786 research outputs found

    Sistema Contables y Control Interno en la Cooperativa Multisectorial Alfonso Núñez Rodríguez R. L (COMANUR R. L) en el Municipio de El Cua, Departamento de Jinotega en el I Semestre del año 2015.

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    La presente investigación trata sobre Sistema Contable y Control Interno en las Pymes de Matagalpa en el año 2015. La investigación realizada tiene como propósito describir el Sistema Contable y Control Interno que se aplica en la Cooperativa Multisectorial Alfonso Núñez Rodríguez R.L en el I semestre del año 2015. Un Sistema Contable es un elemento necesario y de suma importancia para las empresas porque proporciona el registro y clasificación de la información financiera que se adquiere en la elaboración de las actividades que se plasman diariamente con lo cual se pueden tomar las acciones y medidas necesarias para su mejor funcionamiento económico y financiero. Como resultado final de nuestro trabajo investigativo logramos determinar que NCooperativa Multisectorial Alfonso Núñez Rodríguez R.L posee un Sistema Contable Computarizado el cual facilita que la información se produzca de manera más rápida, así como también posee un manual de funciones donde están plasmadas las tareas y responsabilidades de cada individuo, así asi mismo cuentan con un manual contable de acuerdo a las actividades a la que se dedica a Cooperativa Multisectorial Alfonso Nuñez Rodriguez (COMANUR R.L

    The Berne-Munich Lifestyle Panel: Background and baseline results from a longitudinal health lifestyle survey

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    Summary: The Berne-Munich Lifestyle Panel (BMLP) studies health relevant lifestyles among some 2000 adults in Switzerland and Germany. This paper introduces the theoretical background and empirical concept of the BMLP. Sociological theory provided the guidelines for the development of an empirical model that measures structures and dynamics of health lifestyles. Health lifestyles are explained as the product of the complex interplay between health related behaviours, orientations and social resources. Residents of Berne (Switzerland) and Munich (Germany) in the age between 55 and 65 years were contacted in 12 months periods and interviewed by telephone (CATI). The questionnaire comprised some 200 questions on selected aspects of health lifestyles and health status. Interviews were conducted in two waves in Munich (1996 and 1997) and three waves in Berne (1996/97/98). The paper reports findings from baseline data analysis and explores cultural differentiations with respect to the distribution of 1. health relevant behaviours, orientations and social resources, 2. triggers of lifestyle change (life events), 3. mediating factors (Health Locus of Control, Sense of Coherence). Initial results from the search for patterns of health behaviours are also reported. The findings show considerable differences but also impressive similarities in health lifestyle elements across the two samples. There is also preliminary evidence for meaningful patterns of health behaviours in the cohort under investigation. Moreover, the findings clearly demonstrate the need for a gender specific approach in the analysis of cultural differences in health behaviours and lifestyle

    Puma predation on radiocollared and uncollared bighorn sheep

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    BackgroundWe used Global Positioning System (GPS) data from radiocollared pumas (Puma concolor) to identify kill sites of pumas preying upon an endangered population of bighorn sheep (Ovis canadensis) in southern California. Our aims were to test whether or not pumas selected radiocollared versus uncollared bighorn sheep, and to identify patterns of movement before, during, and after kills.FindingsThree pumas killed 23 bighorn sheep over the course of the study, but they did not preferentially prey on marked (radiocollared) versus unmarked bighorn sheep. Predation occurred primarily during crepuscular and nighttime hours, and 22 kill sites were identified by the occurrence of 2 or more consecutive puma GPS locations (a cluster) within 200 m of each other at 1900, 0000, and 0600 h.ConclusionWe tested the "conspicuous individual hypothesis" and found that there was no difference in puma predation upon radiocollared and uncollared bighorn sheep. Pumas tended to move long distances before and after kills, but their movement patterns immediately post-kill were much more restricted. Researchers can exploit this behaviour to identify puma kill sites and investigate prey selection by designing studies that detect puma locations that are spatially clustered between dusk and dawn

    Auditory deep sleep stimulation in older adults at home: a randomized crossover trial

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    Background Auditory stimulation has emerged as a promising tool to enhance non-invasively sleep slow waves, deep sleep brain oscillations that are tightly linked to sleep restoration and are diminished with age. While auditory stimulation showed a beneficial effect in lab-based studies, it remains unclear whether this stimulation approach could translate to real-life settings. Methods We present a fully remote, randomized, cross-over trial in healthy adults aged 62-78 years (clinicaltrials.gov: NCT03420677). We assessed slow wave activity as the primary outcome and sleep architecture and daily functions, e.g., vigilance and mood as secondary outcomes, after a two-week mobile auditory slow wave stimulation period and a two-week Sham period, interleaved with a two-week washout period. Participants were randomized in terms of which intervention condition will take place first using a blocked design to guarantee balance. Participants and experimenters performing the assessments were blinded to the condition. Results Out of 33 enrolled and screened participants, we report data of 16 participants that received identical intervention. We demonstrate a robust and significant enhancement of slow wave activity on the group-level based on two different auditory stimulation approaches with minor effects on sleep architecture and daily functions. We further highlight the existence of pronounced inter- and intra-individual differences in the slow wave response to auditory stimulation and establish predictions thereof. Conclusions While slow wave enhancement in healthy older adults is possible in fully remote settings, pronounced inter-individual differences in the response to auditory stimulation exist. Novel personalization solutions are needed to address these differences and our findings will guide future designs to effectively deliver auditory sleep stimulations using wearable technology

