Diseño de una propuesta de mejoramiento de la gestión administrativa del hospital el tunal, mediante la aplicación de la filosofía de teoría de restricciones (TOC)

El objetivo de este trabajo es presentar el diseño de un proyecto de mejora a través de la filosofía TOC para la gestión Administrativa del Hospital El Tunal del Nivel III de Bogotá DC, durante el período 2013. Para lograr el objetivo de la propuesta de mejoramiento basada en la filosofía TOC (Inglés siglas Theory of Constraints), se centra en crear un proceso de mejora continua en la gestión administrativa del Hospital El Tunal. Esta entidad es una Empresa Social del Estado y tiene por objeto la prestación de servicios de salud a usuarios que presentan algún tipo de enfermedad o trastorno orgánico que afecta su salud; se centra en mejorar, corregir y proporcionar una mejor calidad de vida al usuario que viene a cubrir sus necesidades de salud. Este producto de investigación terminará con una propuesta centrada en la mejora de la gestión administrativa, basada en la filosofía TOC aplicado a la cartera morosa, tratando de ofrecer una serie de soluciones a los problemas actuales que impactan estas organizaciones centrándose en la mejora continua, la velocidad de flujo de los recursos administrativos, verificando si es eficaz en beneficio de los usuarios y los profesionales de la salud.

Els coneixements econòmics que ens fan falta. 'Los conocimientos económicos que nos hacen falta'.

Resumen del autor en catalán

Análisis del cambio de agenda en política exterior de México hacia Estados Unidos en materia comercial, durante la presidencia de Vicente Fox, periodo 2000-2006

El objetivo de la presente monografía sintetiza el cambio de agenda en política exterior de México hacia Estados Unidos desde la firma del Tratado de Libre Comercio de América del Norte, hasta la llegada a la presidencia del Partido Acción Nacional en el 2000 con Vicente Fox.

Impacto financiero de la unificación del plan obligatorio de salud subsidiado (pos-s) en las empresas sociales del estado (ese) de mediana complejidad de Cundinamarca

A partir de la Ley 100 de 1993, el sistema de salud en Colombia ha presentado una serie de trasformaciones que buscan mejorar la prestación de los servicios y lograr cubrimiento de la población no favorecida y excluida del Plan Obligatorio de Salud (POS). Sin embargo, las Empresas sociales del Estado (ESE), en aras de dar cumplimiento a las disposiciones y normatividades que exige la ley, funcionan y prestan sus servicios acorde con los objetivos corporativos planteados por ellas mismas, a pesar de tener una gran cartera por parte de las Entidades Promotoras de Salud (EPS). El propósito de esta investigación es evaluar el impacto financiero en una muestra de cuatro hospitales públicos de Cundinamarca (las ESE San Rafael de Facatativá, Fusagasugá, Cáqueza, y el Salvador de Ubaté), luego de la aplicación del Acuerdo 032 del 2012 de la Comisión de Regulación en Salud (CRES). Se seleccionaron cuatro hospitales públicos de mediana complejidad de Cundinamarca, por ser uno de los departamentos más representativos en hospitales de este tipo. Se encontró una mayor convergencia en términos de estructura administrativa y financiera, lo que hace posible que la información obtenida sea comparable y útil para la medición en términos de presupuesto y liquidez. El incremento de la cartera y la disminución de la rotación de la misma, con la afectación respectiva de la liquidez y la rentabilidad, dificultan el logro de las instituciones como lo son la sostenibilidad y perdurabilidad. El cambio del pagador después de la aplicación de la norma incidió directamente en lo anterior; igualmente, traspasar la población no cubierta al régimen subsidiado eliminó el desembolso por parte de la Secretaría de Salud y lo trasladó a las EPS subsidiados, afectando directamente los tiempos de rotación de cartera como se documenta en el análisis.

Funciones de la inspección.

Analizar la inspección educativa desde su origen hasta la actualidad, ofreciendo una visión que clarifica aquellos aspectos de tareas supervisoras que tradicionalmente estuvieron poco definidas. La estrategía metodológica constituyo en el vaciado o seguimiento de las distintas fuentes bibliográficas: anuarios, boletines, revistas, periodicos, textos especializados y manuales. La actual tendencia de evolución interna de los Servicios de Inspección educativa se proyecta hacia el perfeccionamiento del sistema de inspección en sus lineas organizativas. Esta tendencia responde a las necesidades originadas en nuestro contexto de cara al perfeccionamiento de los profesores, como lo demuestran las distintas alternativas que se promueven desde los Centros de Especialización del Profesorado y los Centros de Recursos, ante los que la inspección se quedo relegada.. Se deduce de esta investigación que en la situación española el principal problema, y a su vez su principal tarea, consiste en la organización de un Servicio de Inspección profesional, estable e independiente, que garantice los derechos educativos. Se configura así un nuevo modelo de inspección educativa adaptado a las necesidades de la sociedad y que responde a los cambios que en ella se producen. Por ello debe servir como un medio de ayuda a la Administración educativa y a la vez como un medio de intervención en los problemas diarios de los centros docentes. Requeriría también un cambio de funciones que se centrarán en la evaluación del profesorado y cooperación en el apoyo técnico a profesores, en facilitarles la comunicación y la información a nivel nacional e internacional. Fecha finalización tomada del Código del Documento.

