Cultura de investigación para la innovación y el emprendimiento

El libro se encuentra dividido en tres ejes temáticos : el primero trata temas de Investigación aplicada con dos capítulos, el segundo eje contiene los capítulos tres al seis y aborda temas de innovación en procesos con temas de software y competitividad empresarial; el eje tres innovación en servicios y en producción, del capítulo siete al doce aborda temas tan interesantes como las realidades de la internacionalización de servicios, logística hospitalaria, modelo de diagnóstico para el desarrollo socio-económico y modelo de microcréditos.The book is divided into three thematic axes: the first deals with issues of applied research with two chapters, the second axis contains chapters three to six and addresses issues of innovation in processes with issues of software and business competitiveness; axis three innovation in services and production, from chapter seven to twelve, addresses such interesting topics as the realities of the internationalization of services, hospital logistics, a diagnostic model for socio-economic development and a microcredit model.Cómo fomentar la investigación científica y la innovación empresarial desde una unidad de emprendimiento / Carlos Andres Zamudio Delgado, Johemir Pérez Pertuz -- Cambio y variabilidad cognitiva en el desarrollo de competencias financieras en niños y niñas de 7 años / Luis Guillermo Rojas Gómez -- FINEVA: el software para el análisis financiero de la internacionalización empresarial / Guillermo Rafael Angulo Vega, Lissette Salomé Ortíz Gallardo, Johel Andrés García Vargas -- Responsabilidad social del contador público desde su proceso de formación para fortalecer la gestión contable de microempresarios en la localidad de suba upz rincón Bogotá Colombia / Nadia Ávila, Ana C. Pinzón Vargas -- Competitividad e innovación en el aprendiz SENA: perspectivas de formación / René Alexander Guerrero Vergel, Ferly Antonio Valencia Serna, Elizabeth Tuberquia Vanegas -- Diseño y desarrollo de una aplicación de escritorio para la homologación contable de módulos sap systeme anwendungen und produkte / Nelson Giovanni Agudelo Cristancho, Ángela María Montoya, Juan Carlos Amezquita Tovar -- Realidades de la internacionalización de servicios en Colombia: una revisión de literatura (1994-2017) / Campo Elías López Rodríguez, Juan Carlos Ligarreto Parra, Haroldo Enrique Puerta Cabarcas -- Logística hospitalaria: caracterización de la operación de una sala de urgencias en la ciudad de Ibagué / Julián Alonso Garzón Quiroga, Jaime Alberto Villada Garcés -- Estudio de la evolución de la huella ocular como mecanismo de seguridad para las entidades financieras / Laura Valentina García Pérez, Karen Valentina Cetina Huérfano, Ashly Valeria Mercado Rojas, Ana C Pinzón Vargas -- Cómo vincular la información que brinda la contabilidad de gestión ambiental con los proyectos de emprendimiento / Daniel Isaac Roque -- Modelo diagnóstico para el desarrollo socio- productivo de la chamba en la post cosecha / Marina Casallas Silva, Jimmy Daniel Gamba Casallas, Wilson Ferney Molano -- Modelo de microcréditos para el sistema financiero / José Gerardo Vaca Lombanana232 página

Code used in Sophie Dataset

Code for the image analysis

SOPHIE: Spitzoid WSI dataset with clinical data

WSIs in .tif are grouped into three categories according to the histopathological diagnosis and each file is named according to the following format: Spitz Nevus (SN_00XX), Spitzoid Melanoma (SM_00XX), and Spitzoid Tumor of Unknown Malignant Potential (STUMP_00XX). In the SM group, there are two cases with more than one WSI. SM_0015 ("SM_0015A" and "SM_0015B") are two images of different regions of the same tumor. In SM_0016, "SM_0016A" is the primary tumor, while "SM_0016B" and "SM_0016C" are the lymph node metastasis of the same patient. Additionaly the is a excell file with the corresponding clinical data for each case

Alien Registration- Hayes, Nelson B. (Portland, Cumberland County)

https://digitalmaine.com/alien_docs/24645/thumbnail.jp

HIV Disclosure Practices to Family among Mexican and Puerto Rican Sexual Minority Men with HIV in the Continental USA: Intersections of Sexual Orientation and HIV Stigma

