Indicaciones de la Ventilación Mecánica No Invasiva en el Servicio de Urgencias

La ventilación mecánica no invasiva (VMNI) se trata de un soporte ventilatorio utilizado como un apoyo al paciente con insuficiencia respiratoria aguda, secundaria a patologías como la agudización de la enfermedad pulmonar obstructiva crónica (EPOC) y el edema agudo de pulmón cardiogénico (EAPc), según los grados de evidencia obtenidos en diferentes artículos. Siendo tratadas cada una de ellas con distintas modalidades de VMNI, como son la BiPAP y la CPAP. El propósito de este trabajo es la revisión de los estudios existentes acerca de las indicaciones en los Servicios de Urgencias y las intervenciones y cuidados de enfermería correspondientes a la técnica a realizar. Existen pocos estudios relacionados con el tema, ya que son pocos los Servicios de Urgencias que utilizan este soporte como línea de tratamiento. Es importante la formación y el entrenamiento del personal implicado en este tipo de técnica o soporte ventilatorio dentro del servicio; siendo de gran importancia la implicación de los profesionales de enfermería, ya que se requiere una constante monitorización del enfermo para así poder asegurar el éxito y disminuir las complicaciones. Los profesionales de enfermería son un factor clave para el éxito de esta técnica. Su uso precoz, como primera línea de tratamiento para dichas patologías es primordial, ya que reduce el número de intubaciones orotraqueales y sus complicaciones, los ingresos en las unidades de cuidados intensivos (UCI) y el aumento de la estancia y la mortalidad hospitalaria, comparado con los métodos tradicionales de oxigenoterapia. El objetivo principal de esta técnica es corregir del modo más eficaz la insuficiencia respiratoria y sus consecuencias fisiopatológicas (hipoxemia, hipercapnea, acidosis respiratoria, fatiga muscular, etc).Grado en Enfermerí

Value co-creation in third-party managed virtual communities and brand equity

Value co-creation continues to be a key issue in the era of marketing 4.0. Despite an increasing amount of research on value co-creation, there is still a lot of ambiguity in the use of certain terms. For example, different names are used to refer to the same concept. Even though the concept of co-innovation or co-production has nearly the same meaning as co-creation, there are certain differences between them that must be clarified. In addition, another difficulty found in the literature is that the co-creation concept is frequently applied to different objects of study, such that it might be dealing with brand value co-creation, co-creation of experience, co-creation attitude, etc. In order to clarify these issues, this paper presents a brief review of the relevant literature on value co-creation

Engagement del consumidor a través del contenido generado por las empresas en instagram

Purpose: The purpose of this paper is to analyse the impact of consumers’ perceptions of the enjoyment and originality of firm-generated content (FGC) posted on Instagram on affective customer engagement (CE). In addition, an examination is undertaken of affective CE as a driver of customer behaviour. Design/methodology/approach: The paper takes a quantitative approach using a sample of 334 women followers of an eco-friendly restaurant Instagram account. After validation of the measurement scales, the hypotheses were tested through structural equation modelling. Drawing on the stimuli-organism-response framework the authors posit that consumers’ perceptions of the enjoyment and originality of Instagram posts generate affective CE, which, in turn, influences customer behaviour. Findings: The results showed that the perceived enjoyment and perceived originality of Instagram posts generated by an eco-friendly restaurant have a positive influence on affective CE, which, in turn, affects consumers’ recommendation behaviours, intention to follow the restaurant’s advice on Instagram and intention to revisit the restaurant. Originality/value: This research provides novel insights into how the perceived enjoyment and originality of FGC posted on Instagram increases women’s affective engagement and expands knowledge of how affective CE might increase positive electronic word-of-mouth, intention to follow the restaurant’s advice and repurchase intentionsUniversity of Valencia (Spain) under Grant UV-INV-AE19-121225

Propuesta de mejoramiento para el sistema de transporte de distribución a nivel nacional del centro de operación logística de Almacafé

Ingeniero (a) IndustrialPregrad

Females' customer engagement with eco-friendly restaurants in Instagram: the role of past visits.

