Satisfacción del cliente del servicio de licencias de conducir de la Municipalidad de La Plata

La presente investigación basada en la necesidad de evaluar la conducta del sector público en general y de los municipios en particular en su rol de prestador de servicios públicos con vistas al mejoramiento social, cultural y en defensa de sus habitantes y como forma de dar respuesta a los requerimientos a través de la oportuna atención del estado. Se llevo adelante una investigación diagnóstica dentro del marco del proyecto del MBA y la Municipalidad de La Plata cuyo título es "competitividad empresarial y su impacto regional". La investigación fue de tipo exploratoria y de naturaleza cuantitativa sobre una muestra que consideró el universo de los habitantes de La Plata en condiciones de usar el servicio. Se utilizo un instrumento resumido de escala múltiple con un cuestionario de preguntas estandarizadas llamado escala SERVQUAL. Se lleva a cabo un análisis univariado y se analizan los resultados en forma global. El resultado global muestra usuarios algo insatisfechos con la calidad del servicio. En una repartición publica de estas características monopólicas el usuario vuelve porque no tiene alternativas. El desafío es transformar los usuarios en clientes y que vuelvan por la calidad y confiabilidad del servicio. Objetivos de la tesis: 1) Evaluar el nivel de satisfacción de los clientes del Servicio de Licencias de Conducir de la Municipalidad de la Plata y la importancia de la atención al público para realizar el trámite. 2) Identificar si la calidad del servicio que se presta en la Dirección Operativa de licencias de conducir cumple con las expectativas de los usuarios.Facultad de Ciencias Económica

Satisfacción del cliente del servicio de licencias de conducir de la Municipalidad de La Plata

La presente investigación basada en la necesidad de evaluar la conducta del sector público en general y de los municipios en particular en su rol de prestador de servicios públicos con vistas al mejoramiento social, cultural y en defensa de sus habitantes y como forma de dar respuesta a los requerimientos a través de la oportuna atención del estado. Se llevo adelante una investigación diagnóstica dentro del marco del proyecto del MBA y la Municipalidad de La Plata cuyo título es "competitividad empresarial y su impacto regional". La investigación fue de tipo exploratoria y de naturaleza cuantitativa sobre una muestra que consideró el universo de los habitantes de La Plata en condiciones de usar el servicio. Se utilizo un instrumento resumido de escala múltiple con un cuestionario de preguntas estandarizadas llamado escala SERVQUAL. Se lleva a cabo un análisis univariado y se analizan los resultados en forma global. El resultado global muestra usuarios algo insatisfechos con la calidad del servicio. En una repartición publica de estas características monopólicas el usuario vuelve porque no tiene alternativas. El desafío es transformar los usuarios en clientes y que vuelvan por la calidad y confiabilidad del servicio. Objetivos de la tesis: 1) Evaluar el nivel de satisfacción de los clientes del Servicio de Licencias de Conducir de la Municipalidad de la Plata y la importancia de la atención al público para realizar el trámite. 2) Identificar si la calidad del servicio que se presta en la Dirección Operativa de licencias de conducir cumple con las expectativas de los usuarios.Facultad de Ciencias Económica

