Gestión estratégica en las contrataciones de bienes y servicios en el área de abastecimiento de la Dirección Regional de Salud - Ayacucho 2017

La presente investigación titulada “Gestión estratégica en las contrataciones de bienes y servicios en el área de Abastecimiento de la Dirección Regional de Salud - Ayacucho 2017” tiene como objetivo general determinar de qué manera la Gestión estratégica se relaciona con la gestión de contrataciones de bienes y servicios en el área de Abastecimiento de la Dirección Regional de Salud Ayacucho en el periodo 2017, para ello empleó un diseño de estudio no experimental, transversal, asimismo muestra un diseño descriptivo correlacional; por otro lado, la población estuvo constituida por la totalidad de trabajadores del área de abastecimientos, de los cuales por medio de un muestreo no probabilístico se obtuvo una muestra de 30 trabajadores, a los cuales se aplicó dos cuestionarios de 20 ítems de escala tipo Likert con los cuales medir y determinar la relación de las variables de estudio. Como principales resultados por variables se pudo observar que en términos general que los procesos de la gestión estratégica como de las contrataciones de bienes y servicios en el área de Abastecimiento en la Dirección Regional de Salud Ayacucho son valoradas de manera negativa. Finalmente se concluye que ambas variables están correlacionadas de manera alta y positiva, con un coeficiente de 0.806, y un valor de significancia de 0.000, siendo inferior a 0.05, por lo cual también la relación es significativa

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Comparison of happiness in students of a public and private university in Peru

BACKGROUND: Happiness is a positive component of mental well-being. In young university students, it is linked to ideals in many areas, such as physical health, mental health, harmonious inter-personal relationships, academic performance, and professional success. The aim of the study was to compare the happiness of university students from a state and private university according to professional areas and age range. MATERIALS AND METHODS: A descriptive cross-sectional study with selected 312 university students was conducted. The age range was from 17 to 32 years. The two professional areas surveyed were health sciences and engineering. Happiness was measured using a scale with 11 questions and four dimensions [1: Positive sense of life (three questions), 2: Satisfaction with life (three questions), 3: Personal fulfilment (two questions), and 4: Joy of living (three questions)]. The normality of the data was verified. Differences between sexes, areas, universities and ages were verified by t-test for independent samples. Differences between age ranges were verified by Anova. RESULTS: This study showed that there were no differences in happiness between EU and UP students when compared by gender, professional area, and age ranges. CONCLUSIONS: These results suggest that during the period of university studies, happiness values remain stable in both types of universities

Long-term variability of metals from fungicides applied in amended young vineyard fields of La Rioja (Spain)

The long-term variability of total Cu content from fungicides applied in a certified wine region of Spain (La Rioja) and of other metals (Cd, Cr, Ni, Pb, and Zn) was evaluated in three young vineyard soils and subsoils unamended and amended with spent mushroom substrates (SMS) over a 3-year period (2006-2008). SMS is a promising agricultural residue as an amendment to increase the soil organic matter content but may modify the behaviour of metals from pesticide utilisation in vineyards. Fresh and composted SMS was applied each year at a rate of 25 t ha -1 (dry-weight). Copper concentrations in the three unamended soils were 21.2-88.5, 25.5-77.1, and 29.4-78.4 mg kg -1. They exceeded natural Cu concentrations of the region and reference sub-lethal hazardous concentration for soil organism. The concentrations of Cd, Ni, Pb, and Zn were largely below the sub-lethal limits. Thus, although Cu levels were lower than those of established vineyards, vine performance, and productivity might be affected. The variation in behaviour between different amendments for each soil was high, so a generic conclusion could not be drawn. The amendment practice seemed to have caused temporarily Cu mobilization respect to untreated soils. Total zinc concentrations fall within the range of the natural soil of La Rioja and were significantly affected (p<0.05) especially by fresh state SMS addition, with increasing up to 75% respect to untreated specimen. The results indicated a buildup of fresh sites for metal retention at both surface and subsurface level, although no accumulation of metals was observed in the short-term period. However, the benefit for soils and the negative effects need to be monitored in the long run. © Springer Science+Business Media B.V. 2011

Revolution: Museo de las estrellas un paseo por la fama : Hollywood

Convocatoria proyectos de innovación de Extremadura 2020/2021Se describe un proyecto llevado a cabo entre 13 centros educativos extremeños que consistió en desarrollar cinco unidades de trabajo gamificadas, cinco historias detectivescas con misterios por resolver, donde se ponían a prueba las habilidades de lógica, la capacidad de observación, de concentración y de atención de los alumnos. Los objetivos principales de la propuesta fueron: promover la puesta en práctica de proyectos intercentros; impulsar pedagogías activas; desarrollar la competencia digital a través del uso de las pedagogías emergentes lo que ha permitido llevar a cabo una enseñanza presencial, híbrida y virtual y atender a la diversidadExtremaduraES