    Influence of an adjuvant antidepressant on the efficacy of electroconvulsive therapy: A systematic review and meta-analysis

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    Objective: The primary indication for electroconvulsive therapy is medication-resistant major depression. There is some evidence that combining electroconvulsive therapy with an antidepressant, instead of electroconvulsive therapy monotherapy, might improve remission rates. However, data on this topic have not been systematically studied. We undertook a systematic review and meta-analysis to determine the effectiveness of an adjuvant antidepressant during electroconvulsive therapy for major depression. Methods: Embase, Medline Ovid, Web of Science, Cochrane Central, PsychINFO Ovid and Google Scholar were searched up to January 2019. Randomized controlled trials and cohort studies reporting on the influence of an adjuvant antidepressant on the efficacy of electroconvulsive therapy for major depression were included. Authors independently screened records, extracted data and assessed study quality. We reported this systematic review and meta-analysis following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Results: Nine studies were included in the meta-analysis. The meta-analysis revealed a significant advantage of adjuvant antidepressants versus placebo. The overall effect size per category of antidepressant was as follows: tricyclic antidepressants: Hedges’ g 0.32 (95% confidence interval: [0.14, 0.51]) (k = 6) with low heterogeneity (I2: 4%, p = 0.39); selective serotonin reuptake inhibitors/serotonin noradrenaline reuptake inhibitors: Hedges’ g 0.27 (95% confidence interval: [0.03, 0.52]) (k = 2) with a lack of heterogeneity (I2: 0%, p = 0.89); and monoamine oxidase inhibitors: Hedges’ g 0.35 (95% confidence interval: [−0.07, 0.77]) with moderate heterogeneity (I2: 43%, p = 0.17) (k = 3). Conclusion: An adjuvant antidepressant enhances the efficacy of electroconvulsive therapy for major depression. Tricyclic antidepressants, selective serotonin reuptake inhibitors/serotonin noradrenaline reuptake inhibitors and monoamine oxidase inhibitors showed the same effect size. However, the effect sizes of tricyclic antidepressants and monoamine oxidase inhibitors are most likely underestimated, due to insufficient doses in most of the included studies. We recommend the routine use of an adequately dosed antidepressant during electroconvulsive therapy for major depression

    Facilitar la conservación vial en campo mediante un aplicativo móvil basado en niveles de servicio

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    En esta tesis se ha llevado a cabo el desarrollo de una aplicación móvil para facilitar la conservación vial en el campo mediante niveles de servicios, esta aplicación es capaz de trabajar con y sin conexión a internet en los diferentes puntos de la carretera, así también se ha estudiado la importancia de la conservación vial que tiene los tramos Ricardo Palma-La Oroya, La Oroya - Huancayo y La Oroya-desvío Cerro de Pasco, que son tramos que pertenecen a la Carretera Central y ésta a su vez pertenece a la iniciativa para la Integración de la Infraestructura Regional Sudamericana (IIRSA), no obstante éste sistema móvil en conjunto con el sistema web pueden ser utilizadas para cualquier carretera a la que se requiera conservar mediante niveles de servicio.Tesi

    Biomarkers to assess right heart pressures in recipients of a heart transplant: a proof-of-concept study

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    Background: This proof-of-concept study investigated the feasibility of using biomarkers to monitor right heart pressures (RHP) in heart transplanted (HTx) patients. Methods: In 298 patients, we measured 7.6 years post-HTx mean pressures in the right atrium (mRAP) and pulmonary artery (mPAP) and capillaries (mPCWP) along with plasma high-sensitivity troponin T (hsTnT), a marker of cardiomyocyte injury, and the multidimensional urinary classifiers HF1 and HF2, mainly consisting of dysregulated collagen fragments. Results: In multivariable models, mRAP and mPAP increased with hsTnT (per 1-SD, +0.91 and +1.26 mm Hg; P < 0.0001) and with HF2 (+0.42 and +0.62 mm Hg; P ≤ 0.035), but not with HF1. mPCWP increased with hsTnT (+1.16 mm Hg; P < 0.0001), but not with HF1 or HF2. The adjusted odds ratios for having elevated RHP (mRAP, mPAP or mPCWP ≥10, ≥24, ≥17 mm Hg, respectively) were 1.99 for hsTnT and 1.56 for HF2 (P ≤ 0.005). In detecting elevated RHPs, areas under the curve were similar for hsTnT and HF2 (0.63 vs 0.65; P = 0.66). Adding hsTnT continuous or per threshold or HF2 continuous to a basic model including all covariables did not increase diagnostic accuracy (P ≥ 0.11), whereas adding HF2 per optimized threshold increased both the integrated discrimination (+1.92%; P = 0.023) and net reclassification (+30.3%; P = 0.010) improvement. Conclusions: Correlating RHPs with noninvasive biomarkers in HTx patients is feasible. However, further refinement and validation of such biomarkers is required before their clinical application can be considered
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