Role of DOR in neuronal plasticity changes promoted by food-seeking behaviour

Several lines of evidence support that food overconsumption may be related to the role of the endogenous opioid system in the control of food palatability. The opioid system, and particularly the delta opioid receptor (DOR), plays a crucial role in the regulation of food rewarding properties. In our study, we used operant conditioning maintained by chocolate-flavoured pellets to investigate the role of DOR in the motivation for palatable food and the structural plasticity changes promoted by this behaviour. For this purpose, we evaluated the specific role of this receptor in the behavioural and neuroplastic changes induced by palatable food in the prefrontal cortex (PFC), hippocampus (HCP) and nucleus accumbens (NAc) in constitutive knockout (KO) mice deficient in DOR. Mutant mice and their wild-type littermates were trained to obtain chocolate-flavoured pellets on fixed ratio 1 (FR1), FR5 and progressive ratio (PR) schedule of reinforcement. No significant differences between genotypes were revealed on operant behaviour acquisition in FR1. DOR knockout mice displayed lower number of active lever-presses than wild-type mice on FR5, and a similar decrease was revealed in DOR KO mice in the breaking point during the PR. This operant training to obtain palatable food increased dendritic spine density in the PFC, HCP and NAc shell of wild-type, but these plasticity changes were abolished in DOR KO mice. Our results support the hypothesis that DOR regulates the reinforcing effects and motivation for palatable food through neuroplastic changes in specific brain reward areas.This work was supported by the DG Research of the European Commission FP7 (#HEALTH-F2 2013-602891), the Spanish ‘RETICS-Instituto de Salud Carlos III’ (#RD12/0028/0023), the Spanish ‘Ministerio de Ciencia e Innovación’ (#SAF2011-29864), the Spanish ‘Ministerio de Economia y Competitividad’ (#SAF-2014-59648P), the ‘Plan nacional sobre drogas’ (#PNSD-2013-5068) and the Catalan Government ‘AGAUR-Generalitat de Catalunya’ (#2009SGR00731 and #2014-SGR-1547). The FEDER funds support is also acknowledged. S.M. was supported by FI predoctoral fellowship of the Catalan Government; S.M-N. was supported by CAPES fellowship of the Brazilian Government (Programa Ciência Sem Froteiras). We thank Elysia James for invaluable technical assistance in the structural plasticity stud

Body mass index and complications following major gastrointestinal surgery: A prospective, international cohort study and meta-analysis

Aim Previous studies reported conflicting evidence on the effects of obesity on outcomes after gastrointestinal surgery. The aims of this study were to explore the relationship of obesity with major postoperative complications in an international cohort and to present a metaanalysis of all available prospective data. Methods This prospective, multicentre study included adults undergoing both elective and emergency gastrointestinal resection, reversal of stoma or formation of stoma. The primary end-point was 30-day major complications (Clavien\u2013Dindo Grades III\u2013V). A systematic search was undertaken for studies assessing the relationship between obesity and major complications after gastrointestinal surgery. Individual patient meta-analysis was used to analyse pooled results. Results This study included 2519 patients across 127 centres, of whom 560 (22.2%) were obese. Unadjusted major complication rates were lower in obese vs normal weight patients (13.0% vs 16.2%, respectively), but this did not reach statistical significance (P = 0.863) on multivariate analysis for patients having surgery for either malignant or benign conditions. Individual patient meta-analysis demonstrated that obese patients undergoing surgery formalignancy were at increased risk of major complications (OR 2.10, 95% CI 1.49\u20132.96, P < 0.001), whereas obese patients undergoing surgery for benign indications were at decreased risk (OR 0.59, 95% CI 0.46\u20130.75, P < 0.001) compared to normal weight patients. Conclusions In our international data, obesity was not found to be associated with major complications following gastrointestinal surgery. Meta-analysis of available prospective data made a novel finding of obesity being associated with different outcomes depending on whether patients were undergoing surgery for benign or malignant disease

Body mass index and complications following major gastrointestinal surgery: A prospective, international cohort study and meta-analysis

Aim Previous studies reported conflicting evidence on the effects of obesity on outcomes after gastrointestinal surgery. The aims of this study were to explore the relationship of obesity with major postoperative complications in an international cohort and to present a metaanalysis of all available prospective data. Methods This prospective, multicentre study included adults undergoing both elective and emergency gastrointestinal resection, reversal of stoma or formation of stoma. The primary end-point was 30-day major complications (Clavien–Dindo Grades III–V). A systematic search was undertaken for studies assessing the relationship between obesity and major complications after gastrointestinal surgery. Individual patient meta-analysis was used to analyse pooled results. Results This study included 2519 patients across 127 centres, of whom 560 (22.2%) were obese. Unadjusted major complication rates were lower in obese vs normal weight patients (13.0% vs 16.2%, respectively), but this did not reach statistical significance (P = 0.863) on multivariate analysis for patients having surgery for either malignant or benign conditions. Individual patient meta-analysis demonstrated that obese patients undergoing surgery formalignancy were at increased risk of major complications (OR 2.10, 95% CI 1.49–2.96, P < 0.001), whereas obese patients undergoing surgery for benign indications were at decreased risk (OR 0.59, 95% CI 0.46–0.75, P < 0.001) compared to normal weight patients. Conclusions In our international data, obesity was not found to be associated with major complications following gastrointestinal surgery. Meta-analysis of available prospective data made a novel finding of obesity being associated with different outcomes depending on whether patients were undergoing surgery for benign or malignant disease