Comparación entre sistemas de construcción de Mampostería confinada y paneles de COVINTEC como nueva alternativa para la construcción de modelo de casas de interés social en la ciudad de Granada, Nicaragua

Comparación entre sistemas de construcción de mampostería confinada y paneles de covintec como nueva alternativa para la construcción de modelo de casas de interés social en la ciudad de granada, Nicaragua Children’s Wellness Fund es una Organización No Gubernamental de Cooperación, privada y sin Fines de Lucro. La Sede está localizada en Miami, Florida, integrada por un equipo de voluntarios residentes en Miami. C.W.F. opera en Nicaragua desde el año 2004. Su Misión es Promover y mejorar la calidad de vida de familias necesitadas en Los Estados Unidos y Latino América con enfoque en la niñez, a través de mejores cuidados de salud, educación y el desarrollo económico en las comunidades beneficiarias. En Nicaragua en colaboración con International Samaritan, desarrollan un proyecto social llamado ‘’Casas Dignas para Trabajadoras del Basurero, Municipal La Joya’’ ubicado en la ciudad de granada, esto con el fin de brindarle un mejor nivel de vida a las familias involucradas dentro del programa, el cual además de viviendas, incluye salud y educación. Cada año se construyen alrededor de cuatro casas en diferentes Barrios y comunidades en Granada, apoyada por Voluntarios Norteamericanos Provenientes de Escuelas y/o Universidades Católicas que Colaboran con International Samaritan. Estas viviendas son construidas mediante sistema de mampostería confinada, la cuales tienen un tiempo de ejecución aproximadamente de 30 días, con ayuda de los voluntarios norteamericanos. Por consecuencia de la lentitud en construcción mediante este método, la fundación children´s wellness fund vio la necesidad de utilizar un sistema más versátil y que presente la misma resistencia a fenómenos naturales, en el cual puedan ahorrar en costos y tiempo de ejecución anualmente de esta manera aumentar la construcción de Viviendas por año, ya que sin colaboración de los voluntarios estas viviendas no son construidas. Estas Escuelas y/o universidades no solamente sirven como apoyo voluntariado, si no que juegan el papel de donantes, el dinero recaudado de Actividades de estas escuelas, es utilizado para la construcción de estas viviendas, por tal razón ellos son un pilar fundamental en el programa. Se propone como alternativa de solución el construir con paneles covintec, siendo este más liviano por ende más rápido de ensamblar y transportar, de aquí se demuestran el ahorro en tiempo y ejecución por unidad de casa utilizando este sistema. De aquí el objetivo principal de este documento realizar Comparación en costos directos y tiempo de ejecución de los modelos de casas que actualmente ya están construidas, este proyecto no es de carácter Comercial por tal razón este documento no incluye costos indirectos, el método de contratación de esta entidad es mediante servicios profesionales, el proceso no es licitatorio. Este documento contiene: Presupuesto detallado por etapas y sub etapas para ambos Sistemas Constructivos. Diagrama de Gantt para cronograma de Ejecución física para ambos sistemas. Planos constructivos. Graficas comparativas de ambos sistemas para mano de obra, materiales y costos directos

Clustering COVID-19 ARDS patients through the first days of ICU admission. An analysis of the CIBERESUCICOVID Cohort