Disclosing a seropositive HIV status still is a complex process of assessing the risks, benefits, and potential personal and interpersonal outcomes associated with disclosure, such as stigma, rejection, or emotional support. We examined HIV disclosure practices to family and intersectional stigma related to HIV and sexual orientation among Latino sexual minority men (LSMM) of Mexican and Puerto Rican origin with HIV in the continental USA. Guided by Framework Analysis, we present data from 54 interviews with 33 LSMM participants in HIV care engagement interventions, and 21 project staff implementing the interventions. LSMM disclosed their HIV status to family seeking support. They applied stigma management techniques to manage the information communicated to family about their HIV status, including selective disclosure to some family members, conveying strategic information about the significance of having HIV, non-disclosure, or partial disclosure, silence and deceptions. LSMM HIV disclosure practices to family encompassed appraisals of intersectional stigma related to their sexual orientation and HIV, assessing the potential outcomes of disclosure, and the preservation of family ties

From Theory to Application: A Description of Transnationalism in Culturally-Appropriate HIV Interventions of Outreach, Access, and Retention Among Latino/a Populations

Interventions aiming to improve access to and retention in HIV care are optimized when they are tailored to clients' needs. This paper describes an initiative of interventions implemented by ten demonstration sites using a transnational framework to tailor services for Mexicans and Puerto Ricans living with HIV. Transnationalism describes how immigrants (and their children) exist in their "receiving" place (e.g., continental U.S.) while simultaneously maintaining connections to their country or place of origin (e.g., Mexico). We describe interventions in terms of the strategies used, the theory informing design and the tailoring, and the integration of transnationalism. We argue how applying the transnational framework may improve the quality and effectiveness of services in response to the initiative's overall goal, which is to produce innovative, robust, evidence-informed strategies that go beyond traditional tailoring approaches for HIV interventions with Latino/as populations

Genomic epidemiology of SARS-CoV-2 transmission lineages in Ecuador

Characterisation of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) genetic diversity through space and time can reveal trends in virus importation and domestic circulation and permit the exploration of questions regarding the early transmission dynamics. Here, we present a detailed description of SARS-CoV-2 genomic epidemiology in Ecuador, one of the hardest hit countries during the early stages of the coronavirus-19 pandemic. We generated and analysed 160 whole genome sequences sampled from all provinces of Ecuador in 2020. Molecular clock and phylogeographic analysis of these sequences in the context of global SARS-CoV-2 diversity enable us to identify and characterise individual transmission lineages within Ecuador, explore their spatiotemporal distributions, and consider their introduction and domestic circulation. Our results reveal a pattern of multiple international importations across the country, with apparent differences between key provinces. Transmission lineages were mostly introduced before the implementation of non-pharmaceutical interventions, with differential degrees of persistence and national dissemination.ISSN:2057-157

Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries

Background Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)

Prospective observational cohort study on grading the severity of postoperative complications in global surgery research

Background The Clavien–Dindo classification is perhaps the most widely used approach for reporting postoperative complications in clinical trials. This system classifies complication severity by the treatment provided. However, it is unclear whether the Clavien–Dindo system can be used internationally in studies across differing healthcare systems in high- (HICs) and low- and middle-income countries (LMICs). Methods This was a secondary analysis of the International Surgical Outcomes Study (ISOS), a prospective observational cohort study of elective surgery in adults. Data collection occurred over a 7-day period. Severity of complications was graded using Clavien–Dindo and the simpler ISOS grading (mild, moderate or severe, based on guided investigator judgement). Severity grading was compared using the intraclass correlation coefficient (ICC). Data are presented as frequencies and ICC values (with 95 per cent c.i.). The analysis was stratified by income status of the country, comparing HICs with LMICs. Results A total of 44 814 patients were recruited from 474 hospitals in 27 countries (19 HICs and 8 LMICs). Some 7508 patients (16·8 per cent) experienced at least one postoperative complication, equivalent to 11 664 complications in total. Using the ISOS classification, 5504 of 11 664 complications (47·2 per cent) were graded as mild, 4244 (36·4 per cent) as moderate and 1916 (16·4 per cent) as severe. Using Clavien–Dindo, 6781 of 11 664 complications (58·1 per cent) were graded as I or II, 1740 (14·9 per cent) as III, 2408 (20·6 per cent) as IV and 735 (6·3 per cent) as V. Agreement between classification systems was poor overall (ICC 0·41, 95 per cent c.i. 0·20 to 0·55), and in LMICs (ICC 0·23, 0·05 to 0·38) and HICs (ICC 0·46, 0·25 to 0·59). Conclusion Caution is recommended when using a treatment approach to grade complications in global surgery studies, as this may introduce bias unintentionally