Análisis de la internacionalización de SUKKAR S.A.

El objetivo de este trabajo es analizar una PYME Colombiana exitosa, que por medio de la investigación y la innovación logra desarrollar un producto natural de exportación, capaz de competir por sus cualidades únicas, en el mercado internacional. Se realizo un estudio descriptivo del sector y de la empresa para detallar el proceso que la llevó a colocar su producto en el mercado mundial. Según los resultados que arroja este estudio para posicionar un producto a nivel nacional e internacional, es necesario contar, no solo con una base económica, sino con el apoyo de un sector que permita el desarrollo de procesos de investigación e innovación del producto que se quiere comercializar. Sukkar invirtió en investigación y gracias a esto logro descubrir una característica única que otros productos derivados del azúcar no poseían, los policosanoles y adquirir los derechos de una patente de producción en el mercado de los Estados Unidos A esta innovación se suma, la habilidad gerencial para conseguir contactos en el exterior, la aplicación de algunas teorías de innovación del reconocido economista del siglo XX Joseph Shumpeter, más el conocimiento y la experiencia de los gerentes de Sukkar S.A. su manejo financiero y gran capacidad económica que permitieron a Sukkar obtener una identidad y posicionamiento exportador. La meta ahora es ampliar estos mercados y conseguir que el consumidor final adquiera el producto de la empresa como parte de su canasta familiar, así como en este momento ya esta siendo reconocido entre la industria internacional, como suplemento nutritivo y saludable de algunas bebidas.

Transformación de las instituciones colombianas que garanticen los derechos de los refugiados colombianos en el ecuador (2002-2013)

El objetivo de este trabajo de grado es realizar un análisis sobre las transformaciones institucionales colombianas que garanticen los derechos de refugiados colombianos en el Ecuador. Se analizará desde el enfoque neo institucionalista de la Ciencia Política, como la realidad de los refugiados colombianos en el Ecuador incide en las trasformaciones de las instituciones colombianas al constituirse en actores estratégicos en la configuración de las políticas y la institucionalidad del Estado colombiano. Al ser este un estudio de caso, se abordarán trayectorias vitales y migratorias de connacionales refugiados en Ecuador, víctimas del desplazamiento forzado, como también versiones de las instituciones del gobierno colombiano y opiniones, reflexiones y prácticas de fundaciones, ONG e instituciones internacionales especializadas, desde un enfoque cualitativo de investigación.

Evidencia sobre el tratamiento profiláctico versus a demanda en pacientes pediátricos con hemofilia e inhibidores

La hemofilia A y B son trastornos hereditarios recesivos ligados al cromosoma X y se caracterizan por la deficiencia de los factores de coagulación VIII y IX, respectivamente. La complicación más importante , durante el tratamiento, es el desarrollo de los anticuerpos neutralizantes ,llamados inhibidores ,que vuelven ineficaz cualquier terapia. Existe controversia sobre si es mejor el manejo profiláctico o a demanda, en los pacientes pediátricos con inhibidores. Con la presente revisión sistemática se pretende evaluar el mejor tipo de tratamiento en pacientes pediátricos con hemofilia e inhibidores. Se realizó una revisión sistemática de literatura incluyendo estudios controlados aleatorizados en las principales bases de datos, sin límite de tiempo, se evaluaron los episodios de sangrado articular y no articular, la calidad de vida y seguridad del medicamento. Se encontraron un total de seis (6) artículos relacionados con el tema, que cumplieron criterios de selección. El manejo profiláctico de los pacientes con hemofilia, mostró diferencias significativas en comparación con el tratamiento a demanda en los episodios de sangrado articular y no articular y sobre la calidad de vida. Se presentaron menos casos de hemartrosis y sangrado en articulaciones blanco con el tratamiento profiláctico. La presente revisión determinó que el manejo profiláctico reduce la presentación de eventos de sangrado y hemartrosis, aunque no se encontraron diferencias significativas entre el tratamiento profiláctico o a demanda, en la calidad de vida.