The ethics of gender in Milton's paradise lost

ERICKSON, Sandra S.Fernandes. The ethics of gender in Milton's paradise lost. Principios: revista de filosofia. Natal (RN). v. 5, n. 6, p. 155-170. 1998. ISSN 1983-2109. Disponivel em: periodicos.ufrn.br/ojs/index.php/principios/article/view/690>. Acesso em: 04 out. 2010.

Physiological responses of the brown mussel Perna perna (Mollusca, Bivalvia) exposed to the anionic surfactant linear alkylbenzene sulphonate (LAS).

The effects of the Linear Alkylbenzene Sulphonate (LAS) were evaluated on the mussel Perna perna, using physiological and genotoxic biomarkers. The Micronuclei (MN) assay was used to estimate effects at nuclear level, whereas the physiological effects were evaluated by measuring the oxygen consumption and ammonia excretion rates. Significant effects were observed for the MN assay and the ammonia excretion rate, even in low concentrations. The oxygen consumption was not affected in the tested concentrations. For MN and ammonia excretion, the animals exposed to intermediate concentrations were not affected, but responded to the higher concentrations, indicating the existence of compensatory mechanisms at physiological level. However, parallel to this study other authors indicate the presence of progressive effects at the cellular level, suggesting that the organisms are not capable to recover of such increasing effects. Additionally, the results show that the levels of LAS observed for Brazilian coastal waters may chronically affect the biota.

Tecido hepático e corpo adiposo de rã-touro (Lithobates catesbeianus) submetido a diferentes fotoperíodos

The study was conducted to evaluate the liver tissue weight, body fat weight, the fatty somatic index and the liver somatic index of bullfrogs subjected to three photoperiod during the growing phase (initial 30 days) and finishing (60 days). The treatments were 16 h light and 8 h dark, 12 h of light and dark and 8 h light and 16 h dark. The experimental design was completely randomized design with three replications. We used 36 bullfrogs/m2 weighing from 22 to 28 g. The results were submitted to ANOVA and Tukey Test at 5% probability. Differences were found for the weight of body fat, liver tissue weight, liver somatic index and fatty somatic index the bullfrog to the treatments and the study periods and there is greater accumulation of energy to ninety days. The photoperiod did not influence body weight and fat weight of the liver tissue of bullfrog at the end of the fattening period and the difference fatty somatic index and liver somatic index were influenced by body weight of animals.

Densidade de estocagem para produção de Acará-bandeira em viveiros escavados em policultivo com Camarão-da-amazônia

The aim of this study was to evaluate the production of Freshwater Angelfish (Pterophyllum scalare) in different stocking densities in cages polycultured with Amazon River Prawn (Macrobrachium amazonicum). Four treatments were evaluated (1; 2; 3 and 4 fish. 10 L(-1)) using two ponds and 24 experimental units. Water quality parameter reached adequate levels for the species. Production data were submitted to ANOVA. Fish produced in the lowest density showed higher values of final weight and standard length, and lower total biomass in comparison with the others treatments. Feed conversion rate, survival, batch uniformity and body factor were not significant different among treatments. The highest density tested produced more fish and gross yield than the others treatments. The density 20 fish. 10L(-1) is recommended to produce Freshwater Angelfish in cages polycultured with Amazon River Prawn.

Activity of sesame leaf extracts to the leaf-cutting ant Atta sexdens rubropilosa (Hymenoptera : Formicidae)

Crude extracts of new and old sesame leaves (Sesamum indicum, Linaeus) obtained by a sequential process of extraction were tested through contact experiments to investigate their toxicity to Atta sexdens rubropilosa (Forel) workers. Methanol extract of old leaves was toxic to leaf-cutting ants at the lower tested concentration (20mg.ml(-1)). This extract was fractioned and their fractions were tested showing a toxic effect of the methanol fraction. The methanol fraction was fractioned again and the sub fraction responsible for worker's toxicity is composed of some sugars.

Fixação biológica do nitrogênio e crescimento de plantas de leucena (Leucaena leucocephala (Lam.) de wit.) sob salinidade

This study aimed to evaluate the effects of salinity in the growth and nitrogen fixation in leucaena. Plants were cultivated in Leonard pots containing clean and sterilized sand. The treatments were distributed in a completely randomized design, in a 3x3 factorial, with five replicates. The first factor corresponded to no inoculation and inoculation with Bradyrhizobium sp SEMIA 6070 and SEMIA 6153 strains. The second factor corresponded to NaCl concentrations: 0, 25 and 50 mol m(-3). Were analyzed the height and dry matter accumulation, the number of nodules and nitrogen in plants. The inoculation of plants with the strain SEMIA 6070 provided higher growth and greater nitrogen accumulation in plants thar were not subject to salinity. Nodulation was not affected by salinity. Inoculation with SEMIA 6153 strain provided greater tolerance to salinity.

