Estrés e inestabilidad laboral en un equipo de ventas

Una de las tareas más desafiantes para una empresa lo constituye el proceso de ventas. Parte de este proceso incluye cumplir con las metas y exigencias que la empresa requiere. Este proceso de venta conlleva a eventos que generan estrés y malestar en el equipo de trabajo, percibido por la inestabilidad laboral, propia de la dinámica actual del mercado. Se busca describir el nivel de estrés e inestabilidad laboral que presenta la muestra, que es no probabilística, de tipo intencional, y está conformada por 11 sujetos adultos varones, que trabajan como vendedores de planes de ahorro de vehículos de un concesionario, para poder obtener algunas sugerencias y por consiguiente optimizar el rendimiento y la productividad de los vendedores. En pro de estos objetivos se seleccionan los siguientes instrumentos de medición: Cuestionario de Estrés Laboral (Job Stress Survey; JSS) de Spielberger C. D Y Vagg P. R (2010) y el Inventario de Malestar Percibido en la Inestabilidad Laboral (IMPIL) de Leibovich de Figueroa N. y Schufer M. (2006). La investigación es de tipo cuantitativa, el estudio a realizar es de tipo descriptivo y el diseño que se va a aplicar es no experimental y, a su vez, transeccional descriptivo. Se concluye que aunque el equipo de ventas presenta cierto nivel de estrés, el mismo no es significativo, por el contrario, los vendedores presentan un alto nivel de malestar debido a la inestabilidad laboral.The Selling process represents one of the most challenging tasks for a company. Part of this process, includes carry out with the objectives and demands that the company requires. This selling process leads to several events that generate stress and some sense of unease, perceived by the job instability typical of the current market dynamic. It will be tried to describe the level of stress and job instability that shows the sample, which is not probabilistic of intentionally type and it is Constituted by 11 adult males, who work as salesmen in the car’s credits area of a dealership, in order to get a few suggestions and as a result optimize the salesmen’s performance and productivity. In order to achieve these objectives different scales were selected: the job stress survey (JSS) by the authors Spielberg C. D and Vagg P. R. and the perceived unease in the job instability inventory (IMPIL) by the authors Leibovich de Figueroa N. and Schufer M. (2006). The research is quantitative in type, the study is descriptive and the applied design is non-experimental and descriptive trans-sectional at the same time. In conclusion, although the selling team presents certain level of stress, this is not significant; on the other hand, the salesmen present a high level of unease due to the job instability.Fil: Zambudio, Andrea Natali

Intraductal Papillary Mucinous Neoplasms of the Pancreas: Challenges and New Insights

Cystic lesions of the pancreas are a common entity with almost a 25% incidence of the general population. These types of lesions are being increasingly diagnosed partly explained due to the technological advances over the past years. The management and treatment varies per cyst type. However, the most threatening cyst lesions are intraductal papillary mucinous neoplasms (IPMNs). These lesions represent nowadays a relatively new clinical entity and in many aspects remain poorly understood. The aim of this chapter is to provide a comprehensive review of the classification, diagnosis, treatment and follow-up strategy

Predictive Biomarkers to Chemoradiation in Locally Advanced Rectal Cancer

There has been a high local recurrence rate in rectal cancer. Besides improvements in surgical techniques, both neoadjuvant short-course radiotherapy and long-course chemoradiation improve oncological results. Approximately 40–60% of rectal cancer patients treated with neoadjuvant chemoradiation achieve some degree of pathologic response. However, there is no effective method of predicting which patients will respond to neoadjuvant treatment. Recent studies have evaluated the potential of genetic biomarkers to predict outcome in locally advanced rectal adenocarcinoma treated with neoadjuvant chemoradiation. The articles produced by the PubMed search were reviewed for those specifically addressing a genetic profile’s ability to predict response to neoadjuvant treatment in rectal cancer. Although tissue gene microarray profiling has led to promising data in cancer, to date, none of the identified signatures or molecular markers in locally advanced rectal cancer has been successfully validated as a diagnostic or prognostic tool applicable to routine clinical practice

Sprint performance and mechanical outputs computed with an iPhone app: Comparison with existing reference methods

The purpose of this study was to assess validity and reliability of sprint performance outcomes measured with an iPhone application (named: MySprint) and existing field methods (i.e. timing photocells and radar gun). To do this, 12 highly trained male sprinters performed 6 maximal 40-m sprints during a single session which were simultaneously timed using 7 pairs of timing photocells, a radar gun and a newly developed iPhone app based on high-speed video recording. Several split times as well as mechanical outputs computed from the model proposed by Samozino et al. [(2015). A simple method for measuring power, force, velocity properties, and mechanical effectiveness in sprint running. Scandinavian Journal of Medicine & Science in Sports. https://doi.org/10.1111/sms.12490] were then measured by each system, and values were compared for validity and reliability purposes. First, there was an almost perfect correlation between the values of time for each split of the 40-m sprint measured with MySprint and the timing photocells (r = 0.989–0.999, standard error of estimate = 0.007–0.015 s, intraclass correlation coefficient (ICC) = 1.0). Second, almost perfect associations were observed for the maximal theoretical horizontal force (F0), the maximal theoretical velocity (V0), the maximal power (Pmax) and the mechanical effectiveness (DRF – decrease in the ratio of force over acceleration) measured with the app and the radar gun (r = 0.974–0.999, ICC = 0.987–1.00). Finally, when analysing the performance outputs of the six different sprints of each athlete, almost identical levels of reliability were observed as revealed by the coefficient of variation (MySprint: CV = 0.027–0.14%; reference systems: CV = 0.028–0.11%). Results on the present study showed that sprint performance can be evaluated in a valid and reliable way using a novel iPhone app.Actividad Física y Deport