Small-area variation in health care affecting the choice of cesarean delivery: the case of a Colombian health insurer

In the midst of health care reform, Colombia has succeeded in increasing health insurance coverage and the quality of health care. In spite of this, efficiency continues to be a matter of concern, and small-area variations in health care are one of the plausible causes of such inefficiencies. In order to understand this issue, we use individual data of all births from a Contributory-Regimen insurer in Colombia. We perform two different specifications of a multilevel logistic regression model. Our results reveal that hospitals account for 20% of variation on the probability of performing cesarean sections. Geographic area only explains 1/3 of the variance attributable to the hospital. Furthermore, some variables from both demand and supply sides are found to be also relevant on the probability of undergoing cesarean sections. This paper contributes to previous research by using a hierarchical model and by defining hospitals as cluster. Moreover, we also include clinical and supply induced demand variables.

Representaciones sociales de la medicina complementaria y alternativa (MCA) para el cáncer en estudiantes universitarios de carreras de ciencias de la salud

Se realizó un estudio cualitativo exploratorio con estudiantes de carreras de Ciencias de la Salud con el objetivo de comprender las representaciones sociales que tienen acerca de la Medicina Complementaria y Alternativa (MCA) para el cáncer. Se desarrollaron grupos focales y la información obtenida fue analizada a través del Análisis Temático e interpretada con base en la Teoría de las Representaciones Sociales. Se encontraron diversas representaciones sociales asociadas con la definición, los objetivos, los tratamientos, la eficacia, las fuentes de información y el origen de la MCA. En conclusión se evidenció una alta tendencia a la aceptación y a la manifestación de una actitud positiva, aunque ambivalente frente a la MCA, además de un desconocimiento por la diferenciación conceptual entre este tipo de Medicina y la Medicina Popular. La cultura y las creencias sociales predominan en las representaciones sociales que tienen los estudiantes de la MCA para el cáncer, pese a su formación académica.

Dialogue Systems for Language Learning

En este artículo se presenta el caso de Milao, un entorno virtual que ofrece a los estudiantes de idiomas extranjeros la oportunidad de desarrollar y mejorar sus habilidades comunicativas dialogando en escenarios de conversación predefinidos que simulan la interacción con un nativo. Esta tecnología propone una solución a uno de los mayores retos en el aprendizaje de lenguas extranjeras: la falta de oportunidades para poner en práctica la gramática y el vocabulario recién adquiridos. Combinando la investigación sobre la lingüística y el aprendizaje de lenguas con los avances tecnológicos en el campo del Procesamiento del Lenguaje Natural (NPL), particularmente sobre sistemas de diálogo, hemos creado oportunidades en la demanda de los estudiantes a conversar en la lengua que tratan de aprender.

La interactividad de las redes sociales en el video online. Estudios de casos: TerraTV (Brasil), CaracolTV (Colombia) y Ecuavisa (Ecuador)

