El modelo 1 a 1 en las Escuelas Secundarias. Un estudio a partir de la experiencia de las provincias de Entre Ríos, Formosa y Misiones. 16H362

En el Marco del Convenio de Cooperación, N° 375/12, suscripto entre la Universidad Nacional de Misiones, el Ministerio de Educación de la Nación y la Organización de Estados Iberoamericanos (OEI), el presente proyecto pretende conocer y analizar los cambios y/o continuidades que se estarían produciendo en las aulas, instituciones, sujetos y comunidades de las provincias de Entre Ríos, Formosa y Misiones, a partir de la implementación del Programa Conectar Igualdad. Programa que resulta ser uno de los principales pilares y referentes significativos de un nuevo perfil de política educativa, por parte de un estado nacional que asume su centralidad y responsabilidad como garante del derecho a la educación y la inclusión social, educativa y digital. Cuyo fin, en última instancia, es la revalorización de la escuela pública, a partir de la promoción de la inclusión digital y el mejoramiento de la calidad de la educación, garantizando el acceso y uso de las TIC’s en los procesos de enseñanza-aprendizaje

Plan de retención de colaboradores en puestos clave de Contilatin del Perú S.A.

Contilatin del Perú S.A. es una empresa que tiene como actividad principal la importación y comercialización de commodities agrícolas en el mercado peruano. Asimismo, la compañía brinda, de forma complementaria, servicios industriales y logísticos según la necesidad de sus clientes. El objetivo del presente trabajo es diseñar un plan estratégico para la retención de colaboradores que desempeñan puestos clave en la empresa

Exploraciones estudiantiles desde la interdisciplinariedad : una experiencia de acercamiento entre las Relaciones Internacionales y la Planificación y Promoción Económica y Social de la Universidad Nacional de Costa Rica

A lo largo de sus cuatro décadas de labor, la Escuela de Relaciones Internacionales se ha caracterizado por contribuir al debate y a la discusión sobre los temas más relevantes de la actualidad nacional e internacional. Con tal fin, surgió en 1989 la serie Documentos de Estudio Nueva Época. Estos cuadernos, orientados primordial pero no exclusivamente al uso del estudiantado, pretenden reflexionar sobre materias propias de los programas de estudio que se imparten en el Bachillerato y Licenciatura en Relaciones Internacionales, así como en Comercio y Negocios Internacionales. A continuación se presenta el documento número XX titulado Exploraciones estudiantiles desde la interdisciplinariedad: una experiencia de acercamiento entre las Relaciones Internacionales y la Planificación y Promoción Social desde la Universidad Nacional de Costa Rica, cuyos coordinadores de esta producción son el académico M. Sc Luis Diego Salas Ocampo y la estudiante Tamara Vargas. Esta obra recoge el proceso desarrollado por el académico Salas tanto en el marco del proyecto Fortalecimiento de las capacidades de investigación mediante el uso de software cuantitativo, cualitativo y simuladores de negocios, así como las principales acciones de sistematización desarrolladas a partir de la invitación generada por la Escuela de Planificación Económica y Social en la figura de su director MBA. Miguel Céspedes, para que este académico impartiera en el primer semestre del 2016, el curso de Licenciatura PPF 506 de Contexto Internacional para el desarrollo. En este trabajo, sus autores; en la mayoría de los artículos, el propio estudiantado; han tenido el reto de tomar temas de la realidad internacional y desde su propia experiencia como internacionalistas o planificadores, tratar de generar productos críticos y propositivos, donde la teoría, la técnica y la experiencia se mezclan para dar con una suerte de exploración estudiantil. Estos temas se tratan en cursos tales como taller de Tecnologías de Información, Informática y técnicas de investigación, Seminario de investigación del Plan de Estudios de la carrera de Relaciones Internacionales. Asimismo, tales tópicos son parte del curso Contexto internacional para el desarrollo del Plan de Licenciatura de la Escuela de Planificación Económica y Social de la Universidad Nacional de Costa Rica. Desde la Escuela de Relaciones Internacionales seguiremos apoyando el esfuerzo académico de nuestras investigadores (as) con el propósito de dotar al país de los componentes necesarios para el debate constructivo de los grandes temas de actualidad.Throughout its four decades of work, the School of Relations Internacionales has been characterized by contributing to debate and discussion on the most relevant national and international current affairs. With such Finally, the New Era Study Documents series emerged in 1989. These notebooks, oriented primarily but not exclusively to the use of students, they intend to reflect on subjects typical of the study taught in the Baccalaureate and Bachelor of Relationships International, as well as in International Commerce and Business. The following is document number XX entitled Explorations students from interdisciplinarity: an experience of rapprochement between International Relations and Social Planning and Promotion from the National University of Costa Rica, whose coordinators of this production are the academic M. Sc Luis Diego Salas Ocampo and the student Tamara Vargas. This work reflects the process developed by the academic Salas both in the framework of the project Strengthening research capacities through the use of quantitative and qualitative software and business simulators, as well as the main systematization actions developed from the invitation generated by the School of Economic and Social Planning in the figure of its MBA director. Miguel Céspedes, for this academic taught in the first semester of 2016, the Bachelor's course PPF 506 of International context for development. In this work, its authors; in most articles, the student body; have had the challenge of taking issues from international reality and from your own experience as internationalists or planners, try to generate critical and purposeful products, where theory, technique and experience is mixed to give a kind of student exploration. These topics are covered in courses such as the Information, Informatics and research techniques, Research seminar of the Study Plan for the International Relations degree program. Likewise, such The topics are part of the International Context course for the development of the Plan of Bachelor of the School of Economic and Social Planning of the National University of Costa Rica. From the School of International Relations we will continue to support the academic effort of our researchers in order to provide the country of the components necessary for the constructive debate of the great current issues.Universidad Nacional, Costa RicaEscuela de Relaciones Internacionale

Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries

© 2021 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 licenseBackground: 80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative outcomes in breast, colorectal, and gastric cancer surgery in hospitals worldwide, focusing on the effect of disease stage and complications on postoperative mortality. Methods: This was a multicentre, international prospective cohort study of consecutive adult patients undergoing surgery for primary breast, colorectal, or gastric cancer requiring a skin incision done under general or neuraxial anaesthesia. The primary outcome was death or major complication within 30 days of surgery. Multilevel logistic regression determined relationships within three-level nested models of patients within hospitals and countries. Hospital-level infrastructure effects were explored with three-way mediation analyses. This study was registered with ClinicalTrials.gov, NCT03471494. Findings: Between April 1, 2018, and Jan 31, 2019, we enrolled 15 958 patients from 428 hospitals in 82 countries (high income 9106 patients, 31 countries; upper-middle income 2721 patients, 23 countries; or lower-middle income 4131 patients, 28 countries). Patients in LMICs presented with more advanced disease compared with patients in high-income countries. 30-day mortality was higher for gastric cancer in low-income or lower-middle-income countries (adjusted odds ratio 3·72, 95% CI 1·70–8·16) and for colorectal cancer in low-income or lower-middle-income countries (4·59, 2·39–8·80) and upper-middle-income countries (2·06, 1·11–3·83). No difference in 30-day mortality was seen in breast cancer. The proportion of patients who died after a major complication was greatest in low-income or lower-middle-income countries (6·15, 3·26–11·59) and upper-middle-income countries (3·89, 2·08–7·29). Postoperative death after complications was partly explained by patient factors (60%) and partly by hospital or country (40%). The absence of consistently available postoperative care facilities was associated with seven to 10 more deaths per 100 major complications in LMICs. Cancer stage alone explained little of the early variation in mortality or postoperative complications. Interpretation: Higher levels of mortality after cancer surgery in LMICs was not fully explained by later presentation of disease. The capacity to rescue patients from surgical complications is a tangible opportunity for meaningful intervention. Early death after cancer surgery might be reduced by policies focusing on strengthening perioperative care systems to detect and intervene in common complications. Funding: National Institute for Health Research Global Health Research Unit

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

© 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licenseBackground: Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide. Methods: A multimethods analysis was performed as part of the GlobalSurg 3 study—a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital. Findings: Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3·85 [95% CI 2·58–5·75]; p<0·0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63·0% vs 82·7%; OR 0·35 [0·23–0·53]; p<0·0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer. Interpretation: Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised. Funding: National Institute for Health and Care Research