Crescimento e nutrição de plantas de leucena (Leucaena leucocephala (Lam.) R. de Vit) sob salanidade

Excessive salt can to promote water soil retention, reducing your availability to plants. Besides, they can interfere in protoplasm metabolism. The plants ability to survive in salinity conditions is an important factor to geographic distribution and agriculture in salinized regions. The objective of this work was to verify the effects of the NaCl in the growth, dry matter distribution and N, K, Ca, Mg, Na, and Cl content in young plants. The experiment was conducted in 'Leonard' pots, with nutrient solutions, with NaCl ( 0, 25, 50 and 100 mmol L(-1)). Increasing of NaCl concentration reduces growth and total dry matter. There was an increase of N and K content, in shoots, and N and Mg content in roots. There was an reduction in Mg content in shoots, and reduction of Ca content in roots with increasing of NaCl. Leucaena plants were inefficient to exclude Na and Cl, in shoots principally.

Ocorrência da Mosca-negra-dos-citros (Aleurocanthus woglumi ashby) (Hemiptera: aleyrodidae) em Pernâmbuco

This paper aimed to verify the presence of black-fly of citrus in the state of Pernambuco in Brazil and wordwide. The material with symptoms were collected in the metropolitan area of Recife/PE and subsequently led to the identification in the Insect Biology Laboratory of the Federal Rural University of Pernambuco - UFRPE on February 4, 2011. The samples collected from the branches of citrus and bilocular, found the presence of eggs, nymphs, "pupae" and adults of Aleurocanthus woglumi, confirming its occurrence in the state of Pernambuco. The presence of blackfly of citrus had been detected in the city in the state of Pernambuco as Timbauba, Bom Jardim, Macaparana, Axes, Orobo, Sao Vincent Farrer and Itambe in citrus plants. Before that had a suspect in the Valley Siriji/PE, now it is in the metropolitan area of Recife, therefore we can confirm that the material collected and identified in the metropolitan area of Pernambuco is A. woglumi.

Não preferência para alimentação e aspectos biológicos de Spodoptera eridania em cultivares de feijão-caupi

The aim of this paper was to evaluate the no-preference for feeding and biological aspects of Spodoptera eridania fed on cowpea cultivars BR17 Gurgueia, BRS Urubuquara, BRS Nova Era, Sempre Verde, BRS Milenio and BR3 Tracuateua. In free-choice test, leaf discs were placed in Petri dishes where one third instar larvae per cultivar was released, whereas in no-choice test one leaf disc was placed per Petri dish where one caterpillar per cultivar was released, evaluating their attractiveness after 1, 3, 5, 10, 15, 30, 60, 120, 360 and 720 minutes, as well as the leaf area consumed. Randomized blocks and complete randomized blocks design were used for free-choice and no-choice tests, respectively, with six treatments and 10 replications. The evaluation of the biological parameters of S. eridania was carried out in Petri dishes where recently hatched caterpillars were transferred in the proportion of one per dish, and the leafs of the cultivars were offered to them during the whole larval period, and we evaluated: periods and viabilities of larvae and pupae, overall viability, weight of larvae and pupae, sex ratio, longevity and overall cycle. Complete randomized design was used with six treatments and 30 replications. In no- preference for feeding free-choice test the cultivars Sempre Verde and BR17 Gurgueia were the most and the least consumed, respectively. Regarding the effects of cowpea cultivars on larval viability we can infer that BRS Urubuquara and Sempre Verde show antibiosis-type resistance to S. eridania.

Técnica de criação e parâmetros biológicos de Stegasta bosquella em amendoim

Studies with Stegasta bosquella in peanut crop are little explored by researchers, mainly by the need of obtaining, in the field, a large quantity of closed leaflets. Therefore, it was sought a way of rearing in a natural diet that facilitates the attainment of the insect. The research was developed at the Laboratorio de Resistencia de Plantas a Insetos (FCAV/Jaboticabal) (T: 25 +/- 2 degrees C, RH 60 +/- 10% and photophase: 12 hours) (Runner IAC 886). The rearing stock of was carried out by collecting caterpillars from the field and keeping them in flat bottom glass tubes until adult emergence and test performance. Caterpillars were individualized in Petri dish plates, lined with moistened filter paper, which contained closed and early opened leaflets, but closed with paper clips (imitating the closed leaflet). A randomized design with two treatments and 36 repetitions was used. After the pupae formation, they were separated into five couples and the adults were kept in transparent plastic cages containing a peanut stem with leaves for oviposition, and fed with a 10% honey solution. The duration and viability of the larval and pupal periods, male and female longevity with and without food, and fertility were evaluated. The two forms of larvae rearing (closed leaflet and leaflet closed with clips) did not influence on any of the studied parameters. Therefore, the rearing of S. bosquella becomes feasible in natural diet, which means there is no need to use the enclosed leaflets for this purpose, and implies the easiness for rearing.