El fulgor de las redes sociales, Facebook y Twitter, en el año 2013 ha llevado a múltiples análisis investigativos en estudios de comunicación a nivel de maestría; debido, en más de una forma, a las victorias conseguidas en el plano de la interactividad comunicativa sustentadas en los principios de libertad humana, propios de la democracia. Al reconocer al sujeto como decidor, hablamos de la libertad para seleccionar, pertenecer, y participar, formando redes de afiliación y amistad basadas en las conexiones físicas. Así, busco conocer cuál es el grado de interactividad de las redes sociales en la difusión del video online. El inicio de la comunicación moderna impulsada por la prensa bajo un formato de oferta de información derivó en la aplicación de prácticas comunicacionales semejantes en el medio televisivo, pero cuando los medios iniciaron la producción de contenidos en la web, la lógica del emisor-canal-receptor se transformó hacia una bidireccionalidad múltiple. En este punto, a partir de un método cuantitativo, cuestiono el establecimiento de un diálogo con el usuario y entre usuarios generado por las publicaciones en Facebook y Twitter de cibermedios como TerraTV, CaracolTV y Ecuavisa, identificados por la distribución de contenido en formato de video on demand con carácter noticioso. Con el posicionamiento de internet en la esfera mediática la formación de las redes humanas físicas se virtualizaron, haciendo que cada uno de los nodos de la sociedad red ofrezca sus dosis de innovación al sistema, agregando valor e impulsando el capital social. Likes, fan pages, share, tuits, comentarios y clicks han llevado a todos los medios de comunicación a mantener conexiones con las redes sociales. En el caso de Ecuador, indago si Ecuavisa está empleando todas las potencialidades ofrecidas por la arquitectura de Facebook y Twitter para desarrollar una conversación entre sus fans. Con estudios de casos de 182 post y tuits producidos en Facebook y Twitter por los cibermedios seleccionados durante la elección del papa en marzo 2013, se compara el grado de adecuación a la interactividad en la difusión del video online, tras la implementación de un modelo de medición adaptado al test de dinamismo. CaracolTV se configura, entre los representantes de Brasil, Colombia y Ecuador, como el cibermedio con mayor grado de interactividad en una escala de 70 puntos.

Nitrogen management is essential to prevent tropical oil palm plantations from causing ozone pollution

More than half the world's rainforest has been lost to agriculture since the Industrial Revolution. Among the most widespread tropical crops is oil palm (Elaeis guineensis): global production now exceeds 35 million tonnes per year. In Malaysia, for example, 13% of land area is now oil palm plantation, compared with 1% in 1974. There are enormous pressures to increase palm oil production for food, domestic products, and, especially, biofuels. Greater use of palm oil for biofuel production is predicated on the assumption that palm oil is an “environmentally friendly” fuel feedstock. Here we show, using measurements and models, that oil palm plantations in Malaysia directly emit more oxides of nitrogen and volatile organic compounds than rainforest. These compounds lead to the production of ground-level ozone (O3), an air pollutant that damages human health, plants, and materials, reduces crop productivity, and has effects on the Earth's climate. Our measurements show that, at present, O3 concentrations do not differ significantly over rainforest and adjacent oil palm plantation landscapes. However, our model calculations predict that if concentrations of oxides of nitrogen in Borneo are allowed to reach those currently seen over rural North America and Europe, ground-level O3 concentrations will reach 100 parts per billion (109) volume (ppbv) and exceed levels known to be harmful to human health. Our study provides an early warning of the urgent need to develop policies that manage nitrogen emissions if the detrimental effects of palm oil production on air quality and climate are to be avoided.

High throughput profile-profile based fold recognition for the entire human proteome

BACKGROUND: In order to maintain the most comprehensive structural annotation databases we must carry out regular updates for each proteome using the latest profile-profile fold recognition methods. The ability to carry out these updates on demand is necessary to keep pace with the regular updates of sequence and structure databases. Providing the highest quality structural models requires the most intensive profile-profile fold recognition methods running with the very latest available sequence databases and fold libraries. However, running these methods on such a regular basis for every sequenced proteome requires large amounts of processing power.In this paper we describe and benchmark the JYDE (Job Yield Distribution Environment) system, which is a meta-scheduler designed to work above cluster schedulers, such as Sun Grid Engine (SGE) or Condor. We demonstrate the ability of JYDE to distribute the load of genomic-scale fold recognition across multiple independent Grid domains. We use the most recent profile-profile version of our mGenTHREADER software in order to annotate the latest version of the Human proteome against the latest sequence and structure databases in as short a time as possible. RESULTS: We show that our JYDE system is able to scale to large numbers of intensive fold recognition jobs running across several independent computer clusters. Using our JYDE system we have been able to annotate 99.9% of the protein sequences within the Human proteome in less than 24 hours, by harnessing over 500 CPUs from 3 independent Grid domains. CONCLUSION: This study clearly demonstrates the feasibility of carrying out on demand high quality structural annotations for the proteomes of major eukaryotic organisms. Specifically, we have shown that it is now possible to provide complete regular updates of profile-profile based fold recognition models for entire eukaryotic proteomes, through the use of Grid middleware such as JYDE.

