in locations with low and middle SDI

Second-line treatment for primary central nervous system lymphoma

Failure after first-line treatment was reported in 35–60% of immunocompetent patients with primary central nervous system lymphoma (PCNSL). There are currently no reports focusing on salvage therapy. This review analyses prognostic factors and the efficacy of salvage therapy by focusing on data from papers reporting results of first-line treatment in 355 cases. The study group consisted of 173 patients presenting treatment failure. The interval between failure and death (TTD) was compared for age at relapse (≤60 vs >60 years), type of failure (relapse vs progression), time to relapse (≤12 vs >12 months) and salvage treatment (yes vs no). Median TTD was similar in younger and older patients (P = 0.09). Relapsed patients had a longer TTD than patients with progressive disease (P = 0.002). Early relapse led to a shorter TTD than late relapse (P = 0.005). Median TTD was 14 months for patients who underwent salvage therapy and 2 months for untreated cases (P < 0.00001). A multivariate analysis showed an independent prognostic role for salvage therapy and time to relapse. Age and type of failure had no predictive value. Salvage therapy significantly improves outcome and, possibly, quality of life. As many different treatments were used conclusions cannot be made regarding an optimal treatment schedule. © 1999 Cancer Research Campaig

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London