Feasibility and short-term outcomes in liver-first approach: a Spanish snapshot study (the RENACI Project)

(1) Background: The liver-first approach may be indicated for colorectal cancer patients with synchronous liver metastases to whom preoperative chemotherapy opens a potential window in which liver resection may be undertaken. This study aims to present the data of feasibility and short-term outcomes in the liver-first approach. (2) Methods: A prospective observational study was performed in Spanish hospitals that had a medium/high-volume of HPB surgeries from 1 June 2019 to 31 August 2020. (3) Results: In total, 40 hospitals participated, including a total of 2288 hepatectomies, 1350 for colorectal liver metastases, 150 of them (11.1%) using the liver-first approach, 63 (42.0%) in hospitals performing <50 hepatectomies/year. The proportion of patients as ASA III was significantly higher in centers performing ≥50 hepatectomies/year (difference: 18.9%; p = 0.0213). In 81.1% of the cases, the primary tumor was in the rectum or sigmoid colon. In total, 40% of the patients underwent major hepatectomies. The surgical approach was open surgery in 87 (58.0%) patients. Resection margins were R0 in 78.5% of the patients. In total, 40 (26.7%) patients had complications after the liver resection and 36 (27.3%) had complications after the primary resection. One-hundred and thirty-two (89.3%) patients completed the therapeutic regime. (4) Conclusions: There were no differences in the surgical outcomes between the centers performing <50 and ≥50 hepatectomies/year. Further analysis evaluating factors associated with clinical outcomes and determining the best candidates for this approach will be subsequently conducted

Feasibility and short-term outcomes in liver-first approach: a Spanish snapshot study (the RENACI project)

Producción CientíficaSimple Summary: Current evidence does not provide enough information for selecting a tailored approach pathway in patients with colorectal cancer and synchronous liver metastases. There are no randomized clinical trials or prospective series comparing the classical approach with the liver-first approach. In addition, information on the proportion of patients who actually complete the therapeutic regimen is limited. The RENACI Project was a prospective National Registry performed on patients with colorectal cancer and synchronous liver metastases undergoing the liver-first approach. This study aimed to present the data of feasibility and short-term outcomes of the Spanish National Registry of Liver First Approach (the RENACI Project).(1) Background: The liver-first approach may be indicated for colorectal cancer patients with synchronous liver metastases to whom preoperative chemotherapy opens a potential window in which liver resection may be undertaken. This study aims to present the data of feasibility and short-term outcomes in the liver-first approach. (2) Methods: A prospective observational study was performed in Spanish hospitals that had a medium/high-volume of HPB surgeries from 1 June 2019 to 31 August 2020. (3) Results: In total, 40 hospitals participated, including a total of 2288 hepatectomies, 1350 for colorectal liver metastases, 150 of them (11.1%) using the liver-first approach, 63 (42.0%) in hospitals performing <50 hepatectomies/year. The proportion of patients as ASA III was significantly higher in centers performing ≥50 hepatectomies/year (difference: 18.9%; p = 0.0213). In 81.1% of the cases, the primary tumor was in the rectum or sigmoid colon. In total, 40% of the patients underwent major hepatectomies. The surgical approach was open surgery in 87 (58.0%) patients. Resection margins were R0 in 78.5% of the patients. In total, 40 (26.7%) patients had complications after the liver resection and 36 (27.3%) had complications after the primary resection. One-hundred and thirty-two (89.3%) patients completed the therapeutic regime. (4) Conclusions: There were no differences in the surgical outcomes between the centers performing <50 and ≥50 hepatectomies/year. Further analysis evaluating factors associated with clinical outcomes and determining the best candidates for this approach will be subsequently conducted.Asociación Española de Cirujanos - (grant Research Projects 2020

Feasibility and Short-Term Outcomes in Liver-First Approach: A Spanish Snapshot Study (the RENACI Project)

Colorectal cancer; Disease-free survival; Liver metastasesCáncer colorrectal; Supervivencia libre de enfermedad; Metástasis hepáticasCàncer colorectal; Supervivència lliure de malaltia; Metàstasis hepàtiques(1) Background: The liver-first approach may be indicated for colorectal cancer patients with synchronous liver metastases to whom preoperative chemotherapy opens a potential window in which liver resection may be undertaken. This study aims to present the data of feasibility and short-term outcomes in the liver-first approach. (2) Methods: A prospective observational study was performed in Spanish hospitals that had a medium/high-volume of HPB surgeries from 1 June 2019 to 31 August 2020. (3) Results: In total, 40 hospitals participated, including a total of 2288 hepatectomies, 1350 for colorectal liver metastases, 150 of them (11.1%) using the liver-first approach, 63 (42.0%) in hospitals performing <50 hepatectomies/year. The proportion of patients as ASA III was significantly higher in centers performing ≥50 hepatectomies/year (difference: 18.9%; p = 0.0213). In 81.1% of the cases, the primary tumor was in the rectum or sigmoid colon. In total, 40% of the patients underwent major hepatectomies. The surgical approach was open surgery in 87 (58.0%) patients. Resection margins were R0 in 78.5% of the patients. In total, 40 (26.7%) patients had complications after the liver resection and 36 (27.3%) had complications after the primary resection. One-hundred and thirty-two (89.3%) patients completed the therapeutic regime. (4) Conclusions: There were no differences in the surgical outcomes between the centers performing <50 and ≥50 hepatectomies/year. Further analysis evaluating factors associated with clinical outcomes and determining the best candidates for this approach will be subsequently conducted.This research was funded by Asociación Española de Cirujanos, grant for Research Projects 2020