Nitrogen management is essential to prevent tropical oil palm plantations from causing ground-level ozone pollution

More than half the world's rainforest has been lost to agriculture since the Industrial Revolution. Among the most widespread tropical crops is oil palm (Elaeis guineensis): global production now exceeds 35 million tonnes per year. In Malaysia, for example, 13% of land area is now oil palm plantation, compared with 1% in 1974. There are enormous pressures to increase palm oil production for food, domestic products, and, especially, biofuels. Greater use of palm oil for biofuel production is predicated on the assumption that palm oil is an "environmentally friendly'' fuel feedstock. Here we show, using measurements and models, that oil palm plantations in Malaysia directly emit more oxides of nitrogen and volatile organic compounds than rainforest. These compounds lead to the production of ground-level ozone (O-3), an air pollutant that damages human health, plants, and materials, reduces crop productivity, and has effects on the Earth's climate. Our measurements show that, at present, O-3 concentrations do not differ significantly over rainforest and adjacent oil palm plantation landscapes. However, our model calculations predict that if concentrations of oxides of nitrogen in Borneo are allowed to reach those currently seen over rural North America and Europe, ground-level O-3 concentrations will reach 100 parts per billion (10(9)) volume (ppbv) and exceed levels known to be harmful to human health. Our study provides an early warning of the urgent need to develop policies that manage nitrogen emissions if the detrimental effects of palm oil production on air quality and climate are to be avoided.

A Gentle/S approach to robot assisted neuro-rehabilitation

Movement disorders (MD) include a group of neurological disorders that involve neuromotor systems. MD can result in several abnormalities ranging from an inability to move, to severe constant and excessive movements. Strokes are a leading cause of disability affecting largely the older people worldwide. Traditional treatments rely on the use of physiotherapy that is partially based on theories and also heavily reliant on the therapists training and past experience. The lack of evidence to prove that one treatment is more effective than any other makes the rehabilitation of stroke patients a difficult task. UL motor re-learning and recovery levels tend to improve with intensive physiotherapy delivery. The need for conclusive evidence supporting one method over the other and the need to stimulate the stroke patient clearly suggest that traditional methods lack high motivational content, as well as objective standardised analytical methods for evaluating a patient's performance and assessment of therapy effectiveness. Despite all the advances in machine mediated therapies, there is still a need to improve therapy tools. This chapter describes a new approach to robot assisted neuro-rehabilitation for upper limb rehabilitation. Gentle/S introduces a new approach on the integration of appropriate haptic technologies to high quality virtual environments, so as to deliver challenging and meaningful therapies to people with upper limb impairment in consequence of a stroke. The described approach can enhance traditional therapy tools, provide therapy "on demand" and can present accurate objective measurements of a patient's progression. Our recent studies suggest the use of tele-presence and VR-based systems can potentially motivate patients to exercise for longer periods of time. Two identical prototypes have undergone extended clinical trials in the UK and Ireland with a cohort of 30 stroke subjects. From the lessons learnt with the Gentle/S approach, it is clear also that high quality therapy devices of this nature have a role in future delivery of stroke rehabilitation, and machine mediated therapies should be available to patient and his/her clinical team from initial hospital admission, through to long term placement in the patient's home following hospital discharge.