Purpose - The purpose of this study is to examine the effect on the customer brand engagement (CBE) of followers of an eco-friendly restaurant of their perceptions of the originality of the firm-generated content posted online by the restaurant and the effect of CBE on brand advocacy and behavioural intentions to visit the restaurant, paying special attention to the moderating role of past visits to the restaurant. Design/methodology/approach - The hypotheses were tested using structural equation modelling with a sample of 491 female Instagram users who follow the online account of a particular eco-friendly dining establishment. Two group comparisons were conducted to test the moderating effects in relationships between CBE and consumer-brand interactions (behavioural intentions to visit the restaurant and brand advocacy). Findings - Followers' perceptions of the originality of the material posted by the eco-friendly restaurant had a positive influence on CBE which, in turn, affected brand advocacy and behavioural intentions to visit the restaurant. Past visits moderated the relationship between CBE and consumer-brand interactions. Practical implications - This study offers restaurants an understanding of how to develop marketing strategies targeted at females on visual-based social networks; it is shown that original posts encourage favourable responses, such as CBE, brand advocacy and behavioural intentions. Managers should organise events and invite their female followers to visit the restaurant. Originality/value - This study adds to the knowledge about customer engagement by explaining how firm-generated content posted on Instagram drives CBE and provides specific suggestions as to how restauranteurs might engage online with their clients. This study goes beyond direct effects and analyses the moderating role of past visits to the restaurant on the relationships between CBE and consumer-brand interactions (visiting intentions and brand advocacy)

Find a flight for me, Oscar! Motivational customer experiences with chatbots.

Purpose. Drawing on the self-determination theory, the assemblage theory, and customer experience literature, we aim to develop a framework to understand motivational customer experiences with chatbots. Design/methodology/approach. We employ a multimethod approach to examine the interaction between individuals and airlines’ chatbots. Three components of self-determined interaction with the chatbot (competence, autonomy, and relatedness) and five components of the customer–chatbot experience (sensory, intellectual, affective, behavioral, and social) are analyzed qualitatively and quantitatively. Findings. The findings confirm the direct influence of self-determined interaction on customer experience and the direct effects of these two constructs on participants’ attitudes toward and satisfaction with the chatbot. The model also supports the mediating roles of customer experience and attitude toward the chatbot. Practical Implications. We offer managers a broad understanding of individuals’ interactions with chatbots through three elements: motivation to use chatbots, experiential responses, and individuals’ valuation of whether the interactions have amplified (or limited) the outcomes obtained from the experience. Originality/value. We contribute to the hospitality and tourism literature with a hybrid approach that reflects on current theoretical developments regarding human- and interaction-centric interpretations of customer experience with chatbots.This research was funded by the (a) Plan Andaluz de Investigación, Desarrollo e Innovación de la Junta de Andalucía, Grupo SEJ-567; (b) the Universidad de Málaga, Andalucía Tech, Plan Propio de Investigación y Transferencia (Spain); and (c) the Spanish Ministry of Science and Innovation, grant number PID2020-113561RB-I00

Alta sensibilidad y depresión. Una relación mediada por el sesgo atencional

34 p.Las personas altamente sensibles presentan mayores tasas de problemas de salud mental. El trastorno depresivo mayor es uno de los trastornos que mayor probabilidad tienen de sufrir las personas con este rasgo. La mayor capacidad para detectar emociones y estímulos del entorno podría estar mediando esta relación. El objetivo del presente estudio es examinar si las personas altamente sensibles presentan el mismo sesgo atencional hacia la información negativa que las personas depresivas. Se seleccionaron 116 de sujetos a los que se les administró la escala de alta sensibilidad, un cuestionario de depresión y un instrumento diseñado para medir el sesgo atencional. Este instrumento contenía imágenes de caras felices y caras tristes. Los resultados mostraron correlación entre alta sensibilidad y depresión, correlación positiva entre depresión y sesgo atencional y alta sensibilidad para caras tristes.Highly sensitive persons have more mental health issues. Major depression is one of the most prevalent mental health problem in highly sensitive persons. This relation could be mediated by their empathy and their ability to detect environmental stimuli. The aim of the present study is to examine whether highly sensitive persons present an attentional bias to negative stimuli as it happens in major depression. The sample was formed by 116 subjects. They had to complete the highly sensitive persons scale, the Beck´s depression inventory and an instrument designed to measure attentional bias. This instrument was composed of photographs that show happy and sad faces. The results showed significative correlation between high sensitivity and depression, positive correlation between depression, high sensitivity and attentional bias for sad faces.Máster Universitario en Psicología General Sanitaria (M169

Las marcas de la distribución: desarrollo de un marco de análisis desde la perspectiva de la oferta y de un modelo explicativo de su demanda

Tesis doctoral inédita. Universidad Autónoma de Madrid, Facultad de Ciencias Económicas y Empresariales, Departamento de Financiación e Investigación Comercial. Fecha de lectura: 25-6-0

Construyendo relaciones, construyendo sexualidades

págs.: 159-162Capítulo incluido en el libro: 1ª Jornada sobre Maltrato a las Personas con Discapacidad: Sevilla, 16-17 de Octubre 2014 Sevilla: Universidad Internacional de Andalucía, 2014. ISBN: 978-84-7993-256-5. Enlace: http://hdl.handle.net/10334/337