Propuesta de un modelo de evaluación de desempeño por competencias administrativas para los oficiales de la Marina de Guerra del Perú egresados de la Escuela Naval

El presente trabajo aplicativo tiene como objetivo plantear una propuesta de implementación de un Modelo de Evaluación de desempeño por competencias administrativas para los oficiales egresados de la Escuela Naval del Perú que permita identificar su desempeño en el cumplimiento de sus funciones, a fin de que se efectúe la retroalimentación necesaria para la mejora de su rendimiento, alinear sus competencias con las de la institución, mejorar los criterios actuales en el hecho de ser considerada como un parámetro de los procesos de ascensos establecidos y poder contar con un criterio adicional para las asignaciones de futuras Dependencias o lugares de trabajo de los oficiales evaluados

Incidence and clinical manifestations of giant cell arteritis in Spain: results of the ARTESER register

Objective This study aimed to estimate the incidence of giant cell arteritis (GCA) in Spain and to analyse its clinical manifestations, and distribution by age group, sex, geographical area and season.Methods We included all patients diagnosed with GCA between 1 June 2013 and 29 March 2019 at 26 hospitals of the National Health System. They had to be aged ≥50 years and have at least one positive results in an objective diagnostic test (biopsy or imaging techniques), meet 3/5 of the 1990 American College of Rheumatology classification criteria or have a clinical diagnosis based on the expert opinion of the physician in charge. We calculated incidence rate using Poisson regression and assessed the influence of age, sex, geographical area and season.Results We identified 1675 cases of GCA with a mean age at diagnosis of 76.9±8.3 years. The annual incidence was estimated at 7.42 (95% CI 6.57 to 8.27) cases of GCA per 100 000 people ≥50 years with a peak for patients aged 80–84 years (23.06 (95% CI 20.89 to 25.4)). The incidence was greater in women (10.06 (95% CI 8.7 to 11.5)) than in men (4.83 (95% CI 3.8 to 5.9)). No significant differences were found between geographical distribution and incidence throughout the year (p=0.125). The phenotypes at diagnosis were cranial in 1091 patients, extracranial in 337 patients and mixed in 170 patients.Conclusions This is the first study to estimate the incidence of GCA in Spain at a national level. We found a predominance among women and during the ninth decade of life with no clear variability according to geographical area or seasons of the year