Background Acute respiratory distress syndrome (ARDS) can be classified into sub-phenotypes according to different inflammatory/clinical status. Prognostic enrichment was achieved by grouping patients into hypoinflammatory or hyperinflammatory sub-phenotypes, even though the time of analysis may change the classification according to treatment response or disease evolution. We aimed to evaluate when patients can be clustered in more than 1 group, and how they may change the clustering of patients using data of baseline or day 3, and the prognosis of patients according to their evolution by changing or not the cluster.Methods Multicenter, observational prospective, and retrospective study of patients admitted due to ARDS related to COVID-19 infection in Spain. Patients were grouped according to a clustering mixed-type data algorithm (k-prototypes) using continuous and categorical readily available variables at baseline and day 3.Results Of 6205 patients, 3743 (60%) were included in the study. According to silhouette analysis, patients were grouped in two clusters. At baseline, 1402 (37%) patients were included in cluster 1 and 2341(63%) in cluster 2. On day 3, 1557(42%) patients were included in cluster 1 and 2086 (57%) in cluster 2. The patients included in cluster 2 were older and more frequently hypertensive and had a higher prevalence of shock, organ dysfunction, inflammatory biomarkers, and worst respiratory indexes at both time points. The 90-day mortality was higher in cluster 2 at both clustering processes (43.8% [n = 1025] versus 27.3% [n = 383] at baseline, and 49% [n = 1023] versus 20.6% [n = 321] on day 3). Four hundred and fifty-eight (33%) patients clustered in the first group were clustered in the second group on day 3. In contrast, 638 (27%) patients clustered in the second group were clustered in the first group on day 3.Conclusions During the first days, patients can be clustered into two groups and the process of clustering patients may change as they continue to evolve. This means that despite a vast majority of patients remaining in the same cluster, a minority reaching 33% of patients analyzed may be re-categorized into different clusters based on their progress. Such changes can significantly impact their prognosis

Addressing climate change with behavioral science:A global intervention tournament in 63 countries

Effectively reducing climate change requires marked, global behavior change. However, it is unclear which strategies are most likely to motivate people to change their climate beliefs and behaviors. Here, we tested 11 expert-crowdsourced interventions on four climate mitigation outcomes: beliefs, policy support, information sharing intention, and an effortful tree-planting behavioral task. Across 59,440 participants from 63 countries, the interventions' effectiveness was small, largely limited to nonclimate skeptics, and differed across outcomes: Beliefs were strengthened mostly by decreasing psychological distance (by 2.3%), policy support by writing a letter to a future-generation member (2.6%), information sharing by negative emotion induction (12.1%), and no intervention increased the more effortful behavior-several interventions even reduced tree planting. Last, the effects of each intervention differed depending on people's initial climate beliefs. These findings suggest that the impact of behavioral climate interventions varies across audiences and target behaviors.</p

Addressing climate change with behavioral science: a global intervention tournament in 63 countries

Effectively reducing climate change requires marked, global behavior change. However, it is unclear which strategies are most likely to motivate people to change their climate beliefs and behaviors. Here, we tested 11 expert-crowdsourced interventions on four climate mitigation outcomes: beliefs, policy support, information sharing intention, and an effortful tree-planting behavioral task. Across 59,440 participants from 63 countries, the interventions’ effectiveness was small, largely limited to nonclimate skeptics, and differed across outcomes: Beliefs were strengthened mostly by decreasing psychological distance (by 2.3%), policy support by writing a letter to a future-generation member (2.6%), information sharing by negative emotion induction (12.1%), and no intervention increased the more effortful behavior—several interventions even reduced tree planting. Last, the effects of each intervention differed depending on people’s initial climate beliefs. These findings suggest that the impact of behavioral climate interventions varies across audiences and target behaviors

Addressing climate change with behavioral science:A global intervention tournament in 63 countries

Effectively reducing climate change requires marked, global behavior change. However, it is unclear which strategies are most likely to motivate people to change their climate beliefs and behaviors. Here, we tested 11 expert-crowdsourced interventions on four climate mitigation outcomes: beliefs, policy support, information sharing intention, and an effortful tree-planting behavioral task. Across 59,440 participants from 63 countries, the interventions' effectiveness was small, largely limited to nonclimate skeptics, and differed across outcomes: Beliefs were strengthened mostly by decreasing psychological distance (by 2.3%), policy support by writing a letter to a future-generation member (2.6%), information sharing by negative emotion induction (12.1%), and no intervention increased the more effortful behavior-several interventions even reduced tree planting. Last, the effects of each intervention differed depending on people's initial climate beliefs. These findings suggest that the impact of behavioral climate interventions varies across audiences and target behaviors.</p

Outcomes from elective colorectal cancer surgery during the SARS-CoV-2 pandemic

This study aimed to describe the change in surgical practice and the impact of SARS-CoV-2 on mortality after surgical resection of colorectal cancer during the initial phases of the SARS-CoV-2 pandemic