Upper limb robot mediated stroke therapy - GENTLE/s approach

Stroke is a leading cause of disability in particular affecting older people. Although the causes of stroke are well known and it is possible to reduce these risks, there is still a need to improve rehabilitation techniques. Early studies in the literature suggest that early intensive therapies can enhance a patient's recovery. According to physiotherapy literature, attention and motivation are key factors for motor relearning following stroke. Machine mediated therapy offers the potential to improve the outcome of stroke patients engaged on rehabilitation for upper limb motor impairment. Haptic interfaces are a particular group of robots that are attractive due to their ability to safely interact with humans. They can enhance traditional therapy tools, provide therapy "on demand" and can present accurate objective measurements of a patient's progression. Our recent studies suggest the use of tele-presence and VR-based systems can potentially motivate patients to exercise for longer periods of time. The creation of human-like trajectories is essential for retraining upper limb movements of people that have lost manipulation functions following stroke. By coupling models for human arm movement with haptic interfaces and VR technology it is possible to create a new class of robot mediated neuro rehabilitation tools. This paper provides an overview on different approaches to robot mediated therapy and describes a system based on haptics and virtual reality visualisation techniques, where particular emphasis is given to different control strategies for interaction derived from minimum jerk theory and the aid of virtual and mixed reality based exercises.

Enhanced viability of corneal epithelial cells for efficient transport/storage using a structurally-modified calcium alginate hydrogel

Aims: Therapeutic limbal epithelial stem cells could be managed more efficiently if clinically validated batches were transported for ‘on-demand’ use. Materials & methods: In this study, corneal epithelial cell viability in calcium alginate hydrogels was examined under cell culture, ambient and chilled conditions for up to 7 days. Results: Cell viability improved as gel internal pore size increased, and was further enhanced with modification of the gel from a mass to a thin disc. Ambient storage conditions were optimal for supporting cell viability in gel discs. Cell viability in gel discs was significantly enhanced with increases in pore size mediated by hydroxyethyl cellulose. Conclusion: Our novel methodology of controlling alginate gel shape and pore size together provides a more practical and economical alternative to established corneal tissue/cell storage methods.

Features for detection of Parkinson's disease tremor from local field potentials of the subthalamic nucleus

Deep Brain Stimulation (DBS) is a treatment routinely used to alleviate the symptoms of Parkinson's disease (PD). In this type of treatment, electrical pulses are applied through electrodes implanted into the basal ganglia of the patient. As the symptoms are not permanent in most patients, it is desirable to develop an on-demand stimulator, applying pulses only when onset of the symptoms is detected. This study evaluates a feature set created for the detection of tremor - a cardinal symptom of PD. The designed feature set was based on standard signal features and researched properties of the electrical signals recorded from subthalamic nucleus (STN) within the basal ganglia, which together included temporal, spectral, statistical, autocorrelation and fractal properties. The most characterized tremor related features were selected using statistical testing and backward algorithms then used for classification on unseen patient signals. The spectral features were among the most efficient at detecting tremor, notably spectral bands 3.5-5.5 Hz and 0-1 Hz proved to be highly significant. The classification results for determination of tremor achieved 94% sensitivity with specificity equaling one.

Integrating pests and pathogens into the climate change/food security debate

While many studies have demonstrated the sensitivities of plants and of crop yield to a changing climate, a major challenge for the agricultural research community is to relate these findings to the broader societal concern with food security. This paper reviews the direct effects of climate on both crop growth and yield and on plant pests and pathogens and the interactions that may occur between crops, pests, and pathogens under changed climate. Finally, we consider the contribution that better understanding of the roles of pests and pathogens in crop production systems might make to enhanced food security. Evidence for the measured climate change on crops and their associated pests and pathogens is starting to be documented. Globally atmospheric [CO(2)] has increased, and in northern latitudes mean temperature at many locations has increased by about 1.0-1.4 degrees C with accompanying changes in pest and pathogen incidence and to farming practices. Many pests and pathogens exhibit considerable capacity for generating, recombining, and selecting fit combinations of variants in key pathogenicity, fitness, and aggressiveness traits that there is little doubt that any new opportunities resulting from climate change will be exploited by them. However, the interactions between crops and pests and pathogens are complex and poorly understood in the context of climate change. More mechanistic inclusion of pests and pathogen effects in crop models would lead to more realistic predictions of crop production on a regional scale and thereby assist in the development of more robust regional food security policies.