FACTORES DEL CAPITAL INTELECTUAL QUE INCIDEN EN EL VALOR PATRIMONIAL DE LAS EMPRESAS

La investigación realizada es el resultado del trabajo mancomunado entre las empresas del sector agropecuario y la academia, quienes se unieron para conseguir como objetivo fundamental la obtención de un modelo que permita la medición del capital intelectual para conocer el valor real de las empresas. El proceso contable tradicional no reconoce ciertos activos intangibles, que en su conjunto se los denomina Capital Intelectual; pese a que estos aportan un importante porcentaje de beneficios dentro de las organizaciones y representa uno de los principales generadores de la cuantía de una empresa, pero a pesar de ello; no se refleja en la información contemplada en los Estados Financieros, de modo que, en muchos casos, la organización se encuentra subvalorada. La metodología que se emplea es de tipo descriptiva-explicativa, con un enfoque cualitativo. Asimismo, se analizan los criterios de diversos autores sobre la gestión del conocimiento, los activos intangibles y los principales modelos de medición del capital intelectual. Se seleccionó el Modelo Navegador de Skandia, ya que de acuerdo al giro de negocio de las empresas objeto de estudio, es el más adaptable, con lo cual se pudo obtener a través de indicadores de medición, el capital intelectual y su valor real como compañías.The research made is the result of joint work between companies in the agricultural sector and academy, who came together to achieve the fundamental objective, obtaining a model that allows the measurement of intellectual capital to know the real value of companies. The traditional accounting process does not recognize certain intangible assets, which are collectively referred to as Intellectual Capital; although they provide a significant percentage of benefits within organizations. Being determined, that knowledge is one of the main generators of the amount of an organization. However, this is not reflected in the information provided in the Financial Statements, so that, in many cases, the organization is undervalued. The methodology used is descriptive-explanatory, with a qualitative approach. In this way, the criteria of various authors on knowledge management, intangible assets and the main models for measuring intellectual capital are analyzed. The Navigator Model of Skandia was selected, since according to the business direction of the companies under study, it is the most adaptable, with which it was possible to obtain, through measurement indicators, the intellectual capital and its real value as companies. Ke

ESTUDIO DE LOS MODELOS DE GESTIÓN DEL CAPITAL INTELECTUAL PARA LA VALORACIÓN DE EMPRESAS

La presente investigación parte de la relación universidad-empresa privada, centrándose en estudiar los modelos de medición y gestión del capital intelectual que contribuya a la contabilización del valor real de las empresas. Dado que en la actualidad, el proceso contable tradicional no reconoce ciertos activos intangibles, conocido como Capital Intelectual (CI); pese a que estos aportan un importante porcentaje de beneficios dentro de las organizaciones. En este sentido, el conocimiento es uno de los principales generadores de la cuantía de una organización. Sin embargo, aún las organizaciones no reflejan sus resultados en la información de los Estado Financieros, considerándose una subvaloración del valor de la empresa. La metodología que sustenta la investigación es descriptiva-explicativa, con un enfoque cualitativo, dado que se analizan los criterios de diversos autores sobre la gestión del conocimiento, los activos intangibles, y los principales modelos de medición del capital intelectual para sustentar una nueva propuesta de Modelo de CI para empresas privadas.This research is based on the private university-business relationship, focusing on the models of measurement and management of intellectual capital that contributes to the accounting of the real value of companies. As at present, the traditional accounting process does not recognize certain intangible assets, known as Intellectual Capital (CI); although they provide a significant percentage of benefits within organizations. In this sense, knowledge is one of the main generators of the amount of an organization. However, even the organizations do not reflect their results in the information of the Financial Statements, being considered an undervaluation of the value of the company. The methodology underlying the research is descriptive-explanatory, with a qualitative approach, since it analyzes the criteria of various authors on knowledge management, intangible assets, and the main models of measurement of intellectual capital to support a new proposal of CI model for private companies